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 |
|---|---|---|---|---|
| Revision of knee joint CPT 27445 | not published | not published | $1,100.52 – $1,216.36 | 8 |
| Revision of larynx CPT 31400 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Revision of lung CPT 32940 | not published | not published | $1,022.01 – $1,129.59 | 8 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,198.41 – $1,324.56 | 8 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,373.13 – $1,517.67 | 8 |
| Revision of neck muscle CPT 21700 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Revision of neck muscle CPT 21720 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Revision of neck muscle CPT 21725 | not published | not published | $507.57 – $725.03 | 8 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $170.13 – $485.37 | 8 |
| Revision of nose CPT 30120 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Revision of nose CPT 30430 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision of nose CPT 30435 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision of nose CPT 30450 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision of nose CPT 30460 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision of nose CPT 30462 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision of pelvis CPT 27158 | not published | not published | $1,159.48 – $1,353.12 | 8 |
| Revision of penis CPT 54300 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Revision of penis CPT 54304 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Revision of penis CPT 54420 | $5,430.40 | $6,788.00 | $2,515.02 – $6,109.20 | 15 |
| Revision of penis CPT 54430 | not published | not published | $178.29 – $628.56 | 8 |
| Revision of penis CPT 54435 | $5,887.20 | $7,359.00 | $2,515.02 – $6,623.10 | 15 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,089.18 – $2,309.09 | 8 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,257.85 – $1,390.26 | 8 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $1,783.71 – $1,971.47 | 8 |
| Revision of radius CPT 25350 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Revision of radius CPT 25355 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,392.92 – $2,012.27 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Revision of spinal shunt CPT 63744 | not published | not published | $4,805.78 – $6,599.20 | 8 |
| Revision of testis CPT 54660 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Revision of thigh muscles CPT 27430 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Revision of toe CPT 28312 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $1,994.02 – $2,203.92 | 8 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $1,956.87 – $2,162.86 | 8 |
| Revision of ulna CPT 25360 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Revision of upper arm CPT 24940 | not published | not published | $1,022.99 – $1,022.99 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $817.49 – $903.54 | 8 |
| Revision of urethra CPT 53450 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Revision of urinary tract CPT 51820 | not published | not published | $956.76 – $1,057.47 | 8 |
| Revision open av fistula without thromb CPT 36832 | $8,672.00 | $10,840.00 | $3,964.52 – $9,756.00 | 15 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Revision tips CPT 37183 | not published | not published | $4,123.47 – $5,875.25 | 8 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,513.24 – $1,672.53 | 8 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $1.02 – $1.02 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1.02 – $1.02 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,631.30 – $1,803.01 | 8 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,454.69 – $3,543.80 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,454.69 – $3,543.80 | 8 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $653.96 – $653.96 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,454.69 – $3,543.80 | 8 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,454.69 – $3,543.80 | 8 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,899.13 – $2,099.04 | 8 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,907.77 – $2,108.58 | 8 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $15,781.73 – $22,097.80 | 8 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,701.50 – $1,880.60 | 8 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $9,827.37 – $12,850.28 | 8 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $1.02 – $3,500.63 | 8 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.09 – $11.16 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,182.40 | $2,728.00 | $1,243.15 – $2,455.20 | 15 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.83 – $6.45 | 8 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $5.39 – $5.95 | 8 |
| Rh ig IV CPT 90386 | not published | not published | $37.60 – $37.60 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $1.02 – $1.02 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $110.32 | $137.90 | $1.02 – $122.45 | 12 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $1.02 – $1.02 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $24.18 – $26.73 | 8 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $1.02 – $1.02 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $272.00 | $340.00 | $109.15 – $306.00 | 12 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $2,350.84 – $3,314.41 | 8 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $2,350.84 – $3,314.41 | 8 |
| Rhythm ecg with report CPT 93040 | not published | not published | $12.04 – $13.31 | 8 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $503.20 | $629.00 | $79.32 – $566.10 | 15 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $641.60 | $802.00 | $79.32 – $721.80 | 15 |
| Rib cartilage graft CPT 21230 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $99.43 – $136.07 | 8 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1.02 – $1.02 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $604.80 | $756.00 | $79.32 – $680.40 | 15 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $185.92 | $232.39 | $104.58 – $209.15 | 12 |
| Right heart cath congenital CPT 93530 | not published | not published | $2,299.56 – $2,299.56 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $858.60 – $1,250.98 | 8 |
| Rilonacept injection HCPCS J2793 | not published | not published | $26.67 – $26.67 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $1.02 – $7.48 | 8 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $362.33 – $402.82 | 8 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $216.10 – $250.82 | 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.