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 |
|---|---|---|---|---|
| Explore/treat finger joint CPT 26075 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Explore/treat finger joint CPT 26080 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Explore/treat knee joint CPT 27331 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Explore wound abdomen 20102 CPT 20102 | $2,784.80 | $3,481.00 | $842.75 – $3,132.90 | 15 |
| Explore woundchest 20101 CPT 20101 | $1,876.00 | $2,345.00 | $567.72 – $2,110.50 | 15 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $534.71 – $534.71 | 1 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $135.35 – $135.35 | 1 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $135.35 – $135.35 | 1 |
| Extended visual field xm CPT 92083 | not published | not published | $135.35 – $135.35 | 1 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| External ocular photography CPT 92285 | not published | not published | $41.21 – $41.21 | 1 |
| Extnd color vision xm CPT 92283 | not published | not published | $62.37 – $62.37 | 1 |
| Extraction of lens CPT 66930 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $135.35 – $135.35 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $135.35 – $135.35 | 1 |
| Eye Socket (Orbit) X-ray CPT 70200 | $472.80 | $591.00 | $111.66 – $531.90 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | not published | not published | $186.92 – $446.60 | 2 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,210.40 | $2,763.00 | $186.92 – $2,486.70 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,824.00 | $2,280.00 | $111.66 – $2,052.00 | 15 |
| Face bone graft CPT 21210 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,011.20 | $5,014.00 | $374.99 – $4,512.60 | 15 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,105.60 | $3,882.00 | $253.81 – $3,493.80 | 15 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $335.20 | $419.00 | $92.45 – $377.10 | 15 |
| Facial Bones X-ray (complete) CPT 70150 | $570.40 | $713.00 | $111.66 – $641.70 | 15 |
| Facial nerve function test CPT 92516 | not published | not published | $326.96 – $326.96 | 1 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | $540.00 | $675.00 | $163.42 – $607.50 | 15 |
| Family therapy with patient 50 min 90847 CPT 90847 | $540.00 | $675.00 | $163.42 – $607.50 | 15 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $48.71 | $60.88 | $14.67 – $54.54 | 15 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $957.30 – $957.30 | 1 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Feno poc CPT 95012 | not published | not published | $41.21 – $41.21 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $49.48 | $61.84 | $14.59 – $54.23 | 15 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $826.85 | $1,033.56 | $250.22 – $930.20 | 15 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $352.89 | $441.11 | $106.79 – $397.00 | 15 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.32 – $0.32 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $111.66 – $111.66 | 1 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $211.23 – $211.23 | 1 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal non stress test CPT 59025 | not published | not published | $211.23 – $211.23 | 1 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $319.40 – $319.40 | 1 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $491.20 | $614.00 | $115.91 – $430.88 | 15 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $295.13 | $368.91 | $47.63 – $177.08 | 15 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Filtered speech hearing test CPT 92571 | not published | not published | $41.21 – $41.21 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $738.77 – $738.77 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $419.51 – $419.51 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Finger X-ray (both hands) CPT 73140 | $319.20 | $399.00 | $92.45 – $359.10 | 15 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $211.23 – $211.23 | 1 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $984.44 – $984.44 | 1 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Flebogamma injection HCPCS J1572 | not published | not published | $52.94 – $52.94 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $253.81 – $253.81 | 1 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $957.30 – $957.30 | 1 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Flow cytometry marker each additional CPT 88185 | $93.60 | $117.00 | $28.33 – $105.30 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $558.40 | $698.00 | $168.99 – $628.20 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $47.71 | $59.63 | $14.44 – $53.67 | 15 |
| Fluidotherapy charges pt CPT 97022 | $118.40 | $148.00 | $35.83 – $133.20 | 15 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $738.77 – $738.77 | 1 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $557.13 – $557.13 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $326.96 – $326.96 | 1 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $326.96 – $326.96 | 1 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | not published | not published | $253.81 – $253.81 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $253.81 – $578.05 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $253.81 – $578.05 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $738.77 – $738.77 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $738.77 – $738.77 | 1 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $48.17 | $60.21 | $14.58 – $54.19 | 15 |
| Follow-up angiography CPT 75898 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Fo nontorsion joint cf HCPCS L3935 | $318.24 | $397.80 | $96.31 – $358.02 | 15 |
| Foot X-ray CPT 73630 | $438.40 | $548.00 | $92.45 – $493.20 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $371.20 | $464.00 | $92.45 – $417.60 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $391.20 | $489.00 | $92.45 – $440.10 | 15 |
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.