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 |
|---|---|---|---|---|
| Shoulder MRI (with and without contrast) CPT 73223 | $3,881.60 | $4,852.00 | $374.99 – $4,366.80 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $3,234.40 | $4,043.00 | $611.05 – $3,638.70 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $3,040.80 | $3,801.00 | $253.81 – $3,420.90 | 15 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Shoulder X-ray CPT 73030 | $530.40 | $663.00 | $92.45 – $596.70 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $303.20 | $379.00 | $91.76 – $341.10 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $111.66 – $111.66 | 1 |
| Sialography s&i CPT 70390 | not published | not published | $253.81 – $253.81 | 1 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $957.30 – $957.30 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $62.37 – $62.37 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $255.37 – $255.37 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | not published | not published | $186.92 – $446.60 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $2,211.20 | $2,764.00 | $186.92 – $2,487.60 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $1,876.00 | $2,345.00 | $111.66 – $2,110.50 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinus X-ray (complete) CPT 70220 | $473.60 | $592.00 | $92.45 – $532.80 | 15 |
| Sinus X-ray (limited) CPT 70210 | $332.80 | $416.00 | $92.45 – $374.40 | 15 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $58,743.27 – $58,743.27 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin Biopsy CPT 11102 | not published | not published | $208.64 – $208.64 | 1 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Skull X-ray (1 to 3 views) CPT 70250 | $410.40 | $513.00 | $111.66 – $461.70 | 15 |
| Skull X-ray (complete) CPT 70260 | $771.20 | $964.00 | $111.66 – $867.60 | 15 |
| Sleep study attended CPT 95807 | not published | not published | $557.13 – $557.13 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Sleep study unattended CPT 95806 | not published | not published | $164.28 – $164.28 | 1 |
| Sleeve fing rolyan med HCPCS L3933 | $318.24 | $397.80 | $96.31 – $358.02 | 15 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | $385.60 | $482.00 | $116.69 – $433.80 | 15 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $62.37 – $62.37 | 1 |
| Slp ther svc non-spch gen CPT 92606 | $284.00 | $355.00 | $85.95 – $319.50 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | not published | not published | $186.92 – $186.92 | 1 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $14.00 | $17.50 | $4.24 – $15.75 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.00 | $60.00 | $3.93 – $14.63 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $18.76 | $23.44 | $3.86 – $14.35 | 15 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $11.80 | $14.75 | $3.57 – $13.28 | 15 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $78.04 | $97.55 | $23.62 – $87.80 | 15 |
| Somatosensory testing CPT 95927 | not published | not published | $326.96 – $326.96 | 1 |
| Special physics consult CPT 77370 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $607.39 – $607.39 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $384.37 – $384.37 | 1 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $471.20 | $589.00 | $142.60 – $530.10 | 15 |
| Speech audiometry complete CPT 92556 | not published | not published | $62.37 – $62.37 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $253.81 – $253.81 | 1 |
| Speech recep thresh CPT 92555 | not published | not published | $62.37 – $62.37 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $306.40 | $383.00 | $167.75 – $344.70 | 15 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $727.15 – $727.15 | 1 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Spine X-ray (single view, one level) CPT 72020 | $267.20 | $334.00 | $80.86 – $300.60 | 15 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $326.96 – $326.96 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $164.28 – $164.28 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $421.92 – $421.92 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $781.04 | $976.30 | $236.36 – $878.67 | 15 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $100.93 | $126.16 | $30.54 – $113.54 | 15 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Srs linear based CPT 77372 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Srs multisource CPT 77371 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $164.28 – $164.28 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $376.00 | $470.00 | $113.79 – $423.00 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $309.60 | $387.00 | $93.69 – $348.30 | 15 |
| Stenger test pure tone CPT 92565 | not published | not published | $62.37 – $62.37 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $557.13 – $557.13 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $18,854.56 – $18,854.56 | 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.