Sanford Behavioral Health Thief River Falls
120 Labree Ave S, Thief River Falls, MN · Sanford Health · · NPI 1790842466
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 |
|---|---|---|---|---|
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $135.31 – $135.31 | 2 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $135.35 – $135.35 | 2 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $829.56 – $829.56 | 2 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $829.56 – $829.56 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $164.28 – $164.28 | 2 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $1,436.67 – $1,436.67 | 2 |
| 3d recon without postprocess indpndt CPT 76376 | $640.00 | $800.00 | $274.80 – $720.00 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,981.96 | $3,727.45 | $44.25 – $3,354.71 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,075.20 | $1,344.00 | $253.81 – $1,209.60 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $732.80 | $916.00 | $111.66 – $824.40 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,724.00 | $3,405.00 | $186.92 – $3,064.50 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,375.20 | $2,969.00 | $186.92 – $2,672.10 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,888.80 | $2,361.00 | $111.66 – $2,124.90 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,297.60 | $5,372.00 | $374.99 – $4,834.80 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,252.00 | $4,065.00 | $374.99 – $3,658.50 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $3,114.40 | $3,893.00 | $253.81 – $3,503.70 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,989.60 | $2,487.00 | $854.28 – $2,238.30 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $912.80 | $1,141.00 | $111.66 – $1,026.90 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $664.80 | $831.00 | $111.66 – $747.90 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $387.20 | $484.00 | $111.66 – $435.60 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $524.00 | $655.00 | $111.66 – $589.50 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $313.60 | $392.00 | $92.45 – $352.80 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,847.53 – $6,847.53 | 2 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,440.00 | $1,800.00 | $618.30 – $1,620.00 | 15 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $7,967.51 – $7,967.51 | 2 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $164.28 – $164.28 | 2 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $984.44 – $984.44 | 2 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $251.87 – $251.87 | 2 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $459.04 – $459.04 | 2 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $251.87 – $251.87 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | $824.00 | $1,030.00 | $309.95 – $927.00 | 15 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Abortion (mpr) CPT 59866 | not published | not published | $319.40 – $319.40 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $208.64 – $208.64 | 2 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,050.40 | $3,813.00 | $1,309.77 – $3,431.70 | 15 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $74.96 | $93.70 | $32.19 – $84.33 | 15 |
| Acetaminophen level CPT 80143 | $116.80 | $146.00 | $50.15 – $131.40 | 15 |
| Acetone qualitative CPT 82009 | $74.40 | $93.00 | $31.95 – $83.70 | 15 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $82.68 | $103.35 | $29.15 – $76.38 | 15 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $557.13 – $557.13 | 2 |
| Acne surgery 10040 CPT 10040 | not published | not published | $208.64 – $208.64 | 2 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $418.40 | $523.00 | $135.31 – $470.70 | 15 |
| Acoustic immitance testing CPT 92570 | not published | not published | $164.28 – $164.28 | 2 |
| Acoustic refl threshold tst CPT 92568 | $51.20 | $64.00 | $21.98 – $57.60 | 15 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Actinotherapy uv light CPT 96900 | not published | not published | $41.21 – $41.21 | 2 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $25.71 – $25.71 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $25.71 – $25.71 | 2 |
| Acute hepatitis panel CPT 80074 | $390.40 | $488.00 | $167.63 – $439.20 | 15 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Acyclovir 400 mg tablet HCPCS J8499 | $8.06 | $10.07 | $2.06 – $5.40 | 15 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $37.62 | $47.02 | $16.12 – $42.25 | 15 |
| #acylcarnitineprfl CPT 82017 | $49.60 | $62.00 | $21.30 – $55.80 | 15 |
| Adapter b 8 channel 10cm HCPCS C1883 | $560.00 | $700.00 | $240.45 – $630.00 | 15 |
| Adding walker to prev cast CPT 29440 | not published | not published | $165.68 – $165.68 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $467.05 | $583.81 | $15.28 – $40.03 | 15 |
| Adh-sendout CPT 84588 | $157.60 | $197.00 | $67.67 – $177.30 | 15 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $984.44 – $984.44 | 2 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Admin ecg contrast agent CPT 93352 | $295.20 | $369.00 | $126.75 – $332.10 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $288.80 | $361.00 | $74.73 – $324.90 | 15 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $596.80 | $746.00 | $256.25 – $671.40 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $388.00 | $485.00 | $166.60 – $436.50 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $155.20 | $194.00 | $66.64 – $174.60 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $219.20 | $274.00 | $74.73 – $246.60 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $51.20 | $64.00 | $21.98 – $57.60 | 15 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $7,010.12 | $8,762.64 | $1,987.33 – $5,206.99 | 15 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $31.28 – $31.28 | 2 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $31.28 – $31.28 | 2 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $97.13 – $97.13 | 2 |
| Aep hearing status deter i&r CPT 92651 | $300.80 | $376.00 | $129.16 – $338.40 | 15 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $326.96 – $326.96 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $326.96 – $326.96 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | $67.20 | $84.00 | $28.85 – $75.60 | 15 |
| After cataract laser surgery CPT 66821 | $1,464.80 | $1,831.00 | $576.03 – $1,647.90 | 15 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.74 – $227.74 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $135.35 – $135.35 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $164.28 – $164.28 | 2 |
| Albumin body fluid quantitative each specimen CPT 82042 | $50.40 | $63.00 | $12.37 – $32.40 | 15 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $79.91 | $99.88 | $34.31 – $89.89 | 15 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $22.29 – $22.29 | 2 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $121.71 | $152.13 | $52.26 – $136.92 | 15 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $11.14 – $11.14 | 2 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $83.20 | $104.00 | $35.72 – $93.60 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $45.60 | $57.00 | $12.37 – $32.40 | 15 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $144.80 | $181.00 | $62.17 – $162.90 | 15 |
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.