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.
358 prices shown (filtered).
| 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 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 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 | — | |
| 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 | — | |
| 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 | — | |
| Alprazolam Tab 0.5 MG Inpatient | 0250 RC | $7.82 | $6.26 | $4.30 – $7.40 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Inpatient | 0250 RC | $30.30 | $24.24 | $16.67 – $28.66 | — | |
| Amiodarone HCl Tab 200 MG Inpatient | 0250 RC | $6.43 | $5.15 | $3.54 – $6.08 | — | |
| Amitriptyline HCl Tab 10 MG Inpatient | 0250 RC | $6.08 | $4.87 | $3.34 – $5.75 | — | |
| Amitriptyline HCl Tab 25 MG Inpatient | 0250 RC | $6.32 | $5.06 | $3.48 – $5.98 | — | |
| Amlodipine Besylate Tab 5 MG (Base Equivalent) Inpatient | 0250 RC | $6.08 | $4.87 | $3.34 – $5.75 | — | |
| Amoxicillin (Trihydrate) Cap 250 MG Inpatient | 0250 RC | $8.38 | $6.71 | $4.61 – $7.93 | — | |
| Amoxicillin (Trihydrate) For Susp 250 MG/5ML Inpatient | 0250 RC | $33.75 | $27.00 | $18.56 – $31.93 | — | |
| Amoxicillin (Trihydrate) For Susp 400 MG/5ML Inpatient | 0250 RC | $32.63 | $26.11 | $17.95 – $30.87 | — | |
| Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML Inpatient | 0250 RC | $42.28 | $33.83 | $23.25 – $40.00 | — | |
| Amoxicillin & K Clavulanate Tab 500-125 MG Inpatient | 0250 RC | $6.35 | $5.08 | $3.49 – $6.01 | — | |
| Amoxicillin & K Clavulanate Tab 875-125 MG Inpatient | 0250 RC | $9.74 | $7.80 | $5.36 – $9.21 | — | |
| Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG Inpatient | 0250 RC | $6.50 | $5.20 | $3.58 – $6.15 | — | |
| Apixaban Half-Tab 2.5 MG Inpatient | 0250 RC | $14.27 | $11.42 | $7.85 – $13.50 | — | |
| Apixaban Tab 5 MG Inpatient | 0250 RC | $11.68 | $9.35 | $6.42 – $11.05 | — | |
| Aripiprazole Tab 10 MG Inpatient | 0250 RC | $14.70 | $11.76 | $8.09 – $13.91 | — | |
| Aripiprazole Tab 2 MG Inpatient | 0250 RC | $6.27 | $5.02 | $3.45 – $5.93 | — | |
| Artificial Saliva - Solution Inpatient | 0250 RC | $36.71 | $29.37 | $20.19 – $34.73 | — |