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 |
|---|---|---|---|---|
| Patient recorded spirometry CPT 94014 | not published | not published | $418.99 – $418.99 | 2 |
| Patient recorded spirometry CPT 94015 | not published | not published | $326.96 – $326.96 | 2 |
| Pcv21 vaccine im CPT 90684 | $511.28 | $639.09 | $219.53 – $575.18 | 15 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $208.64 – $208.64 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $164.28 – $164.28 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,418.74 | $9,273.42 | $31.73 – $8,188.66 | 15 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,881.49 | $4,851.86 | $98.36 – $4,366.67 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,401.21 | $5,501.51 | $146.06 – $4,431.61 | 15 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,430.83 | $8,038.53 | $311.44 – $7,234.68 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,722.79 | $3,403.48 | $138.08 – $3,063.13 | 15 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $1,803.48 | $2,254.35 | $189.71 – $2,028.92 | 15 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,576.00 | $3,220.00 | $186.92 – $2,898.00 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,211.20 | $2,764.00 | $186.92 – $2,487.60 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,737.60 | $2,172.00 | $111.66 – $1,954.80 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,714.40 | $4,643.00 | $374.99 – $4,178.70 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $3,708.00 | $4,635.00 | $374.99 – $4,171.50 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $2,677.60 | $3,347.00 | $253.81 – $3,012.30 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $650.40 | $813.00 | $111.66 – $731.70 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $418.40 | $523.00 | $111.66 – $470.70 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $313.60 | $392.00 | $111.66 – $352.80 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $334.40 | $418.00 | $111.66 – $376.20 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $8,552.04 | $10,690.05 | $58.52 – $9,621.05 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $4,523.88 | $5,654.84 | $124.42 – $325.99 | 15 |
| Pemivibart infusion HCPCS M0224 | $790.40 | $988.00 | $339.38 – $889.20 | 15 |
| Peng benzathine/procaine inj HCPCS J0558 | $82.63 | $103.28 | $35.48 – $92.95 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $228.57 | $285.71 | $46.26 – $121.19 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $68.90 | $86.12 | $16.13 – $42.27 | 15 |
| Penile injection CPT 54235 | not published | not published | $255.37 – $255.37 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $111.66 – $111.66 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $111.66 – $111.66 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Penis study CPT 54240 | not published | not published | $326.96 – $326.96 | 2 |
| Pentamidine non-comp unit HCPCS J2545 | $164.00 | $205.00 | $55.42 – $145.21 | 15 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $2,428.08 | $3,035.09 | $1,042.55 – $2,731.58 | 15 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $185.88 | $232.35 | $79.81 – $209.12 | 15 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,640.80 | $3,301.00 | $1,133.89 – $2,970.90 | 15 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Peripheral vascular rehab CPT 93668 | $161.60 | $202.00 | $62.37 – $181.80 | 15 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $575.70 – $575.70 | 2 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $421.92 – $421.92 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $738.77 – $738.77 | 2 |
| Perq dev breast 1st strtctc CPT 19283 | $1,859.20 | $2,324.00 | $738.77 – $2,091.60 | 15 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $255.37 – $255.37 | 2 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $7,444.76 | $9,305.94 | $16.20 – $8,375.35 | 15 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Pet image full body CPT 78813 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $10,719.20 | $13,399.00 | $30.23 – $79.20 | 15 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Ph body fluid CPT 83986 | $34.40 | $43.00 | $4.12 – $10.80 | 15 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $112.10 | $140.12 | $30.65 – $80.32 | 15 |
| Phenobarbital therapeutic drug level CPT 80184 | $104.80 | $131.00 | $30.57 – $80.10 | 15 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $35.27 | $44.08 | $15.14 – $39.66 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | $152.80 | $191.00 | $49.46 – $129.60 | 15 |
| Phlebotomy therapeutic CPT 99195 | $253.60 | $317.00 | $108.89 – $285.30 | 15 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $6,159.20 | $7,699.00 | $2,644.61 – $6,929.10 | 15 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Phosphorus CPT 84100 | $48.80 | $61.00 | $12.02 – $31.50 | 15 |
| Phosphorus 24 hour urine CPT 84105 | $62.40 | $78.00 | $6.53 – $17.10 | 15 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $62.37 – $62.37 | 2 |
| Photochemotherapy puva CPT 96912 | not published | not published | $62.37 – $62.37 | 2 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $419.51 – $419.51 | 2 |
| Photo patch test CPT 95052 | not published | not published | $62.37 – $62.37 | 2 |
| Photopheresis CPT 36522 | not published | not published | $4,919.43 – $4,919.43 | 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.