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 |
|---|---|---|---|---|
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Revision of knee joint CPT 27440 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27441 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27442 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27443 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27446 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of neck muscle CPT 21725 | not published | not published | $738.77 – $738.77 | 1 |
| Revision of nose CPT 30120 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Revision of nose CPT 30430 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30435 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30450 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30460 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30462 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of penis CPT 54300 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of penis CPT 54304 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of penis CPT 54420 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of penis CPT 54435 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of radius CPT 25350 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of radius CPT 25355 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Revision of scrotum CPT 55175 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of scrotum CPT 55180 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Revision of spinal shunt CPT 63744 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Revision of testis CPT 54660 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of toe CPT 28312 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of urethra CPT 53460 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of urethra CPT 57220 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision tips CPT 37183 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $503.20 | $629.00 | $111.66 – $566.10 | 15 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $641.60 | $802.00 | $111.66 – $721.80 | 15 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $604.80 | $756.00 | $111.66 – $680.40 | 15 |
| Right ventric recording CPT 93603 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $31.28 – $31.28 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $738.77 – $738.77 | 1 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $23,568.50 – $23,568.50 | 1 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $33,664.66 – $33,664.66 | 1 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $23,568.50 – $23,568.50 | 1 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $649.17 – $649.17 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $8,689.78 – $8,689.78 | 1 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $20,024.72 – $20,024.72 | 1 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $8,689.78 – $8,689.78 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,768.00 | $3,460.00 | $738.77 – $3,114.00 | 15 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $418.99 – $418.99 | 1 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.36 – $11.36 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $48.46 | $60.57 | $14.66 – $54.51 | 15 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.21 – $23.21 | 1 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $421.92 – $421.92 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,370.75 – $1,370.75 | 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.