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 |
|---|---|---|---|---|
| Ligation of shunt CPT 49428 | not published | not published | $366.78 – $405.38 | 8 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Lig/band angioaccess av fistula CPT 37607 | $8,733.60 | $10,917.00 | $2,299.56 – $9,825.30 | 15 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,299.56 – $3,243.40 | 8 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $921.40 – $921.40 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $112.68 – $161.23 | 8 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1.02 – $201.98 | 8 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $57.17 – $74.98 | 8 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $131.81 – $195.38 | 8 |
| Limited visual field xm CPT 92081 | not published | not published | $44.13 – $61.21 | 8 |
| Lincomycin injection HCPCS J2010 | not published | not published | $1.02 – $1.02 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $54.20 | $67.75 | $1.02 – $60.98 | 12 |
| Lipase CPT 83690 | not published | not published | $6.55 – $7.23 | 8 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $4,888.00 | $6,110.00 | $2,322.73 – $5,499.00 | 15 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $32.17 – $35.55 | 8 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $32.48 – $35.90 | 8 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $7.78 – $8.60 | 8 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.98 – $11.03 | 8 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $32.48 – $35.90 | 8 |
| Lip surgery procedure CPT 40799 | not published | not published | $176.23 – $239.30 | 8 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $358,119.53 – $590,665.09 | 8 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.53 – $13.85 | 8 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $183.86 – $243.53 | 8 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $73.75 – $97.69 | 8 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $575.41 – $762.00 | 8 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $6.28 – $6.94 | 8 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,444.80 | $5,556.00 | $127.23 – $5,000.40 | 15 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $980.45 – $1,083.66 | 8 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,162.41 – $1,284.77 | 8 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,031.78 – $1,140.39 | 8 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $167.38 – $185.00 | 8 |
| Liver elastography 91200 CPT 91200 | $379.20 | $474.00 | $112.68 – $426.60 | 15 |
| Liver Function Test CPT 80076 | not published | not published | $7.76 – $8.58 | 8 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $507.57 – $1,334.95 | 8 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $297.55 – $297.55 | 1 |
| Liver imaging CPT 78201 | $1,880.00 | $2,350.00 | $389.94 – $2,115.00 | 15 |
| Liver imaging (3d) CPT 78205 | not published | not published | $297.55 – $297.55 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $389.94 – $554.67 | 8 |
| Liver/spleen imag static only CPT 78215 | $1,660.00 | $2,075.00 | $297.55 – $1,867.50 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $297.55 – $414.07 | 8 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $1,685.84 – $2,404.05 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,236.85 – $4,286.35 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $16.64 | $20.80 | $1.02 – $18.72 | 12 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $116.81 – $116.81 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $199.47 – $227.75 | 8 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $152.96 – $185.75 | 8 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $1.02 – $1.02 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $51.04 | $63.80 | $1.02 – $50.03 | 12 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $72.03 – $80.26 | 8 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $114.31 | $142.88 | $65.11 – $128.59 | 15 |
| Loudness balance test CPT 92562 | not published | not published | $226.44 – $320.89 | 8 |
| Low back disk surgery CPT 63030 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $453.09 – $630.78 | 8 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,315.61 – $1,884.97 | 8 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $453.09 – $630.78 | 8 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $453.09 – $630.78 | 8 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $1.02 – $1.02 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $1.02 – $1.02 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $1.02 – $1.02 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $1.02 – $1.02 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,102.40 | $1,378.00 | $79.32 – $1,240.20 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,072.80 | $3,841.00 | $132.55 – $3,456.90 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,434.40 | $3,043.00 | $277.45 – $2,738.70 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,996.80 | $2,496.00 | $79.32 – $2,246.40 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,034.40 | $5,043.00 | $277.45 – $4,538.70 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,376.80 | $4,221.00 | $277.45 – $3,798.90 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,872.80 | $3,591.00 | $176.78 – $3,231.90 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $444.00 | $555.00 | $79.32 – $499.50 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $627.20 | $784.00 | $79.32 – $705.60 | 15 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $670.40 | $838.00 | $79.32 – $754.20 | 15 |
| Lower jaw bone graft CPT 21215 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $532.80 | $666.00 | $65.56 – $599.40 | 15 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $144.42 – $204.75 | 8 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.11 – $16.70 | 8 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $7,426.22 – $10,728.45 | 8 |
| Lso corset front HCPCS L0972 | not published | not published | $110.69 – $162.32 | 8 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $77.51 – $86.37 | 8 |
| Lso full corset HCPCS L0976 | not published | not published | $170.13 – $252.20 | 8 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $184.31 – $244.08 | 8 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,500.83 – $1,987.43 | 8 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $1,158.89 – $1,291.17 | 8 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $149.67 – $166.77 | 8 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,137.03 – $1,509.71 | 8 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,542.78 – $2,234.94 | 8 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $326.30 – $432.22 | 8 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $264.99 – $295.27 | 8 |
| Lso s/c shell/panel custom HCPCS L0640 | $4,195.91 | $5,244.88 | $1,190.69 – $4,720.39 | 15 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,474.18 – $1,768.66 | 8 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $20.89 – $23.09 | 8 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.02 – $2.34 | 8 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $89.10 – $100.33 | 8 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $103.49 – $122.46 | 8 |
| Lumbar diskogram s&i CPT 72295 | $3,970.40 | $4,963.00 | $1,392.92 – $4,466.70 | 15 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $100.88 – $123.04 | 8 |
| Lumbar sling HCPCS L1090 | not published | not published | $114.50 – $144.57 | 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.