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 |
|---|---|---|---|---|
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,493.11 | $4,366.38 | $1,499.85 – $3,929.74 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $117.12 | $146.39 | $20.04 – $52.50 | 15 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $11,124.60 | $13,905.75 | $61.60 – $12,515.18 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,004.77 | $6,255.96 | $174.97 – $458.44 | 15 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $208.64 – $208.64 | 2 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,304.00 | $4,130.00 | $1,418.66 – $3,717.00 | 15 |
| Dch glucoscan CPT 82948 | $36.80 | $46.00 | $15.80 – $41.40 | 15 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $326.96 – $326.96 | 2 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Deamidated gliadin antibody iga CPT 86258 | $54.40 | $68.00 | $18.89 – $49.50 | 15 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $844.80 | $1,056.00 | $362.74 – $950.40 | 15 |
| Debridement (>20 cm) charge pt CPT 97598 | $352.80 | $441.00 | $151.48 – $396.90 | 15 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $912.00 | $1,140.00 | $391.59 – $1,026.00 | 15 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $62.37 – $62.37 | 2 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $62.37 – $62.37 | 2 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $738.77 – $738.77 | 2 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $208.64 – $208.64 | 2 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $738.77 – $738.77 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $642.74 – $642.74 | 2 |
| Decalcification CPT 88311 | $73.60 | $92.00 | $8.93 – $23.40 | 15 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $2,057.12 | $2,571.39 | $134.45 – $352.27 | 15 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $541.60 | $677.00 | $232.55 – $609.30 | 15 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Decompression of leg CPT 27892 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompression of leg CPT 27893 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Decompression of leg CPT 27894 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Decompress optic nerve CPT 67570 | not published | not published | $3,959.55 – $3,959.55 | 2 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $209.28 | $261.59 | $18.20 – $47.67 | 15 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,072.15 | $2,590.18 | $399.55 – $1,046.85 | 15 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $10,047.49 – $10,047.49 | 2 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Delivery of placenta 59414 CPT 59414 | $1,200.00 | $1,500.00 | $515.25 – $1,350.00 | 15 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $135.31 – $135.31 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $182.40 | $228.00 | $78.32 – $205.20 | 15 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,159.32 | $6,449.15 | $1,206.30 – $3,160.62 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $475.20 | $594.00 | $135.35 – $534.60 | 15 |
| Dermabrasion other than face CPT 15782 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $738.77 – $738.77 | 2 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $419.51 – $419.51 | 2 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Design mlc device for imrt CPT 77338 | not published | not published | $384.37 – $384.37 | 2 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $42.02 | $52.52 | $16.19 – $42.41 | 15 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $208.64 – $208.64 | 2 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $208.64 – $208.64 | 2 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $208.64 – $208.64 | 2 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $208.64 – $208.64 | 2 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $642.74 – $642.74 | 2 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $419.51 – $419.51 | 2 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $419.51 – $419.51 | 2 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $208.64 – $208.64 | 2 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $934.80 – $934.80 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $2,050.41 – $2,050.41 | 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.