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 |
|---|---|---|---|---|
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,216.80 | $1,521.00 | $693.12 – $1,649.17 | 15 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,495.20 | $1,869.00 | $851.70 – $1,682.10 | 15 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,478.40 | $3,098.00 | $1,159.48 – $2,788.20 | 15 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $3,888.00 | $4,860.00 | $2,214.70 – $4,374.00 | 15 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $607.20 | $759.00 | $170.13 – $683.10 | 15 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $590.40 | $738.00 | $170.13 – $664.20 | 15 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $567.20 | $709.00 | $170.13 – $638.10 | 15 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,052.00 | $1,315.00 | $599.25 – $1,649.17 | 15 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $531.20 | $664.00 | $170.13 – $597.60 | 15 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $768.00 | $960.00 | $170.13 – $864.00 | 15 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $578.40 | $723.00 | $170.13 – $650.70 | 15 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $500.00 | $625.00 | $170.13 – $562.50 | 15 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $170.13 – $247.19 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $766.40 | $958.00 | $170.13 – $862.20 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $556.80 | $696.00 | $170.13 – $626.40 | 15 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $1,541.49 – $1,703.75 | 8 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,530.06 – $1,691.12 | 8 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $170.13 – $247.19 | 8 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,316.80 | $2,896.00 | $1,159.48 – $2,606.40 | 15 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $636.55 – $703.56 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,724.00 | $3,405.00 | $1,159.48 – $3,064.50 | 15 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $457.60 | $572.00 | $170.13 – $514.80 | 15 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,188.80 | $1,486.00 | $677.17 – $1,649.17 | 15 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $579.20 | $724.00 | $170.13 – $651.60 | 15 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,717.60 | $3,397.00 | $1,159.48 – $3,057.30 | 15 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Cltx mndblr fx w/mnpj CPT 21451 | $6,891.20 | $8,614.00 | $1,100.21 – $7,752.60 | 15 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,850.40 | $6,063.00 | $2,322.73 – $5,456.70 | 15 |
| Cltx palatal/max fx wire fix CPT 21421 | $5,281.60 | $6,602.00 | $2,322.73 – $5,941.80 | 15 |
| Cltx post ankle fx CPT 27767 | not published | not published | $170.13 – $247.19 | 8 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,159.48 – $1,649.17 | 8 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,552.80 | $1,941.00 | $884.51 – $1,746.90 | 15 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $170.13 – $247.19 | 8 |
| Cltx thigh fx CPT 27267 | $4,008.00 | $5,010.00 | $2,283.06 – $4,509.00 | 15 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $170.13 – $543.31 | 8 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $386.67 – $546.77 | 8 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $754.29 – $1,048.39 | 8 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $754.29 – $1,048.39 | 8 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,591.43 – $1,758.95 | 8 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $44.13 – $61.21 | 8 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $44.13 – $61.21 | 8 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $13.37 – $14.77 | 8 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.36 – $9.24 | 8 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $18.58 – $20.54 | 8 |
| Cmv ig IV CPT 90291 | not published | not published | $1,824.25 – $1,824.25 | 1 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $33.34 – $36.84 | 8 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $130.15 – $143.85 | 8 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $158.79 – $158.79 | 1 |
| Co2 monitor per day CPT 94681 | not published | not published | $226.44 – $320.89 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $8,980.00 | $11,225.00 | $2.45 – $2,102.63 | 15 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.07 – $4.49 | 8 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.46 – $4.92 | 8 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.27 – $4.71 | 8 |
| Cocaine 4 % nasal solution HCPCS C9046 | $341.00 | $426.25 | $1.59 – $299.28 | 12 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $1.44 – $1.44 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $44.13 – $44.13 | 1 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $9,583.28 – $12,535.18 | 8 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $514.21 – $681.12 | 8 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $119.76 – $158.64 | 8 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $29.90 – $39.59 | 8 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $104.60 – $138.57 | 8 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $112.68 – $161.23 | 8 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $112.68 – $161.23 | 8 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $20.71 – $144.92 | 8 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.02 – $1.02 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $1.02 – $1.02 | 1 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | not published | not published | $1.02 – $1.02 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.67 – $8.47 | 8 |
| Cold agglutinin titer CPT 86157 | not published | not published | $7.66 – $8.46 | 8 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,393.41 – $1,540.08 | 8 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,576.38 – $1,742.31 | 8 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,763.07 – $1,948.66 | 8 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $653.96 – $1,256.80 | 8 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $653.96 – $1,801.53 | 8 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,400.34 – $1,547.75 | 8 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,779.28 – $1,966.57 | 8 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $653.96 – $1,165.27 | 8 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,532.00 – $1,693.26 | 8 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $653.96 – $1,646.49 | 8 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $1,835.75 – $2,028.99 | 8 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $1,880.66 – $2,078.63 | 8 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $1.02 – $1.02 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $68.97 – $79.70 | 8 |
| Collagen based wound filler HCPCS A6010 | $1,128.00 | $1,410.00 | $1.02 – $1,269.00 | 15 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $1.02 – $30.85 | 8 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $1.02 – $30.85 | 8 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $1.02 – $9.07 | 8 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $1.02 – $3.35 | 8 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $1.02 – $662.61 | 8 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $365.60 | $457.00 | $65.56 – $411.30 | 15 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $116.68 | $145.85 | $7.38 – $41.86 | 15 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $56.85 | $71.06 | $10.89 – $100.97 | 15 |
| Collar cerv ascend 172 reg HCPCS L0172 | $224.11 | $280.13 | $13.84 – $200.24 | 15 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $121.79 – $170.44 | 8 |
| Collar extrication adult univ HCPCS L0200 | $1,049.05 | $1,311.31 | $597.56 – $1,180.18 | 15 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $69.60 | $87.00 | $34.18 – $132.83 | 15 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $92.16 – $132.83 | 8 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1.02 – $1.02 | 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.