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 |
|---|---|---|---|---|
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $176.23 – $239.30 | 8 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,049.94 – $2,949.26 | 8 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,784.00 | $5,980.00 | $1.02 – $4,681.76 | 12 |
| Lead capillary CPT 83655 | not published | not published | $11.50 – $12.72 | 8 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $5,980.00 | $7,475.00 | $1.02 – $1,244.25 | 12 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $389.17 – $515.50 | 8 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $13,314.24 | $16,642.80 | $1.02 – $6,727.50 | 12 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,529.79 – $1,690.82 | 8 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.02 – $2.57 | 8 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.02 – $1.69 | 8 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $1.02 – $2.57 | 8 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,088.00 | $1,360.00 | $176.78 – $1,224.00 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,099.20 | $2,624.00 | $132.55 – $2,361.60 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,751.20 | $2,189.00 | $79.32 – $1,970.10 | 15 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $2,254.40 – $2,819.52 | 8 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,678.62 – $2,078.34 | 8 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,417.13 – $1,785.08 | 8 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $2,037.43 – $2,497.14 | 8 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $19.05 – $21.05 | 8 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $39.67 – $43.85 | 8 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,770.39 – $2,408.60 | 8 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,243.20 | $1,554.00 | $176.78 – $1,398.60 | 15 |
| Leishmania antibody CPT 86717 | not published | not published | $11.64 – $12.86 | 8 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Lengthening of palate CPT 42227 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,043.16 – $1,152.96 | 8 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $945.67 – $1,045.22 | 8 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Lens, intraocular (new tech) HCPCS C1780 | not published | not published | $1.02 – $1.02 | 1 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,400.00 | $3,000.00 | $505.82 – $1,244.25 | 12 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $624.00 | $780.00 | $1.02 – $303.75 | 15 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $480.00 | $600.00 | $1.02 – $344.25 | 15 |
| Lepirudin HCPCS J1945 | not published | not published | $621.47 – $621.47 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $1.02 – $1.02 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $123.23 – $176.58 | 8 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.87 – $10.91 | 8 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $888.20 | $1,110.25 | $122.47 – $241.88 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $8,348.12 | $10,435.14 | $642.06 – $1,816.84 | 15 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,495.37 – $5,495.37 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $713.56 | $891.94 | $8.02 – $802.75 | 12 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $368.57 – $742.00 | 8 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $74.97 – $82.86 | 8 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $54.12 – $86.63 | 8 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $87.87 – $114.03 | 8 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $144.30 – $192.28 | 8 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $212.51 – $294.25 | 8 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $274.98 – $416.20 | 8 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $0.14 – $0.14 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.32 – $0.32 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | $15.27 | $19.08 | $0.05 – $13.73 | 12 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $49.50 | $61.87 | $1.02 – $55.68 | 12 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $12.59 – $13.91 | 8 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $56.16 | $70.19 | $1.02 – $25.82 | 12 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $516.64 – $516.64 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $2,350.84 – $3,314.41 | 8 |
| Liberta rc ipg HCPCS C1820 | $55,413.44 | $69,266.80 | $1.02 – $31,050.00 | 12 |
| Lidocaine injection HCPCS J2001 | not published | not published | $1.02 – $1.02 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $51.00 | $63.75 | $0.43 – $0.86 | 12 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $47.25 | $59.06 | $0.01 – $53.15 | 15 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $13.96 – $15.42 | 8 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | not published | not published | $1.02 – $1.02 | 1 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $235.42 – $295.96 | 8 |
| Lift heel adj small gl60404sm HCPCS L3332 | $28.44 | $35.55 | $9.60 – $111.13 | 15 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $43.40 – $57.50 | 8 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $643.99 – $852.80 | 8 |
| Ligate esophagus veins CPT 43400 | not published | not published | $653.96 – $1,415.28 | 8 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $64.41 – $71.19 | 8 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $653.96 – $1,345.09 | 8 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $4,458.40 | $5,573.00 | $1,169.64 – $5,015.70 | 15 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,101.56 – $1,217.52 | 8 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation major artery chest CPT 37616 | not published | not published | $957.91 – $1,058.75 | 8 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $333.10 – $368.17 | 8 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,100.54 – $1,216.39 | 8 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $3,964.52 – $5,570.41 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,322.73 – $3,341.89 | 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.