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 |
|---|---|---|---|---|
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $41.21 – $41.21 | 1 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $25.71 – $25.71 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.03 – $5.03 | 1 |
| Als 1 HCPCS A0426 | $1,514.40 | $1,893.00 | $458.30 – $1,703.70 | 15 |
| Als1-emergency HCPCS A0427 | $1,857.60 | $2,322.00 | $425.61 – $1,582.20 | 15 |
| Als 2 HCPCS A0433 | $2,438.40 | $3,048.00 | $737.92 – $2,743.20 | 15 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $232.00 | $290.00 | $70.21 – $261.00 | 15 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $96.38 – $96.38 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $135.35 – $135.35 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $87.20 | $109.00 | $23.15 – $86.07 | 15 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $49.48 | $61.85 | $14.76 – $54.86 | 15 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $914.28 – $914.28 | 1 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $319.40 – $319.40 | 1 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $54.54 | $68.17 | $14.96 – $55.60 | 15 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $52.99 | $66.23 | $15.01 – $55.81 | 15 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $326.96 – $326.96 | 1 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $164.28 – $164.28 | 1 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $255.37 – $255.37 | 1 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $96.38 – $96.38 | 1 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $39.15 – $39.15 | 1 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $96.38 – $96.38 | 1 |
| Anastrozole 1 mg HCPCS S0170 | $5.16 | $6.45 | $1.50 – $5.56 | 15 |
| An cholangiogram percutaneous compl CPT 47531 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $187.20 | $234.00 | $0.25 – $0.93 | 15 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Ankle X-ray CPT 73610 | $513.60 | $642.00 | $92.45 – $577.80 | 15 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $348.00 | $435.00 | $92.45 – $391.50 | 15 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $314.91 – $314.91 | 1 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $211.23 – $211.23 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Anoscopy CPT 46611 | not published | not published | $957.30 – $957.30 | 1 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | $2,742.40 | $3,428.00 | $829.92 – $3,085.20 | 15 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $326.96 – $326.96 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $48.45 – $48.45 | 1 |
| Antigen therapy services CPT 95146 | not published | not published | $48.45 – $48.45 | 1 |
| Antigen therapy services CPT 95147 | not published | not published | $74.73 – $74.73 | 1 |
| Antigen therapy services CPT 95148 | not published | not published | $74.73 – $74.73 | 1 |
| Antigen therapy services CPT 95149 | not published | not published | $74.73 – $74.73 | 1 |
| Antigen therapy services CPT 95165 | not published | not published | $48.45 – $48.45 | 1 |
| Antigen therapy services CPT 95170 | not published | not published | $48.45 – $48.45 | 1 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $135.35 – $135.35 | 1 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $135.35 – $135.35 | 1 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $488.00 | $610.00 | $111.66 – $549.00 | 15 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,919.43 – $4,919.43 | 1 |
| Apheresis plasma CPT 36514 | not published | not published | $1,721.24 – $1,721.24 | 1 |
| Apheresis platelets CPT 36513 | not published | not published | $459.04 – $459.04 | 1 |
| Apheresis rbc CPT 36512 | not published | not published | $1,721.24 – $1,721.24 | 1 |
| Apheresis wbc CPT 36511 | not published | not published | $1,721.24 – $1,721.24 | 1 |
| Appendectomy CPT 44950 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $165.68 – $165.68 | 1 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $278.86 – $278.86 | 1 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $278.86 – $278.86 | 1 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $278.86 – $278.86 | 1 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $278.86 – $278.86 | 1 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $278.86 – $278.86 | 1 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $278.86 – $278.86 | 1 |
| Appl halo type body cast CPT 29000 | not published | not published | $278.86 – $278.86 | 1 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $278.86 – $278.86 | 1 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $278.86 – $278.86 | 1 |
| Application clubfoot cast CPT 29450 | not published | not published | $165.68 – $165.68 | 1 |
| Application finger splntstatic 29130 CPT 29130 | $287.20 | $359.00 | $86.91 – $323.10 | 15 |
| Application halo femoral CPT 20663 | not published | not published | $3,406.84 – $3,406.84 | 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.