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 |
|---|---|---|---|---|
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $235.34 – $235.34 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $200.00 | $250.00 | $60.53 – $225.00 | 15 |
| Observation per hour HCPCS G0378 | $76.80 | $96.00 | $23.24 – $86.40 | 15 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $111.66 – $111.66 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $303.20 | $379.00 | $91.76 – $341.10 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $268.80 | $336.00 | $81.35 – $302.40 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $289.60 | $362.00 | $87.64 – $325.80 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $60.94 – $74.69 | 2 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $49.52 | $61.90 | $14.87 – $55.28 | 15 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $576.03 – $576.03 | 1 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $168.70 – $168.70 | 1 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $168.70 – $168.70 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $69.65 | $87.06 | $18.29 – $67.99 | 15 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $39.04 – $39.04 | 1 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $5.80 | $7.25 | $1.51 – $5.60 | 15 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $49.56 | $61.95 | $14.62 – $54.36 | 15 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $135.35 – $135.35 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $41.21 – $41.21 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $135.35 – $135.35 | 1 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $111.66 – $111.66 | 1 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $111.66 – $111.66 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $22,516.61 – $22,516.61 | 1 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $447.11 – $447.11 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $62.37 – $62.37 | 1 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $62.37 – $62.37 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx lunate dislocation CPT 25695 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx medial ankle fx CPT 27766 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $59.33 | $74.16 | $17.95 – $66.74 | 15 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $310.73 | $388.41 | $94.03 – $349.57 | 15 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $526.45 | $658.06 | $159.32 – $592.25 | 15 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $167.30 | $209.12 | $50.63 – $188.21 | 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.