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 |
|---|---|---|---|---|
| Proton treatment complex CPT 77525 | not published | not published | $1,339.29 – $1,339.29 | 1 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,339.29 – $1,339.29 | 1 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,339.29 – $1,339.29 | 1 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $607.39 – $607.39 | 1 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $135.31 – $135.31 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $418.99 – $418.99 | 1 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $260.80 | $326.00 | $78.92 – $293.40 | 15 |
| Pr removal intrauterine device CPT 58301 | $434.40 | $543.00 | $131.46 – $488.70 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $919.20 | $1,149.00 | $278.17 – $1,034.10 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $489.60 | $612.00 | $148.17 – $550.80 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $509.60 | $637.00 | $154.22 – $573.30 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $469.60 | $587.00 | $142.11 – $528.30 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $492.80 | $616.00 | $149.13 – $554.40 | 15 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $459.04 – $459.04 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,410.40 | $1,763.00 | $426.82 – $1,586.70 | 15 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $25.71 – $25.71 | 1 |
| Psychotherapy group therapy CPT 90853 | $1,400.00 | $1,750.00 | $97.13 – $1,575.00 | 15 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $480.00 | $600.00 | $145.26 – $540.00 | 15 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $520.00 | $650.00 | $80.38 – $298.80 | 15 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $528.00 | $660.00 | $159.79 – $594.00 | 15 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $326.96 – $326.96 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $418.99 – $418.99 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $135.35 – $135.35 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $144.00 | $180.00 | $43.58 – $162.00 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $98.40 | $123.00 | $29.78 – $110.70 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $119.20 | $149.00 | $36.07 – $134.10 | 15 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $31.28 – $31.28 | 1 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $146.40 | $183.00 | $44.30 – $164.70 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $98.40 | $123.00 | $29.78 – $110.70 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $134.40 | $168.00 | $40.67 – $151.20 | 15 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $421.92 – $421.92 | 1 |
| Pulse ox continuous overnight monitoring CPT 94762 | $341.60 | $427.00 | $103.38 – $384.30 | 15 |
| Pulse ox multiple CPT 94761 | $213.60 | $267.00 | $64.64 – $240.30 | 15 |
| Pulse ox single CPT 94760 | $85.60 | $107.00 | $25.90 – $96.30 | 15 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $727.15 – $727.15 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $114.40 | $143.00 | $34.62 – $128.70 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $620.80 | $776.00 | $183.03 – $680.40 | 15 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,302.40 | $1,628.00 | $394.14 – $1,465.20 | 15 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $727.15 – $727.15 | 1 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $727.15 – $727.15 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $565.18 – $565.18 | 1 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $421.92 – $421.92 | 1 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $527.63 | $659.53 | $159.67 – $593.58 | 15 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $11.99 | $14.98 | $3.63 – $13.48 | 15 |
| Radiation physics consult CPT 77336 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $384.37 – $384.37 | 1 |
| Radiation treatment delivery CPT 77401 | not published | not published | $114.98 – $114.98 | 1 |
| Radiation treatment delivery CPT 77402 | not published | not published | $114.98 – $114.98 | 1 |
| Radiation treatment delivery CPT 77412 | not published | not published | $276.13 – $276.13 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,436.67 – $1,436.67 | 1 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $421.92 – $421.92 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Range of motion measurements CPT 95852 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| Rapid desensitization CPT 95180 | not published | not published | $418.99 – $418.99 | 1 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $221.77 – $224.93 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $459.04 – $459.04 | 1 |
| Rbc irradiated each unit HCPCS P9038 | $512.80 | $641.00 | $155.19 – $576.90 | 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.