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 |
|---|---|---|---|---|
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $463.20 | $579.00 | $213.67 – $521.10 | 15 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $157.76 – $174.36 | 8 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $3.44 – $3.44 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $63.25 – $74.94 | 8 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.49 – $0.49 | 1 |
| Injection, doxercalciferol HCPCS J1270 | $50.47 | $63.08 | $1.02 – $52.70 | 12 |
| Injection during cath supravalvular aortography CPT 93567 | $2,331.20 | $2,914.00 | $1.02 – $2,622.60 | 15 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $19.94 – $22.04 | 8 |
| Injection epidural blood patch or clot CPT 62273 | $1,546.40 | $1,933.00 | $498.90 – $1,739.70 | 15 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.15 – $0.15 | 1 |
| Injection eye drug CPT 67028 | $1,040.80 | $1,301.00 | $244.33 – $1,170.90 | 15 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.93 – $0.93 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $592.00 | $740.00 | $1.02 – $666.00 | 15 |
| Injection for bladder x-ray CPT 51600 | $703.20 | $879.00 | $1.02 – $791.10 | 15 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1.02 – $306.28 | 8 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $646.40 | $808.00 | $1.02 – $727.20 | 15 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1.02 – $125.78 | 8 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1.02 – $58.07 | 8 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $1.02 – $127.59 | 8 |
| Injection for ureter x-ray CPT 50690 | $1,008.00 | $1,260.00 | $1.02 – $1,134.00 | 15 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $116.82 – $116.82 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $6.39 – $7.06 | 8 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $155.76 – $175.68 | 8 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $25,756.52 – $25,756.52 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $11.70 – $12.93 | 8 |
| Injection into brain canal CPT 61026 | not published | not published | $498.90 – $713.62 | 8 |
| Injection into brain canal CPT 61055 | not published | not published | $213.67 – $304.18 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | $2,020.80 | $2,526.00 | $659.35 – $2,273.40 | 15 |
| Injection into spinal artery CPT 62294 | not published | not published | $657.57 – $917.42 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $294.59 – $400.14 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $87.52 – $96.74 | 8 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.95 – $1.06 | 8 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1.02 – $213.08 | 8 |
| Injection jugular CPT 36299 | not published | not published | $1.02 – $1.02 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.08 – $1.08 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.44 – $6.02 | 8 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $25.46 – $73.34 | 8 |
| Injection of sinus tract CPT 20500 | $1,651.20 | $2,064.00 | $940.56 – $1,857.60 | 15 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,372.00 | $1,715.00 | $6.17 – $462.38 | 15 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $101.44 – $101.44 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.59 – $1.76 | 8 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $3.00 – $3.00 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $178.29 – $250.62 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,218.40 | $1,523.00 | $297.55 – $1,370.70 | 15 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $25.65 – $28.35 | 8 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.31 – $38.60 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,776.00 | $2,220.00 | $498.90 – $1,998.00 | 15 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,110.40 | $1,388.00 | $498.90 – $1,249.20 | 15 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,337.60 | $1,672.00 | $498.90 – $1,504.80 | 15 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,311.20 | $2,889.00 | $657.57 – $2,600.10 | 15 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,181.60 | $1,477.00 | $1.02 – $1,329.30 | 15 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,275.20 | $2,844.00 | $657.57 – $2,559.60 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,197.60 | $1,497.00 | $1.02 – $1,347.30 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,364.80 | $2,956.00 | $657.57 – $2,660.40 | 15 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,208.00 | $2,760.00 | $498.90 – $2,484.00 | 15 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,133.60 | $2,667.00 | $498.90 – $2,400.30 | 15 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $151.64 – $174.12 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $543.20 | $679.00 | $213.67 – $611.10 | 15 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $706.40 | $883.00 | $213.67 – $794.70 | 15 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $620.00 | $775.00 | $213.67 – $697.50 | 15 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $215.20 | $269.00 | $1.02 – $33.60 | 12 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.84 – $13.84 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $1.11 – $1.11 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,681.21 – $2,350.22 | 8 |
| Injection treatment of eye CPT 66030 | $3,524.00 | $4,405.00 | $1,681.21 – $3,964.50 | 15 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,392.92 – $2,012.27 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,392.92 – $2,012.27 | 8 |
| Injection treatment of nerve CPT 64681 | not published | not published | $657.57 – $917.42 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $396.93 – $524.77 | 8 |
| Inject sacroiliac joint CPT 27096 | $1,224.80 | $1,531.00 | $150.49 – $1,377.90 | 15 |
| Inject/treat eye socket CPT 67500 | not published | not published | $210.17 – $308.04 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $210.17 – $308.04 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $210.17 – $308.04 | 8 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $29.79 – $32.92 | 8 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $38.30 – $42.33 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.19 – $35.58 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $19.83 – $21.92 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $365.61 – $404.09 | 8 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $52.14 – $58.91 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $498.90 – $713.62 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $657.57 – $917.42 | 8 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.74 – $1.74 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.15 – $1.15 | 1 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.93 – $17.60 | 8 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.66 – $2.66 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $158.98 – $175.71 | 8 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $182.36 – $203.45 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.37 – $19.42 | 8 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,215,400.00 – $2,448,600.00 | 8 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.27 – $10.26 | 8 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $2,280.19 | $2,850.23 | $32.18 – $2,513.25 | 15 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $1.02 – $1.02 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $20.42 – $23.12 | 8 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $133.94 – $148.04 | 8 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.04 – $0.04 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.12 – $1.29 | 8 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $1.02 – $7.70 | 8 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.70 – $2.98 | 8 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $250.77 – $250.77 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $209.71 – $209.71 | 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.