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 |
|---|---|---|---|---|
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $304.00 | $380.00 | $92.45 – $342.00 | 15 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $313.60 | $392.00 | $111.66 – $352.80 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,592.00 | $4,490.00 | $374.99 – $4,041.00 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $3,169.60 | $3,962.00 | $611.05 – $3,565.80 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $2,656.80 | $3,321.00 | $253.81 – $2,988.90 | 15 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Shoulder X-ray CPT 73030 | $324.80 | $406.00 | $92.45 – $365.40 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $220.00 | $275.00 | $92.45 – $247.50 | 15 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,572.80 | $4,466.00 | $1,534.07 – $4,019.40 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $111.66 – $111.66 | 2 |
| Sialography s&i CPT 70390 | not published | not published | $253.81 – $253.81 | 2 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Sickling rbc CPT 85660 | $70.40 | $88.00 | $14.08 – $36.90 | 15 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $957.30 – $957.30 | 2 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $957.30 – $957.30 | 2 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $957.30 – $957.30 | 2 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,820.80 | $3,526.00 | $1,211.18 – $3,173.40 | 15 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $957.30 – $957.30 | 2 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $957.30 – $957.30 | 2 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $62.37 – $62.37 | 2 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $255.37 – $255.37 | 2 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $424.00 | $530.00 | $81.49 – $213.50 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,638.40 | $3,298.00 | $186.92 – $2,968.20 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $2,156.00 | $2,695.00 | $186.92 – $2,425.50 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $1,729.60 | $2,162.00 | $111.66 – $1,945.80 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Sinus X-ray (complete) CPT 70220 | $351.20 | $439.00 | $92.45 – $395.10 | 15 |
| Sinus X-ray (limited) CPT 70210 | $344.00 | $430.00 | $92.45 – $387.00 | 15 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $58,743.27 – $58,743.27 | 2 |
| Sirolimus, oral HCPCS J7520 | $49.68 | $62.10 | $21.33 – $55.89 | 15 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Skin Biopsy CPT 11102 | $444.00 | $555.00 | $190.64 – $499.50 | 15 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Skull X-ray (1 to 3 views) CPT 70250 | $313.60 | $392.00 | $111.66 – $352.80 | 15 |
| Skull X-ray (complete) CPT 70260 | $464.80 | $581.00 | $111.66 – $522.90 | 15 |
| Skyla, 13.5 mg HCPCS J7301 | $1,000.80 | $1,251.00 | $371.82 – $974.21 | 15 |
| Sleep study attended CPT 95807 | not published | not published | $557.13 – $557.13 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $4,043.20 | $5,054.00 | $1,068.26 – $4,548.60 | 15 |
| Sleep study unattended CPT 95806 | not published | not published | $164.28 – $164.28 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,230.40 | $4,038.00 | $844.67 – $2,213.10 | 15 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $62.37 – $62.37 | 2 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $545.60 | $682.00 | $186.92 – $613.80 | 15 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy CPT 44382 | not published | not published | $984.44 – $984.44 | 2 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $984.44 – $984.44 | 2 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $76.80 | $96.00 | $32.98 – $86.40 | 15 |
| Smear gram stain CPT 87205 | $72.00 | $90.00 | $30.92 – $81.00 | 15 |
| Smear nasal eosinophil CPT 89190 | $55.20 | $69.00 | $23.70 – $62.10 | 15 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Smear wet mount CPT 87210 | $72.00 | $90.00 | $30.92 – $81.00 | 15 |
| Snrpn/ube3a gene CPT 81331 | $348.00 | $435.00 | $149.42 – $391.50 | 15 |
| Sodium 24 hour urine CPT 84300 | $56.80 | $71.00 | $5.84 – $15.30 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $47.20 | $59.00 | $20.27 – $53.10 | 15 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $105.01 | $131.26 | $45.09 – $118.13 | 15 |
| Somatosensory testing CPT 95927 | not published | not published | $326.96 – $326.96 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | $5,124.00 | $6,405.00 | $2,200.12 – $5,764.50 | 15 |
| So neo gsap dna mcrstl ins CPT 81457 | $4,023.20 | $5,029.00 | $671.89 – $1,760.40 | 15 |
| Special physics consult CPT 77370 | not published | not published | $139.41 – $139.41 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $139.41 – $139.41 | 2 |
| Special radiation treatment CPT 77470 | not published | not published | $607.39 – $607.39 | 2 |
| Special teletx port plan CPT 77321 | not published | not published | $384.37 – $384.37 | 2 |
| Specific gravity body fluid CPT 84315 | $32.00 | $40.00 | $13.74 – $36.00 | 15 |
| Specimen fat stain CPT 89125 | $20.00 | $25.00 | $8.59 – $22.50 | 15 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $496.00 | $620.00 | $212.97 – $558.00 | 15 |
| Speech audiometry complete CPT 92556 | $146.40 | $183.00 | $62.37 – $164.70 | 15 |
| Speech evaluation complex CPT 70371 | not published | not published | $253.81 – $253.81 | 2 |
| Speech recep thresh CPT 92555 | $99.20 | $124.00 | $42.59 – $111.60 | 15 |
| Speech Therapy Session (one-on-one) CPT 92507 | $292.00 | $365.00 | $138.70 – $328.50 | 15 |
| Sperm isolation complex CPT 89261 | $375.20 | $469.00 | $161.10 – $422.10 | 15 |
| Sperm isolation simple CPT 89260 | $172.00 | $215.00 | $73.85 – $193.50 | 15 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,511.20 | $1,889.00 | $648.87 – $1,700.10 | 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.