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 |
|---|---|---|---|---|
| Team conf without pat by phys CPT 99367 | not published | not published | $1.02 – $52.94 | 8 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $1.02 – $40.44 | 8 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $206.23 – $227.94 | 8 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $577.63 – $814.13 | 8 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $577.63 – $814.13 | 8 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $52.20 – $77.39 | 8 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.76 – $7.47 | 8 |
| Telehealth original site facility fee HCPCS Q3014 | $70.40 | $88.00 | $29.16 – $79.20 | 12 |
| Telethx isodose plan cplx CPT 77307 | $2,169.60 | $2,712.00 | $266.56 – $2,440.80 | 15 |
| Telethx isodose plan simple CPT 77306 | $1,082.40 | $1,353.00 | $266.56 – $1,217.70 | 15 |
| Temozolomide HCPCS J8700 | not published | not published | $1.02 – $1.02 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $9.87 – $10.91 | 8 |
| Temperature gradient studies CPT 93740 | not published | not published | $112.68 – $161.23 | 8 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,322.73 – $2,322.73 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $25.38 – $28.05 | 8 |
| Tendon lengthening CPT 26476 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,771.56 | $9,714.45 | $155.86 – $6,880.50 | 15 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,591.70 – $2,591.70 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,159.48 – $1,649.17 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $645.28 – $713.21 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $4,096.00 | $5,120.00 | $2,333.18 – $4,608.00 | 15 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,426.40 | $3,033.00 | $1,159.48 – $2,729.70 | 15 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,642.05 – $4,822.97 | 8 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $1.02 – $28.31 | 8 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $49.17 | $61.46 | $1.02 – $6.69 | 12 |
| Teriparatide injection HCPCS J3110 | not published | not published | $68.47 – $68.47 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $4,661.17 – $6,172.47 | 8 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,599.59 – $4,767.88 | 8 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,585.36 – $2,035.79 | 8 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,117.04 – $1,405.55 | 8 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,689.83 – $2,161.04 | 8 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $477.69 – $586.30 | 8 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $437.27 – $571.71 | 8 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $398.78 – $546.26 | 8 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $232.46 – $313.44 | 8 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $769.76 – $984.07 | 8 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $175.94 – $194.46 | 8 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.71 – $6.31 | 8 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.53 – $6.11 | 8 |
| Test for urine cystines CPT 82615 | not published | not published | $9.07 – $10.03 | 8 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $297.55 – $414.07 | 8 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $112.34 – $112.34 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $49.06 – $54.22 | 8 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.77 – $2.17 | 8 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $44.13 – $61.21 | 8 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $387.70 – $431.03 | 8 |
| Test socket above knee HCPCS L5624 | not published | not published | $455.19 – $610.90 | 8 |
| Test socket below knee HCPCS L5620 | not published | not published | $338.00 – $467.16 | 8 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $729.72 – $811.29 | 8 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $720.61 – $801.16 | 8 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $455.36 – $609.17 | 8 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $526.83 – $585.71 | 8 |
| Test socket symes HCPCS L5618 | not published | not published | $380.95 – $472.57 | 8 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $350.65 – $389.84 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $1,175.20 | $1,469.00 | $226.44 – $1,322.10 | 15 |
| Test urine for lactose CPT 83633 | not published | not published | $10.69 – $11.81 | 8 |
| Test urine for porphyrins CPT 84119 | not published | not published | $12.69 – $14.03 | 8 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.25 – $4.69 | 8 |
| Tetanus ig im CPT 90389 | not published | not published | $674.07 – $674.07 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $409.36 | $511.70 | $233.18 – $622.65 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.11 – $18.91 | 8 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $130.15 – $143.85 | 8 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $721.55 – $797.51 | 8 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,773.62 – $3,065.58 | 8 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $568.01 – $627.81 | 8 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $123.23 – $176.58 | 8 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $123.23 – $176.58 | 8 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $123.23 – $176.58 | 8 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $39.09 – $55.06 | 8 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $313.18 – $450.50 | 8 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $13.43 – $14.85 | 8 |
| Therapeutic procd strg endur HCPCS G0237 | $123.20 | $154.00 | $21.49 – $138.60 | 15 |
| Therapy activation ipnss CPT 93150 | not published | not published | $69.83 – $94.59 | 8 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $132.80 | $166.00 | $33.14 – $149.40 | 15 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $128.00 | $160.00 | $27.46 – $144.00 | 15 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $57.60 | $72.00 | $32.81 – $64.80 | 15 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $54.40 | $68.00 | $29.67 – $61.20 | 15 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $144.42 – $204.75 | 8 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $1,075.20 | $1,344.00 | $132.55 – $1,209.60 | 15 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $44.80 – $217.11 | 8 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $152.88 – $168.97 | 8 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $98.88 – $109.29 | 8 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $64.44 – $71.22 | 8 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $50.23 | $62.78 | $1.02 – $51.83 | 12 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $12.08 – $12.08 | 1 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $556.00 | $695.00 | $65.56 – $625.50 | 15 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $387.18 – $452.99 | 8 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $516.38 – $666.82 | 8 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $272.90 – $370.58 | 8 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $356.09 – $497.58 | 8 |
| Thiotepa injection HCPCS J9340 | not published | not published | $264.93 – $264.93 | 1 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,192.41 – $1,317.92 | 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.