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 |
|---|---|---|---|---|
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $164.28 – $164.28 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $224.80 | $281.00 | $96.52 – $252.90 | 15 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $111.20 | $139.00 | $47.75 – $125.10 | 15 |
| Pretreat rbc w enzyme reference CPT 86971 | $289.60 | $362.00 | $124.35 – $325.80 | 15 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $168.70 – $168.70 | 2 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $135.31 – $135.31 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,192.80 | $1,491.00 | $419.51 – $1,341.90 | 15 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.15 – $39.15 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $39.15 – $39.15 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $39.15 – $39.15 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $39.15 – $39.15 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $39.15 – $39.15 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $39.15 – $39.15 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $792.80 | $991.00 | $340.41 – $891.90 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $540.00 | $675.00 | $208.64 – $607.50 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $780.00 | $975.00 | $319.40 – $877.50 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $780.00 | $975.00 | $334.91 – $877.50 | 15 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $135.31 – $135.31 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $135.31 – $135.31 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $267.20 | $334.00 | $114.73 – $300.60 | 15 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $313.88 – $313.88 | 2 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $140.68 | $175.85 | $16.54 – $43.33 | 15 |
| Procalcitonin CPT 84145 | $100.00 | $125.00 | $42.94 – $112.50 | 15 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $43.55 | $54.43 | $15.39 – $40.32 | 15 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $957.30 – $957.30 | 2 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Progesterone CPT 84144 | $109.60 | $137.00 | $47.06 – $123.30 | 15 |
| Prolactin CPT 84146 | $128.80 | $161.00 | $20.95 – $54.90 | 15 |
| Prolonged IV inf, req pump HCPCS C8957 | $841.60 | $1,052.00 | $348.27 – $946.80 | 15 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $313.88 – $313.88 | 2 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $576.03 – $576.03 | 2 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $42.88 | $53.60 | $14.84 – $38.88 | 15 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $36.16 | $45.19 | $15.49 – $40.59 | 15 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $35.55 | $44.43 | $15.26 – $39.98 | 15 |
| Protein c activity CPT 85303 | $235.20 | $294.00 | $100.99 – $264.60 | 15 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $126.40 | $158.00 | $23.70 – $62.10 | 15 |
| Protein s total CPT 85305 | $171.20 | $214.00 | $14.08 – $36.90 | 15 |
| Protein total 24 hour urine CPT 84156 | $37.60 | $47.00 | $7.21 – $18.90 | 15 |
| Protein total body fluid CPT 84157 | $55.20 | $69.00 | $23.70 – $62.10 | 15 |
| Protein total serum plasma whole blood CPT 84155 | $44.80 | $56.00 | $19.24 – $50.40 | 15 |
| Prothrombin complex kcentra HCPCS J7168 | $3,823.71 | $4,779.63 | $1,080.04 – $2,829.79 | 15 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $68.80 | $86.00 | $29.54 – $77.40 | 15 |
| Proton treatment complex CPT 77525 | not published | not published | $1,339.29 – $1,339.29 | 2 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,339.29 – $1,339.29 | 2 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,339.29 – $1,339.29 | 2 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $607.39 – $607.39 | 2 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $135.31 – $135.31 | 2 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $418.99 – $418.99 | 2 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $328.00 | $410.00 | $135.35 – $369.00 | 15 |
| Pr removal intrauterine device CPT 58301 | $626.40 | $783.00 | $268.96 – $704.70 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $818.40 | $1,023.00 | $351.40 – $920.70 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $485.60 | $607.00 | $208.50 – $546.30 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $504.00 | $630.00 | $208.64 – $567.00 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $475.20 | $594.00 | $204.04 – $534.60 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $502.40 | $628.00 | $208.64 – $565.20 | 15 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $459.04 – $459.04 | 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.