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 |
|---|---|---|---|---|
| Perq transcath closure each CPT 93592 | not published | not published | $1.02 – $373.30 | 8 |
| Perq transcath closure pda CPT 93582 | not published | not published | $12,650.41 – $18,503.86 | 8 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $12,650.41 – $18,503.86 | 8 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $12,650.41 – $18,503.86 | 8 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $603.96 – $667.53 | 8 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $472.35 – $522.07 | 8 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $4,224.83 – $6,095.91 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,322.73 – $3,341.89 | 8 |
| Pertussis ag if CPT 87265 | not published | not published | $11.38 – $12.58 | 8 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $15.70 – $17.87 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $58.99 – $65.20 | 8 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $1.02 – $88.97 | 8 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $1.02 – $35.74 | 8 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,978.40 | $8,723.00 | $1,128.64 – $7,850.70 | 15 |
| Pet CT whole body initial CPT 78816 | $6,875.20 | $8,594.00 | $1,128.64 – $7,734.60 | 15 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,128.64 – $1,503.03 | 8 |
| Pet image full body CPT 78813 | not published | not published | $1,128.64 – $1,503.03 | 8 |
| Pet image ltd area CPT 78811 | not published | not published | $1,024.41 – $1,345.26 | 8 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,128.64 – $1,503.03 | 8 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,128.64 – $1,503.03 | 8 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $297.55 – $414.07 | 8 |
| Pet scan brain perf study CPT 78609 | not published | not published | $64.95 – $71.79 | 8 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,924.00 | $68,655.00 | $1.02 – $52.65 | 12 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $22.48 – $24.84 | 8 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $31.11 – $34.38 | 8 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $12.18 – $13.47 | 8 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $22.59 – $24.96 | 8 |
| Ph body fluid CPT 83986 | not published | not published | $3.40 – $3.76 | 8 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $17.10 – $17.10 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $87.04 | $108.80 | $1.02 – $60.65 | 12 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $14.54 – $16.07 | 8 |
| Phentolaine mesylate inj HCPCS J2760 | $401.12 | $501.40 | $228.49 – $453.62 | 15 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $49.40 | $61.74 | $0.01 – $50.78 | 12 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $1.02 – $99.86 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $45.29 | $56.61 | $1.02 – $50.95 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $12.59 – $13.91 | 8 |
| Phlebotomy therapeutic CPT 99195 | $261.60 | $327.00 | $92.16 – $294.30 | 15 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $4,390.40 | $5,488.00 | $2,299.56 – $4,939.20 | 15 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $7,580.80 | $9,476.00 | $2,299.56 – $8,528.40 | 15 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $118.71 – $118.71 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $175.93 – $175.93 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $63.31 – $63.31 | 1 |
| Phosphorus CPT 84100 | not published | not published | $4.50 – $4.98 | 8 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $5.49 – $6.07 | 8 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $44.13 – $61.21 | 8 |
| Photochemotherapy puva CPT 96912 | not published | not published | $44.13 – $61.21 | 8 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $287.67 – $411.70 | 8 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1.02 – $24.31 | 8 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1.02 – $51.17 | 8 |
| Photo patch test CPT 95052 | not published | not published | $44.13 – $61.21 | 8 |
| Photopheresis CPT 36522 | not published | not published | $3,338.65 – $4,827.93 | 8 |
| Photosensitivity tests CPT 95056 | not published | not published | $92.16 – $132.83 | 8 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $39.09 – $55.06 | 8 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $123.23 – $176.58 | 8 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $21.49 – $25.24 | 8 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $340.80 | $426.00 | $93.36 – $383.40 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $268.80 | $336.00 | $93.36 – $302.40 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $304.00 | $380.00 | $93.36 – $342.00 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $154.40 | $193.00 | $64.65 – $173.70 | 15 |
| Physician standby services CPT 99360 | not published | not published | $52.23 – $57.73 | 8 |
| Phys review of motion tests CPT 96004 | not published | not published | $94.64 – $104.60 | 8 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $81.54 | $101.92 | $1.02 – $74.30 | 12 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $880.00 | $1,100.00 | $315.82 – $990.00 | 15 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $261.09 – $288.57 | 8 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $391.56 | $489.44 | $223.04 – $1,134.28 | 15 |
| Pin caspar distraction 12mm HCPCS C1821 | $36,726.40 | $45,908.00 | $1.02 – $1,431.00 | 12 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,843.20 | $2,304.00 | $453.09 – $2,073.60 | 15 |
| Pin finger dislocation CPT 26776 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Pin finger fracture each CPT 26756 | $5,220.00 | $6,525.00 | $2,335.16 – $5,872.50 | 15 |
| Pin hand dislocation CPT 26676 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $64.30 – $95.32 | 8 |
| Pinworm exam CPT 87172 | not published | not published | $4.06 – $4.48 | 8 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.06 – $4.48 | 8 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $475.98 | $594.97 | $1.02 – $52.05 | 12 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $550.51 – $608.45 | 8 |
| Place breast cath for rad CPT 19297 | not published | not published | $1.02 – $85.67 | 8 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $4,704.52 – $6,720.17 | 8 |
| Place cath intracranial art CPT 36228 | $5,883.20 | $7,354.00 | $1.02 – $6,618.60 | 15 |
| Place cath xtrnl carotid CPT 36227 | $7,394.40 | $9,243.00 | $1.02 – $8,318.70 | 15 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $851.34 – $1,215.01 | 8 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $999.64 – $1,409.95 | 8 |
| Place duod/jej tube perc CPT 49441 | $2,072.80 | $2,591.00 | $1,180.72 – $2,331.90 | 15 |
| Place endorectal app HCPCS C9725 | not published | not published | $659.35 – $939.49 | 8 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $653.96 – $981.51 | 8 |
| Place gastrostomy tube perc CPT 49440 | $3,038.40 | $3,798.00 | $1,372.76 – $3,418.20 | 15 |
| Placement bile duct support CPT 47801 | not published | not published | $943.32 – $1,042.62 | 8 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,090.40 | $1,363.00 | $621.12 – $1,669.61 | 15 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $409.60 | $512.00 | $1.02 – $460.80 | 15 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,904.80 | $2,381.00 | $507.57 – $2,142.90 | 15 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,042.40 | $6,303.00 | $1,469.43 – $5,672.70 | 15 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,049.60 | $1,312.00 | $1.02 – $1,180.80 | 12 |
| Placement of drain pancreas CPT 48001 | not published | not published | $1,925.02 – $2,127.66 | 8 |
| Placement of seton CPT 46020 | not published | not published | $2,025.63 – $2,825.95 | 8 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $19,525.60 | $24,407.00 | $7,936.59 – $21,966.30 | 15 |
| Place ndl musc/tis for right CPT 20555 | 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.