Sanford Thief River Falls Medical Center
3001 Sanford Pkwy, Thief River Falls, MN · Sanford Health · · NPI 1043218753
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 |
|---|---|---|---|---|
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,123.20 | $1,404.00 | $482.27 – $1,263.60 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,696.00 | $2,120.00 | $728.22 – $1,908.00 | 15 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $856.00 | $1,070.00 | $251.87 – $963.00 | 15 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $533.60 | $667.00 | $229.11 – $600.30 | 15 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $278.86 – $278.86 | 2 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $534.71 – $534.71 | 2 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $495.20 | $619.00 | $212.63 – $557.10 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $508.80 | $636.00 | $218.47 – $572.40 | 15 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $544.80 | $681.00 | $233.92 – $612.90 | 15 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,548.00 | $3,185.00 | $1,094.05 – $2,866.50 | 15 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,502.40 | $1,878.00 | $645.09 – $1,690.20 | 15 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $473.60 | $592.00 | $203.35 – $532.80 | 15 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,466.40 | $3,083.00 | $1,059.01 – $2,774.70 | 15 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $513.60 | $642.00 | $220.53 – $577.80 | 15 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,704.80 | $2,131.00 | $732.00 – $1,917.90 | 15 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $612.80 | $766.00 | $251.87 – $689.40 | 15 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $251.87 – $251.87 | 2 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $251.87 – $251.87 | 2 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $251.87 – $251.87 | 2 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $251.87 – $251.87 | 2 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Cltx post ankle fx CPT 27767 | not published | not published | $251.87 – $251.87 | 2 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $251.87 – $251.87 | 2 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $557.13 – $557.13 | 2 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $62.37 – $62.37 | 2 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $62.37 – $62.37 | 2 |
| #cmvcul-virus inoculation shell CPT 87254 | $159.20 | $199.00 | $68.36 – $179.10 | 15 |
| Cmv pcr-sendout CPT 87496 | $345.60 | $432.00 | $37.10 – $97.20 | 15 |
| Co2 monitor per day CPT 94681 | not published | not published | $326.96 – $326.96 | 2 |
| Cocaine 4 % nasal solution HCPCS C9046 | $395.00 | $493.74 | $141.70 – $371.28 | 15 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $164.28 – $164.28 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $164.28 – $164.28 | 2 |
| Cold agglutinin titer CPT 86157 | $63.20 | $79.00 | $27.14 – $71.10 | 15 |
| Collagen based wound filler HCPCS A6010 | $692.80 | $866.00 | $297.47 – $779.40 | 15 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $278.40 | $348.00 | $92.45 – $313.20 | 15 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $31.20 | $39.00 | $10.31 – $27.00 | 15 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $72.00 | $90.00 | $30.92 – $81.00 | 15 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $120.00 | $150.00 | $51.53 – $135.00 | 15 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $326.96 – $326.96 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $957.30 – $1,371.15 | 3 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,191.30 – $1,238.03 | 3 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $957.30 – $957.30 | 2 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $957.30 – $957.30 | 2 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $957.30 – $957.30 | 2 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,191.30 – $1,238.03 | 3 |
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.