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 |
|---|---|---|---|---|
| Ghs i and d pilonidal cyst simple CPT 10080 | $474.40 | $593.00 | $270.23 – $725.03 | 15 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $27.85 – $31.42 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $561.60 | $702.00 | $178.29 – $631.80 | 15 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $142.90 – $200.06 | 8 |
| Ghs inf midline insertion CPT 36140 | $660.80 | $826.00 | $1.02 – $743.40 | 15 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $12.23 – $13.51 | 8 |
| Ghs init tx 1st degree burn CPT 16000 | $250.40 | $313.00 | $142.63 – $281.70 | 15 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,429.60 | $3,037.00 | $657.57 – $2,733.30 | 15 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,350.40 | $2,938.00 | $657.57 – $2,644.20 | 15 |
| Ghs inj tendon origin/insertion CPT 20551 | $465.60 | $582.00 | $213.67 – $523.80 | 15 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,243.20 | $1,554.00 | $1.02 – $1,398.60 | 15 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,366.40 | $2,958.00 | $657.57 – $2,662.20 | 15 |
| Ghs insertion of needle - bone CPT 36680 | $408.00 | $510.00 | $232.41 – $459.00 | 15 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $988.80 | $1,236.00 | $287.67 – $1,112.40 | 15 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,688.80 | $2,111.00 | $453.09 – $1,899.90 | 15 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,258.40 | $4,073.00 | $1,315.61 – $3,665.70 | 15 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $173.60 | $217.00 | $1.02 – $195.30 | 15 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $688.80 | $861.00 | $178.29 – $774.90 | 15 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $131.20 | $164.00 | $34.27 – $71.10 | 15 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $340.76 – $449.02 | 2 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $340.76 – $449.02 | 2 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $340.76 – $450.00 | 2 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $883.20 | $1,104.00 | $244.33 – $993.60 | 15 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $542.40 | $678.00 | $287.44 – $610.20 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $884.80 | $1,106.00 | $287.67 – $995.40 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $676.00 | $845.00 | $287.67 – $760.50 | 15 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $836.00 | $1,045.00 | $287.67 – $940.50 | 15 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $806.40 | $1,008.00 | $287.67 – $907.20 | 15 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $788.00 | $985.00 | $287.67 – $886.50 | 15 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $809.60 | $1,012.00 | $287.67 – $910.80 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $917.60 | $1,147.00 | $287.67 – $1,032.30 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $804.00 | $1,005.00 | $453.09 – $904.50 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $718.40 | $898.00 | $287.67 – $808.20 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,476.80 | $1,846.00 | $453.09 – $1,661.40 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,156.00 | $1,445.00 | $287.67 – $1,300.50 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $839.20 | $1,049.00 | $453.09 – $944.10 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,484.00 | $1,855.00 | $287.67 – $1,669.50 | 15 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,020.80 | $1,276.00 | $581.47 – $1,884.97 | 15 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $2,000.00 | $2,500.00 | $287.67 – $2,250.00 | 15 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.17 – $9.03 | 8 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $22.27 – $22.27 | 1 |
| Ghs mbp CPT 83873 | not published | not published | $16.34 – $18.06 | 8 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $236.00 | $295.00 | $1.02 – $265.50 | 15 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $1.02 – $78.86 | 8 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $229.60 | $287.00 | $1.02 – $258.30 | 15 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $186.40 | $233.00 | $1.02 – $209.70 | 15 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $110.40 | $138.00 | $1.02 – $124.20 | 15 |
| Ghs musc test done w/n test comp CPT 95886 | $408.00 | $510.00 | $1.02 – $459.00 | 15 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $358.40 | $448.00 | $1.02 – $403.20 | 15 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $245.60 | $307.00 | $1.02 – $276.30 | 15 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $1.02 – $37.25 | 8 |
| Ghs nailbed repair/nail removal CPT 11760 | $710.40 | $888.00 | $404.66 – $799.20 | 15 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,748.00 | $2,185.00 | $657.57 – $1,966.50 | 15 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,356.80 | $1,696.00 | $498.90 – $1,526.40 | 15 |
| Ghs nerve block axillary nerve CPT 64417 | $1,832.80 | $2,291.00 | $657.57 – $2,061.90 | 15 |
| Ghs nerve block brachial plexus CPT 64415 | $930.40 | $1,163.00 | $529.98 – $1,046.70 | 15 |
| Ghs nerve block celiac plexus CPT 64530 | $2,196.80 | $2,746.00 | $657.57 – $2,471.40 | 15 |
| Ghs nerve block interscaline CPT 64510 | $2,215.20 | $2,769.00 | $657.57 – $2,492.10 | 15 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,050.40 | $2,563.00 | $657.57 – $2,306.70 | 15 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,769.60 | $2,212.00 | $498.90 – $1,990.80 | 15 |
| Ghs nerve block suprascapular CPT 64418 | $1,132.00 | $1,415.00 | $498.90 – $1,273.50 | 15 |
| Ghs ng placement w fluoro guidance CPT 43752 | $631.20 | $789.00 | $287.44 – $710.10 | 15 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.28 – $10.26 | 8 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $112.68 – $161.23 | 8 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $44.13 – $61.21 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $126.40 | $158.00 | $11.35 – $142.20 | 15 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,507.20 | $1,884.00 | $453.20 – $1,695.60 | 15 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,155.40 – $1,600.77 | 8 |
| Ghs optokenetic CPT 92544 | not published | not published | $112.68 – $161.23 | 8 |
| Ghs oscillating trac CPT 92545 | not published | not published | $220.03 – $320.89 | 8 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $18.72 – $26.07 | 8 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $18.72 – $26.07 | 8 |
| Ghs ot dds rom CPT 95851 | $84.80 | $106.00 | $10.28 – $95.40 | 15 |
| Ghs ot group caregiver training CPT 97552 | $59.20 | $74.00 | $14.31 – $66.60 | 15 |
| Ghs ot prosthetic training/15 min CPT 97761 | $123.20 | $154.00 | $38.76 – $138.60 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $124.80 | $156.00 | $58.31 – $140.40 | 15 |
| Ghs ot work hardening-additional hours CPT 97546 | $208.80 | $261.00 | $38.49 – $234.90 | 12 |
| Ghs pacing - transcutaneous CPT 92953 | $738.40 | $923.00 | $420.61 – $830.70 | 15 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,076.00 | $1,345.00 | $1.02 – $1,210.50 | 15 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,052.80 | $1,316.00 | $1.02 – $1,184.40 | 15 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $1.02 – $25.64 | 8 |
| Ghs peritonsillar abscess i andd CPT 42700 | $593.60 | $742.00 | $176.23 – $667.80 | 15 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.23 – $5.78 | 8 |
| Ghs picc line insert < 5 CPT 36568 | $2,200.80 | $2,751.00 | $1,155.40 – $2,475.90 | 15 |
| Ghs plngl fx pm cl CPT 26725 | $636.00 | $795.00 | $170.13 – $715.50 | 15 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.09 – $4.53 | 8 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $754.29 – $1,048.39 | 8 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $92.16 – $132.83 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $21.49 – $25.24 | 8 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.18 – $10.14 | 8 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.33 – $5.89 | 8 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $13.63 – $15.07 | 8 |
| Ghs pr without cont pulse ox CPT 94625 | $165.60 | $207.00 | $44.13 – $186.30 | 15 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.64 – $12.86 | 8 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $402.40 | $503.00 | $118.59 – $452.70 | 12 |
| Ghs quinidine CPT 80194 | not published | not published | $13.87 – $15.33 | 8 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $244.33 – $341.80 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $283.20 | $354.00 | $92.16 – $318.60 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | $608.00 | $760.00 | $287.44 – $684.00 | 15 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $4,123.20 | $5,154.00 | $1,159.48 – $4,638.60 | 15 |
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.