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 |
|---|---|---|---|---|
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $12.78 – $14.12 | 8 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $18.96 – $20.96 | 8 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $13.60 – $15.04 | 8 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $46.15 | $57.68 | $1.02 – $50.52 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $12.30 – $13.60 | 8 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $18.26 – $18.26 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.46 – $0.51 | 8 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $10.43 | $13.03 | $1.02 – $11.73 | 12 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $1.02 – $1.02 | 1 |
| Cyclosporine 2 hour CPT 80158 | not published | not published | $17.15 – $18.95 | 8 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $5.85 | $7.31 | $1.02 – $5.89 | 12 |
| Cyclosporine oral 100 mg HCPCS J7502 | $185.11 | $231.38 | $1.02 – $208.24 | 12 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $1.02 – $1.02 | 1 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $1.02 – $1.02 | 1 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $32,402.40 | $40,503.00 | $1.02 – $7,845.30 | 12 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $1.02 – $1.02 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $276.79 – $305.93 | 8 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $166.07 – $183.55 | 8 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $428.36 – $473.46 | 8 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $166.07 – $183.55 | 8 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $166.07 – $183.55 | 8 |
| Cystatin c CPT 82610 | not published | not published | $17.59 – $19.45 | 8 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $474.05 – $523.95 | 8 |
| Cystine urine quantitative CPT 82131 | not published | not published | $21.83 – $24.13 | 8 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $844.00 | $1,055.00 | $277.45 – $949.50 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $6,646.05 – $9,528.91 | 8 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $8,621.40 – $9,528.91 | 8 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,646.05 – $9,528.91 | 8 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $492.81 – $687.81 | 8 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $786.11 – $868.86 | 8 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $6,646.05 – $9,528.91 | 8 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $492.81 – $687.81 | 8 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystoscopy and treatment CPT 52310 | $4,893.60 | $6,117.00 | $1,469.43 – $5,505.30 | 15 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,484.00 | $4,355.00 | $492.81 – $3,919.50 | 15 |
| Cystoscopy chemodenervation CPT 52287 | $4,696.00 | $5,870.00 | $1,469.43 – $5,283.00 | 15 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $492.81 – $687.81 | 8 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | $5,012.80 | $6,266.00 | $1,469.43 – $5,639.40 | 15 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $6,255.20 | $7,819.00 | $1,469.43 – $7,037.10 | 15 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $5,693.60 | $7,117.00 | $1,469.43 – $6,405.30 | 15 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $5,371.20 | $6,714.00 | $1,469.43 – $6,042.60 | 15 |
| Cystourethro w/addl implant 52442 CPT 52442 | $1,493.60 | $1,867.00 | $767.70 – $1,680.30 | 15 |
| Cystourethro w/implant CPT 52441 | $1,493.60 | $1,867.00 | $850.79 – $1,680.30 | 15 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $492.81 – $492.81 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $1.02 – $1.02 | 1 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $671.67 – $671.67 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,138.04 – $1,257.84 | 8 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $40.26 – $44.50 | 8 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $38.67 – $42.74 | 8 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,102.00 – $1,218.00 | 8 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $855.00 – $945.00 | 8 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,200.35 – $1,326.71 | 8 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.38 – $12.58 | 8 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | not published | not published | $13.67 – $15.11 | 8 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $16.01 – $17.69 | 8 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $12.75 – $14.09 | 8 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,697.61 – $1,899.08 | 8 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $28.53 – $31.53 | 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.