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 |
|---|---|---|---|---|
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $2,933.23 – $4,145.44 | 8 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $3,770.59 – $5,316.93 | 8 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $1.02 – $188.82 | 8 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $771.20 | $964.00 | $170.13 – $867.60 | 15 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $13,343.20 | $16,679.00 | $868.11 – $15,011.10 | 15 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $13,968.00 | $17,460.00 | $798.96 – $15,714.00 | 15 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $679.28 – $750.79 | 8 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $11,942.40 | $14,928.00 | $1.02 – $13,435.20 | 15 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $14,427.20 | $18,034.00 | $1.02 – $16,230.60 | 15 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $18,947.20 | $23,684.00 | $7,936.59 – $21,315.60 | 15 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $5,092.80 | $6,366.00 | $2,299.56 – $5,729.40 | 15 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $4,481.60 | $5,602.00 | $2,552.83 – $5,570.41 | 15 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,862.40 | $6,078.00 | $2,299.56 – $5,470.20 | 15 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $4,790.40 | $5,988.00 | $2,299.56 – $5,389.20 | 15 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,856.80 | $4,821.00 | $2,196.93 – $4,338.90 | 15 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $2,588.23 – $3,772.52 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $1.02 – $204.43 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $608.69 – $672.77 | 8 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,078.00 – $3,402.00 | 8 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $919.03 – $1,015.77 | 8 |
| Troponin quantitative CPT 84484 | not published | not published | $11.85 – $13.09 | 8 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $419.34 – $565.32 | 8 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $1.02 – $1.02 | 1 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $70.28 – $89.82 | 8 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $55.96 – $82.95 | 8 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $169.40 – $223.80 | 8 |
| Truss single with standard pad HCPCS L8300 | $82.95 | $103.68 | $47.25 – $141.75 | 15 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,739.20 | $3,424.00 | $577.63 – $3,081.60 | 15 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,399.20 | $2,999.00 | $577.63 – $2,699.10 | 15 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,175.20 | $1,469.00 | $577.63 – $1,322.10 | 15 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $567.20 | $709.00 | $323.09 – $814.13 | 15 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $1.02 – $16.59 | 8 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $1.02 – $69.02 | 8 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $1.02 – $9.62 | 8 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $1.02 – $69.65 | 8 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.08 – $0.08 | 8 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.02 – $1.67 | 8 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $313.18 – $450.50 | 8 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $5,451.52 – $7,620.13 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $930.23 – $1,028.15 | 8 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $583.04 – $669.57 | 8 |
| Tx atrial fib pulm vein isol CPT 93656 | $49,375.20 | $61,719.00 | $17,134.32 – $55,547.10 | 15 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $170.13 – $247.19 | 8 |
| Tx closed hip disl traumatic without anes CPT 27250 | $784.00 | $980.00 | $170.13 – $882.00 | 15 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,700.00 | $5,875.00 | $2,335.16 – $5,287.50 | 15 |
| Tx closed tib shaft fx without manip CPT 27750 | $608.80 | $761.00 | $170.13 – $684.90 | 15 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $453.09 – $630.78 | 8 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $453.09 – $630.78 | 8 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $788.91 – $871.95 | 8 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $748.78 – $827.60 | 8 |
| Tx l/r atrial fib addl CPT 93657 | $11,763.20 | $14,704.00 | $1.02 – $13,233.60 | 15 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $4,764.00 | $5,955.00 | $2,335.16 – $5,359.50 | 15 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tx open nsl fx uncomp CPT 21325 | $5,570.40 | $6,963.00 | $2,322.73 – $6,266.70 | 15 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $7,470.40 | $9,338.00 | $2,335.16 – $8,404.20 | 15 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $231.44 – $433.83 | 8 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $510.40 | $638.00 | $170.13 – $574.20 | 15 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $112.68 – $161.23 | 8 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $712.00 | $890.00 | $396.93 – $801.00 | 15 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Tyms gene com variants CPT 81346 | not published | not published | $166.07 – $183.55 | 8 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $27.69 – $27.69 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $183.59 – $202.91 | 8 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.82 – $4.22 | 8 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $67.22 – $74.29 | 8 |
| Ue triple control harness HCPCS L6677 | not published | not published | $338.20 – $447.89 | 8 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $222.30 – $245.70 | 8 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $79.32 – $109.58 | 8 |
| Ultrasound breast complete CPT 76641 | $536.00 | $670.00 | $79.32 – $603.00 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $481.60 | $602.00 | $65.56 – $541.80 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $396.00 | $495.00 | $79.32 – $445.50 | 15 |
| Ultrasound dx ophth b-scan CPT 76512 | $423.20 | $529.00 | $79.32 – $476.10 | 15 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $55.04 – $60.83 | 8 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $79.32 – $109.58 | 8 |
| Ultrasound encephalogram CPT 76506 | $328.80 | $411.00 | $79.32 – $369.90 | 15 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $668.80 | $836.00 | $79.32 – $752.40 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $640.00 | $800.00 | $79.32 – $720.00 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $895.20 | $1,119.00 | $1.02 – $1,007.10 | 15 |
| Ultrasound guidance for vascular access CPT 76937 | $560.80 | $701.00 | $1.02 – $630.90 | 15 |
| Ultrasound guide intraoperative CPT 76998 | $850.40 | $1,063.00 | $1.02 – $956.70 | 12 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $1.02 – $1.02 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $485.60 | $607.00 | $65.56 – $546.30 | 15 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $65.56 – $90.73 | 8 |
| Ultrasound joint complete left CPT 76881 | $608.00 | $760.00 | $79.32 – $684.00 | 15 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $79.32 – $109.58 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $558.40 | $698.00 | $1.02 – $628.20 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $202.40 | $253.00 | $1.02 – $227.70 | 15 |
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.