Sanford Bagley Medical Center — price list
← Hospital overviewVerified from Sanford Bagley Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $75.14 | $60.12 | $41.33 – $71.08 | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient | J0134 HCPCS | $62.00 | $49.60 | $34.10 – $58.65 | — | |
| Acetaminophen Soln 160 MG/5ML Inpatient | J3490 HCPCS | $10.09 | $8.08 | $5.55 – $9.55 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $6.49 | $5.20 | $3.57 – $6.14 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $6.65 | $5.32 | $3.66 – $6.29 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $6.34 | $5.08 | $3.49 – $6.00 | — | |
| Acetaminophen Tab 325 MG Inpatient | J3490 HCPCS | $1.03 | $0.83 | $0.57 – $0.97 | — | |
| Acetaminophen Tab 500 MG Inpatient | J3490 HCPCS | $1.03 | $0.83 | $0.57 – $0.97 | — | |
| Acetaminophen Tab ER 650 MG Inpatient | 0250 RC | $6.07 | $4.86 | $3.34 – $5.74 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $8.39 | $6.72 | $4.61 – $7.94 | — | |
| Acetazolamide Cap ER 12HR 500 MG Inpatient | 0250 RC | $6.32 | $5.06 | $3.48 – $5.98 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | J7608 HCPCS | $36.68 | $29.35 | $20.17 – $34.70 | — | |
| Acetylcysteine Inj 200 MG/ML Inpatient | J0132 HCPCS | $185 | $148 | $102 – $175 | — | |
| Acne surgery Inpatient | 0360 RC | $184 | $147 | $101 – $174 | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Inpatient | J0133 HCPCS | $63.96 | $51.17 | $35.18 – $60.51 | — | |
| Additional 1 2 hour Inpatient | 0360 RC | $989 | $791 | $544 – $936 | — | |
| Additional minutes Inpatient | 0360 RC | $71.00 | $56.80 | $39.05 – $67.17 | — | |
| Adenosine IV Soln 6 MG/2ML Inpatient | J0153 HCPCS | $63.07 | $50.46 | $34.69 – $59.66 | — | |
| Admin hepatitis b vaccine Inpatient | 90471 CPT | $121 | $96.80 | $66.55 – $114 | — | |
| Admin influenza vir vac Inpatient | 90471 CPT | $121 | $96.80 | $66.55 – $114 | — | |
| Admin pneumococcal vac Inpatient | 90471 CPT | $121 | $96.80 | $66.55 – $114 | — | |
| Adptr chait access w conn TB Inpatient | 0272 RC | $140 | $112 | $76.73 – $132 | — | |
| Adptr rhopylac admin Inpatient | 0272 RC | $3.64 | $2.92 | $2.00 – $3.44 | — | |
| Albumin, Human Inj 25% Inpatient | P9047 HCPCS | $65.31 | $52.25 | $35.92 – $61.78 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient | 0250 RC | $54.35 | $43.48 | $29.89 – $51.42 | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient | 0250 RC | $7.55 | $6.04 | $4.15 – $7.14 | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient | J7613 HCPCS | $14.23 | $11.39 | $7.83 – $13.46 | — | |
| Alfuzosin HCl Tab ER 24HR 10 MG Inpatient | 0250 RC | $6.12 | $4.90 | $3.37 – $5.79 | — | |
| Allopurinol Tab 100 MG Inpatient | 0250 RC | $6.09 | $4.88 | $3.35 – $5.76 | — | |
| Alprazolam Tab 0.25 MG Inpatient | 0250 RC | $6.03 | $4.83 | $3.32 – $5.70 | — |