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 |
|---|---|---|---|---|
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $306.98 – $373.10 | 8 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $625.93 – $754.13 | 8 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,392.92 – $2,012.27 | 8 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,392.92 – $2,012.27 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $686.94 – $759.25 | 8 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $910.34 – $1,006.16 | 8 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $121.69 – $134.50 | 8 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $57.59 – $63.65 | 8 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $83.54 – $92.34 | 8 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $32.94 – $36.41 | 8 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $147.87 – $163.43 | 8 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $73.25 – $80.96 | 8 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $113.32 – $125.25 | 8 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $44.40 – $49.08 | 8 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $12.04 – $12.04 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $28.94 – $40.45 | 8 |
| Synvisc or synvisc-one HCPCS J7325 | $506.47 | $633.08 | $7.55 – $569.77 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $4.18 – $4.62 | 8 |
| System cardiomems hosp electronics HCPCS C2624 | not published | not published | $1.02 – $1.02 | 1 |
| System pacing micra av HCPCS C1786 | $29,269.93 | $36,587.41 | $1.02 – $4,479.03 | 12 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $18,720.16 | $23,400.20 | $1.02 – $4,308.50 | 12 |
| System sealant biosentry tract HCPCS C2613 | $1,029.28 | $1,286.60 | $1.02 – $1,157.94 | 12 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $16.09 – $17.79 | 8 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $13.47 – $14.89 | 8 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $8.57 – $9.47 | 8 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.53 – $7.21 | 8 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.02 – $1.02 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.02 – $1.02 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $6.08 | $7.60 | $1.02 – $6.19 | 12 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $249.99 – $276.31 | 8 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $13.04 – $14.42 | 8 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.53 – $15.03 | 8 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,887.49 – $2,086.18 | 8 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,745.60 – $1,929.35 | 8 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,073.06 – $1,186.01 | 8 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $404.80 | $506.00 | $65.56 – $455.40 | 15 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $67.49 – $77.63 | 8 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $68.99 – $76.25 | 8 |
| Talymed HCPCS Q4127 | not published | not published | $1.02 – $1.02 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.64 – $1.64 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1.02 – $342.01 | 8 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1.02 – $208.67 | 8 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $1.02 – $1.02 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $721.55 – $797.51 | 8 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,289.48 – $3,065.58 | 8 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $568.01 – $627.81 | 8 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,486.40 – $1,642.87 | 8 |
| Tas congenital car anomal CPT 33741 | not published | not published | $611.53 – $675.90 | 8 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $453.09 – $630.78 | 8 |
| Tavr perq femoral CPT 33361 | not published | not published | $985.58 – $1,089.33 | 8 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.27 – $0.29 | 8 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $130.15 – $143.85 | 8 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $36.97 – $40.87 | 8 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.76 – $9.68 | 8 |
| Tbs techl calculation only CPT 77091 | not published | not published | $65.56 – $90.73 | 8 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $39.78 – $90.73 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $95.00 – $105.00 | 8 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $58.88 – $65.08 | 8 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1.02 – $849.99 | 8 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $1.02 – $717.99 | 8 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1.02 – $1,092.34 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1.02 – $842.46 | 8 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $312.17 – $345.03 | 8 |
| Tc-99m labeled rbc HCPCS A9560 | $428.00 | $535.00 | $1.02 – $481.50 | 12 |
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $1.02 – $1,053.90 | 12 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $1.02 – $200.70 | 12 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $1.02 – $150.30 | 12 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $1.02 – $850.50 | 12 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $7.56 – $10.50 | 8 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $1.02 – $189.00 | 12 |
| Tc-99m pentetate dtpa HCPCS A9539 | $388.80 | $486.00 | $1.02 – $437.40 | 12 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $388.80 | $486.00 | $1.02 – $437.40 | 12 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $108.00 | $135.00 | $1.02 – $121.50 | 12 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $1.02 – $396.00 | 12 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1.02 – $1.02 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $1.02 – $346.50 | 12 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.00 | $150.00 | $1.02 – $135.00 | 12 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,171.20 | $1,464.00 | $1.02 – $1,317.60 | 12 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $453.09 – $630.78 | 8 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $79.32 – $109.58 | 8 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $79.32 – $109.58 | 8 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $176.78 – $176.78 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $313.18 – $450.50 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $44.63 – $49.33 | 8 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $25.44 – $28.12 | 8 |
| T cells total count CPT 86359 | not published | not published | $35.84 – $39.62 | 8 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $226.44 – $320.89 | 8 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $226.44 – $320.89 | 8 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $226.44 – $320.89 | 8 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $400.10 – $442.22 | 8 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $453.20 – $912.34 | 8 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $1.02 – $34.61 | 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.