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 |
|---|---|---|---|---|
| Cath left heart/lv gram CPT 93452 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $652.16 | $815.20 | $38.89 – $144.59 | 15 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $208.64 – $208.64 | 1 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $135.35 – $135.35 | 1 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $52.25 | $65.31 | $14.70 – $54.66 | 15 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $52.40 | $65.49 | $15.25 – $56.67 | 15 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $223.40 | $279.25 | $14.60 – $54.27 | 15 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $58.03 | $72.53 | $16.26 – $60.46 | 15 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $54.56 | $68.19 | $14.89 – $55.36 | 15 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $33.82 – $33.82 | 1 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $565.18 – $565.18 | 1 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $4.73 – $4.73 | 1 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $700.84 – $700.84 | 1 |
| Change cystostomy tube simple CPT 51705 | not published | not published | $255.37 – $255.37 | 1 |
| Change gastric port open CPT 43888 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Change nephroureteral cath CPT 50387 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $243.83 – $243.83 | 1 |
| Change stent via transureth CPT 50385 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $208.64 – $208.64 | 1 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $348.27 – $386.40 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $313.88 – $313.88 | 1 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $727.15 – $727.15 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $48.45 – $176.00 | 2 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $348.27 – $378.40 | 2 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $247.20 – $348.27 | 2 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $221.22 – $314.40 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $74.73 – $201.60 | 2 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $316.80 – $348.27 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $348.27 – $387.20 | 2 |
| Chest 2 vws w oblique CPT 71048 | $584.80 | $731.00 | $111.66 – $657.90 | 15 |
| Chest apical lordotic proj CPT 71047 | $457.60 | $572.00 | $92.45 – $514.80 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,644.00 | $3,305.00 | $186.92 – $2,974.50 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $2,296.80 | $2,871.00 | $186.92 – $2,583.90 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $1,964.80 | $2,456.00 | $111.66 – $2,210.40 | 15 |
| Chest Physiotherapy (first session) CPT 94667 | $100.80 | $126.00 | $30.50 – $113.40 | 15 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $88.80 | $111.00 | $26.87 – $99.90 | 15 |
| Chest Ultrasound CPT 76604 | $393.60 | $492.00 | $111.66 – $442.80 | 15 |
| Chest X-ray CPT 71046 | $386.40 | $483.00 | $92.45 – $434.70 | 15 |
| Chest X-ray (single view) CPT 71045 | $307.20 | $384.00 | $92.45 – $345.60 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | $165.60 | $207.00 | $50.11 – $186.30 | 15 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $186.92 – $186.92 | 1 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $26.57 – $26.57 | 1 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $26.57 – $26.57 | 1 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $26.57 – $26.57 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $348.27 – $1,822.40 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $876.80 | $1,096.00 | $265.34 – $986.40 | 15 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | not published | not published | $46.75 – $46.75 | 1 |
| Cholinesterase challenge CPT 95857 | not published | not published | $326.96 – $326.96 | 1 |
| Chorion biopsy CPT 59015 | not published | not published | $914.28 – $914.28 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $111.66 – $111.66 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $700.84 – $700.84 | 1 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Claviculectomy total CPT 23125 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $534.71 – $534.71 | 1 |
| Clearance of airways CPT 31720 | not published | not published | $213.56 – $213.56 | 1 |
| Clearance of tear duct CPT 68530 | not published | not published | $313.88 – $313.88 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $49.64 | $62.04 | $14.50 – $53.89 | 15 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $649.60 | $812.00 | $196.59 – $730.80 | 15 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $697.60 | $872.00 | $211.11 – $784.80 | 15 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $583.20 | $729.00 | $176.49 – $656.10 | 15 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $588.80 | $736.00 | $178.19 – $662.40 | 15 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,402.40 | $1,753.00 | $424.40 – $1,577.70 | 15 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $611.20 | $764.00 | $184.96 – $687.60 | 15 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $534.71 – $534.71 | 1 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Closed tx sesamoid fx 28530 CPT 28530 | $681.60 | $852.00 | $206.27 – $766.80 | 15 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $494.40 | $618.00 | $149.62 – $556.20 | 15 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,406.84 – $3,406.84 | 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.