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 |
|---|---|---|---|---|
| Wrist X-ray (2 views, both wrists) CPT 73100 | $349.60 | $437.00 | $65.56 – $393.30 | 15 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,834.08 – $3,192.00 | 8 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $2,933.23 – $4,145.44 | 8 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,681.21 – $2,350.22 | 8 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $3,770.59 – $5,316.93 | 8 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,933.23 – $4,145.44 | 8 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $1.02 – $1.02 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $3,770.59 – $5,316.93 | 8 |
| Xe133 xenon 10mci HCPCS A9558 | $300.80 | $376.00 | $1.02 – $338.40 | 12 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $4,308.80 | $5,386.00 | $1,315.61 – $4,847.40 | 15 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $868.30 – $959.70 | 8 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $868.30 – $959.70 | 8 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $21.49 – $25.24 | 8 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1.02 – $331.70 | 8 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,431.20 | $1,789.00 | $163.40 – $1,610.10 | 15 |
| X-ray abdomen >=3 views CPT 74021 | $536.00 | $670.00 | $79.32 – $603.00 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,120.80 | $1,401.00 | $277.45 – $1,260.90 | 15 |
| X-ray assay calculus CPT 82370 | not published | not published | $11.89 – $13.15 | 8 |
| X-ray bone length studies CPT 77073 | $540.00 | $675.00 | $79.32 – $607.50 | 15 |
| X-ray bone survey infant CPT 77076 | $496.00 | $620.00 | $79.32 – $558.00 | 15 |
| X-ray consultation CPT 76140 | not published | not published | $14.22 – $14.22 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $654.51 – $654.51 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $562.16 – $562.16 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $621.60 | $777.00 | $79.32 – $699.30 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $612.00 | $765.00 | $79.32 – $688.50 | 15 |
| X-ray exam of arm infant CPT 73092 | $385.60 | $482.00 | $79.32 – $433.80 | 15 |
| X-ray exam of femur 1 CPT 73551 | $561.60 | $702.00 | $65.56 – $631.80 | 15 |
| X-ray exam of jaw joint CPT 70328 | $287.20 | $359.00 | $65.56 – $323.10 | 15 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $176.78 – $249.09 | 8 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $79.32 – $109.58 | 8 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $397.99 – $565.01 | 8 |
| X-ray exam of penis CPT 74445 | not published | not published | $79.32 – $109.58 | 8 |
| X-ray exam of perineum CPT 74775 | not published | not published | $176.78 – $249.09 | 8 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $65.56 – $90.73 | 8 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $176.78 – $249.09 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $65.56 – $90.73 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $176.78 – $249.09 | 8 |
| X-ray exam si joints CPT 72200 | $359.20 | $449.00 | $79.32 – $404.10 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $501.60 | $627.00 | $79.32 – $564.30 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $324.80 | $406.00 | $65.56 – $365.40 | 15 |
| X-ray fallopian tube CPT 74742 | not published | not published | $1.02 – $1.02 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $65.56 – $90.73 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $469.60 | $587.00 | $79.32 – $528.30 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $639.20 | $799.00 | $79.32 – $719.10 | 15 |
| X-ray joint survey 1 view CPT 77077 | $332.80 | $416.00 | $79.32 – $374.40 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $393.60 | $492.00 | $65.56 – $442.80 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $392.80 | $491.00 | $79.32 – $441.90 | 15 |
| X-ray male genital tract CPT 74440 | not published | not published | $176.78 – $249.09 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $348.00 | $435.00 | $65.56 – $391.50 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $360.00 | $450.00 | $65.56 – $405.00 | 15 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $176.78 – $249.09 | 8 |
| X-ray optic foramina CPT 70190 | not published | not published | $65.56 – $90.73 | 8 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $327.26 – $327.26 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $368.75 – $368.75 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,088.80 | $1,361.00 | $277.45 – $1,224.90 | 15 |
| X-ray ribs 2 views left CPT 71100 | $412.80 | $516.00 | $65.56 – $464.40 | 15 |
| X-ray sella turcica CPT 70240 | not published | not published | $65.56 – $90.73 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $950.40 | $1,188.00 | $397.99 – $1,069.20 | 15 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $79.32 – $109.58 | 8 |
| X-ray small intestine follow-through study CPT 74248 | $544.00 | $680.00 | $75.20 – $612.00 | 15 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $365.60 | $457.00 | $65.56 – $411.30 | 15 |
| X-ray surgical specimen CPT 76098 | $720.00 | $900.00 | $397.99 – $810.00 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $319.20 | $399.00 | $65.56 – $359.10 | 15 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $132.55 – $183.44 | 8 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $251.65 – $278.14 | 8 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $65.49 – $72.39 | 8 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1.02 – $1.02 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.26 – $13.56 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.33 – $1.76 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $13.85 | 8 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $53,983.32 – $59,665.78 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $1.02 – $1.02 | 1 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.20 – $10.65 | 8 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.02 – $1.02 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $48.74 – $53.88 | 8 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.01 – $17.69 | 8 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.02 – $1.84 | 8 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $57.72 | $72.14 | $1.02 – $62.20 | 12 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.49 – $8.27 | 8 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $32.02 – $35.39 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $163.71 | $204.63 | $1.02 – $61.52 | 12 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $199.89 – $199.89 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $183.59 – $202.91 | 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.