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 |
|---|---|---|---|---|
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $1.02 – $1.02 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $633.60 | $792.00 | $1.02 – $167.84 | 12 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $56,028.00 | $70,035.00 | $1.02 – $110.29 | 12 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,136.96 | $2,671.20 | $1.02 – $206.55 | 12 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $1.02 – $1.02 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $1.02 – $1.02 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $1,159.48 – $3,165.92 | 8 |
| Great toe with reduction 28495 CPT 28495 | $600.80 | $751.00 | $170.13 – $675.90 | 15 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,588.23 – $3,772.52 | 8 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1.02 – $188.32 | 8 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $2,588.23 – $3,772.52 | 8 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $20.71 – $30.70 | 8 |
| Group health education CPT 99078 | not published | not published | $1.02 – $1.02 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $15.65 – $17.30 | 8 |
| Group train without patient HCPCS G0543 | $59.20 | $74.00 | $21.02 – $66.60 | 15 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.95 – $16.53 | 8 |
| Growth hormone panel CPT 80428 | not published | not published | $63.37 – $70.04 | 8 |
| Growth hormone panel CPT 80430 | not published | not published | $122.86 – $135.80 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $71.82 – $79.38 | 8 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $20.71 – $30.70 | 8 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $20.71 – $30.70 | 8 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $653.96 – $1,787.05 | 8 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,085.50 – $1,199.76 | 8 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,393.58 – $1,540.28 | 8 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,522.21 – $1,682.44 | 8 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,025.89 – $1,133.87 | 8 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,372.76 – $1,954.79 | 8 |
| G-tube reposition CPT 43761 | $1,484.80 | $1,856.00 | $178.29 – $1,670.40 | 15 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,719.20 | $3,399.00 | $1,469.43 – $3,059.10 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,044.80 | $2,556.00 | $507.57 – $2,300.40 | 15 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,385.60 | $2,982.00 | $1.02 – $2,683.80 | 15 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,600.00 | $5,750.00 | $1.02 – $11.14 | 12 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,395.60 | $2,994.50 | $1.02 – $131.63 | 12 |
| Guid loc target vol rad tx CPT 77387 | $873.60 | $1,092.00 | $1.02 – $982.80 | 12 |
| Gum graft CPT 41870 | not published | not published | $1,100.21 – $1,526.41 | 8 |
| Gw stiffened micro access kit HCPCS C1894 | $2,383.20 | $2,979.00 | $1.02 – $32.20 | 12 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,749.90 – $3,945.96 | 8 |
| Hair analysis HCPCS P2031 | not published | not published | $4.70 – $5.20 | 8 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $453.09 – $630.78 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $287.67 – $411.70 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $287.67 – $411.70 | 8 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $14.04 | $17.55 | $8.00 – $65.14 | 15 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,392.57 – $3,406.94 | 8 |
| Halo cervical into jckt vest HCPCS L0810 | $2,410.55 | $3,013.18 | $1,373.11 – $4,068.33 | 15 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,660.99 – $4,945.84 | 8 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $49.76 | $62.19 | $1.02 – $55.97 | 12 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $53.61 | $67.01 | $1.02 – $54.69 | 12 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $245.27 – $324.79 | 8 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $1.02 – $34.89 | 8 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $3.05 – $3.05 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $109.36 – $144.88 | 8 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $1.02 – $1.02 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,188.33 – $2,467.09 | 8 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,151.29 – $2,403.45 | 8 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $924.32 – $1,051.93 | 8 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,211.08 – $2,538.09 | 8 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $132.80 | $166.00 | $25.90 – $149.40 | 15 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Hand X-ray CPT 73130 | $505.60 | $632.00 | $65.56 – $568.80 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $348.80 | $436.00 | $79.32 – $392.40 | 15 |
| Haptoglobin quantitative CPT 83010 | not published | not published | $11.95 – $13.21 | 8 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $249.47 – $283.33 | 8 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $142.43 – $203.78 | 8 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $136.13 – $201.80 | 8 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $74.73 – $82.60 | 8 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,106.91 – $1,689.23 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,685.84 – $2,404.05 | 8 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1.02 – $302.76 | 8 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $313.18 – $450.50 | 8 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1.02 – $279.28 | 8 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $92.16 – $132.83 | 8 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $92.16 – $132.83 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $570.00 – $630.00 | 8 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $192.28 – $212.52 | 8 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $356.49 – $394.01 | 8 |
| Hbb full gene sequence CPT 81364 | not published | not published | $308.35 – $340.81 | 8 |
| Hbb gene com variants CPT 81361 | not published | not published | $166.07 – $183.55 | 8 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $192.28 – $212.52 | 8 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $356.49 – $394.01 | 8 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.22 – $10.20 | 8 |
| Hbot, full body chamber, 30m HCPCS G0277 | $370.40 | $463.00 | $55.70 – $416.70 | 15 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $15.89 – $15.89 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $132.55 – $183.44 | 8 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.53 – $16.05 | 8 |
| Hcg qualitative CPT 84703 | not published | not published | $7.14 – $7.90 | 8 |
| Hcg quantitative CPT 84702 | not published | not published | $14.30 – $15.80 | 8 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $27.25 – $27.25 | 1 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $16.65 – $16.65 | 1 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $53.24 – $53.24 | 1 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $41.89 – $41.89 | 1 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $1.02 – $1.02 | 1 |
| Hc metata joint dislocation anes CPT 28635 | $2,484.00 | $3,105.00 | $1,159.48 – $2,794.50 | 15 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $453.09 – $630.78 | 8 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $1.02 – $418.52 | 8 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $453.09 – $630.78 | 8 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $1.02 – $81.54 | 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.