Hospital Bemidji, MN

Sanford Bemidji Medical Center

Sanford Bemidji Medical Center in Bemidji, MN publishes cash prices for 31 common procedures listed here, from its own machine-readable price file updated Mar 4, 2026. Click a procedure to compare it with other hospitals nearby.

1300 Anne Street NW, Bemidji, MN 56601 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST $4,016.00 $5,020.00 20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST $4,016.00 $5,020.00 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST $1,863.20 $2,329.00 20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST $1,863.20 $2,329.00 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST $2,002.40 $2,503.00 20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST $2,002.40 $2,503.00 20%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INCL CAD $588.00 $735.00 20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INCL CAD $588.00 $735.00 20%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT INCL CAD $458.40 $573.00 20%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT INCL CAD $458.40 $573.00 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST $2,974.40 $3,718.00 20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST $2,974.40 $3,718.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO THEN W CONT $3,810.40 $4,763.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT WO THEN W CONT $3,810.40 $4,763.00 20%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST $3,083.20 $3,854.00 20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST $3,083.20 $3,854.00 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT $3,930.40 $4,913.00 20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT $3,930.40 $4,913.00 20%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST $2,872.80 $3,591.00 20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST $2,872.80 $3,591.00 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST $570.40 $713.00 20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST $570.40 $713.00 20%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD $487.20 $609.00 20%
Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 $487.20 $609.00 20%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD $487.20 $609.00 20%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 $487.20 $609.00 20%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY PARTIAL 95810 M52 $3,801.60 $4,752.00 20%
Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS $4,428.80 $5,536.00 20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY PARTIAL 95810 M52 $3,801.60 $4,752.00 20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS $4,428.80 $5,536.00 20%
Transvaginal pelvic ultrasound CPT 76830 ED 76830 US TRANSVAGINAL $660.80 $826.00 20%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $660.80 $826.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 ED 76830 US TRANSVAGINAL $660.80 $826.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $660.80 $826.00 20%
Ultrasound of the abdomen, complete CPT 76700 ED 76700 US ABD COMPLETE $940.80 $1,176.00 20%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE $940.80 $1,176.00 20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE $940.80 $1,176.00 20%
Ultrasound of the abdomen, complete inpatient CPT 76700 ED 76700 US ABD COMPLETE $940.80 $1,176.00 20%
X-ray of the lower back, 4 or more views CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS $627.20 $784.00 20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS $627.20 $784.00 20%

Lab tests

ProcedureCash price List priceOff list
Urinalysis without microscope exam, automated CPT 81003 DOT URINE AUTO DIPSTICK 81003 $9.60 $12.00 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 DOT URINE AUTO DIPSTICK 81003 $9.60 $12.00 20%

Surgery and procedures

ProcedureCash price List priceOff list
Colonoscopy, diagnostic CPT 45378 ED 45378 COLONOSCOPY DIAG $2,701.60 $3,377.00 20%
Colonoscopy, diagnostic inpatient CPT 45378 ED 45378 COLONOSCOPY DIAG $2,701.60 $3,377.00 20%
Left heart catheterization, diagnostic CPT 93452 LT HRT W LV ANGIO $12,337.60 $15,422.00 20%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT W LV ANGIO $12,337.60 $15,422.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID $2,133.60 $2,667.00 20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID $2,133.60 $2,667.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ED 64483 INJ EPIDURAL LUMB SINGLE $2,311.20 $2,889.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL $2,311.20 $2,889.00 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL $2,311.20 $2,889.00 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ED 64483 INJ EPIDURAL LUMB SINGLE $2,311.20 $2,889.00 20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY $4,685.60 $5,857.00 20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY $4,685.60 $5,857.00 20%
Upper endoscopy (EGD) with biopsy CPT 43239 ED 43239 UPPER GI BX $2,652.00 $3,315.00 20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ED 43239 UPPER GI BX $2,652.00 $3,315.00 20%
Upper endoscopy (EGD), diagnostic CPT 43235 ED 43235 UPPER GI DIAG $2,694.40 $3,368.00 20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ED 43235 UPPER GI DIAG $2,694.40 $3,368.00 20%

Doctor visits and therapy

ProcedureCash price List priceOff list
New patient office visit, about 30 minutes CPT 99203 ED 99203 NEW PAT CASE LEVEL III $203.20 $254.00 20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 $203.20 $254.00 20%
New patient office visit, about 30 minutes CPT 99203 NEW OB CHECK LVL 3 W MOD 25 $203.20 $254.00 20%
New patient office visit, about 30 minutes CPT 99203 NEW OB CHECK LVL3 $203.20 $254.00 20%
New patient office visit, about 30 minutes CPT 99203 LEVEL 3 NEW W MOD 25 $203.20 $254.00 20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 $203.20 $254.00 20%
New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 NEW W MOD 25 $203.20 $254.00 20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW OB CHECK LVL3 $203.20 $254.00 20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW OB CHECK LVL 3 W MOD 25 $203.20 $254.00 20%
New patient office visit, about 30 minutes inpatient CPT 99203 ED 99203 NEW PAT CASE LEVEL III $203.20 $254.00 20%
New patient office visit, about 45 minutes CPT 99204 NEW OB CHECK LVL4 $268.80 $336.00 20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 $268.80 $336.00 20%
New patient office visit, about 45 minutes CPT 99204 ED 99204 NEW PAT CASE LEVEL IV $268.80 $336.00 20%
New patient office visit, about 45 minutes CPT 99204 NEW OB CHECK LVL 4 W MOD 25 $268.80 $336.00 20%
New patient office visit, about 45 minutes CPT 99204 LEVEL 4 NEW W MOD 25 $268.80 $336.00 20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 $268.80 $336.00 20%
New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL 4 NEW W MOD 25 $268.80 $336.00 20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW OB CHECK LVL4 $268.80 $336.00 20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW OB CHECK LVL 4 W MOD 25 $268.80 $336.00 20%
New patient office visit, about 45 minutes inpatient CPT 99204 ED 99204 NEW PAT CASE LEVEL IV $268.80 $336.00 20%
New patient office visit, about 60 minutes CPT 99205 NEW OB CHECK LVL 5 W MOD 25 $328.00 $410.00 20%
New patient office visit, about 60 minutes CPT 99205 NEW OB CHECK LVL5 $328.00 $410.00 20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 $328.00 $410.00 20%
New patient office visit, about 60 minutes CPT 99205 LEVEL 5 NEW W MOD 25 $328.00 $410.00 20%
New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL 5 NEW W MOD 25 $328.00 $410.00 20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW OB CHECK LVL 5 W MOD 25 $328.00 $410.00 20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW OB CHECK LVL5 $328.00 $410.00 20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 $328.00 $410.00 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 $128.00 $160.00 20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 $128.00 $160.00 20%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES $265.60 $332.00 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES $265.60 $332.00 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OP CONSULT EST LOW MDM 30 MIN $142.40 $178.00 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 ED 99243 OFFICE OP CONSULT EST LOW MDM 30 MIN $213.60 $267.00 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 ED 99243 OFFICE OP CONSULT NEW LOW MDM 30 MIN $213.60 $267.00 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OP CONSULT NEW/EST LOW MDM 30 MIN $213.60 $267.00 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE OP CONSULT EST LOW MDM 30 MIN $142.40 $178.00 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 ED 99243 OFFICE OP CONSULT EST LOW MDM 30 MIN $213.60 $267.00 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE OP CONSULT NEW/EST LOW MDM 30 MIN $213.60 $267.00 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 ED 99243 OFFICE OP CONSULT NEW LOW MDM 30 MIN $213.60 $267.00 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE OP CONSULT EST MOD MDM 40 MIN $206.40 $258.00 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ED 99244 OFFICE OP CONSULT NEW MOD MDM 40 MIN $244.00 $305.00 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ED 99244 OFFICE OP CONSULT EST MOD MDM 40 MIN $244.00 $305.00 20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE OP CONSULT EST MOD MDM 40 MIN $206.40 $258.00 20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 ED 99244 OFFICE OP CONSULT NEW MOD MDM 40 MIN $244.00 $305.00 20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 ED 99244 OFFICE OP CONSULT EST MOD MDM 40 MIN $244.00 $305.00 20%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8385/411266009_sanford-bemidji-medical-center_standardcharges.csv