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 |
|---|---|---|---|---|
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $7,102.71 – $8,642.14 | 8 |
| Tilt table study CPT 93660 | $1,943.20 | $2,429.00 | $386.67 – $2,186.10 | 15 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $5.03 – $5.03 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $4.49 – $4.49 | 1 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $366,564.69 – $621,312.51 | 8 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $873.95 – $965.95 | 8 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $349.45 – $386.24 | 8 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1.02 – $147.28 | 8 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1.02 – $164.39 | 8 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1.02 – $110.03 | 8 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1.02 – $145.91 | 8 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $171.29 – $198.20 | 8 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $1.02 – $1.02 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $1.02 – $1.02 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $142.79 – $157.82 | 8 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $133.69 – $147.77 | 8 |
| Tissue culture tumor CPT 88239 | not published | not published | $140.14 – $154.90 | 8 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.06 – $4.48 | 8 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $54.28 | $67.85 | $1.02 – $61.07 | 12 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $45.36 | $56.69 | $1.02 – $49.39 | 12 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $1.02 – $1.02 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $10.95 – $12.11 | 8 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $113.83 – $150.50 | 2 |
| Tl-201 thallium diag per mci HCPCS A9505 | $78.40 | $98.00 | $1.02 – $88.20 | 12 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,014.85 – $1,343.88 | 8 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $873.91 – $1,157.27 | 8 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,142.28 – $1,512.65 | 8 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,420.78 – $1,881.47 | 8 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $569.06 – $751.45 | 8 |
| Tlso corset front HCPCS L0970 | not published | not published | $121.60 – $180.26 | 8 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $320.46 – $357.07 | 8 |
| Tlso full corset HCPCS L0974 | not published | not published | $198.86 – $282.38 | 8 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $431.72 – $589.27 | 8 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $353.96 – $394.42 | 8 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $541.05 – $722.98 | 8 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $446.48 – $497.53 | 8 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $748.69 – $1,005.56 | 8 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,919.88 – $2,445.84 | 8 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,142.28 – $1,512.65 | 8 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,073.37 – $2,802.94 | 8 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,718.77 – $2,245.87 | 8 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $321.88 – $426.26 | 8 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $394.65 – $522.61 | 8 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,953.03 – $2,158.61 | 8 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,000.22 – $2,210.76 | 8 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $71.13 – $71.13 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $45.81 | $57.26 | $1.02 – $11.53 | 12 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $22.18 – $22.18 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $15.32 – $16.94 | 8 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $2,328.00 | $2,910.00 | $5.42 – $858.64 | 15 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.57 – $7.95 | 8 |
| Toe joint transfer CPT 26556 | not published | not published | $1,159.48 – $3,274.37 | 8 |
| Toe X-ray (both feet) CPT 73660 | $322.40 | $403.00 | $65.56 – $362.70 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $96.80 | $121.00 | $40.45 – $108.90 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $93.60 | $117.00 | $48.32 – $105.30 | 15 |
| Tone decay hearing test CPT 92563 | not published | not published | $28.94 – $40.45 | 8 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,914.70 – $2,116.25 | 8 |
| Tongue base vol reduction CPT 41530 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,322.73 – $2,900.76 | 8 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,943.01 – $2,147.53 | 8 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,112.59 – $2,334.97 | 8 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,322.73 – $2,680.55 | 8 |
| Tongue suspension CPT 41512 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Tongue to lip surgery CPT 41510 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.02 – $1.02 | 1 |
| Topotecan oral HCPCS J8705 | not published | not published | $115.83 – $115.83 | 1 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $37.44 – $41.38 | 8 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $140.02 – $178.22 | 8 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $146.86 – $194.18 | 8 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,179.15 – $1,303.27 | 8 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,455.72 – $1,608.95 | 8 |
| Total Hip Replacement CPT 27130 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Total hysterectomy CPT 58150 | not published | not published | $889.06 – $982.65 | 8 |
| Total Knee Replacement CPT 27447 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Total lung lavage CPT 32997 | not published | not published | $292.97 – $323.81 | 8 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,262.49 – $2,500.65 | 8 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $553.38 – $820.31 | 8 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $13,444.66 – $18,950.39 | 8 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,519.61 – $1,679.57 | 8 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $340.32 – $376.14 | 8 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $1.02 – $460.03 | 8 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $653.96 – $2,719.24 | 8 |
| Tot estradiol response panel CPT 80415 | not published | not published | $53.10 – $58.68 | 8 |
| Toxoplasma antibody igg CPT 86777 | not published | not published | $13.67 – $15.11 | 8 |
| Toxoplasma antibody igm CPT 86778 | not published | not published | $13.69 – $15.13 | 8 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $609.76 – $673.94 | 8 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $292.60 – $323.40 | 8 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $313.03 – $345.99 | 8 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $166.07 – $183.55 | 8 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $178.29 – $250.62 | 8 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $9,260.92 – $13,388.30 | 8 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $2,515.02 – $3,554.06 | 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.