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 |
|---|---|---|---|---|
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $423.72 | $529.64 | $128.23 – $476.68 | 15 |
| Orthopantogram CPT 70355 | not published | not published | $92.45 – $92.45 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $62.37 – $62.37 | 1 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $534.64 | $668.30 | $161.80 – $601.47 | 15 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,211.11 | $1,513.88 | $366.51 – $1,362.49 | 15 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $213.56 – $213.56 | 1 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $26.57 – $26.57 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $41.21 – $41.21 | 1 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $25.71 – $25.71 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $134.40 | $168.00 | $40.67 – $151.20 | 15 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $154.40 | $193.00 | $46.73 – $173.70 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $124.00 | $155.00 | $37.53 – $139.50 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $138.40 | $173.00 | $41.88 – $155.70 | 15 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $49.12 | $61.40 | $14.71 – $54.70 | 15 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $51.17 | $63.96 | $14.99 – $55.72 | 15 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $565.18 – $565.18 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,509.60 | $1,887.00 | $421.92 – $1,698.30 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,752.80 | $2,191.00 | $421.92 – $1,971.90 | 15 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $208.64 – $208.64 | 1 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $56.10 – $56.10 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $418.99 – $418.99 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $326.96 – $326.96 | 1 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $208.64 – $208.64 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $164.28 – $164.28 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $5,000.86 | $6,251.07 | $31.73 – $5,625.96 | 15 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $98.36 – $98.36 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,092.26 | $3,865.32 | $146.06 – $3,478.79 | 15 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $311.44 – $311.44 | 1 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $138.08 – $138.08 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $826.05 | $1,032.56 | $189.71 – $929.30 | 15 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $186.92 – $446.60 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,002.40 | $2,503.00 | $186.92 – $2,252.70 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,715.20 | $2,144.00 | $111.66 – $1,929.60 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,837.60 | $4,797.00 | $374.99 – $4,317.30 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $374.99 – $607.75 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $2,744.00 | $3,430.00 | $253.81 – $3,087.00 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $772.00 | $965.00 | $111.66 – $868.50 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $410.40 | $513.00 | $111.66 – $461.70 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $351.20 | $439.00 | $106.28 – $395.10 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $456.80 | $571.00 | $111.66 – $513.90 | 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.