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 |
|---|---|---|---|---|
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $44.13 – $61.21 | 8 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $123.23 – $176.58 | 8 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $44.13 – $61.21 | 8 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $123.23 – $176.58 | 8 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $324.00 | $405.00 | $115.02 – $364.50 | 15 |
| Preventive counseling group CPT 99411 | not published | not published | $13.40 – $20.17 | 8 |
| Preventive counseling group CPT 99412 | not published | not published | $22.53 – $25.06 | 8 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $35.18 – $38.89 | 8 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $57.03 – $63.04 | 8 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $77.73 – $85.91 | 8 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $99.55 – $110.03 | 8 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $95.37 – $132.80 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,873.60 | $3,592.00 | $1,169.64 – $3,232.80 | 15 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $3,381.60 | $4,227.00 | $1,169.64 – $3,804.30 | 15 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,176.80 | $1,471.00 | $287.67 – $1,323.90 | 15 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $653.96 – $1,271.20 | 8 |
| Prgrmg dev eval impltbl sys CPT 93260 | $138.40 | $173.00 | $27.21 – $155.70 | 15 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $192.00 | $240.00 | $27.21 – $216.00 | 15 |
| Prgrmg dev eval scrms ip CPT 93285 | $131.20 | $164.00 | $27.21 – $147.60 | 15 |
| Prgrmg eval implantable dfb CPT 93282 | $232.00 | $290.00 | $27.21 – $261.00 | 15 |
| Prgrmg eval implantable dfb CPT 93283 | $256.80 | $321.00 | $27.21 – $288.90 | 15 |
| Prgrmg eval implantable dfb CPT 93284 | $196.80 | $246.00 | $27.21 – $221.40 | 15 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,922.40 | $7,403.00 | $1.02 – $6,662.70 | 12 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $153.91 – $170.12 | 8 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $115.31 – $127.45 | 8 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $72.44 – $80.07 | 8 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $105.24 – $116.32 | 8 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $70.22 – $77.61 | 8 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $103.20 | $129.00 | $43.44 – $116.10 | 15 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $9,523.20 | $11,904.00 | $5,424.65 – $18,503.86 | 15 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $6,847.20 | $8,559.00 | $1.02 – $7,703.10 | 15 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $64.30 – $95.32 | 8 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $852.00 | $1,065.00 | $287.67 – $958.50 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $556.00 | $695.00 | $144.42 – $625.50 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $603.20 | $754.00 | $231.44 – $678.60 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $858.40 | $1,073.00 | $287.67 – $965.70 | 15 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $95.37 – $132.80 | 8 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $95.37 – $132.80 | 8 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $225.60 | $282.00 | $1.02 – $253.80 | 15 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $5,249.60 | $6,562.00 | $1,392.92 – $5,905.80 | 15 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $6,430.80 | $8,038.50 | $1.02 – $3,458.25 | 12 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $210.17 – $308.04 | 8 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,685.84 – $2,404.05 | 8 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,685.84 – $2,404.05 | 8 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,685.84 – $2,404.05 | 8 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $48.85 | $61.06 | $27.60 – $309.43 | 15 |
| Procalcitonin CPT 84145 | not published | not published | $25.86 – $28.58 | 8 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $134.22 – $134.22 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $53.32 | $66.65 | $1.02 – $51.21 | 12 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $1.02 – $1.02 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $851.34 – $1,743.40 | 8 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $851.34 – $1,727.67 | 8 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,025.63 – $2,825.95 | 8 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $6,184.80 | $7,731.00 | $851.34 – $6,957.90 | 15 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $851.34 – $1,215.01 | 8 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,751.20 | $2,189.00 | $659.35 – $1,970.10 | 15 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,025.63 – $2,825.95 | 8 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $851.34 – $1,215.01 | 8 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $851.34 – $1,215.01 | 8 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,025.63 – $2,825.95 | 8 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $2,792.00 | $3,490.00 | $851.34 – $3,141.00 | 15 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,025.63 – $2,825.95 | 8 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $4,111.61 – $6,134.19 | 8 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $1.02 – $1.02 | 1 |
| Progesterone CPT 84144 | not published | not published | $19.82 – $21.90 | 8 |
| Prolactin CPT 84146 | not published | not published | $18.41 – $20.35 | 8 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $19.31 – $21.34 | 8 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $8.91 – $9.85 | 8 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $35.34 – $39.06 | 8 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $27.62 – $30.52 | 8 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $244.33 – $341.80 | 8 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $27.93 – $30.87 | 8 |
| Prolong service without contact CPT 99358 | not published | not published | $1.02 – $88.47 | 8 |
| Prolong serv without contact add CPT 99359 | not published | not published | $1.02 – $37.72 | 8 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $1.02 – $1.02 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $1.02 – $1.02 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $210.17 – $308.04 | 8 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $419.34 – $565.32 | 8 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Prophylactic tx radius CPT 25490 | not published | not published | $5,161.17 – $7,361.40 | 8 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $2,335.16 – $3,343.47 | 8 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $9,494.88 – $13,258.87 | 8 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $53.80 | $67.25 | $0.29 – $1.02 | 12 |
| _propoxygc/msur CPT 80367 | not published | not published | $8.95 – $8.95 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $45.92 | $57.40 | $1.02 – $51.66 | 12 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $85.76 – $113.51 | 8 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $170.58 – $189.64 | 8 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $25.59 – $35.33 | 8 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $10.43 – $15.47 | 8 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $14.04 – $18.70 | 8 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,006.40 | $1,258.00 | $259.32 – $1,132.20 | 15 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $1.02 – $23.97 | 8 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Prostate laser enucleation CPT 52649 | not published | not published | $3,732.94 – $5,238.52 | 8 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,515.02 – $3,554.06 | 8 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,288.00 | $1,610.00 | $124.51 – $461.16 | 15 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $306.00 | $382.50 | $47.73 – $344.25 | 15 |
| Prosthetic sock multi ply bk HCPCS L8420 | $68.08 | $85.10 | $13.11 – $32.68 | 15 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $948.06 – $1,405.38 | 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.