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 |
|---|---|---|---|---|
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $1.02 – $10.96 | 8 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $11.69 – $13.13 | 8 |
| Foam stability fetal lung CPT 83662 | not published | not published | $17.96 – $19.86 | 8 |
| Folic acid CPT 82746 | not published | not published | $13.97 – $15.44 | 8 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $44.16 | $55.20 | $24.84 – $49.68 | 12 |
| Follow-up angiography CPT 75898 | $1,669.60 | $2,087.00 | $951.05 – $3,243.40 | 15 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $95.37 – $132.80 | 8 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,685.84 – $2,404.05 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,658.51 | $2,073.13 | $5.96 – $660.38 | 15 |
| Fondaparinux sodium HCPCS J1652 | $77.74 | $97.17 | $1.02 – $61.11 | 12 |
| Fo nontorsion joint cf HCPCS L3935 | $318.24 | $397.80 | $181.28 – $358.02 | 15 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $86.83 – $115.00 | 8 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $53.56 – $70.92 | 8 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $115.20 | $144.00 | $65.62 – $129.60 | 15 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $247.66 – $341.26 | 8 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $183.78 – $243.36 | 8 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $150.51 – $199.31 | 8 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $198.25 – $262.57 | 8 |
| Foot lamin/prepreg composite HCPCS L3031 | $243.44 | $304.29 | $131.76 – $260.22 | 15 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $198.25 – $262.57 | 8 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $225.77 – $298.96 | 8 |
| Foot plas heel stabi pre ots HCPCS L3170 | $32.26 | $40.32 | $17.18 – $76.67 | 15 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $380.09 – $560.43 | 8 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $264.15 – $391.58 | 8 |
| Foot X-ray CPT 73630 | $438.40 | $548.00 | $65.56 – $493.20 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $371.20 | $464.00 | $65.56 – $417.60 | 15 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $692.76 | $865.95 | $394.61 – $1,391.29 | 15 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $707.61 – $1,009.50 | 8 |
| Forearm X-ray (both sides) CPT 73090 | $391.20 | $489.00 | $65.56 – $440.10 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $2,588.23 – $3,772.52 | 8 |
| Forensic cytopathology CPT 88125 | not published | not published | $39.09 – $55.06 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $888.80 | $1,111.00 | $178.29 – $999.90 | 15 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $5.19 – $5.19 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $4.17 – $4.17 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $65.80 | $82.25 | $1.02 – $74.03 | 12 |
| Foscarnet sodium injection HCPCS J1455 | $476.00 | $595.00 | $15.27 – $387.00 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $59.24 | $74.05 | $5.28 – $55.79 | 12 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $27.08 – $29.93 | 8 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $65.56 – $90.73 | 8 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $42.65 – $47.13 | 8 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $723.64 – $890.15 | 8 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $653.85 – $969.24 | 8 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $862.44 – $1,132.22 | 8 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $1,015.38 – $1,155.43 | 8 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $453.09 – $2,186.05 | 8 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $923.30 – $1,020.49 | 8 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $653.96 – $653.96 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $453.09 – $2,204.18 | 8 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,299.56 – $2,299.56 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,336.70 – $1,477.40 | 8 |
| Free skin flap microvasc CPT 15757 | not published | not published | $453.09 – $2,193.76 | 8 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Frenotomy 40806 CPT 40806 | not published | not published | $396.93 – $524.77 | 8 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,469.43 – $2,110.93 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $236.80 | $296.00 | $67.54 – $266.40 | 15 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $260.00 | $325.00 | $80.08 – $292.50 | 15 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $95.91 – $176.58 | 8 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $46.48 – $51.38 | 8 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $28.94 – $40.45 | 8 |
| Frozen blood prep CPT 86930 | not published | not published | $123.23 – $176.58 | 8 |
| Frozen blood thaw CPT 86931 | not published | not published | $123.23 – $176.58 | 8 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.49 – $12.69 | 8 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $59.19 – $65.43 | 8 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $15.92 – $17.60 | 8 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $53.56 – $70.92 | 8 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1.02 – $202.69 | 8 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1.02 – $137.20 | 8 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $357.46 – $473.35 | 8 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,413.00 – $1,561.74 | 8 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $66.04 – $73.00 | 8 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $145.83 – $161.18 | 8 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $52.76 – $58.32 | 8 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $51.59 – $57.02 | 8 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $355.03 – $490.37 | 8 |
| Full field erg w/i&r CPT 92273 | not published | not published | $226.44 – $320.89 | 8 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $176.78 – $249.09 | 8 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $62.23 – $82.40 | 8 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $461.60 | $577.00 | $79.32 – $519.30 | 15 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1.02 – $126.46 | 8 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Functional brain mapping CPT 96020 | not published | not published | $1.02 – $1.02 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $92.16 – $132.83 | 8 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,036.32 – $2,471.23 | 8 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $49.95 | $62.43 | $5.62 – $11.24 | 12 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $1.02 – $1.02 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,699.19 – $2,983.31 | 8 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $653.96 – $1,285.79 | 8 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $653.96 – $1,285.80 | 8 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $653.96 – $1,301.66 | 8 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,111.00 – $1,227.95 | 8 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,244.95 – $1,375.99 | 8 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1.02 – $215.35 | 8 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $507.57 – $507.57 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,526.31 – $2,792.23 | 8 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $507.57 – $1,551.88 | 8 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $507.57 – $1,215.21 | 8 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $507.57 – $1,026.51 | 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.