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 |
|---|---|---|---|---|
| Inj for ext venography CPT 36005 | $1,247.20 | $1,559.00 | $1.02 – $1,403.10 | 15 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $1.02 – $163.85 | 8 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.17 – $1.08 | 8 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $537.89 – $604.28 | 8 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $2.01 – $2.01 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $25.43 – $28.11 | 8 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $21.58 – $48.52 | 8 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $1.02 – $1.02 | 1 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $51.92 – $51.92 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $199.05 – $199.05 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $3.76 – $3.76 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $111.49 – $123.23 | 8 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,629.49 – $2,906.28 | 8 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.27 – $1.41 | 8 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $169.18 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.07 – $4.50 | 8 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $72.17 – $79.77 | 8 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $11.15 – $12.32 | 8 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,501,003.33 – $3,869,530.00 | 8 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $5.27 – $5.27 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $58.36 – $64.51 | 8 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $38.02 – $42.03 | 8 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $20.54 – $72.84 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,258.40 | $2,823.00 | $1.02 – $2,540.70 | 15 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $1.02 – $47.78 | 8 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $2,844.00 | $3,555.00 | $1.02 – $3,199.50 | 15 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $2,159.20 | $2,699.00 | $1.02 – $2,429.10 | 15 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $2,099.20 | $2,624.00 | $1.02 – $2,361.60 | 15 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.40 – $1.59 | 8 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $978.95 | $1,223.68 | $4.93 – $1,101.31 | 15 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $9.01 – $9.01 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $75.30 – $83.22 | 8 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $7.31 – $8.08 | 8 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.48 – $2.74 | 8 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $74.27 – $76.58 | 2 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.13 – $0.15 | 8 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $470.77 – $520.32 | 8 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $657.57 – $917.42 | 8 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $41.01 – $41.01 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.02 – $1.02 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $144.42 – $204.75 | 8 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $144.42 – $204.75 | 8 |
| Inj, invega hafyera/trinza HCPCS J2427 | $4,668.04 | $5,835.05 | $12.35 – $5,251.55 | 15 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $48.20 – $53.27 | 8 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.79 – $2.01 | 8 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.39 – $2.78 | 8 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.46 – $1.64 | 8 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $2.77 – $2.77 | 1 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $82.92 – $91.65 | 8 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $28.35 – $31.34 | 8 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.26 – $1.39 | 8 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.73 – $0.73 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.05 – $23.26 | 8 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $35.96 – $35.96 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.06 – $0.06 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $84.86 | $106.07 | $6.49 – $95.46 | 15 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $4.88 – $5.39 | 8 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $44.79 | $55.98 | $0.98 – $1.95 | 12 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $13.99 – $13.99 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,086,023.43 – $3,410,868.00 | 8 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $312.60 – $345.50 | 8 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.22 – $24.56 | 8 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $2,852.45 – $3,152.71 | 8 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $106.32 – $117.51 | 8 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $48.54 – $53.65 | 8 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $1.02 – $1.02 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $91.11 – $100.70 | 8 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $61.54 – $68.02 | 8 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $512.56 – $512.56 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $755.25 – $834.75 | 8 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $242.37 – $242.37 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $51.68 | $64.60 | $1.02 – $55.85 | 12 |
| Inj, meropenem (b. braun) HCPCS J2184 | $64.60 | $80.75 | $2.14 – $72.68 | 12 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.07 – $2.29 | 8 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.54 – $1.70 | 8 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $11.97 – $11.97 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.41 – $0.41 | 1 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $40.90 – $45.20 | 8 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $231.43 – $260.92 | 8 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $23.96 – $26.48 | 8 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $1.02 – $1.02 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $5.42 – $5.42 | 1 |
| Inj multihance HCPCS A9577 | $12.00 | $15.00 | $1.02 – $13.50 | 12 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.02 – $1.02 | 1 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.75 – $0.75 | 1 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $1.02 – $1.02 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $589.97 – $720.30 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,993.60 | $2,492.00 | $492.81 – $2,242.80 | 15 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.12 – $2.34 | 8 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $25.99 – $28.73 | 8 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $89.93 – $99.40 | 8 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.52 – $0.58 | 8 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $44.87 – $49.59 | 8 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1.02 – $1.02 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $1.02 – $1.02 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $38.28 – $42.31 | 8 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $51.00 – $51.00 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.27 – $1.27 | 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.