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 |
|---|---|---|---|---|
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,139.20 | $1,424.00 | $344.75 – $1,281.60 | 15 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,396.00 | $1,745.00 | $422.46 – $1,570.50 | 15 |
| Platelet survival CPT 78191 | not published | not published | $421.92 – $421.92 | 1 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $738.77 – $738.77 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $326.96 – $326.96 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Pm device progr eval dual CPT 93280 | not published | not published | $39.15 – $39.15 | 1 |
| Pm device progr eval multi CPT 93281 | not published | not published | $39.15 – $39.15 | 1 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $39.15 – $39.15 | 1 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $649.17 – $649.17 | 1 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $557.13 – $557.13 | 1 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $49.28 | $61.60 | $14.01 – $52.09 | 15 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $649.17 – $649.17 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pr application of long arm splint CPT 29105 | $408.00 | $510.00 | $123.47 – $459.00 | 15 |
| Pr application splint static short arm CPT 29125 | $352.00 | $440.00 | $106.52 – $396.00 | 15 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $41.21 – $41.21 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $419.51 – $419.51 | 1 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.00 | $60.00 | $14.53 – $54.00 | 15 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $13.11 | $16.38 | $1.53 – $5.71 | 15 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $111.66 – $111.66 | 1 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $426.40 | $533.00 | $111.66 – $479.70 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $344.00 | $430.00 | $104.10 – $387.00 | 15 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $326.96 – $326.96 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $557.13 – $557.13 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $557.13 – $557.13 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $534.71 – $534.71 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $7,613.03 – $7,613.03 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $7,613.03 – $7,613.03 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $642.74 – $642.74 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $164.28 – $164.28 | 1 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $168.70 – $168.70 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $135.31 – $135.31 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,176.80 | $1,471.00 | $356.13 – $1,323.90 | 15 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $39.15 – $39.15 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $852.00 | $1,065.00 | $257.84 – $958.50 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $556.00 | $695.00 | $168.26 – $625.50 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $603.20 | $754.00 | $182.54 – $678.60 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $858.40 | $1,073.00 | $259.77 – $965.70 | 15 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $135.31 – $135.31 | 1 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $135.31 – $135.31 | 1 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $225.60 | $282.00 | $68.27 – $253.80 | 15 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $313.88 – $313.88 | 1 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $54.92 | $68.64 | $15.00 – $55.76 | 15 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $957.30 – $957.30 | 1 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $348.27 – $348.27 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $313.88 – $313.88 | 1 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $576.03 – $576.03 | 1 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $57.51 | $71.88 | $15.11 – $56.19 | 15 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $50.88 | $63.59 | $15.40 – $57.23 | 15 |
| Prothrombin complex kcentra HCPCS J7168 | $1,620.00 | $2,025.00 | $279.17 – $1,037.82 | 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.