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 |
|---|---|---|---|---|
| Hip arthroscopy dx CPT 29860 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip X-ray CPT 73502 | $350.40 | $438.00 | $92.45 – $394.20 | 15 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $31.28 – $31.28 | 1 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Hla class i high defin qual CPT 86832 | $776.80 | $971.00 | $235.08 – $873.90 | 15 |
| Hla class ii high defin qual CPT 86833 | $782.40 | $978.00 | $236.77 – $880.20 | 15 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $97.13 – $97.13 | 1 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $168.70 – $168.70 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $428.80 | $536.00 | $129.77 – $482.40 | 15 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $1,500.00 | $1,875.00 | $453.94 – $1,687.50 | 15 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $31.28 – $31.28 | 1 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $51.20 | $64.00 | $15.48 – $57.56 | 15 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $65.45 | $81.81 | $15.95 – $59.30 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $49.24 | $61.54 | $14.62 – $54.36 | 15 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $53.40 | $66.75 | $16.16 – $60.08 | 15 |
| Hymenotomy CPT 56442 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $728.50 – $728.50 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $276.13 – $276.13 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $607.39 – $607.39 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $607.39 – $607.39 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $607.39 – $607.39 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.81 – $17.81 | 1 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $253.81 – $253.81 | 1 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $224.80 | $281.00 | $68.03 – $252.90 | 15 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.19 – $93.19 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $326.96 – $326.96 | 1 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $41.21 – $41.21 | 1 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $62.37 – $62.37 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $25.71 – $25.71 | 1 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $767.20 | $959.00 | $232.17 – $863.10 | 15 |
| Idursulfase injection HCPCS J1743 | not published | not published | $548.06 – $548.06 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $187.20 | $234.00 | $56.65 – $210.60 | 15 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $265.60 | $332.00 | $80.38 – $298.80 | 15 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $62.37 – $62.37 | 1 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $41.21 – $41.21 | 1 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $62.37 – $62.37 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $50.63 – $55.19 | 2 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $83.74 – $83.74 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $49.91 – $49.91 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $135.35 – $135.35 | 1 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $17,237.25 – $17,237.25 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $33,398.21 – $33,398.21 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $16,133.07 – $16,133.07 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $418.99 – $418.99 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $22,516.61 – $22,516.61 | 1 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Implant spine infusion pump CPT 62361 | not published | not published | $18,557.83 – $18,557.83 | 1 |
| Implant spine infusion pump CPT 62362 | not published | not published | $18,557.83 – $18,557.83 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $243.83 – $243.83 | 1 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $44.44 – $44.44 | 1 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,050.41 – $2,050.41 | 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.