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 repair tendon ext forearm/wrist ea CPT 25270 | $4,710.40 | $5,888.00 | $2,335.16 – $5,299.20 | 15 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.10 – $16.68 | 8 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.09 – $4.53 | 8 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.21 – $14.61 | 8 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.06 – $4.48 | 8 |
| Ghs semen analysis fert CPT 89320 | $100.00 | $125.00 | $11.69 – $112.50 | 15 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.35 – $10.33 | 8 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $7.11 – $7.85 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $553.60 | $692.00 | $287.67 – $622.80 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $733.60 | $917.00 | $287.67 – $825.30 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $573.60 | $717.00 | $287.67 – $645.30 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $892.80 | $1,116.00 | $287.67 – $1,004.40 | 15 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $565.60 | $707.00 | $144.42 – $636.30 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $539.20 | $674.00 | $144.42 – $606.60 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $588.80 | $736.00 | $144.42 – $662.40 | 15 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $665.60 | $832.00 | $144.42 – $748.80 | 15 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $564.00 | $705.00 | $144.42 – $634.50 | 15 |
| Ghs sleep study unattended CPT 95800 | $660.80 | $826.00 | $112.68 – $743.40 | 15 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,276.00 | $1,595.00 | $226.44 – $1,435.50 | 15 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $386.67 – $546.77 | 8 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $207.20 | $259.00 | $45.32 – $233.10 | 15 |
| Ghs sphenopalatine ganglion block CPT 64505 | $851.20 | $1,064.00 | $213.67 – $957.60 | 15 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $92.16 – $132.83 | 8 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $315.20 | $394.00 | $96.23 – $354.60 | 15 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $28.94 – $40.45 | 8 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $92.16 – $132.83 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $67.44 – $74.53 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $34.27 – $47.55 | 8 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $154.62 – $217.11 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,839.20 | $2,299.00 | $453.09 – $2,069.10 | 15 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $980.80 | $1,226.00 | $287.67 – $1,103.40 | 15 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,300.00 | $2,875.00 | $1,100.21 – $2,587.50 | 15 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.94 – $7.67 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $700.00 | $875.00 | $170.13 – $787.50 | 15 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $761.60 | $952.00 | $170.13 – $856.80 | 15 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.09 – $25.52 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $13.97 – $15.45 | 8 |
| Ghs vaginal delivery only CPT 59409 | $3,480.80 | $4,351.00 | $1,982.75 – $3,915.90 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $386.67 – $546.77 | 8 |
| Ghs windowing of cast CPT 29730 | not published | not published | $113.68 – $162.60 | 8 |
| Giardia ag if CPT 87269 | not published | not published | $12.93 – $14.29 | 8 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $13.98 – $15.46 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $176.78 – $249.09 | 8 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $8.97 – $9.91 | 8 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $297.55 – $414.07 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,599.20 | $3,249.00 | $653.96 – $2,924.10 | 15 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $659.35 – $939.49 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $653.96 – $966.13 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $653.96 – $966.13 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $96.06 – $106.18 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $58.44 – $64.60 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $33.25 – $36.75 | 8 |
| Glassia injection HCPCS J0257 | not published | not published | $5.36 – $5.92 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $21.49 – $25.24 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $28.94 – $40.45 | 8 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,933.23 – $4,145.44 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,933.23 – $4,145.44 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,681.21 – $2,350.22 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,681.21 – $2,350.22 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | $54.62 | $68.27 | $31.11 – $146.37 | 15 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $289.01 | $361.26 | $164.63 – $325.13 | 15 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $185.88 | $232.34 | $85.49 – $168.85 | 15 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $13.58 – $15.00 | 8 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $43.77 – $48.37 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $47.98 – $53.03 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $16.88 – $18.66 | 8 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.51 – $4.99 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.75 – $6.35 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.12 – $3.44 | 8 |
| Glucose blood quantitative CPT 82947 | not published | not published | $3.73 – $4.13 | 8 |
| Glucose body fluid CPT 82945 | not published | not published | $3.73 – $4.13 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $44.13 – $61.21 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $12.23 – $13.51 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $3.72 – $4.12 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $45.51 | $56.88 | $0.43 – $50.68 | 15 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $23.48 – $23.48 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.49 – $11.59 | 8 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $17.65 – $19.51 | 8 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $140.99 – $155.83 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $17.59 – $19.45 | 8 |
| Gonioscopy CPT 92020 | not published | not published | $92.16 – $132.83 | 8 |
| Goniotomy CPT 65820 | not published | not published | $2,933.23 – $4,145.44 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,895.00 | $2,368.75 | $622.35 – $2,131.88 | 15 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $187.14 | $233.92 | $1.02 – $210.53 | 12 |
| Graft axiofill 1000mg HCPCS J3590 | $1,821.51 | $2,276.88 | $1.02 – $2,049.19 | 12 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1.02 – $1.02 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $660.00 | $825.00 | $1.02 – $61.80 | 12 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $180.60 | $225.75 | $1.02 – $63.29 | 12 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1.02 – $1.02 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $12,239.50 | $15,299.37 | $1.02 – $803.52 | 12 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $11,776.00 | $14,720.00 | $1.02 – $594.00 | 12 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $124.20 | $155.25 | $1.02 – $89.44 | 12 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $402.60 | $503.25 | $1.02 – $232.54 | 12 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $931.98 – $1,030.08 | 8 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $596.00 | $745.00 | $1.02 – $92.48 | 12 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $1.02 – $1.02 | 1 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $1.02 – $1.02 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $1.02 – $1.02 | 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.