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 |
|---|---|---|---|---|
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $677.60 | $847.00 | $205.06 – $762.30 | 15 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $313.88 – $313.88 | 1 |
| Close tear duct opening CPT 68761 | not published | not published | $313.88 – $313.88 | 1 |
| Close tear system fistula CPT 68770 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,264.80 | $4,081.00 | $988.01 – $3,672.90 | 15 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,660.80 | $2,076.00 | $502.60 – $1,868.40 | 15 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $649.17 – $649.17 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $808.00 | $1,010.00 | $244.52 – $909.00 | 15 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $484.00 | $605.00 | $146.47 – $544.50 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $606.40 | $758.00 | $183.51 – $682.20 | 15 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,450.40 | $1,813.00 | $438.93 – $1,631.70 | 15 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $583.20 | $729.00 | $176.49 – $656.10 | 15 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,841.60 | $2,302.00 | $557.31 – $2,071.80 | 15 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $488.00 | $610.00 | $147.68 – $549.00 | 15 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $405.60 | $507.00 | $122.74 – $456.30 | 15 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $457.60 | $572.00 | $138.48 – $514.80 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $728.00 | $910.00 | $220.31 – $819.00 | 15 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $497.60 | $622.00 | $150.59 – $559.80 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $673.60 | $842.00 | $203.85 – $757.80 | 15 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx fracture of radius 25500 CPT 25500 | $570.40 | $713.00 | $172.62 – $641.70 | 15 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $415.20 | $519.00 | $125.65 – $467.10 | 15 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $626.40 | $783.00 | $189.56 – $704.70 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $492.80 | $616.00 | $149.13 – $554.40 | 15 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,526.40 | $1,908.00 | $461.93 – $1,717.20 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $557.60 | $697.00 | $168.74 – $627.30 | 15 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,255.20 | $1,569.00 | $379.85 – $1,412.10 | 15 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $514.40 | $643.00 | $155.67 – $578.70 | 15 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $735.20 | $919.00 | $222.49 – $827.10 | 15 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $634.40 | $793.00 | $191.99 – $713.70 | 15 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $558.40 | $698.00 | $168.99 – $628.20 | 15 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $941.60 | $1,177.00 | $278.86 – $1,059.30 | 15 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,384.00 | $1,730.00 | $418.83 – $1,557.00 | 15 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $475.20 | $594.00 | $143.81 – $534.60 | 15 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $496.00 | $620.00 | $150.10 – $558.00 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $756.00 | $945.00 | $228.78 – $850.50 | 15 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $1,000.00 | $1,250.00 | $251.87 – $1,125.00 | 15 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $489.60 | $612.00 | $148.17 – $550.80 | 15 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $4,570.40 | $5,713.00 | $1,383.12 – $5,141.70 | 15 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,588.80 | $1,986.00 | $480.81 – $1,787.40 | 15 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $524.80 | $656.00 | $158.82 – $590.40 | 15 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $496.80 | $621.00 | $150.34 – $558.90 | 15 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $515.20 | $644.00 | $155.91 – $579.60 | 15 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $527.20 | $659.00 | $159.54 – $593.10 | 15 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,843.20 | $2,304.00 | $557.80 – $2,073.60 | 15 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $492.00 | $615.00 | $148.89 – $553.50 | 15 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,216.80 | $1,521.00 | $368.23 – $1,368.90 | 15 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,495.20 | $1,869.00 | $452.48 – $1,682.10 | 15 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $607.20 | $759.00 | $183.75 – $683.10 | 15 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $590.40 | $738.00 | $178.67 – $664.20 | 15 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $567.20 | $709.00 | $171.65 – $638.10 | 15 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,052.00 | $1,315.00 | $318.36 – $1,183.50 | 15 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $531.20 | $664.00 | $160.75 – $597.60 | 15 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $578.40 | $723.00 | $175.04 – $650.70 | 15 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $500.00 | $625.00 | $151.31 – $562.50 | 15 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $766.40 | $958.00 | $231.93 – $862.20 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $556.80 | $696.00 | $168.50 – $626.40 | 15 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $498.40 | $623.00 | $150.83 – $560.70 | 15 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,316.80 | $2,896.00 | $701.12 – $2,606.40 | 15 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,724.00 | $3,405.00 | $824.35 – $3,064.50 | 15 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $457.60 | $572.00 | $138.48 – $514.80 | 15 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,188.80 | $1,486.00 | $359.76 – $1,337.40 | 15 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $579.20 | $724.00 | $175.28 – $651.60 | 15 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,717.60 | $3,397.00 | $822.41 – $3,057.30 | 15 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Cltx post ankle fx CPT 27767 | not published | not published | $251.87 – $251.87 | 1 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $340.80 | $426.00 | $103.13 – $383.40 | 15 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $557.13 – $557.13 | 1 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $62.37 – $62.37 | 1 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $62.37 – $62.37 | 1 |
| Co2 monitor per day CPT 94681 | not published | not published | $326.96 – $326.96 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $164.28 – $164.28 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $164.28 – $164.28 | 1 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $365.60 | $457.00 | $92.45 – $411.30 | 15 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $56.85 | $71.06 | $5.79 – $21.51 | 15 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $135.35 – $135.35 | 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.