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 |
|---|---|---|---|---|
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,650.40 | $2,063.00 | $708.64 – $1,856.70 | 15 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $24.05 – $63.00 | 15 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $25.71 – $25.71 | 2 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $97.13 – $97.13 | 2 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $168.70 – $168.70 | 2 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $168.70 – $168.70 | 2 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $128.80 | $161.00 | $55.30 – $144.90 | 15 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $326.96 – $326.96 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $418.99 – $418.99 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $135.35 – $135.35 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $117.60 | $147.00 | $50.49 – $132.30 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $90.40 | $113.00 | $38.82 – $101.70 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $104.80 | $131.00 | $45.00 – $117.90 | 15 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $31.28 – $31.28 | 2 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $143.20 | $179.00 | $61.49 – $161.10 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $103.20 | $129.00 | $44.31 – $116.10 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $118.40 | $148.00 | $50.84 – $133.20 | 15 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $421.92 – $421.92 | 2 |
| Pulse ox continuous overnight monitoring CPT 94762 | $485.60 | $607.00 | $57.02 – $149.40 | 15 |
| Pulse ox multiple CPT 94761 | $121.60 | $152.00 | $52.21 – $136.80 | 15 |
| Pulse ox single CPT 94760 | $94.40 | $118.00 | $40.53 – $106.20 | 15 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $727.15 – $727.15 | 2 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $125.60 | $157.00 | $53.93 – $141.30 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $509.60 | $637.00 | $218.81 – $573.30 | 15 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,176.80 | $1,471.00 | $505.29 – $1,323.90 | 15 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $727.15 – $727.15 | 2 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $727.15 – $727.15 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $38.96 | $48.70 | $16.73 – $43.83 | 15 |
| Pyruvate CPT 84210 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $565.18 – $565.18 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $421.92 – $421.92 | 2 |
| Quest t3 uptake CPT 84479 | $48.80 | $61.00 | $20.95 – $54.90 | 15 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $1,036.28 | $1,295.35 | $444.95 – $1,165.82 | 15 |
| Rabies ig ht&sol human im/sc CPT 90377 | $4,321.71 | $5,402.13 | $501.11 – $1,312.97 | 15 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,294.62 | $6,618.27 | $714.65 – $1,872.45 | 15 |
| Radiation physics consult CPT 77336 | not published | not published | $139.41 – $139.41 | 2 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $139.41 – $139.41 | 2 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $139.41 – $139.41 | 2 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $139.41 – $139.41 | 2 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $384.37 – $384.37 | 2 |
| Radiation treatment delivery CPT 77401 | not published | not published | $114.98 – $114.98 | 2 |
| Radiation treatment delivery CPT 77402 | not published | not published | $114.98 – $114.98 | 2 |
| Radiation treatment delivery CPT 77412 | not published | not published | $276.13 – $276.13 | 2 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,436.67 – $1,436.67 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,800.00 | $3,500.00 | $1,202.25 – $3,150.00 | 15 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,634.40 | $3,293.00 | $1,131.15 – $2,963.70 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,390.40 | $1,738.00 | $421.92 – $1,564.20 | 15 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $7,978.48 | $9,973.10 | $911.60 – $2,388.48 | 15 |
| Range of motion measurements CPT 95852 | $85.60 | $107.00 | $36.75 – $96.30 | 15 |
| Rapid desensitization CPT 95180 | not published | not published | $418.99 – $418.99 | 2 |
| Rapid Strep Test CPT 87880 | $66.40 | $83.00 | $28.51 – $74.70 | 15 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $2,036.87 | $2,546.08 | $874.58 – $2,291.47 | 15 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $221.77 – $224.93 | 2 |
| Rbc count only automated CPT 85041 | $28.00 | $35.00 | $12.02 – $31.50 | 15 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $459.04 – $459.04 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Realignment of tendons CPT 26437 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $19,309.55 – $19,309.55 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Reconstruct elbow joint CPT 24360 | 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.