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 |
|---|---|---|---|---|
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $11.37 | $14.21 | $3.42 – $12.71 | 15 |
| Sterile water/saline, 500 ml HCPCS A4217 | $14.00 | $17.50 | $4.24 – $15.75 | 15 |
| St evaluate speech sound production CPT 92522 | $354.40 | $443.00 | $107.25 – $398.70 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $342.40 | $428.00 | $103.62 – $385.20 | 15 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,236.00 | $1,545.00 | $374.04 – $1,390.50 | 15 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $191.20 | $239.00 | $57.86 – $215.10 | 15 |
| Strapping of chest CPT 29200 | $182.40 | $228.00 | $55.20 – $205.20 | 15 |
| Strapping of elbow or wrist 29260 CPT 29260 | $114.40 | $143.00 | $34.62 – $128.70 | 15 |
| Strapping of hand or finger CPT 29280 | $152.00 | $190.00 | $34.62 – $128.70 | 15 |
| Strapping of hip CPT 29520 | $199.20 | $249.00 | $60.28 – $224.10 | 15 |
| Strapping of knee CPT 29530 | $134.40 | $168.00 | $40.67 – $151.20 | 15 |
| Strapping of toes 29550 CPT 29550 | $176.00 | $220.00 | $53.26 – $198.00 | 15 |
| Stress test pulmonary CPT 94618 | $264.80 | $331.00 | $80.14 – $297.90 | 15 |
| Stress tte complete CPT 93351 | not published | not published | $575.70 – $575.70 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $727.15 – $727.15 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $208.64 – $208.64 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $642.74 – $642.74 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $68.29 | $85.36 | $17.03 – $63.32 | 15 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $51.37 | $64.21 | $15.55 – $57.79 | 15 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $57.55 | $71.93 | $15.92 – $59.18 | 15 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $48.45 – $48.45 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $984.44 – $984.44 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $120.80 | $151.00 | $36.56 – $135.90 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $172.00 | $215.00 | $52.05 – $193.50 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $176.00 | $220.00 | $79.75 – $198.00 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $558.40 | $698.00 | $168.99 – $628.20 | 15 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Swallowing Evaluation (Bedside) CPT 92610 | $340.80 | $426.00 | $103.13 – $383.40 | 15 |
| Swallowing Therapy Session CPT 92526 | $287.20 | $359.00 | $86.91 – $323.10 | 15 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $41.21 – $41.21 | 1 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $404.80 | $506.00 | $92.45 – $455.40 | 15 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $642.74 – $642.74 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $92.45 – $92.45 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $92.45 – $92.45 | 1 |
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $283.50 – $1,053.90 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $53.99 – $200.70 | 15 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $40.43 – $150.30 | 15 |
| Tc-99m pentetate dtpa HCPCS A9539 | $388.80 | $486.00 | $117.66 – $437.40 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $388.80 | $486.00 | $117.66 – $437.40 | 15 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $108.00 | $135.00 | $32.68 – $121.50 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $106.52 – $396.00 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $93.21 – $346.50 | 15 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.00 | $150.00 | $36.32 – $135.00 | 15 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $111.66 – $111.66 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $111.66 – $111.66 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $459.04 – $459.04 | 1 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $326.96 – $326.96 | 1 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $326.96 – $326.96 | 1 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $326.96 – $326.96 | 1 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $829.56 – $829.56 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $829.56 – $829.56 | 1 |
| Telehealth original site facility fee HCPCS Q3014 | $84.00 | $105.00 | $25.42 – $94.50 | 15 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $384.37 – $384.37 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $384.37 – $384.37 | 1 |
| Temperature gradient studies CPT 93740 | not published | not published | $164.28 – $164.28 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $5,856.08 | $7,320.10 | $1,304.85 – $4,850.74 | 15 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $49.57 | $61.96 | $14.97 – $55.65 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $421.92 – $421.92 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $1,175.20 | $1,469.00 | $326.96 – $1,322.10 | 15 |
| Tetanus immune globulin inj HCPCS J1670 | $416.65 | $520.81 | $126.09 – $468.73 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.45 – $18.45 | 1 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $459.04 – $459.04 | 1 |
| Therapeutic procd strg endur HCPCS G0237 | $123.20 | $154.00 | $25.71 – $138.60 | 15 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $132.80 | $166.00 | $60.50 – $149.40 | 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.