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 |
|---|---|---|---|---|
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $534.64 | $668.30 | $304.54 – $601.47 | 15 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,211.11 | $1,513.88 | $689.88 – $1,362.49 | 15 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $153.87 – $209.59 | 8 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $36.18 – $47.89 | 8 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $26.02 – $34.49 | 8 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $96.98 – $128.44 | 8 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $73.79 – $97.73 | 8 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.17 – $13.42 | 8 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $60.79 – $80.49 | 8 |
| Osmolality blood CPT 83930 | not published | not published | $6.28 – $6.94 | 8 |
| Osmolality urine CPT 83935 | not published | not published | $6.48 – $7.16 | 8 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1.02 – $708.83 | 8 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $18.72 – $26.07 | 8 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $18.72 – $26.07 | 8 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $18.72 – $26.07 | 8 |
| Osteoplasty humerus CPT 24420 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $170.13 – $1,538.01 | 8 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $170.13 – $328.85 | 8 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $170.13 – $1,517.22 | 8 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $170.13 – $1,630.09 | 8 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $973.85 – $1,076.36 | 8 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $3.13 – $3.48 | 8 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $1.02 – $71.69 | 8 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $1.02 – $4.00 | 8 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $1.02 – $5.25 | 8 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $1.02 – $6.98 | 8 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.02 – $2.53 | 8 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $1.02 – $13.26 | 8 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $1.02 – $12.50 | 8 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,335.16 – $2,582.46 | 8 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $21.97 – $24.29 | 8 |
| Oth resp proc, group HCPCS G0239 | $136.80 | $171.00 | $28.94 – $153.90 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $121.60 | $152.00 | $21.49 – $136.80 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $134.40 | $168.00 | $48.23 – $151.20 | 15 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $1.02 – $29.54 | 8 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $154.40 | $193.00 | $66.31 – $173.70 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $124.00 | $155.00 | $19.57 – $139.50 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $138.40 | $173.00 | $20.50 – $155.70 | 15 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,300.87 – $1,437.81 | 8 |
| Outrigger HCPCS L1080 | not published | not published | $59.53 – $87.29 | 8 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $199.32 – $242.78 | 8 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $1.02 – $1.02 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.07 – $13.34 | 8 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $1.02 – $1.02 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $1.02 – $1.02 | 1 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.96 – $2.96 | 1 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.54 – $0.54 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $48.82 | $61.02 | $1.02 – $50.01 | 12 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $295.70 – $295.70 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $1.02 – $188.08 | 8 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $130.15 – $143.85 | 8 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.02 – $2.74 | 8 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $1.02 – $1.02 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $10.02 – $11.07 | 8 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $642.68 – $710.33 | 8 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $286.28 – $316.42 | 8 |
| Palifermin injection HCPCS J2425 | not published | not published | $26.99 – $37.33 | 8 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $1.02 – $1.02 | 1 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1.02 – $1.02 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $2,374.14 | $2,967.67 | $14.36 – $1,810.60 | 15 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,481.67 | $1,852.08 | $345.79 – $1,666.87 | 15 |
| Palonosetron hcl HCPCS J2469 | $104.77 | $130.96 | $1.02 – $117.86 | 12 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $54.46 | $68.07 | $1.02 – $61.26 | 12 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $4,162.64 – $4,162.64 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $1,588.31 – $1,755.50 | 8 |
| Pancreatectomy CPT 48152 | not published | not published | $2,412.38 – $2,666.31 | 8 |
| Pancreatectomy CPT 48154 | not published | not published | $2,422.83 – $2,677.87 | 8 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,595.70 – $2,868.93 | 8 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,322.85 – $1,462.10 | 8 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $507.57 – $1,256.90 | 8 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $152.41 – $181.68 | 8 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $50.08 | $62.59 | $25.84 – $51.69 | 12 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $1.02 – $1.02 | 1 |
| Parathormone (pth) intact CPT 83970 | not published | not published | $39.22 – $43.34 | 8 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,232.16 – $1,361.86 | 8 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,148.80 | $2,686.00 | $389.94 – $2,417.40 | 15 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1.02 – $224.62 | 8 |
| Parathyroid planar imaging CPT 78070 | $1,509.60 | $1,887.00 | $297.55 – $1,698.30 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,752.80 | $2,191.00 | $297.55 – $1,971.90 | 15 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $3,588.34 – $5,086.86 | 8 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $23.29 – $23.29 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $4,704.52 – $6,720.17 | 8 |
| Paricalcitol HCPCS J2501 | not published | not published | $1.02 – $1.02 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $275.20 | $344.00 | $144.42 – $309.60 | 15 |
| Parotid duct diversion CPT 42507 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Parotid duct diversion CPT 42509 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,104.20 – $1,220.43 | 8 |
| Partial exc bone humerus CPT 24140 | not published | not published | $2,335.16 – $3,343.47 | 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.