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 |
|---|---|---|---|---|
| Unlisted transfusion med px CPT 86999 | not published | not published | $21.49 – $25.24 | 8 |
| Unlisted ultrasound procedure CPT 76999 | $452.80 | $566.00 | $65.56 – $509.40 | 15 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $453.20 – $637.10 | 8 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $297.55 – $414.07 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,620.00 | $2,025.00 | $504.14 – $1,822.50 | 15 |
| Upgrade pm system CPT 33214 | $6,808.80 | $8,511.00 | $3,878.46 – $10,784.21 | 15 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $532.80 | $666.00 | $65.56 – $599.40 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,369.60 | $2,962.00 | $132.55 – $2,665.80 | 15 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,924.00 | $2,405.00 | $79.32 – $2,164.50 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,034.40 | $5,043.00 | $277.45 – $4,538.70 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,460.80 | $4,326.00 | $277.45 – $3,893.40 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,976.00 | $3,720.00 | $176.78 – $3,348.00 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $405.60 | $507.00 | $79.32 – $456.30 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $529.60 | $662.00 | $79.32 – $595.80 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,694.40 | $3,368.00 | $653.96 – $3,031.20 | 15 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,652.00 | $3,315.00 | $653.96 – $2,983.50 | 15 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $607.38 | $759.22 | $176.23 – $576.18 | 15 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $149.97 – $165.75 | 8 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $1,020.00 | $1,275.00 | $132.55 – $1,147.50 | 15 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $908.80 | $1,136.00 | $132.55 – $1,022.40 | 15 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $653.96 – $966.13 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Urea nitrogen CPT 84520 | not published | not published | $3.75 – $4.15 | 8 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $5.28 – $5.84 | 8 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.84 – $7.56 | 8 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.87 – $5.39 | 8 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1.02 – $1,822.39 | 8 |
| Ureteral reflux study CPT 78740 | $1,508.00 | $1,885.00 | $297.55 – $1,696.50 | 15 |
| Ureter endoscopy CPT 50970 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $971.10 – $1,073.32 | 8 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $981.39 – $1,084.69 | 8 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $884.80 | $1,106.00 | $176.78 – $995.40 | 15 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Urethrocystography void s&i CPT 74455 | $960.00 | $1,200.00 | $176.78 – $1,080.00 | 15 |
| Uric acid blood CPT 84550 | not published | not published | $4.29 – $4.75 | 8 |
| Uric acid urine CPT 84560 | not published | not published | $4.83 – $5.33 | 8 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.47 – $4.94 | 8 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.90 – $3.20 | 8 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.06 – $2.28 | 8 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.01 – $3.33 | 8 |
| Urinalysis (without microscopy) CPT 81003 | $9.60 | $12.00 | $2.14 – $10.80 | 15 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $1.02 – $68.56 | 8 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $1.02 – $4.66 | 8 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $1.02 – $8.82 | 8 |
| Urinary reflex study CPT 51792 | not published | not published | $44.13 – $61.21 | 8 |
| Urinary suspensory HCPCS A5105 | not published | not published | $1.02 – $59.82 | 8 |
| Urine Culture Test CPT 87086 | not published | not published | $7.67 – $8.47 | 8 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $92.16 – $132.83 | 8 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $1.02 – $9.57 | 8 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.18 – $9.04 | 8 |
| Urine screen for bacteria CPT 81007 | not published | not published | $28.48 – $31.48 | 8 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,078.20 – $1,191.70 | 8 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $1.02 – $9.54 | 8 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $129.96 – $129.96 | 1 |
| Urography, antegrade CPT 74425 | $940.00 | $1,175.00 | $277.45 – $1,057.50 | 15 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $132.55 – $183.44 | 8 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $498.59 – $498.59 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $10.25 – $10.25 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $79.32 – $109.58 | 8 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,068.37 – $2,739.10 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.34 – $13.64 | 8 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $141.93 – $156.87 | 8 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Vaccine Administration (one shot) CPT 90471 | $96.80 | $121.00 | $8.97 – $73.34 | 15 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $145.92 – $169.73 | 8 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $139.71 – $154.41 | 8 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $150.12 | $187.65 | $52.51 – $176.79 | 15 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $113.31 | $141.63 | $36.87 – $99.54 | 15 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $198.46 | $248.07 | $62.27 – $223.26 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $66.69 | $83.36 | $1.02 – $72.79 | 12 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $101.08 – $101.08 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $89.09 | $111.36 | $1.02 – $97.10 | 12 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $175.00 | $218.75 | $99.68 – $196.88 | 12 |
| Vaccine dtap-ipv/hib im CPT 90698 | $108.26 | $135.32 | $1.02 – $121.79 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $70.53 | $88.16 | $1.02 – $79.34 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $56.95 | $71.18 | $1.02 – $64.06 | 12 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $102.42 | $128.02 | $1.02 – $115.22 | 12 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $135.40 | $169.25 | $1.02 – $152.33 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $1.02 – $1.02 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $39.34 – $39.34 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $71.39 – $78.90 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $78.76 | $98.44 | $44.86 – $88.60 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $143.15 | $178.93 | $81.54 – $186.43 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $60.49 | $75.61 | $30.09 – $68.05 | 15 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $242.92 | $303.64 | $138.37 – $298.44 | 12 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $166.35 – $166.35 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $74.72 – $103.07 | 8 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $46.84 | $58.55 | $26.68 – $103.07 | 15 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $12.73 – $23.17 | 8 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $20.13 – $24.38 | 8 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $21.26 – $21.26 | 1 |
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.