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 |
|---|---|---|---|---|
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $957.30 – $957.30 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $934.80 – $934.80 | 2 |
| Injection into vocal cord CPT 31513 | not published | not published | $407.73 – $407.73 | 2 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,683.43 | $2,104.28 | $430.53 – $1,128.02 | 15 |
| Injection, pentamidine iseth HCPCS S0080 | $105.46 | $131.82 | $45.28 – $118.64 | 15 |
| Injection px peyronie ds CPT 54200 | not published | not published | $255.37 – $255.37 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,078.40 | $1,348.00 | $421.92 – $1,213.20 | 15 |
| Injection, renflexis HCPCS Q5104 | $1,076.56 | $1,345.69 | $27.68 – $1,211.12 | 15 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.36 – $35.36 | 1 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $727.15 – $727.15 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $727.15 – $727.15 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,198.40 | $1,498.00 | $514.56 – $1,348.20 | 15 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,155.20 | $2,694.00 | $925.39 – $2,424.60 | 15 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,111.20 | $2,639.00 | $906.50 – $2,375.10 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $851.20 | $1,064.00 | $365.48 – $957.60 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,792.00 | $2,240.00 | $769.44 – $2,016.00 | 15 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,683.20 | $2,104.00 | $722.72 – $1,893.60 | 15 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,732.80 | $2,166.00 | $727.15 – $1,949.40 | 15 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $668.80 | $836.00 | $287.17 – $752.40 | 15 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $628.80 | $786.00 | $269.99 – $707.40 | 15 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $309.95 – $309.95 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $114.40 | $143.00 | $33.60 – $128.70 | 15 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Injection treatment of nerve CPT 64681 | not published | not published | $934.80 – $934.80 | 2 |
| Injection treatment of nose CPT 30200 | not published | not published | $534.71 – $534.71 | 2 |
| Inject sacroiliac joint CPT 27096 | $1,116.80 | $1,396.00 | $479.53 – $1,256.40 | 15 |
| Inject/treat eye socket CPT 67500 | not published | not published | $313.88 – $313.88 | 2 |
| Inject/treat eye socket CPT 67505 | not published | not published | $313.88 – $313.88 | 2 |
| Inject/treat eye socket CPT 67515 | not published | not published | $313.88 – $313.88 | 2 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.75 – $33.75 | 1 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $23.18 – $23.18 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,161.60 | $1,452.00 | $498.76 – $1,306.80 | 15 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,109.60 | $1,387.00 | $476.43 – $1,248.30 | 15 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $160.00 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $189.83 – $189.83 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $3,859.35 | $4,824.18 | $1,657.11 – $4,341.76 | 15 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $114.26 – $114.26 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $160.00 | 1 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $14.43 – $14.43 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $35.43 | $44.28 | $15.21 – $39.85 | 15 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $5,334.44 | $6,668.04 | $76.42 – $6,001.24 | 15 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $72.41 – $72.41 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $78.53 – $78.53 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $76.58 – $76.58 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $493.54 – $493.54 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $934.80 – $934.80 | 2 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $208.64 – $208.64 | 2 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $208.64 – $208.64 | 2 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4,863.63 | $6,079.53 | $48.29 – $422.72 | 15 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $89.54 – $89.54 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $9,913.66 | $12,392.07 | $4,256.68 – $11,152.86 | 15 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.35 – $1.35 | 1 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $36.40 | $45.50 | $6.02 – $15.77 | 15 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $323.89 – $323.89 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $2,635.40 | $3,294.25 | $1,131.57 – $2,964.83 | 15 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $40.71 | $50.88 | $16.30 – $42.71 | 15 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $119.60 | $149.50 | $51.35 – $134.55 | 15 |
| Inj. mycophenolate mofetil HCPCS J7519 | $195.01 | $243.76 | $83.73 – $219.38 | 15 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $700.84 – $700.84 | 2 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $367.01 | $458.76 | $157.58 – $412.88 | 15 |
| Inj ogivri 10 mg HCPCS Q5114 | $1,475.30 | $1,844.12 | $64.87 – $1,659.71 | 15 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $389.78 – $389.78 | 1 |
| Inj ontruzant 10 mg HCPCS Q5112 | $3,877.70 | $4,847.12 | $40.92 – $1,379.65 | 15 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $37.00 | $46.24 | $15.88 – $41.62 | 15 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $68.74 – $68.74 | 1 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $100.73 – $100.73 | 1 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $3,810.15 | $4,762.68 | $327.13 – $4,286.41 | 15 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $4,238.42 | $5,298.02 | $1,819.87 – $4,768.22 | 15 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | $467.62 | $584.52 | $128.83 – $337.55 | 15 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $90.87 – $90.87 | 1 |
| Inj proc elbow arthro CPT 24220 | $491.20 | $614.00 | $210.91 – $552.60 | 15 |
| Inj, releuko 1 mcg HCPCS Q5125 | $191.96 | $239.95 | $62.87 – $164.73 | 15 |
| Inj retro urethrocysto CPT 51610 | $744.80 | $931.00 | $319.80 – $837.90 | 15 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $419.51 – $419.51 | 2 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $419.51 – $419.51 | 2 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $510.50 – $510.50 | 1 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.49 – $18.49 | 1 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $43.39 – $43.39 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $350.36 – $350.36 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $39.76 | $49.69 | $16.02 – $41.97 | 15 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $138.49 – $138.49 | 1 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $66.09 – $66.09 | 1 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.55 – $5.55 | 1 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $2,016.58 | $2,520.72 | $5.15 – $1,179.94 | 15 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $450.34 – $450.34 | 1 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $263.70 – $263.70 | 1 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $56.40 – $56.40 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $708.80 | $886.00 | $221.22 – $797.40 | 15 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.59 – $14.59 | 1 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Ins cerv dilator (sep proc) CPT 59200 | $892.00 | $1,115.00 | $319.40 – $1,003.50 | 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.