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 |
|---|---|---|---|---|
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $727.15 – $727.15 | 2 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $727.15 – $727.15 | 2 |
| Ghs ng placement w fluoro guidance CPT 43752 | $615.20 | $769.00 | $264.15 – $692.10 | 15 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $164.28 – $164.28 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $62.37 – $62.37 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $48.45 – $48.45 | 2 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $649.17 – $649.17 | 2 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,664.80 | $3,331.00 | $1,144.20 – $2,997.90 | 15 |
| Ghs optokenetic CPT 92544 | not published | not published | $164.28 – $164.28 | 2 |
| Ghs oscillating trac CPT 92545 | not published | not published | $326.96 – $326.96 | 2 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $63.20 | $79.00 | $26.57 – $71.10 | 15 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $26.57 – $26.57 | 2 |
| Ghs ot dds rom CPT 95851 | $112.80 | $141.00 | $48.43 – $126.90 | 15 |
| Ghs ot group caregiver training CPT 97552 | $56.00 | $70.00 | $24.05 – $63.00 | 15 |
| Ghs ot prosthetic training/15 min CPT 97761 | $128.00 | $160.00 | $54.96 – $144.00 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $114.40 | $143.00 | $49.12 – $128.70 | 15 |
| Ghs ot work hardening-additional hours CPT 97546 | $156.80 | $196.00 | $67.33 – $176.40 | 15 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $687.10 – $687.10 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,081.60 | $1,352.00 | $464.41 – $1,216.80 | 15 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $91.20 | $114.00 | $39.16 – $102.60 | 15 |
| Ghs peritonsillar abscess i andd CPT 42700 | $576.00 | $720.00 | $243.83 – $648.00 | 15 |
| Ghs phenylketonurid CPT 84030 | $108.00 | $135.00 | $46.37 – $121.50 | 15 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,631.11 – $1,631.11 | 2 |
| Ghs plngl fx pm cl CPT 26725 | $680.00 | $850.00 | $251.87 – $765.00 | 15 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $135.35 – $135.35 | 2 |
| Ghs ppd (tb intradermal) CPT 86580 | $32.00 | $40.00 | $13.74 – $36.00 | 15 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $62.37 – $62.37 | 2 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $348.00 | $435.00 | $149.42 – $391.50 | 15 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $348.27 – $348.27 | 2 |
| Ghs removal intranasal foreign body CPT 30300 | $349.60 | $437.00 | $135.35 – $393.30 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | $412.00 | $515.00 | $176.90 – $463.50 | 15 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Ghs sedimentation rate CPT 85651 | $61.60 | $77.00 | $26.45 – $69.30 | 15 |
| Ghs sensitivity (per antimicro) CPT 87184 | $48.80 | $61.00 | $20.95 – $54.90 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $590.40 | $738.00 | $253.50 – $664.20 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $419.51 – $419.51 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $807.20 | $1,009.00 | $346.59 – $908.10 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $419.51 – $419.51 | 2 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $569.60 | $712.00 | $208.64 – $640.80 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $527.20 | $659.00 | $208.64 – $593.10 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $644.00 | $805.00 | $208.64 – $724.50 | 15 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $208.64 – $208.64 | 2 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $208.64 – $208.64 | 2 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $164.28 – $164.28 | 2 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $326.96 – $326.96 | 2 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $557.13 – $557.13 | 2 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $190.40 | $238.00 | $81.75 – $214.20 | 15 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $309.95 – $309.95 | 2 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $135.35 – $135.35 | 2 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $294.40 | $368.00 | $126.41 – $331.20 | 15 |
| Ghs st - eval for alt comm CPT 92567 | $96.80 | $121.00 | $41.21 – $108.90 | 15 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $135.35 – $135.35 | 2 |
| Ghs st - re-eval for alt comm CPT 92597 | $439.20 | $549.00 | $188.58 – $494.10 | 15 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $48.45 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $221.22 – $345.60 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,283.20 | $1,604.00 | $550.97 – $1,443.60 | 15 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $419.51 – $419.51 | 2 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $572.00 | $715.00 | $245.60 – $643.50 | 15 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $251.87 – $251.87 | 2 |
| Ghs urine, porphyrins quant CPT 84120 | $50.40 | $63.00 | $21.64 – $56.70 | 15 |
| Ghs vaginal delivery only CPT 59409 | $2,749.60 | $3,437.00 | $1,180.61 – $3,093.30 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $557.13 – $557.13 | 2 |
| Ghs windowing of cast CPT 29730 | not published | not published | $165.68 – $165.68 | 2 |
| Giardia lamblia antibody CPT 86674 | $194.40 | $243.00 | $83.47 – $218.70 | 15 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $253.81 – $253.81 | 2 |
| Gi inhouse confirmation CPT 87045 | $116.00 | $145.00 | $23.36 – $61.20 | 15 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Gi protein loss CPT 78282 | not published | not published | $421.92 – $421.92 | 2 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,552.00 | $3,190.00 | $984.44 – $2,871.00 | 15 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $957.30 – $957.30 | 2 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $984.44 – $984.44 | 2 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $25.71 – $25.71 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $41.21 – $41.21 | 2 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,224.00 – $4,224.00 | 2 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,224.00 – $4,224.00 | 2 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $434.80 | $543.49 | $186.69 – $489.14 | 15 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $481.83 | $602.28 | $158.66 – $415.70 | 15 |
| Glucagon plasma - sendout CPT 82943 | $48.80 | $61.00 | $20.95 – $54.90 | 15 |
| Glucose 1 hr post dose CPT 82950 | $62.40 | $78.00 | $26.79 – $70.20 | 15 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $28.80 | $36.00 | $12.37 – $32.40 | 15 |
| Glucose blood quantitative CPT 82947 | $62.40 | $78.00 | $26.79 – $70.20 | 15 |
| Glucose body fluid CPT 82945 | $64.00 | $80.00 | $27.48 – $72.00 | 15 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $62.37 – $62.37 | 2 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $84.00 | $105.00 | $36.07 – $94.50 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $36.80 | $46.00 | $15.80 – $41.40 | 15 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $37.56 | $46.94 | $14.98 – $39.25 | 15 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,851.60 | $4,814.49 | $11.33 – $4,333.04 | 15 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $132.00 | $165.00 | $56.68 – $148.50 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $124.00 | $155.00 | $53.24 – $139.50 | 15 |
| Gonioscopy CPT 92020 | not published | not published | $135.35 – $135.35 | 2 |
| Goniotomy CPT 65820 | not published | not published | $4,224.00 – $4,224.00 | 2 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,167.44 | $1,459.29 | $501.27 – $1,313.36 | 15 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $142.40 | $178.00 | $61.14 – $160.20 | 15 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,406.84 – $3,406.84 | 2 |
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.