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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,034.40 | $5,043.00 | $374.99 – $4,538.70 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,460.80 | $4,326.00 | $374.99 – $3,893.40 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,976.00 | $3,720.00 | $253.81 – $3,348.00 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $405.60 | $507.00 | $111.66 – $456.30 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $529.60 | $662.00 | $111.66 – $595.80 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | not published | not published | $186.92 – $186.92 | 1 |
| Upper GI Barium X-ray (barium only) CPT 74240 | not published | not published | $186.92 – $186.92 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $984.44 – $984.44 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $421.92 – $421.92 | 1 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $253.81 – $253.81 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $253.81 – $253.81 | 1 |
| Urinalysis (without microscopy) CPT 81003 | $9.60 | $12.00 | $2.91 – $10.80 | 15 |
| Urinary reflex study CPT 51792 | not published | not published | $62.37 – $62.37 | 1 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $135.35 – $135.35 | 1 |
| Urography, antegrade CPT 74425 | not published | not published | $374.99 – $374.99 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $186.92 – $186.92 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $111.66 – $111.66 | 1 |
| Vaccine Administration (one shot) CPT 90471 | $96.80 | $121.00 | $4.76 – $17.71 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $74.75 | $93.43 | $22.62 – $84.09 | 15 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $79.76 | $99.69 | $24.13 – $89.72 | 15 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $61.20 | $76.49 | $18.52 – $68.84 | 15 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $132.04 | $165.05 | $37.85 – $140.71 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $248.57 | $310.71 | $72.06 – $267.87 | 15 |
| Vaccine rabies im CPT 90675 | $401.36 | $501.69 | $121.46 – $451.52 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $88.80 | $111.00 | $23.95 – $89.04 | 15 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $211.23 – $211.23 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $63.00 | $78.74 | $15.02 – $55.82 | 15 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $70.40 | $88.00 | $17.51 – $65.08 | 15 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Vasectomy CPT 55250 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $22.69 – $27.58 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $557.13 – $557.13 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $326.96 – $326.96 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $557.13 – $557.13 | 1 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $326.96 – $326.96 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $649.17 – $649.17 | 1 |
| Vein x-ray kidney CPT 75831 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $649.17 – $649.17 | 1 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $377.18 – $377.18 | 1 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $164.28 – $164.28 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $164.28 – $164.28 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $326.96 – $326.96 | 1 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Venous sampling s&i CPT 75893 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $565.18 – $565.18 | 1 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $421.92 – $421.92 | 1 |
| Ventilator each subsequent day CPT 94003 | $1,047.20 | $1,309.00 | $316.91 – $1,178.10 | 15 |
| Ventilator Management (first day) CPT 94002 | $1,037.60 | $1,297.00 | $314.00 – $1,167.30 | 15 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $934.80 – $934.80 | 1 |
| Version cephalic external CPT 59412 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | not published | not published | $186.92 – $186.92 | 1 |
| Visit esketamine 56m or less HCPCS G2082 | not published | not published | $1,208.03 – $1,208.03 | 1 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | not published | not published | $135.31 – $135.31 | 1 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $164.28 – $164.28 | 1 |
| Vital capacity test CPT 94150 | not published | not published | $164.28 – $164.28 | 1 |
| Vit for macular hole CPT 67042 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Vit for macular pucker CPT 67041 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Vit for membrane dissect CPT 67043 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Volume deplete of harvest CPT 38214 | not published | not published | $459.04 – $459.04 | 1 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $5,018.93 – $5,018.93 | 1 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $116.00 | $145.00 | $35.10 – $130.50 | 15 |
| Wash harvest stem cells CPT 38209 | not published | not published | $459.04 – $459.04 | 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.