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 |
|---|---|---|---|---|
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $3,871.30 – $3,871.30 | 2 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $3,871.30 – $3,871.30 | 2 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $3,871.30 – $3,871.30 | 2 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $3,871.30 – $3,871.30 | 2 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $3,871.30 – $3,871.30 | 2 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $407.73 – $407.73 | 2 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $3,871.30 – $3,871.30 | 2 |
| Laser surgery eye strands CPT 67031 | not published | not published | $576.03 – $576.03 | 2 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Laser surgery of prostate CPT 52647 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Laser surgery of prostate CPT 52648 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Laser treatment of retina CPT 67039 | not published | not published | $4,224.00 – $4,224.00 | 2 |
| Laser treatment of retina CPT 67040 | not published | not published | $4,224.00 – $4,224.00 | 2 |
| Lateral canthopexy CPT 21282 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $243.83 – $243.83 | 2 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Lead capillary CPT 83655 | $78.40 | $98.00 | $13.40 – $35.10 | 15 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,032.80 | $1,291.00 | $253.81 – $1,161.90 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,092.00 | $2,615.00 | $186.92 – $2,353.50 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,724.80 | $2,156.00 | $111.66 – $1,940.40 | 15 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $912.00 | $1,140.00 | $253.81 – $1,026.00 | 15 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Lengthening of palate CPT 42227 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $264.00 | $330.00 | $79.01 – $207.00 | 15 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $240.00 | $300.00 | $73.17 – $191.70 | 15 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $292.05 | $365.06 | $15.77 – $41.33 | 15 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,824.07 | $2,280.08 | $203.44 – $533.04 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,811.54 | $6,014.42 | $1,264.54 – $3,313.21 | 15 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $88.27 – $88.27 | 2 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $116.19 – $116.19 | 2 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $195.92 – $195.92 | 2 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $299.83 – $299.83 | 2 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $424.08 – $424.08 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $95.60 | $119.50 | $15.27 – $40.00 | 15 |
| Levetiracetam therapeutic drug level CPT 80177 | $109.60 | $137.00 | $47.06 – $123.30 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $96.48 | $120.60 | $23.12 – $60.57 | 15 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $199.24 | $249.05 | $47.83 – $125.31 | 15 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Liberta rc ipg HCPCS C1820 | $25,760.00 | $32,200.00 | $9,317.44 – $24,412.50 | 15 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $36.69 | $45.86 | $6.01 – $15.74 | 15 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $74.16 | $92.70 | $24.01 – $62.91 | 15 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Limb exercise test CPT 95875 | not published | not published | $164.28 – $164.28 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $62.37 – $62.37 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $224.36 | $280.45 | $60.32 – $158.04 | 15 |
| Lipase CPT 83690 | $88.00 | $110.00 | $37.79 – $99.00 | 15 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $85.60 | $107.00 | $12.37 – $32.40 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $88.00 | $110.00 | $37.79 – $99.00 | 15 |
| Lip surgery procedure CPT 40799 | not published | not published | $243.83 – $243.83 | 2 |
| Lithium therapeutic drug level CPT 80178 | $67.20 | $84.00 | $28.85 – $75.60 | 15 |
| Liver elastography 91200 CPT 91200 | not published | not published | $164.28 – $164.28 | 2 |
| Liver Function Test CPT 80076 | $120.00 | $150.00 | $51.53 – $135.00 | 15 |
| Liver imaging CPT 78201 | not published | not published | $565.18 – $565.18 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $565.18 – $565.18 | 2 |
| Liver/spleen imag static only CPT 78215 | $1,480.80 | $1,851.00 | $421.92 – $1,665.90 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $421.92 – $421.92 | 2 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $21.00 | $26.25 | $9.02 – $23.63 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $38.40 | $48.00 | $15.00 – $39.30 | 15 |
| Loudness balance test CPT 92562 | not published | not published | $326.96 – $326.96 | 2 |
| Low back disk surgery CPT 63030 | not published | not published | $7,500.92 – $7,500.92 | 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.