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 |
|---|---|---|---|---|
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $287.44 – $411.20 | 8 |
| Mouth piece HCPCS A4617 | not published | not published | $1.02 – $4.55 | 8 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $1.02 – $67.84 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $833.60 | $1,042.00 | $123.23 – $937.80 | 15 |
| M/phmtrc alysishquant/semiq CPT 88369 | $240.00 | $300.00 | $1.02 – $270.00 | 15 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $123.23 – $176.58 | 8 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $142.81 – $157.85 | 8 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $19.05 – $21.05 | 8 |
| M.pneumon dna quant CPT 87582 | not published | not published | $287.49 – $317.75 | 8 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $108.41 – $108.41 | 1 |
| MRA abdomen post contrast CPT 74185 | $2,692.00 | $3,365.00 | $176.78 – $2,932.20 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,888.00 | $3,610.00 | $176.78 – $2,394.90 | 15 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $277.45 – $368.01 | 8 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $176.78 – $249.09 | 8 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $277.45 – $368.01 | 8 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,352.80 | $5,441.00 | $176.78 – $3,128.40 | 15 |
| MRA pelvis CPT 72198 | $2,622.40 | $3,278.00 | $176.78 – $2,950.20 | 15 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $277.45 – $368.01 | 8 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $176.78 – $249.09 | 8 |
| MRA spinal canal CPT 72159 | not published | not published | $176.78 – $356.87 | 8 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $176.78 – $340.57 | 8 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $277.45 – $368.01 | 8 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $277.45 – $368.01 | 8 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $277.45 – $368.01 | 8 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $277.45 – $368.01 | 8 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $176.78 – $249.09 | 8 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $176.78 – $249.09 | 8 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $176.78 – $249.09 | 8 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $176.78 – $249.09 | 8 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $277.45 – $368.01 | 8 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $277.45 – $368.01 | 8 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $277.45 – $368.01 | 8 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $277.45 – $368.01 | 8 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $277.45 – $368.01 | 8 |
| Mr elastography CPT 76391 | not published | not published | $176.78 – $249.09 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $11,626.44 – $12,850.28 | 8 |
| MRI brain w/dye CPT 70558 | not published | not published | $132.55 – $183.44 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $397.99 – $565.01 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $132.55 – $183.44 | 8 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $176.78 – $249.09 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $132.55 – $350.31 | 8 |
| MRI breast without cont bi CPT 77047 | $3,612.00 | $4,515.00 | $176.78 – $4,063.50 | 15 |
| MRI breast w IV cont bi CPT 77049 | $3,747.20 | $4,684.00 | $132.55 – $4,215.60 | 15 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $176.78 – $249.09 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $277.45 – $368.01 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $577.63 – $814.13 | 8 |
| MRI chest without contrast CPT 71550 | $2,727.20 | $3,409.00 | $176.78 – $3,068.10 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,921.60 | $4,902.00 | $277.45 – $4,411.80 | 15 |
| MRI chest w IV cont CPT 71551 | not published | not published | $577.63 – $814.13 | 8 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,296.19 – $1,921.43 | 8 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $1.02 – $206.34 | 8 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $176.78 – $249.09 | 8 |
| MRI guid ndl plc s&i CPT 77021 | $2,164.80 | $2,706.00 | $1.02 – $2,435.40 | 15 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $1.02 – $1.02 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $945.86 – $1,288.60 | 8 |
| MRI loex nonjt w IV cont CPT 73719 | $3,207.20 | $4,009.00 | $277.45 – $3,608.10 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,974.40 | $3,718.00 | $176.78 – $3,346.20 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,701.60 | $4,627.00 | $277.45 – $4,164.30 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,270.40 | $4,088.00 | $277.45 – $3,679.20 | 15 |
| MRI tmj CPT 70336 | $2,739.20 | $3,424.00 | $176.78 – $3,081.60 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,222.40 | $4,028.00 | $176.78 – $3,625.20 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,688.80 | $4,611.00 | $277.45 – $4,149.90 | 15 |
| MRI upper extremity w/dye CPT 73219 | $3,265.60 | $4,082.00 | $277.45 – $3,673.80 | 15 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $277.45 – $368.01 | 8 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $132.55 – $183.44 | 8 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $277.45 – $368.01 | 8 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $277.45 – $368.01 | 8 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $82.09 – $90.73 | 8 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $85.58 – $94.59 | 8 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $48.97 – $54.12 | 8 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $55.38 – $61.21 | 8 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $22.83 – $25.24 | 8 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $225.36 – $249.09 | 8 |
| Mr spectroscopy CPT 76390 | not published | not published | $65.56 – $90.73 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $202.64 – $223.97 | 8 |
| Msh2 gene full seq CPT 81295 | not published | not published | $362.62 – $400.79 | 8 |
| Msh2 gene known variants CPT 81296 | not published | not published | $320.84 – $354.62 | 8 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $226.10 – $249.90 | 8 |
| Msh6 gene full seq CPT 81298 | not published | not published | $609.76 – $673.94 | 8 |
| Msh6 gene known variants CPT 81299 | not published | not published | $292.60 – $323.40 | 8 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $1,159.48 – $2,636.18 | 8 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $62.07 – $68.61 | 8 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $25.54 – $28.22 | 8 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $40.70 – $44.98 | 8 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.57 – $6.15 | 8 |
| Mucopolysaccharides CPT 83864 | not published | not published | $27.08 – $29.93 | 8 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.25 – $15.75 | 8 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $20.71 – $30.70 | 8 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,446.21 – $5,695.34 | 8 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $884.32 – $1,064.82 | 8 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $51.07 – $68.15 | 8 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $34.23 – $45.66 | 8 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $660.15 – $860.37 | 8 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $742.55 – $1,022.57 | 8 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $115.02 – $165.57 | 8 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $112.68 – $161.23 | 8 |
| Multiple sleep latency test CPT 95805 | $2,538.40 | $3,173.00 | $386.67 – $1,554.30 | 15 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,595.97 – $4,761.94 | 8 |
| Mumps antibody igg CPT 86735 | not published | not published | $12.40 – $13.70 | 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.