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 |
|---|---|---|---|---|
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $89.81 | $112.26 | $1.02 – $67.50 | 12 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $677.51 – $748.83 | 8 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,298.97 – $2,540.97 | 8 |
| Close chest after drainage CPT 32810 | not published | not published | $754.79 – $834.24 | 8 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $649.60 | $812.00 | $170.13 – $730.80 | 15 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $697.60 | $872.00 | $397.37 – $1,649.17 | 15 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $820.80 | $1,026.00 | $170.13 – $923.40 | 15 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $583.20 | $729.00 | $170.13 – $656.10 | 15 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,649.60 | $3,312.00 | $1,159.48 – $2,980.80 | 15 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $588.80 | $736.00 | $170.13 – $662.40 | 15 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,402.40 | $1,753.00 | $798.84 – $1,649.17 | 15 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $611.20 | $764.00 | $170.13 – $687.60 | 15 |
| Closed tx nose/jaw fx CPT 21345 | $3,238.40 | $4,048.00 | $1,100.21 – $3,643.20 | 15 |
| Closed tx orbit without manipulj CPT 21400 | $2,033.60 | $2,542.00 | $396.93 – $2,287.80 | 15 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,327.20 | $4,159.00 | $1,159.48 – $3,743.10 | 15 |
| Closed tx septal&nose fx CPT 21337 | $4,785.60 | $5,982.00 | $2,322.73 – $5,383.80 | 15 |
| Closed tx sesamoid fx 28530 CPT 28530 | $681.60 | $852.00 | $170.13 – $766.80 | 15 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $494.40 | $618.00 | $170.13 – $556.20 | 15 |
| Closed tx vert fx w/manj CPT 22315 | $2,278.40 | $2,848.00 | $1,297.83 – $3,343.47 | 15 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $983.49 – $1,087.01 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $677.60 | $847.00 | $176.23 – $762.30 | 15 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $570.93 – $631.03 | 8 |
| Close mult vsd CPT 33675 | not published | not published | $1,607.72 – $1,776.95 | 8 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,649.67 – $1,823.31 | 8 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,241.58 – $1,372.27 | 8 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,328.00 – $1,467.79 | 8 |
| Close tear duct opening CPT 68760 | not published | not published | $210.17 – $308.04 | 8 |
| Close tear duct opening CPT 68761 | not published | not published | $210.17 – $308.04 | 8 |
| Close tear system fistula CPT 68770 | not published | not published | $1,685.84 – $2,404.05 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.20 – $16.80 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,264.80 | $4,081.00 | $1,100.21 – $3,672.90 | 15 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $653.96 – $817.82 | 8 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,341.09 – $1,482.26 | 8 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $653.96 – $955.84 | 8 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,179.53 – $1,303.69 | 8 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,660.80 | $2,076.00 | $396.93 – $1,868.40 | 15 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $730.39 – $998.05 | 8 |
| Closure of salivary fistula CPT 42600 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Closure of valve CPT 33600 | not published | not published | $1,417.18 – $1,566.36 | 8 |
| Closure of valve CPT 33602 | not published | not published | $1,376.84 – $1,521.77 | 8 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $453.20 – $637.10 | 8 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $968.19 – $1,070.11 | 8 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $779.35 – $861.39 | 8 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $17.98 – $19.88 | 8 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $19.40 – $21.44 | 8 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $17.98 – $19.88 | 8 |
| Clot factor xii hageman CPT 85280 | not published | not published | $18.38 – $20.32 | 8 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.65 – $9.57 | 8 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $15.52 – $17.16 | 8 |
| Clotting assay whole blood CPT 85396 | not published | not published | $1.02 – $19.04 | 8 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.14 – $1.14 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.02 – $2.64 | 8 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.02 – $2.18 | 8 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $808.00 | $1,010.00 | $170.13 – $909.00 | 15 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $484.00 | $605.00 | $170.13 – $544.50 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $606.40 | $758.00 | $170.13 – $682.20 | 15 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,450.40 | $1,813.00 | $826.18 – $1,649.17 | 15 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $583.20 | $729.00 | $170.13 – $656.10 | 15 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,841.60 | $2,302.00 | $1,049.02 – $2,071.80 | 15 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $488.00 | $610.00 | $170.13 – $549.00 | 15 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $405.60 | $507.00 | $170.13 – $456.30 | 15 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $457.60 | $572.00 | $170.13 – $514.80 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $728.00 | $910.00 | $170.13 – $819.00 | 15 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $497.60 | $622.00 | $170.13 – $559.80 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $673.60 | $842.00 | $170.13 – $757.80 | 15 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,319.20 | $2,899.00 | $1,159.48 – $2,609.10 | 15 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,159.48 – $1,649.17 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | $570.40 | $713.00 | $170.13 – $641.70 | 15 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $415.20 | $519.00 | $170.13 – $467.10 | 15 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $626.40 | $783.00 | $170.13 – $704.70 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $492.80 | $616.00 | $170.13 – $554.40 | 15 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,526.40 | $1,908.00 | $869.48 – $1,717.20 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $557.60 | $697.00 | $170.13 – $627.30 | 15 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,255.20 | $1,569.00 | $714.99 – $1,649.17 | 15 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $514.40 | $643.00 | $170.13 – $578.70 | 15 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $735.20 | $919.00 | $170.13 – $827.10 | 15 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $634.40 | $793.00 | $170.13 – $713.70 | 15 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $558.40 | $698.00 | $170.13 – $628.20 | 15 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $941.60 | $1,177.00 | $193.75 – $1,059.30 | 15 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,384.00 | $1,730.00 | $396.93 – $1,557.00 | 15 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $475.20 | $594.00 | $170.13 – $534.60 | 15 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $496.00 | $620.00 | $170.13 – $558.00 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $756.00 | $945.00 | $170.13 – $850.50 | 15 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $2,626.40 | $3,283.00 | $1,496.06 – $3,343.47 | 15 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $1,000.00 | $1,250.00 | $170.13 – $1,125.00 | 15 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $489.60 | $612.00 | $170.13 – $550.80 | 15 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $4,570.40 | $5,713.00 | $2,322.73 – $5,141.70 | 15 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,588.80 | $1,986.00 | $905.02 – $1,787.40 | 15 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $524.80 | $656.00 | $170.13 – $590.40 | 15 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $496.80 | $621.00 | $170.13 – $558.90 | 15 |
| Clsd tx pelvic ring fx CPT 27197 | $452.00 | $565.00 | $170.13 – $508.50 | 15 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $170.13 – $247.19 | 8 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,832.80 | $3,541.00 | $1,159.48 – $3,186.90 | 15 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $515.20 | $644.00 | $170.13 – $579.60 | 15 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $527.20 | $659.00 | $170.13 – $593.10 | 15 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,843.20 | $2,304.00 | $1,049.93 – $2,073.60 | 15 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $492.00 | $615.00 | $170.13 – $553.50 | 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.