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 |
|---|---|---|---|---|
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $1.02 – $70.76 | 8 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $130.15 – $143.85 | 8 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $130.15 – $143.85 | 8 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $130.15 – $143.85 | 8 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $130.15 – $143.85 | 8 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $130.15 – $143.85 | 8 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $130.15 – $143.85 | 8 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $112.68 – $161.23 | 8 |
| Audiometry air + bone CPT 92553 | not published | not published | $112.68 – $161.23 | 8 |
| Audit/dast 15-30 min CPT 99408 | not published | not published | $30.74 – $33.97 | 8 |
| Audit/dast over 30 min CPT 99409 | not published | not published | $59.18 – $65.41 | 8 |
| Auditory function + 15 min CPT 92621 | not published | not published | $1.02 – $22.08 | 8 |
| Auditory function 60 min CPT 92620 | not published | not published | $112.68 – $161.23 | 8 |
| Aud rehab postling hear loss CPT 92633 | $196.80 | $246.00 | $97.30 – $221.40 | 12 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $67.67 – $67.67 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Augmentation of facial bones CPT 21208 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,607.44 | $8,259.30 | $1.02 – $7,237.76 | 12 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $4,918.40 | $6,148.00 | $1.02 – $5,533.20 | 15 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $11,352.00 | $14,190.00 | $5,161.17 – $12,771.00 | 15 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $798.62 – $882.68 | 8 |
| Autologous blood op salvage CPT 86891 | not published | not published | $620.35 – $841.79 | 8 |
| Autologous blood process CPT 86890 | not published | not published | $123.23 – $176.58 | 8 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.15 – $6.79 | 8 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $92.16 – $132.83 | 8 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $112.68 – $161.23 | 8 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $92.16 – $132.83 | 8 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $9.46 – $9.46 | 1 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $36.29 – $36.29 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $92.53 – $105.09 | 8 |
| Av fistula revision CPT 36833 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Avul nail plate addl CPT 11732 | $173.60 | $217.00 | $1.02 – $195.30 | 15 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $421.60 | $527.00 | $144.42 – $474.30 | 15 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $52.87 – $58.43 | 8 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $339,877.98 – $559,891.68 | 8 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $214.13 – $303.61 | 8 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.38 – $0.38 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | $5.42 | $6.77 | $1.02 – $6.09 | 12 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $241.36 – $266.77 | 8 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $50.90 | $63.62 | $1.02 – $53.32 | 12 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $7.11 | $8.88 | $4.05 – $25.21 | 12 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $74.35 | $92.93 | $2.57 – $72.51 | 12 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $721.59 | $901.98 | $172.16 – $355.82 | 15 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $121.44 | $151.80 | $1.02 – $125.78 | 12 |
| Baclofen eval charges CPT 97750 | $92.00 | $115.00 | $31.87 – $103.50 | 15 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $10.96 – $12.12 | 8 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $66.69 – $73.71 | 8 |
| Bactericidal level serum CPT 87197 | not published | not published | $14.27 – $15.77 | 8 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $33.34 – $36.84 | 8 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $1.02 – $9.73 | 8 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $132.80 | $166.00 | $30.58 – $149.40 | 15 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $1.02 – $823.72 | 8 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,001.56 – $1,106.98 | 8 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | not published | not published | $1.02 – $1.02 | 1 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $1,103.20 | $1,379.00 | $132.55 – $1,241.10 | 15 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $886.40 | $1,108.00 | $132.55 – $997.20 | 15 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $668.00 | $835.00 | $132.55 – $751.50 | 15 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $1.02 – $1.02 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $1.02 – $3.56 | 8 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $1.02 – $14.48 | 8 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $1.02 – $9.10 | 8 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $1.02 – $7.21 | 8 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $1.02 – $12.85 | 8 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $3,033.60 | $3,792.00 | $1,728.01 – $3,412.80 | 15 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $33.34 – $36.84 | 8 |
| Bartonella dna quant CPT 87472 | not published | not published | $40.70 – $44.98 | 8 |
| Basic vestibular evaluation CPT 92540 | $336.00 | $420.00 | $112.68 – $378.00 | 15 |
| Basiliximab HCPCS J0480 | not published | not published | $4,452.51 – $4,921.20 | 8 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $801.83 – $901.94 | 8 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $329.50 – $421.01 | 8 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,709.32 – $2,264.10 | 8 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,482.57 – $1,963.80 | 8 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,400.00 | $3,000.00 | $887.02 – $2,362.50 | 12 |
| B cells total count CPT 86355 | not published | not published | $35.84 – $39.62 | 8 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $1.02 – $1.02 | 1 |
| Bcg vaccine intravesical CPT 90586 | $451.95 | $564.93 | $147.10 – $490.45 | 12 |
| Bcg vaccine percut CPT 90585 | not published | not published | $163.09 – $163.09 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $90.24 – $99.74 | 8 |
| Bebtelovimab injection HCPCS M0222 | not published | not published | $265.12 – $350.50 | 2 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $32.79 – $32.79 | 1 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $1.02 – $14.25 | 8 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $56.80 | $71.00 | $32.35 – $95.32 | 15 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.69 – $4.08 | 8 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $52.91 – $58.87 | 8 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $10,155.52 – $13,188.91 | 8 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $3,102.44 – $3,899.05 | 8 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $360.24 – $534.00 | 8 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $87.41 – $117.62 | 8 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $703.88 – $920.67 | 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.