Sanford Bagley Medical Center
203 4th Street NW, Bagley, MN · Sanford Health · · NPI 1932472255
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $54.31 | $67.88 | $15.81 – $58.79 | 15 |
| Dry needling (97799) CPT 97799 | $120.00 | $150.00 | $36.32 – $135.00 | 15 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $419.51 – $419.51 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $419.51 – $419.51 | 1 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $642.74 – $642.74 | 1 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $642.74 – $642.74 | 1 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $576.03 – $576.03 | 1 |
| Ductogram sgl duct CPT 77053 | not published | not published | $253.81 – $253.81 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $557.13 – $557.13 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $253.81 – $253.81 | 1 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $111.66 – $111.66 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $111.66 – $111.66 | 1 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $164.28 – $164.28 | 1 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $253.81 – $253.81 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $98.03 – $98.03 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $111.66 – $111.66 | 1 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $164.28 – $164.28 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $418.99 – $418.99 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $984.44 – $984.44 | 1 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $984.44 – $984.44 | 1 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $326.96 – $326.96 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $164.28 – $164.28 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $407.73 – $407.73 | 1 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $255.37 – $255.37 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $326.96 – $326.96 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $534.71 – $534.71 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Ear irrigation 69209 CPT 69209 | $158.40 | $198.00 | $47.94 – $178.20 | 15 |
| Ear protector evaluation CPT 92596 | not published | not published | $41.21 – $41.21 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $196.80 | $246.00 | $59.56 – $221.40 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $96.38 – $96.38 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $552.00 | $690.00 | $135.35 – $621.00 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $62.37 – $62.37 | 1 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $412.00 | $515.00 | $41.21 – $463.50 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $432.80 | $541.00 | $41.21 – $486.90 | 15 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,280.00 | $2,850.00 | $575.70 – $2,565.00 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $992.00 | $1,240.00 | $253.81 – $1,116.00 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $741.60 | $927.00 | $224.43 – $834.30 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $829.56 – $829.56 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $374.99 – $374.99 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $504.00 | $630.00 | $152.52 – $567.00 | 15 |
| Echo exam of eye CPT 76516 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of eye CPT 76519 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of eye CPT 76529 | not published | not published | $92.45 – $92.45 | 1 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $25.71 – $25.71 | 1 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $575.70 – $575.70 | 1 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $253.81 – $253.81 | 1 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $253.81 – $253.81 | 1 |
| Echograp trans r pros study CPT 76873 | not published | not published | $111.66 – $111.66 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $326.96 – $326.96 | 1 |
| Echo stress CPT 93350 | not published | not published | $575.70 – $575.70 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $575.70 – $575.70 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transthoracic CPT 93303 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transthoracic CPT 93304 | not published | not published | $575.70 – $575.70 | 1 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $253.81 – $253.81 | 1 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $39.15 – $39.15 | 1 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $127.20 | $159.00 | $38.49 – $143.10 | 15 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $557.13 – $557.13 | 1 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Egd guide wire insertion CPT 43248 | not published | not published | $984.44 – $984.44 | 1 |
| Egd injection varices CPT 43243 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd remove foreign body CPT 43247 | not published | not published | $984.44 – $984.44 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.