Sanford Bemidji Medical Center
1300 Anne Street NW, Bemidji, MN · Sanford Health · · NPI 1801870191
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $27.82 – $30.74 | 8 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $21.67 – $23.95 | 8 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.16 – $13.44 | 8 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $1.02 – $8.45 | 8 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $1.02 – $6.86 | 8 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $1.02 – $14.08 | 8 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $95.37 – $132.80 | 8 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $788.33 – $871.32 | 8 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $64.30 – $95.32 | 8 |
| 1st/sbsq psyc collab care CPT 99494 | not published | not published | $1.02 – $58.55 | 8 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $34.12 – $37.72 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | $291.20 | $364.00 | $92.16 – $327.60 | 15 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,073.60 | $1,342.00 | $577.63 – $1,207.80 | 15 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,239.20 | $1,549.00 | $577.63 – $1,394.10 | 15 |
| 2nd order venous cath CPT 36012 | $2,975.20 | $3,719.00 | $1.02 – $3,347.10 | 15 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $271.10 – $271.10 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $145.87 – $161.23 | 8 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $145.87 – $161.23 | 8 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $1.02 – $54.64 | 8 |
| 3-d radiotherapy plan CPT 77295 | $6,372.00 | $7,965.00 | $999.64 – $7,168.50 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $652.80 | $816.00 | $1.02 – $734.40 | 15 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,923.94 – $2,547.75 | 8 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $14.00 | $17.50 | $7.97 – $15.75 | 12 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $7.56 – $7.56 | 1 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $10.59 – $11.71 | 8 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $1.02 – $57.27 | 8 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $100.38 – $110.94 | 8 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $104.89 – $115.94 | 8 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $108.91 – $120.38 | 8 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $89.99 – $99.46 | 8 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $95.65 – $105.72 | 8 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $95.65 – $105.72 | 8 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $104.19 – $115.15 | 8 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $122.50 – $135.40 | 8 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,557.50 – $2,826.72 | 8 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $41.90 – $46.31 | 8 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $11.41 – $12.61 | 8 |
| Abciximab injection HCPCS J0130 | not published | not published | $1.02 – $1.02 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $4,911.20 | $6,139.00 | $2,299.56 – $5,525.10 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,022.10 – $1,129.69 | 8 |
| Abd/low ext cath 1st CPT 36245 | $4,575.20 | $5,719.00 | $1.02 – $5,147.10 | 15 |
| Abd/low ext cath 2nd CPT 36246 | $1,626.40 | $2,033.00 | $1.02 – $1,829.70 | 15 |
| Abd/low ext cath 3rd CPT 36247 | $1,943.20 | $2,429.00 | $1.02 – $2,186.10 | 15 |
| Abd/low ext cath addl CPT 36248 | $279.20 | $349.00 | $1.02 – $314.10 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,232.00 | $1,540.00 | $176.78 – $1,386.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $853.60 | $1,067.00 | $79.32 – $960.30 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,673.60 | $3,342.00 | $132.55 – $3,007.80 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,364.00 | $2,955.00 | $132.55 – $2,659.50 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,928.80 | $2,411.00 | $79.32 – $2,169.90 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,850.40 | $4,813.00 | $277.45 – $4,331.70 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,464.80 | $4,331.00 | $277.45 – $3,897.90 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $2,804.80 | $3,506.00 | $176.78 – $3,155.40 | 15 |
| Abdominal pad HCPCS L1270 | not published | not published | $94.31 – $122.21 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,092.80 | $2,616.00 | $653.96 – $2,354.40 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $940.80 | $1,176.00 | $79.32 – $1,058.40 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $743.20 | $929.00 | $79.32 – $836.10 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $437.60 | $547.00 | $79.32 – $492.30 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $706.40 | $883.00 | $79.32 – $794.70 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $357.60 | $447.00 | $65.56 – $402.30 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $4,704.52 – $6,720.17 | 8 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,398.40 | $1,748.00 | $653.96 – $1,573.20 | 15 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $240.39 – $267.26 | 8 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $286.48 – $424.65 | 8 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $130.89 – $194.03 | 8 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $101.30 – $134.17 | 8 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $92.64 – $122.66 | 8 |
| Abl1 gene CPT 81170 | not published | not published | $285.00 – $315.00 | 8 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $358.13 – $395.82 | 8 |
| Ablate arrhythmia add on CPT 93655 | $12,404.00 | $15,505.00 | $1.02 – $13,954.50 | 15 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,127.68 – $1,246.39 | 8 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,584.01 – $1,750.75 | 8 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,341.19 – $1,482.37 | 8 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $542.81 – $599.95 | 8 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,514.23 – $1,673.62 | 8 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Ablate bone tumor(s) perq CPT 20982 | $8,528.80 | $10,661.00 | $4,858.22 – $13,258.87 | 15 |
| Ablate heart dysrhythm focus CPT 93650 | $13,548.00 | $16,935.00 | $5,387.79 – $15,241.50 | 15 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,202.69 – $1,329.29 | 8 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,338.58 – $1,479.48 | 8 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,328.09 – $1,467.89 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $2,545.60 | $3,182.00 | $112.68 – $805.50 | 15 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $653.96 – $966.13 | 8 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $170.13 – $247.19 | 8 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Ablation cryo retro lymph node CPT 38999 | $1,737.60 | $2,172.00 | $313.18 – $1,954.80 | 15 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $170.13 – $247.19 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,996.80 | $3,746.00 | $213.67 – $1,201.50 | 15 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,510.60 – $1,669.61 | 8 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,646.05 – $9,528.91 | 8 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $8,251.80 – $9,120.41 | 8 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $12,113.22 – $13,388.30 | 8 |
| Abobotulinumtoxina HCPCS J0586 | $862.51 | $1,078.13 | $8.31 – $602.33 | 15 |
| Abortion CPT 59850 | not published | not published | $231.44 – $364.94 | 8 |
| Abortion (mpr) CPT 59866 | not published | not published | $231.44 – $313.46 | 8 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $3,981.66 – $5,184.86 | 8 |
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.