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 subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $48.45 | 2 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $221.22 – $345.60 | 2 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,839.20 | $2,299.00 | $556.59 – $2,069.10 | 15 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $980.80 | $1,226.00 | $296.81 – $1,103.40 | 15 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,300.00 | $2,875.00 | $696.04 – $2,587.50 | 15 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $700.00 | $875.00 | $211.84 – $787.50 | 15 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $761.60 | $952.00 | $230.48 – $856.80 | 15 |
| Ghs vaginal delivery only CPT 59409 | $3,480.80 | $4,351.00 | $1,053.38 – $3,915.90 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs windowing of cast CPT 29730 | not published | not published | $165.68 – $165.68 | 1 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $253.81 – $253.81 | 1 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Gi protein loss CPT 78282 | not published | not published | $421.92 – $421.92 | 1 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $984.44 – $984.44 | 1 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $957.30 – $957.30 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $984.44 – $984.44 | 1 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $25.71 – $25.71 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $41.21 – $41.21 | 1 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $334.09 | $417.61 | $72.75 – $270.46 | 15 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $186.10 | $232.62 | $56.24 – $209.08 | 15 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $62.37 – $62.37 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.33 – $11.33 | 1 |
| Gonioscopy CPT 92020 | not published | not published | $135.35 – $135.35 | 1 |
| Goniotomy CPT 65820 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,517.76 | $1,897.20 | $39.76 – $147.83 | 15 |
| Great toe with reduction 28495 CPT 28495 | $600.80 | $751.00 | $181.82 – $675.90 | 15 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Ground mileage HCPCS A0425 | $29.60 | $37.00 | $8.96 – $33.30 | 15 |
| Group train without patient HCPCS G0543 | $59.20 | $74.00 | $17.92 – $66.60 | 15 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| G-tube reposition CPT 43761 | not published | not published | $255.37 – $255.37 | 1 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $738.77 – $738.77 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,231.92 | $1,539.90 | $13.62 – $50.63 | 15 |
| Gum graft CPT 41870 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $642.74 – $642.74 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $419.51 – $419.51 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $419.51 – $419.51 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $48.67 | $60.83 | $14.70 – $54.64 | 15 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $132.80 | $166.00 | $63.25 – $149.40 | 15 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hand X-ray CPT 73130 | $505.60 | $632.00 | $92.45 – $568.80 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $348.80 | $436.00 | $105.56 – $392.40 | 15 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,721.24 – $1,721.24 | 1 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $459.04 – $459.04 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $135.35 – $135.35 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $135.35 – $135.35 | 1 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $144.80 – $144.80 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $186.92 – $186.92 | 1 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $642.74 – $642.74 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $642.74 – $642.74 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $565.18 – $565.18 | 1 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $421.92 – $421.92 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $421.92 – $421.92 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $565.18 – $565.18 | 1 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $276.13 – $276.13 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $276.13 – $276.13 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $2,363.20 | $2,954.00 | $186.92 – $2,658.60 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,047.20 | $2,559.00 | $186.92 – $2,303.10 | 15 |
| Head CT scan (without contrast) CPT 70450 | $1,863.20 | $2,329.00 | $111.66 – $2,096.10 | 15 |
| Heart first pass multiple CPT 78483 | not published | not published | $565.18 – $565.18 | 1 |
| Heart image spect CPT 78494 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image CPT 78466 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $565.18 – $565.18 | 1 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $408.00 | $510.00 | $92.45 – $459.00 | 15 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $235.34 – $235.34 | 1 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $734.71 – $734.71 | 1 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $957.30 – $957.30 | 1 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Heparin bolus from bag HCPCS J1644 | $50.51 | $63.13 | $14.76 – $54.86 | 15 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $8.91 | $11.13 | $2.68 – $9.98 | 15 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Hinge extension/flex wrist/f HCPCS L3900 | $2,491.32 | $3,114.15 | $753.94 – $2,802.74 | 15 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $506.40 | $633.00 | $111.66 – $569.70 | 15 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $582.40 | $728.00 | $111.66 – $655.20 | 15 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $292.80 | $366.00 | $88.61 – $329.40 | 15 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $7,500.92 – $7,500.92 | 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.