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 |
|---|---|---|---|---|
| CT t-spine w /wo contrast CPT 72130 | $2,660.00 | $3,325.00 | $186.92 – $2,992.50 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,300.00 | $2,875.00 | $186.92 – $2,587.50 | 15 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $90.40 | $113.00 | $32.98 – $86.40 | 15 |
| Culture afb any source CPT 87116 | $102.40 | $128.00 | $24.73 – $64.80 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | $84.80 | $106.00 | $36.41 – $95.40 | 15 |
| Culture anaerobic except blood CPT 87075 | $88.80 | $111.00 | $33.66 – $88.20 | 15 |
| Culture bact stool aero addl path ea CPT 87046 | $80.00 | $100.00 | $34.35 – $90.00 | 15 |
| Culture body fluid CPT 87070 | $159.20 | $199.00 | $18.55 – $48.60 | 15 |
| Culture fungi definitive id mold CPT 87107 | $64.00 | $80.00 | $27.48 – $72.00 | 15 |
| Culture fungi definitive id yeast CPT 87106 | $64.00 | $80.00 | $27.48 – $72.00 | 15 |
| Culture fungi other (except blood) CPT 87102 | $128.00 | $160.00 | $52.21 – $136.80 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | $48.80 | $61.00 | $20.95 – $54.90 | 15 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $97.60 | $122.00 | $41.91 – $109.80 | 15 |
| Culture screening strep group a CPT 87081 | $133.60 | $167.00 | $28.17 – $73.80 | 15 |
| Culture typing immunologic CPT 87147 | $56.00 | $70.00 | $24.05 – $63.00 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $576.00 | $720.00 | $247.32 – $648.00 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $139.20 | $174.00 | $59.77 – $156.60 | 15 |
| Culture urine each isolate CPT 87088 | $37.60 | $47.00 | $16.14 – $42.30 | 15 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,016.97 – $1,016.97 | 2 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,631.11 – $1,631.11 | 2 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $36.25 | $45.31 | $15.05 – $39.44 | 15 |
| Cyclic citrullinated peptide antibody CPT 86200 | $56.80 | $71.00 | $21.64 – $56.70 | 15 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,149.72 | $1,437.14 | $137.23 – $359.56 | 15 |
| Cyclosporine 2 hour CPT 80158 | $130.40 | $163.00 | $55.99 – $146.70 | 15 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $9.02 | $11.27 | $2.35 – $6.15 | 15 |
| Cyp2c19 gene com variants CPT 81225 | $256.00 | $320.00 | $109.92 – $288.00 | 15 |
| Cystatin c CPT 82610 | $99.20 | $124.00 | $42.59 – $111.60 | 15 |
| Cystine urine quantitative CPT 82131 | $80.00 | $100.00 | $34.35 – $90.00 | 15 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $793.60 | $992.00 | $340.75 – $892.80 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $700.84 – $700.84 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $700.84 – $700.84 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $700.84 – $700.84 | 2 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $700.84 – $700.84 | 2 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $5,991.20 | $7,489.00 | $2,150.94 – $6,740.10 | 15 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Cytogenetics 25-99 CPT 88274 | $224.00 | $280.00 | $44.31 – $116.10 | 15 |
| Cytogenetics 3-5 CPT 88272 | $99.20 | $124.00 | $42.59 – $111.60 | 15 |
| Cytogenomic neo microra alys CPT 81277 | $2,716.00 | $3,395.00 | $1,166.18 – $3,055.50 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $90.40 | $113.00 | $28.51 – $74.70 | 15 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $158.40 | $198.00 | $68.01 – $178.20 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $233.60 | $292.00 | $41.91 – $109.80 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $95.20 | $119.00 | $40.88 – $107.10 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $74.40 | $93.00 | $31.95 – $83.70 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $117.60 | $147.00 | $50.49 – $132.30 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $124.80 | $156.00 | $53.59 – $140.40 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $230.40 | $288.00 | $98.93 – $259.20 | 15 |
| Cytopath smear oth prep screen & interp CPT 88161 | $144.80 | $181.00 | $62.17 – $162.90 | 15 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $291.50 | $364.37 | $124.17 – $325.34 | 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.