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 |
|---|---|---|---|---|
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,062.09 – $1,173.89 | 8 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $1.02 – $1.02 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $1.02 – $70.50 | 8 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $27.77 – $30.70 | 8 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $27.77 – $30.70 | 8 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $86.24 – $95.32 | 8 |
| Aep hearing status deter i&r CPT 92651 | $360.80 | $451.00 | $205.52 – $405.90 | 15 |
| Aep neurodiagnostic i&r CPT 92653 | $613.60 | $767.00 | $226.44 – $690.30 | 15 |
| Aep thrshld est mlt freq i&r CPT 92652 | $613.60 | $767.00 | $226.44 – $690.30 | 15 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,796.25 – $3,090.59 | 8 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $732,089.00 – $809,151.00 | 8 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $19.05 – $21.05 | 8 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.94 – $7.68 | 8 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $109.59 – $121.13 | 8 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $130.15 – $143.85 | 8 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $261.09 – $288.57 | 8 |
| Aflibercept injection HCPCS J0178 | $1,930.00 | $2,412.50 | $77.76 – $810.14 | 15 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $19.71 – $19.71 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $513.62 – $741.67 | 8 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,277.28 – $1,460.03 | 8 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $554.14 – $780.01 | 8 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,015.39 – $1,344.67 | 8 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $319.11 – $421.79 | 8 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $459.45 – $578.85 | 8 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $467.46 – $551.40 | 8 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $875.12 – $1,174.79 | 8 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $324.65 – $425.50 | 8 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $640.32 – $847.91 | 8 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,308.19 – $1,685.19 | 8 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $896.92 – $1,072.39 | 8 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $719.05 – $915.47 | 8 |
| Afo tibial fracture rigid HCPCS L2116 | $466.10 | $582.62 | $265.50 – $1,122.82 | 15 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $574.08 – $735.87 | 8 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,677.45 – $2,323.97 | 8 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $533.41 – $706.31 | 8 |
| After cataract laser surgery CPT 66821 | not published | not published | $419.34 – $565.32 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $218.65 – $241.66 | 8 |
| Air conduction bilat CPT 92552 | not published | not published | $92.16 – $132.83 | 8 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $1.02 – $147.80 | 8 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $112.68 – $161.23 | 8 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,777.99 – $4,118.01 | 8 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,826.35 – $2,707.32 | 8 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $637.92 – $850.16 | 8 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,621.34 – $2,017.94 | 8 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $498.06 – $738.31 | 8 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $106.05 – $134.89 | 8 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $223.31 – $310.89 | 8 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $136.04 – $175.28 | 8 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,073.22 – $5,522.78 | 8 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $150.62 – $223.27 | 8 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $205.65 – $304.84 | 8 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $184.86 – $274.03 | 8 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,675.04 – $2,282.16 | 8 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $7.39 – $8.17 | 8 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $74.25 | $92.81 | $29.19 – $57.65 | 15 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.17 – $22.29 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $74.25 | $92.81 | $41.72 – $82.40 | 15 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $73.56 | $91.94 | $9.90 – $82.75 | 15 |
| Albumin ischemia modified CPT 82045 | not published | not published | $32.24 – $35.64 | 8 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.49 – $6.07 | 8 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $4.70 – $5.20 | 8 |
| Albuterol comp con HCPCS J7610 | not published | not published | $0.14 – $0.14 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.34 – $0.34 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $11.81 | $14.76 | $0.17 – $12.87 | 12 |
| Albuterol non-comp con HCPCS J7611 | $21.20 | $26.50 | $0.15 – $23.85 | 12 |
| Albuterol non-comp unit HCPCS J7613 | $12.83 | $16.03 | $0.04 – $12.76 | 12 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $16.41 – $18.13 | 8 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $16.50 – $16.50 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $21.49 – $25.24 | 8 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $20.71 – $30.70 | 8 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $115.02 – $165.57 | 8 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,693.57 – $5,566.32 | 8 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $119.23 – $131.78 | 8 |
| Alefacept HCPCS J0215 | not published | not published | $42.39 – $42.39 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,308.40 – $2,551.39 | 8 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $1.02 – $10.79 | 8 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $1.02 – $24.13 | 8 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $1.02 – $7.74 | 8 |
| Alglucerase injection HCPCS J0205 | not published | not published | $45.78 – $45.78 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $124.77 – $124.77 | 1 |
| Alkaline phosphatase CPT 84075 | not published | not published | $4.92 – $5.44 | 8 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.03 – $18.83 | 8 |
| Allergen egg white ige CPT 86003 | not published | not published | $4.96 – $5.48 | 8 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.57 – $8.37 | 8 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $34.27 – $47.55 | 8 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $34.27 – $47.55 | 8 |
| Allergy Skin Testing CPT 95004 | not published | not published | $48.41 – $1,048.39 | 8 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $66.04 – $1,048.39 | 8 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $1.02 – $1.02 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $1.02 – $1.02 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $436.80 | $546.00 | $1.02 – $114.10 | 12 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | not published | $1.02 – $1.02 | 1 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $546.12 | $682.64 | $1.02 – $162.90 | 12 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $550.20 | $687.74 | $1.02 – $55.85 | 12 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $559.20 | $699.00 | $1.02 – $414.69 | 12 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $840.56 | $1,050.69 | $1.02 – $166.91 | 12 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $6,624.00 | $8,280.00 | $1.02 – $1,846.80 | 12 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $1.02 – $1.02 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $477.71 | $597.13 | $1.02 – $537.42 | 12 |
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.