Sanford Bagley Medical Center
Sanford Bagley Medical Center in Bagley, MN publishes cash prices for 26 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.
203 4th Street NW, Bagley, MN 56621 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off 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% |
| 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% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $379.20 | $474.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $379.20 | $474.00 | 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% |
| 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
| Procedure | Cash price | List price | Off 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% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD W INTERP & REPORT | $128.80 | $161.00 | 20% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12 LEAD W INTERP & REPORT | $128.80 | $161.00 | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCH THERAPY FAMILY WPATIENT | $540.00 | $675.00 | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSYCH THERAPY FAMILY WPATIENT | $540.00 | $675.00 | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCH THERAPY FAMILY WO PATIENT | $540.00 | $675.00 | 20% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCH THERAPY FAMILY WO PATIENT | $540.00 | $675.00 | 20% |
| Group psychotherapy session CPT 90853 PSYCH THERAPY GROUP | $1,400.00 | $1,750.00 | 20% |
| Group psychotherapy session inpatient CPT 90853 PSYCH THERAPY GROUP | $1,400.00 | $1,750.00 | 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 inpatient CPT 99203 NEW PATIENT LEVEL 3 | $203.20 | $254.00 | 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 inpatient CPT 99204 NEW PATIENT LEVEL 4 | $268.80 | $336.00 | 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 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, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $480.00 | $600.00 | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $480.00 | $600.00 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $520.00 | $650.00 | 20% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $520.00 | $650.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $528.00 | $660.00 | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $528.00 | $660.00 | 20% |