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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $78.75 – $78.75 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $19.71 – $19.71 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $22.75 – $22.75 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.63 – $10.63 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $28.29 – $28.29 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $74.72 – $74.72 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $24.31 | $30.38 | $13.84 – $51.97 | 15 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.13 – $11.59 | 8 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $170.28 | $212.84 | $96.99 – $232.20 | 12 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $186.47 | $233.08 | $106.21 – $209.77 | 12 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $173.26 – $173.26 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $154.33 – $154.33 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $111.30 | $139.12 | $1.02 – $125.10 | 12 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $121.02 – $121.02 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $171.20 | $214.00 | $75.20 – $148.53 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $235.60 | $294.50 | $134.20 – $270.89 | 15 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $234.07 | $292.58 | $133.33 – $274.20 | 15 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $293.86 – $328.55 | 8 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $1.02 – $1.02 | 1 |
| Vaccine rabies im CPT 90675 | $344.93 | $431.16 | $196.48 – $388.04 | 15 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $300.00 | $375.00 | $161.74 – $323.49 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $539.27 | $674.08 | $307.18 – $606.67 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $494.63 | $618.28 | $281.75 – $556.45 | 12 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $143.94 – $143.94 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $97.85 | $122.31 | $55.74 – $110.08 | 12 |
| Vaccine tdap >=7 years im CPT 90715 | $81.16 | $101.44 | $1.02 – $89.06 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $71.60 | $89.50 | $1.02 – $74.30 | 12 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $1.02 – $1.02 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $180.88 – $180.88 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $1.02 – $1.02 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 8 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $1.02 – $73.96 | 8 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $533.74 – $706.99 | 8 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $209.51 – $277.53 | 8 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $4,762.42 – $6,308.17 | 8 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Vag hyst including t/o CPT 58262 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $5,451.52 – $7,620.13 | 8 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,255.47 – $2,255.47 | 1 |
| Vaginal bx CPT 58999 | $4,390.40 | $5,488.00 | $143.76 – $2,830.50 | 15 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,041.09 – $2,255.95 | 8 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,556.07 – $2,061.14 | 8 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,519.67 – $1,679.64 | 8 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $788.33 – $871.31 | 8 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $92.66 – $102.42 | 8 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $653.96 – $1,127.06 | 8 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $653.96 – $1,114.58 | 8 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $12.86 – $14.22 | 8 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,257.18 – $1,389.51 | 8 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $4,123.47 – $5,875.25 | 8 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,581.32 – $1,747.77 | 8 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,872.47 – $2,069.58 | 8 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $7,936.59 – $11,686.12 | 8 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $7,936.59 – $11,686.12 | 8 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,516.30 – $2,781.17 | 8 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,000.99 – $2,211.62 | 8 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $112.56 | $140.69 | $26.01 – $52.01 | 12 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $1.02 – $1.02 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $12.86 – $14.22 | 8 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $33.34 – $36.84 | 8 |
| Vantas implant HCPCS J9225 | $3,178.60 | $3,973.25 | $1,810.61 – $5,259.28 | 12 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.85 – $0.93 | 8 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $12.24 – $13.52 | 8 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,086.12 – $2,479.91 | 8 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $70.14 – $84.70 | 8 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $16,741.59 – $18,503.86 | 8 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Vasectomy CPT 55250 | $2,690.40 | $3,363.00 | $1,469.43 – $3,026.70 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $46.16 | $57.69 | $2.61 – $51.92 | 12 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,111.33 – $2,333.58 | 8 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $952.29 – $1,052.53 | 8 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.25 – $22.38 | 8 |
| Veeg cont 2-12 hrs CPT 95713 | $1,980.80 | $2,476.00 | $386.67 – $2,228.40 | 15 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $754.29 – $1,048.39 | 8 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $226.44 – $320.89 | 8 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $386.67 – $546.77 | 8 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $226.44 – $320.89 | 8 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,156.88 – $1,278.65 | 8 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,337.27 – $1,478.04 | 8 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,068.75 – $1,181.25 | 8 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,329.34 – $1,469.28 | 8 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $453.20 – $637.10 | 8 |
| Vein x-ray kidney CPT 75831 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Vein x-ray liver CPT 75891 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | $5,248.00 | $6,560.00 | $2,299.56 – $5,904.00 | 15 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Vein x-ray skull CPT 75870 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $453.20 – $637.10 | 8 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $362.29 – $400.43 | 8 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $112.68 – $161.23 | 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.