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 |
|---|---|---|---|---|
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $533.06 – $674.80 | 8 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,042.71 – $2,711.05 | 8 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,265.61 – $1,876.09 | 8 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $386.67 – $546.77 | 8 |
| Postpartum Care Only CPT 59430 | not published | not published | $227.20 – $251.11 | 8 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1.02 – $689.24 | 8 |
| Potassium 24 hour urine CPT 84133 | not published | not published | $4.49 – $4.97 | 8 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $51.00 | $63.75 | $1.02 – $16.88 | 12 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.54 – $6.12 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | not published | not published | $4.52 – $5.00 | 8 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $1.02 – $3.02 | 8 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $1.02 – $5.19 | 8 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $1.02 – $8.09 | 8 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $1.02 – $6.39 | 8 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.02 – $3.28 | 8 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $1.02 – $5.26 | 8 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $1.02 – $5.36 | 8 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $130.15 – $143.85 | 8 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $1.02 – $1.02 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,003.20 | $1,254.00 | $1.02 – $1,128.60 | 15 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $13,618.40 | $17,023.00 | $5,161.17 – $15,320.70 | 15 |
| Pq thr inj ext pse CPT 36002 | $589.60 | $737.00 | $335.85 – $663.30 | 15 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $1.02 – $712.98 | 8 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,900.00 | $6,125.00 | $2,335.16 – $5,512.50 | 15 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $5,060.00 | $6,325.00 | $2,335.16 – $5,692.50 | 15 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $303.55 – $412.26 | 8 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $133.72 | $167.15 | $1.02 – $150.44 | 12 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,098.40 | $5,123.00 | $2,334.55 – $4,610.70 | 15 |
| Pr application of long arm splint CPT 29105 | $408.00 | $510.00 | $113.68 – $459.00 | 15 |
| Pr application splint static short arm CPT 29125 | $352.00 | $440.00 | $92.16 – $396.00 | 15 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $28.94 – $40.45 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $572.80 | $716.00 | $287.67 – $644.40 | 15 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $5,161.17 – $13,258.87 | 8 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.00 | $60.00 | $20.71 – $54.00 | 15 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $236.05 – $260.89 | 8 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,197.60 | $3,997.00 | $202.08 – $3,597.30 | 15 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $72.40 – $80.02 | 8 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $102.50 – $113.29 | 8 |
| Prealbumin CPT 84134 | not published | not published | $13.86 – $15.32 | 8 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $7.21 – $7.96 | 8 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $16.49 – $18.22 | 8 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.19 – $0.19 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $9.92 | $12.39 | $1.02 – $11.15 | 12 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $1.02 – $1.02 | 1 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $227.72 – $285.80 | 8 |
| Pregabalin - sendout CPT 80366 | not published | not published | $27.07 – $27.07 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $3,669.60 | $4,587.00 | $1,372.76 – $4,128.30 | 15 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $14.30 – $15.80 | 8 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $570.40 | $713.00 | $79.32 – $641.70 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $426.40 | $533.00 | $79.32 – $479.70 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $344.00 | $430.00 | $79.32 – $387.00 | 15 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $121.87 – $134.70 | 8 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $480.97 – $531.60 | 8 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $878.56 – $971.04 | 8 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $226.44 – $320.89 | 8 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $386.67 – $546.77 | 8 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $386.67 – $546.77 | 8 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,583.23 – $3,395.35 | 8 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,342.75 – $4,039.42 | 8 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,661.65 – $3,265.88 | 8 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,206.17 – $3,963.84 | 8 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1.02 – $37.77 | 8 |
| Preparation palate mold CPT 42280 | not published | not published | $396.93 – $524.77 | 8 |
| Prepare donor lung double CPT 32856 | not published | not published | $6.62 – $6.62 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $895.08 – $895.08 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $39.09 – $55.06 | 8 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $102.12 – $112.87 | 8 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,440.80 – $1,592.46 | 8 |
| Prepare penis study CPT 54230 | not published | not published | $1.02 – $107.37 | 8 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1.02 – $180.00 | 8 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,335.91 – $3,041.35 | 8 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,205.48 – $2,849.53 | 8 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $2,007.77 – $2,446.35 | 8 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,365.85 – $2,902.35 | 8 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $149.38 – $149.38 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1.02 – $1.02 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $314.44 – $347.54 | 8 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $224.35 – $247.96 | 8 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $314.04 – $347.09 | 8 |
| Prep donor liver/venous CPT 47146 | not published | not published | $269.07 – $297.40 | 8 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,603.12 – $1,603.12 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $192.99 – $213.30 | 8 |
| Prep donor renal graft CPT 50325 | not published | not published | $142.68 – $142.68 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,759.86 – $7,471.42 | 8 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1.02 – $150.02 | 8 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $754.29 – $1,048.39 | 8 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $156.56 – $173.04 | 8 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $148.75 – $164.41 | 8 |
| Prep renal graft/venous CPT 50327 | not published | not published | $178.29 – $197.06 | 8 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,759.86 – $7,471.42 | 8 |
| Prep skin to 100cm2 other CPT 15004 | $3,149.60 | $3,937.00 | $453.09 – $3,543.30 | 15 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $4,012.80 | $5,016.00 | $1,315.61 – $4,514.40 | 15 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1.02 – $66.85 | 8 |
| Pressure max expiratory/inspiratory CPT 94799 | $122.40 | $153.00 | $69.72 – $161.23 | 15 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $185.05 – $204.53 | 8 |
| Pressure velocity wire add ves CPT 93572 | $3,244.00 | $4,055.00 | $1.02 – $3,649.50 | 12 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $475.53 – $704.92 | 8 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $123.23 – $176.58 | 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.