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 |
|---|---|---|---|---|
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $769.47 – $769.47 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $26,245.53 – $29,845.26 | 8 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $5,000.86 | $6,251.07 | $31.73 – $5,620.28 | 15 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $1,745.35 | $2,181.68 | $90.58 – $1,963.51 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,943.76 | $4,929.70 | $101.02 – $2,797.04 | 15 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $4,177.60 | $5,222.00 | $175.66 – $4,699.80 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $1,339.85 | $1,674.81 | $94.17 – $1,507.33 | 15 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $131.07 – $144.86 | 8 |
| Peginesatide injection HCPCS J0890 | not published | not published | $9.87 – $9.87 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | $1,075.96 | $1,344.94 | $612.89 – $1,210.45 | 12 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,366.58 – $3,843.88 | 8 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $216.75 – $239.56 | 8 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $538.68 – $727.78 | 8 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $379.38 – $562.37 | 8 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $357.55 – $530.03 | 8 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $263.47 – $390.56 | 8 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $284.48 – $421.71 | 8 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $493.81 – $732.01 | 8 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,484.00 | $3,105.00 | $132.55 – $2,794.50 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,002.40 | $2,503.00 | $132.55 – $2,252.70 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,715.20 | $2,144.00 | $79.32 – $1,929.60 | 15 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,299.56 – $2,603.07 | 8 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,296.39 – $1,921.73 | 8 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,837.60 | $4,797.00 | $277.45 – $4,317.30 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $3,341.60 | $4,177.00 | $277.45 – $3,759.30 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $2,744.00 | $3,430.00 | $176.78 – $3,087.00 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $885.55 – $978.76 | 8 |
| Pelvic Ultrasound (complete) CPT 76856 | $772.00 | $965.00 | $79.32 – $868.50 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $410.40 | $513.00 | $79.32 – $461.70 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $351.20 | $439.00 | $79.32 – $395.10 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $456.80 | $571.00 | $79.32 – $513.90 | 15 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $157.46 – $189.27 | 8 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $57.28 – $63.31 | 8 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.28 – $4.57 | 8 |
| Pemivibart infusion HCPCS M0224 | $798.40 | $998.00 | $420.01 – $898.20 | 15 |
| Peng benzathine/procaine inj HCPCS J0558 | $155.22 | $194.02 | $16.02 – $174.62 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $354.99 | $443.73 | $20.52 – $399.36 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $76.63 | $95.78 | $1.02 – $55.12 | 12 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $41.68 – $49.55 | 8 |
| Penile injection CPT 54235 | $510.40 | $638.00 | $178.29 – $574.20 | 15 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $22,508.72 | $28,135.90 | $1.02 – $25,322.31 | 12 |
| Penile vascular study CPT 93980 | not published | not published | $79.32 – $109.58 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $79.32 – $109.58 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Penis study CPT 54240 | not published | not published | $226.44 – $320.89 | 8 |
| Pentamidine non-comp unit HCPCS J2545 | $132.05 | $165.06 | $53.16 – $113.63 | 12 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $14.24 – $14.24 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $1.02 – $1.02 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $1.02 – $1.02 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,379.05 – $2,738.56 | 8 |
| Perc cryo ablate renal tum CPT 50593 | $12,917.60 | $16,147.00 | $7,358.19 – $14,532.30 | 15 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $1.02 – $1.02 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $27,648.00 | $34,560.00 | $12,650.41 – $31,104.00 | 15 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $18,468.00 | $23,085.00 | $1.02 – $20,776.50 | 12 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $20,732.80 | $25,916.00 | $7,936.59 – $23,324.40 | 15 |
| Perc d-e cor stent ather br HCPCS C9603 | $17,742.40 | $22,178.00 | $1.02 – $19,960.20 | 12 |
| Perc d-e cor stent ather s HCPCS C9602 | $26,204.00 | $32,755.00 | $12,650.41 – $29,479.50 | 15 |
| Perc drug-el cor stent bran HCPCS C9601 | $16,140.00 | $20,175.00 | $1.02 – $18,157.50 | 12 |
| Perc drug-el cor stent sing HCPCS C9600 | $21,376.00 | $26,720.00 | $7,936.59 – $24,048.00 | 15 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Percut ablate liver rf CPT 47382 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $1,454.19 – $1,607.26 | 8 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $177.36 | $221.70 | $1.02 – $162.00 | 12 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $179.27 – $198.14 | 8 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,024.84 – $2,237.98 | 8 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,573.60 | $3,217.00 | $1,155.40 – $2,895.30 | 15 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $689.26 – $761.82 | 8 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,749.90 – $3,945.96 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,255.47 – $3,276.41 | 8 |
| Peripheral vascular rehab CPT 93668 | $143.20 | $179.00 | $44.13 – $161.10 | 15 |
| Peri-proc device eval icd CPT 93287 | $233.60 | $292.00 | $1.02 – $262.80 | 15 |
| Peri-proc device eval pm CPT 93286 | $204.00 | $255.00 | $1.02 – $229.50 | 15 |
| Peritoneal cath sub q resv per CPT 49419 | $7,292.80 | $9,116.00 | $3,964.52 – $8,204.40 | 15 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $323.20 – $565.01 | 8 |
| Perit-vens shunt pat tst CPT 78291 | $1,260.00 | $1,575.00 | $297.55 – $1,417.50 | 15 |
| Permanent tear duct plug HCPCS A4263 | $384.00 | $480.00 | $1.02 – $222.75 | 12 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $19.43 – $27.54 | 8 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,799.72 – $2,416.41 | 8 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.02 – $1.02 | 1 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $1.02 – $1.02 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $694.05 – $767.11 | 8 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $639.64 – $706.97 | 8 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $507.57 – $725.03 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $507.57 – $725.03 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $6,646.05 – $9,528.91 | 8 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,646.05 – $9,528.91 | 8 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $7,936.59 – $11,686.12 | 8 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $12,650.41 – $18,503.86 | 8 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $7,936.59 – $11,686.12 | 8 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $7,936.59 – $11,686.12 | 8 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1.02 – $266.90 | 8 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,162.64 – $6,012.13 | 8 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $178.29 – $250.62 | 8 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $244.33 – $244.33 | 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.