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 |
|---|---|---|---|---|
| Ghs excision ingrown nail CPT 11765 | $404.00 | $505.00 | $122.26 – $454.50 | 15 |
| Ghs eye exam CPT 92002 | not published | not published | $135.31 – $135.31 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $733.60 | $917.00 | $222.01 – $825.30 | 15 |
| Ghs fb removal foot - deep - left CPT 28192 | $4,950.40 | $6,188.00 | $1,498.11 – $5,569.20 | 15 |
| Ghs fb removal from muscle - complicated CPT 20525 | $5,960.80 | $7,451.00 | $1,803.89 – $6,705.90 | 15 |
| Ghs fb removal - incisional CPT 10121 | $4,380.80 | $5,476.00 | $1,325.74 – $4,928.40 | 15 |
| Ghs fb removal - non-incisional CPT 20520 | $3,285.60 | $4,107.00 | $994.30 – $3,696.30 | 15 |
| Ghs flow volume loop CPT 94375 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs gastric intub aspiration lavage CPT 43753 | $419.20 | $524.00 | $126.86 – $471.60 | 15 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,581.60 | $4,477.00 | $1,083.88 – $4,029.30 | 15 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,932.80 | $2,416.00 | $584.91 – $2,174.40 | 15 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $474.40 | $593.00 | $143.57 – $533.70 | 15 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $561.60 | $702.00 | $169.95 – $631.80 | 15 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $256.00 | $320.00 | $77.47 – $288.00 | 15 |
| Ghs init tx 1st degree burn CPT 16000 | $250.40 | $313.00 | $75.78 – $281.70 | 15 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs inj tendon origin/insertion CPT 20551 | $465.60 | $582.00 | $140.90 – $523.80 | 15 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs insertion of needle - bone CPT 36680 | $408.00 | $510.00 | $123.47 – $459.00 | 15 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $988.80 | $1,236.00 | $299.24 – $1,112.40 | 15 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,688.80 | $2,111.00 | $511.07 – $1,899.90 | 15 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,258.40 | $4,073.00 | $986.07 – $3,665.70 | 15 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $173.60 | $217.00 | $52.54 – $195.30 | 15 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $255.37 – $255.37 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $495.55 – $495.55 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $883.20 | $1,104.00 | $267.28 – $993.60 | 15 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $542.40 | $678.00 | $164.14 – $610.20 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $884.80 | $1,106.00 | $267.76 – $995.40 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $676.00 | $845.00 | $204.57 – $760.50 | 15 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $836.00 | $1,045.00 | $252.99 – $940.50 | 15 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $806.40 | $1,008.00 | $244.04 – $907.20 | 15 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $788.00 | $985.00 | $238.47 – $886.50 | 15 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $809.60 | $1,012.00 | $245.01 – $910.80 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $917.60 | $1,147.00 | $277.69 – $1,032.30 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $804.00 | $1,005.00 | $243.31 – $904.50 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $718.40 | $898.00 | $217.41 – $808.20 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,476.80 | $1,846.00 | $446.92 – $1,661.40 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,156.00 | $1,445.00 | $349.83 – $1,300.50 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $584.80 | $731.00 | $176.98 – $657.90 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $611.20 | $764.00 | $184.96 – $687.60 | 15 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,020.80 | $1,276.00 | $308.92 – $1,148.40 | 15 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $560.00 | $700.00 | $169.47 – $630.00 | 15 |
| Ghs nailbed repair/nail removal CPT 11760 | $628.80 | $786.00 | $190.29 – $707.40 | 15 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,087.20 | $2,609.00 | $631.64 – $2,348.10 | 15 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | $631.20 | $789.00 | $191.02 – $710.10 | 15 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $62.37 – $62.37 | 1 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $155.20 | $194.00 | $46.97 – $174.60 | 15 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $649.17 – $649.17 | 1 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs optokenetic CPT 92544 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs ot dds rom CPT 95851 | $84.80 | $106.00 | $25.66 – $95.40 | 15 |
| Ghs ot group caregiver training CPT 97552 | $59.20 | $74.00 | $17.92 – $66.60 | 15 |
| Ghs ot prosthetic training/15 min CPT 97761 | $123.20 | $154.00 | $37.28 – $138.60 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $124.80 | $156.00 | $37.77 – $140.40 | 15 |
| Ghs ot work hardening-additional hours CPT 97546 | $208.80 | $261.00 | $63.19 – $234.90 | 15 |
| Ghs pacing - transcutaneous CPT 92953 | $738.40 | $923.00 | $223.46 – $830.70 | 15 |
| Ghs peritonsillar abscess i andd CPT 42700 | $593.60 | $742.00 | $179.64 – $667.80 | 15 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs plngl fx pm cl CPT 26725 | $636.00 | $795.00 | $192.47 – $715.50 | 15 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs pr without cont pulse ox CPT 94625 | $165.60 | $207.00 | $50.11 – $186.30 | 15 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $402.40 | $503.00 | $121.78 – $452.70 | 15 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $348.27 – $348.27 | 1 |
| Ghs removal intranasal foreign body CPT 30300 | $283.20 | $354.00 | $85.70 – $318.60 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | $608.00 | $760.00 | $184.00 – $684.00 | 15 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $553.60 | $692.00 | $167.53 – $622.80 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $733.60 | $917.00 | $222.01 – $825.30 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $573.60 | $717.00 | $173.59 – $645.30 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $892.80 | $1,116.00 | $270.18 – $1,004.40 | 15 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $565.60 | $707.00 | $171.16 – $636.30 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $539.20 | $674.00 | $163.18 – $606.60 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $588.80 | $736.00 | $178.19 – $662.40 | 15 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $665.60 | $832.00 | $201.43 – $748.80 | 15 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $358.40 | $448.00 | $108.46 – $403.20 | 15 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $207.20 | $259.00 | $62.70 – $233.10 | 15 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $309.95 – $309.95 | 1 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $315.20 | $394.00 | $95.39 – $354.60 | 15 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $41.21 – $41.21 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | $203.20 | $254.00 | $61.49 – $228.60 | 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.