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 |
|---|---|---|---|---|
| Devise bowel pouch CPT 44316 | not published | not published | $653.96 – $1,318.04 | 8 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $64.30 – $95.32 | 8 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $21.49 – $55.47 | 8 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $284.00 | $355.00 | $65.56 – $319.50 | 15 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $1.02 – $106.07 | 8 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.02 – $1.02 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $27.89 | $34.86 | $1.02 – $5.47 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $50.24 | $62.79 | $1.02 – $6.11 | 12 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $194.38 – $214.84 | 8 |
| Dexamethasone panel CPT 80420 | not published | not published | $153.79 – $169.97 | 8 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.67 – $0.74 | 8 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $59.91 – $66.21 | 8 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $1.02 – $1.02 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $1.02 – $1.02 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $3.50 – $3.50 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $14.00 | $17.50 | $1.02 – $15.75 | 12 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $1.02 – $1.02 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $13.51 | $16.88 | $1.02 – $14.63 | 12 |
| Dextrose 5 % IV bolus HCPCS J7070 | $14.00 | $17.50 | $1.02 – $15.75 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $21.12 – $23.34 | 8 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $9.22 – $10.20 | 8 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $20.71 – $30.70 | 8 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $251.66 – $335.75 | 8 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $42.80 – $57.03 | 8 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $42.80 – $57.03 | 8 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $42.80 – $57.03 | 8 |
| Diab manage trn ind/group HCPCS G0109 | $72.00 | $90.00 | $14.39 – $81.00 | 15 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $83.91 – $111.95 | 8 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $42.80 – $57.03 | 8 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,224.46 – $1,777.01 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $92.16 – $411.20 | 8 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $851.34 – $1,215.01 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $295.20 | $369.00 | $92.16 – $332.10 | 15 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $190.40 | $238.00 | $32.38 – $214.20 | 12 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $166.40 | $208.00 | $15.80 – $187.20 | 12 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $350.40 | $438.00 | $142.90 – $394.20 | 15 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $516.80 | $646.00 | $142.90 – $581.40 | 15 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $588.00 | $735.00 | $147.51 – $661.50 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $458.40 | $573.00 | $116.79 – $515.70 | 15 |
| Diagnostic radio unlisted proc CPT 76499 | $311.20 | $389.00 | $65.56 – $350.10 | 15 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $11,752.00 | $14,690.00 | $1.02 – $13,221.00 | 15 |
| Dialysis one evaluation CPT 90945 | $920.00 | $1,150.00 | $319.53 – $1,035.00 | 15 |
| Dialysis repeated eval CPT 90947 | not published | not published | $108.61 – $120.05 | 8 |
| Dialysis training complete CPT 90989 | not published | not published | $311.16 – $311.16 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $62.66 – $62.66 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.66 – $7.36 | 8 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $21.00 | $26.25 | $1.02 – $23.63 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $51.16 | $63.95 | $1.02 – $38.75 | 12 |
| Dicyclomine injection HCPCS J0500 | $60.95 | $76.18 | $1.02 – $57.45 | 12 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.06 – $0.07 | 8 |
| Diffusing capacity CPT 94729 | $362.40 | $453.00 | $1.02 – $407.70 | 15 |
| Digital analysis of eeg CPT 95957 | not published | not published | $1.02 – $298.83 | 8 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1.02 – $169.14 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $53.60 | $66.99 | $1.02 – $55.79 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $3,449.75 | $4,312.18 | $1,965.06 – $5,426.64 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $12.62 – $13.94 | 8 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $1.02 – $1.02 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1.02 – $490.00 | 8 |
| Dilate esophagus CPT 43453 | not published | not published | $1,372.76 – $1,954.79 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,041.60 | $2,552.00 | $653.96 – $2,296.80 | 15 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $276.99 – $306.15 | 8 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $138.50 – $153.07 | 8 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $394.16 – $435.65 | 8 |
| Dilate tear duct opening CPT 68801 | not published | not published | $287.44 – $411.20 | 8 |
| Dilate urethra stricture CPT 53600 | $767.20 | $959.00 | $178.29 – $863.10 | 15 |
| Dilate urethra stricture CPT 53601 | not published | not published | $92.16 – $132.83 | 8 |
| Dilate urethra stricture CPT 53605 | $5,869.60 | $7,337.00 | $2,515.02 – $6,603.30 | 15 |
| Dilate urethra stricture CPT 53621 | not published | not published | $178.29 – $250.62 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $112.68 – $161.23 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $851.34 – $1,215.01 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $851.34 – $1,215.01 | 8 |
| Dilation of salivary duct CPT 42660 | not published | not published | $396.93 – $524.77 | 8 |
| Dilation of urethra CPT 53661 | not published | not published | $92.16 – $132.83 | 8 |
| Dilation of urethra CPT 53665 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $2,644.80 | $3,306.00 | $492.81 – $2,975.40 | 15 |
| Dilator fascial 10fx20cm HCPCS C2627 | $636.80 | $796.00 | $1.02 – $716.40 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $56.74 | $70.92 | $4.75 – $9.50 | 12 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $60.89 – $60.89 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $1.02 – $1.02 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $579.96 | $724.94 | $330.36 – $786.29 | 15 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $4.83 | $6.03 | $0.48 – $1.02 | 12 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $50.79 | $63.48 | $1.02 – $50.46 | 12 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $1.02 – $1.02 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.02 – $1.02 | 1 |
| Direct advanced life support CPT 99288 | not published | not published | $93.42 – $93.42 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $28.94 – $40.45 | 8 |
| Disability dlco CPT 94727 | $526.40 | $658.00 | $112.68 – $592.20 | 15 |
| Disaccharidases CPT 82657 | not published | not published | $21.06 – $23.28 | 8 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Disarticulation shoulder CPT 23920 | not published | not published | $991.63 – $1,096.01 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $170.13 – $1,406.05 | 8 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $163.73 – $180.96 | 8 |
| Discography cerv/thor spine CPT 72285 | $2,961.60 | $3,702.00 | $1,392.92 – $3,331.80 | 15 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $73.53 – $108.99 | 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.