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 |
|---|---|---|---|---|
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $348.27 – $348.27 | 2 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Correct finger deformity CPT 26567 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Correction claw finger other CPT 26499 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,016.97 – $1,016.97 | 2 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $313.88 – $313.88 | 2 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $135.35 – $135.35 | 2 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,016.97 – $1,016.97 | 2 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Correct rectal prolapse CPT 45541 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $642.74 – $642.74 | 2 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Cortisol total am CPT 82533 | $118.40 | $148.00 | $20.27 – $53.10 | 15 |
| Costotransversectomy CPT 21610 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $273.56 | $341.94 | $30.19 – $79.09 | 15 |
| Co-treatment - group 15 mins, st CPT 92508 | $167.20 | $209.00 | $71.79 – $188.10 | 15 |
| Counseling smoke cess interm >10mins CPT 99407 | not published | not published | $31.28 – $31.28 | 2 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $97.13 – $97.13 | 2 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $1,400.00 | $1,750.00 | $601.13 – $1,575.00 | 15 |
| Cover eye w/membrane CPT 65778 | not published | not published | $1,016.97 – $1,016.97 | 2 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $3,959.55 – $3,959.55 | 2 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.20 | $89.00 | $30.57 – $80.10 | 15 |
| Covid-19 convalescent plasma HCPCS C9507 | $636.80 | $796.00 | $273.43 – $716.40 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $760.00 | $950.00 | $326.33 – $855.00 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $812.80 | $1,016.00 | $349.00 – $914.40 | 15 |
| #covid19rsv-rsv CPT 87634 | $171.20 | $214.00 | $73.51 – $192.60 | 15 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $37.60 | $47.00 | $16.14 – $42.30 | 15 |
| CPAP or BiPAP Setup (first day) CPT 94660 | not published | not published | $213.56 – $213.56 | 2 |
| C-peptide CPT 84681 | $111.20 | $139.00 | $47.75 – $125.10 | 15 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,083.20 | $1,354.00 | $326.96 – $1,218.60 | 15 |
| Cptrized corneal topography CPT 92025 | not published | not published | $62.37 – $62.37 | 2 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $62.37 – $62.37 | 2 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $326.96 – $326.96 | 2 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $565.18 – $565.18 | 2 |
| C-reactive protein CPT 86140 | $73.60 | $92.00 | $31.60 – $82.80 | 15 |
| C-reactive protein high sensitivity CPT 86141 | $91.20 | $114.00 | $39.16 – $102.60 | 15 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Create eardrum opening CPT 69436 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Create passage to kidney CPT 52334 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Create tear duct drain CPT 68745 | not published | not published | $3,959.55 – $3,959.55 | 2 |
| Create tear duct drain CPT 68750 | not published | not published | $3,959.55 – $3,959.55 | 2 |
| Create tear sac drain CPT 68720 | not published | not published | $3,959.55 – $3,959.55 | 2 |
| Creatine kinase CPT 82550 | $65.60 | $82.00 | $28.17 – $73.80 | 15 |
| Creatine kinase mb CPT 82553 | $99.20 | $124.00 | $42.59 – $111.60 | 15 |
| Creatine - sendout CPT 82540 | $59.20 | $74.00 | $25.42 – $66.60 | 15 |
| Creatinine CPT 82565 | $40.00 | $50.00 | $17.18 – $45.00 | 15 |
| Creatinine 24 hour urine CPT 82570 | $100.80 | $126.00 | $7.56 – $19.80 | 15 |
| Creatinine clearance urine CPT 82575 | $70.40 | $88.00 | $30.23 – $79.20 | 15 |
| #creutz-prot.,western blot CPT 84182 | $73.60 | $92.00 | $31.60 – $82.80 | 15 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $168.70 – $168.70 | 2 |
| Critical care each additional 30 minutes CPT 99292 | $756.00 | $945.00 | $324.61 – $850.50 | 15 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,712.00 | $3,390.00 | $884.74 – $3,051.00 | 15 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $130.95 – $130.95 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Cryoablate prostate CPT 55873 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $319.40 – $319.40 | 2 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Cryoprecipitate each unit HCPCS P9012 | $183.20 | $229.00 | $78.66 – $206.10 | 15 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $459.04 – $459.04 | 2 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $208.64 – $208.64 | 2 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $62.37 – $62.37 | 2 |
| Crystal identification light microscopy CPT 89060 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Csf leakage imaging CPT 78650 | $1,880.80 | $2,351.00 | $807.57 – $2,115.90 | 15 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $314.91 – $314.91 | 2 |
| Csf ventriculography CPT 78635 | not published | not published | $565.18 – $565.18 | 2 |
| CT 3d report other modality w/workstation CPT 76377 | $787.20 | $984.00 | $338.00 – $885.60 | 15 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,542.40 | $3,178.00 | $186.92 – $2,860.20 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,101.60 | $5,127.00 | $374.99 – $4,614.30 | 15 |
| CT Angiogram of the Abdomen CPT 74175 | $2,851.20 | $3,564.00 | $186.92 – $3,207.60 | 15 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $3,102.40 | $3,878.00 | $186.92 – $3,490.20 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,650.40 | $3,313.00 | $186.92 – $2,981.70 | 15 |
| CT Angiogram of the Head CPT 70496 | $2,634.40 | $3,293.00 | $186.92 – $2,963.70 | 15 |
| CT Angiogram of the Neck CPT 70498 | $3,146.40 | $3,933.00 | $186.92 – $3,539.70 | 15 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $374.99 – $446.60 | 3 |
| CT angio pelvis CPT 72191 | $2,414.40 | $3,018.00 | $186.92 – $2,716.20 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,307.20 | $2,884.00 | $186.92 – $2,595.60 | 15 |
| CT bone density axial CPT 77078 | not published | not published | $92.45 – $92.45 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $111.66 – $352.55 | 3 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $186.92 – $446.60 | 3 |
| CT colonography screening CPT 74263 | not published | not published | $253.81 – $253.81 | 2 |
| CT guidance for needle placement CPT 77012 | $2,061.60 | $2,577.00 | $885.20 – $2,319.30 | 15 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,612.80 | $2,016.00 | $692.50 – $1,814.40 | 15 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $251.87 – $251.87 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $92.45 – $92.45 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $374.99 – $446.60 | 3 |
| CT hrt w/3d image CPT 75572 | not published | not published | $374.99 – $446.60 | 3 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $92.45 – $92.45 | 2 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,496.00 | $3,120.00 | $186.92 – $2,808.00 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $243.83 – $243.83 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,408.80 | $5,511.00 | $374.99 – $4,959.90 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,747.20 | $4,684.00 | $374.99 – $4,215.60 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,016.00 | $3,770.00 | $253.81 – $3,393.00 | 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.