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 |
|---|---|---|---|---|
| Drain penis lesion CPT 54015 | not published | not published | $1,169.64 – $1,669.61 | 8 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,159.48 – $1,649.17 | 8 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,049.94 – $2,949.26 | 8 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,049.94 – $2,949.26 | 8 |
| Drain thigh/knee lesion 27301 CPT 27301 | $6,492.00 | $8,115.00 | $2,049.94 – $7,303.50 | 15 |
| Drain thyroid/tongue cyst CPT 60000 | $1,691.20 | $2,114.00 | $963.35 – $1,902.60 | 15 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $655.85 – $724.88 | 8 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $428.80 | $536.00 | $144.42 – $482.40 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $442.40 | $553.00 | $144.42 – $497.70 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $485.60 | $607.00 | $276.61 – $546.30 | 15 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,920.80 | $2,401.00 | $453.09 – $2,160.90 | 15 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $176.06 | $220.07 | $1.02 – $198.06 | 12 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $768.43 – $849.32 | 8 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $2,240.00 | $2,800.00 | $248.50 – $2,520.00 | 15 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $96,709.95 – $136,014.42 | 8 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1.02 – $93.14 | 8 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1.02 – $94.53 | 8 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $653.96 – $736.99 | 8 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,788.00 | $5,985.00 | $2,335.16 – $5,386.50 | 15 |
| Drng of eyelid abscess 67700 CPT 67700 | $709.60 | $887.00 | $210.17 – $798.30 | 15 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,972.80 | $2,466.00 | $312.61 – $1,669.61 | 15 |
| Drng of hydrocele 55000 CPT 55000 | $1,056.80 | $1,321.00 | $507.57 – $1,188.90 | 15 |
| Drng of mouth lesion 40801 CPT 40801 | $1,528.00 | $1,910.00 | $396.93 – $1,719.00 | 15 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Drng of palm multi bursas 26030 CPT 26030 | $5,200.00 | $6,500.00 | $2,335.16 – $5,850.00 | 15 |
| Drng of palm single bursa 26025 CPT 26025 | $4,783.20 | $5,979.00 | $2,335.16 – $5,381.10 | 15 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $851.34 – $1,215.01 | 8 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,873.60 | $2,342.00 | $1,067.25 – $2,107.80 | 15 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $941.50 – $1,040.61 | 8 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $856.78 – $946.96 | 8 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $624.64 – $690.39 | 8 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,353.57 – $1,496.06 | 8 |
| Drng salivary gland simple 42300 CPT 42300 | $3,281.60 | $4,102.00 | $1,100.21 – $3,691.80 | 15 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $396.93 – $524.77 | 8 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.02 – $1.02 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $51.31 | $64.13 | $1.02 – $57.72 | 12 |
| Drop lock knee HCPCS L2182 | not published | not published | $130.03 – $144.56 | 8 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $33.73 – $49.98 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,392.89 | $1,741.11 | $1.02 – $1,258.55 | 12 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $54.55 | $68.18 | $1.02 – $36.35 | 12 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $220.85 | $276.06 | $1.02 – $24.07 | 12 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $111.56 | $139.44 | $1.02 – $50.48 | 12 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $1.02 – $1.02 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $1.02 – $16.04 | 8 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $1.02 – $1.02 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $1.02 – $1.02 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $190.67 | $238.33 | $1.02 – $48.48 | 12 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $1.02 – $1.02 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $1.02 – $1.02 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $891.20 | $1,114.00 | $1.02 – $1,002.60 | 15 |
| Drug assay caffeine CPT 80155 | not published | not published | $36.64 – $40.50 | 8 |
| Drug assay posaconazole CPT 80187 | not published | not published | $25.75 – $28.47 | 8 |
| Drug assay rufinamide CPT 80210 | not published | not published | $25.75 – $28.47 | 8 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $36.64 – $40.50 | 8 |
| Drug assay voriconazole CPT 80285 | not published | not published | $25.75 – $28.47 | 8 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $17.71 – $19.57 | 8 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $11.97 – $13.23 | 8 |
| Drug screening tapentadol CPT 80372 | not published | not published | $25.24 – $25.24 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $25.75 – $28.47 | 8 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $24.74 – $24.74 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $188.80 – $208.68 | 8 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $108.71 – $120.15 | 8 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $234.57 – $259.27 | 8 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $148.76 – $164.42 | 8 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $59.03 – $65.25 | 8 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $16.28 – $18.00 | 8 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $59.03 – $65.25 | 8 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.08 – $18.88 | 8 |
| Dry needling (97799) CPT 97799 | $120.00 | $150.00 | $67.50 – $135.00 | 12 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,789.33 – $3,885.90 | 8 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,996.00 | $4,995.00 | $1,392.92 – $4,495.50 | 15 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $287.67 – $411.70 | 8 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $287.67 – $411.70 | 8 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $453.09 – $630.78 | 8 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $453.09 – $630.78 | 8 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $419.34 – $565.32 | 8 |
| Ductogram sgl duct CPT 77053 | not published | not published | $176.78 – $249.09 | 8 |
| Duodenal exclusion CPT 48547 | not published | not published | $507.57 – $1,661.08 | 8 |
| Duodenal motility study CPT 91022 | not published | not published | $386.67 – $546.77 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $176.78 – $249.09 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $79.32 – $109.58 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $659.20 | $824.00 | $79.32 – $709.20 | 15 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $691.20 | $864.00 | $112.68 – $777.60 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $809.60 | $1,012.00 | $176.78 – $910.80 | 15 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $53.44 | $66.80 | $1.02 – $60.12 | 12 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $80.86 – $89.38 | 8 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $79.32 – $109.58 | 8 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $112.68 – $161.23 | 8 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $18.74 – $20.71 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,239.20 | $4,049.00 | $1,224.46 – $3,644.10 | 15 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,534.40 | $4,418.00 | $1,224.46 – $3,976.20 | 15 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,828.80 | $3,536.00 | $1,224.46 – $3,182.40 | 15 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $287.44 – $411.20 | 8 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $653.96 – $966.13 | 8 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $653.96 – $966.13 | 8 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $226.44 – $320.89 | 8 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $112.68 – $161.23 | 8 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $70.27 – $70.27 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $188.06 – $188.06 | 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.