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 |
|---|---|---|---|---|
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $255.37 – $255.37 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $326.96 – $326.96 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $534.71 – $534.71 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Ear irrigation 69209 CPT 69209 | $145.60 | $182.00 | $62.37 – $163.80 | 15 |
| Ear protector evaluation CPT 92596 | not published | not published | $41.21 – $41.21 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $147.20 | $184.00 | $62.37 – $165.60 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $96.38 – $96.38 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $264.00 | $330.00 | $113.36 – $297.00 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $62.37 – $62.37 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $41.21 – $41.21 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $41.21 – $41.21 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,196.00 | $2,745.00 | $575.70 – $2,470.50 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $1,147.20 | $1,434.00 | $253.81 – $1,290.60 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $607.20 | $759.00 | $260.72 – $683.10 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,542.40 | $3,178.00 | $829.56 – $2,860.20 | 15 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,436.80 | $1,796.00 | $374.99 – $1,616.40 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $453.60 | $567.00 | $194.76 – $510.30 | 15 |
| Echo exam of eye CPT 76516 | not published | not published | $111.66 – $111.66 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $111.66 – $111.66 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $92.45 – $92.45 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $25.71 – $25.71 | 2 |
| Echo exam of fetal heart CPT 76825 | $1,267.20 | $1,584.00 | $544.10 – $1,425.60 | 15 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $253.81 – $253.81 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $111.66 – $111.66 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $111.66 – $111.66 | 2 |
| Echo exam uterus 76831- CPT 76831 | $376.80 | $471.00 | $161.79 – $423.90 | 15 |
| Echograp trans r pros study CPT 76873 | not published | not published | $111.66 – $111.66 | 2 |
| Echo guide for amniocentesis CPT 76946 | $288.00 | $360.00 | $123.66 – $324.00 | 15 |
| Echo guide for artery repair CPT 76936 | not published | not published | $326.96 – $326.96 | 2 |
| Echo stress CPT 93350 | $2,101.60 | $2,627.00 | $575.70 – $2,364.30 | 15 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $575.70 – $575.70 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $575.70 – $575.70 | 2 |
| Echo transesophageal CPT 93313 | not published | not published | $575.70 – $575.70 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $575.70 – $575.70 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $575.70 – $575.70 | 2 |
| Echo transthoracic CPT 93303 | $1,880.00 | $2,350.00 | $575.70 – $2,115.00 | 15 |
| Echo transthoracic CPT 93304 | $1,424.80 | $1,781.00 | $575.70 – $1,602.90 | 15 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,603.20 | $2,004.00 | $253.81 – $1,803.60 | 15 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $39.15 – $39.15 | 2 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $326.96 – $326.96 | 2 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $557.13 – $557.13 | 2 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $557.13 – $557.13 | 2 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,085.60 | $1,357.00 | $326.96 – $1,221.30 | 15 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $326.96 – $326.96 | 2 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $326.96 – $326.96 | 2 |
| Eeg recording awake and asleep CPT 95819 | $1,182.40 | $1,478.00 | $326.96 – $1,330.20 | 15 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $326.96 – $326.96 | 2 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $326.96 – $326.96 | 2 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $557.13 – $557.13 | 2 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $557.13 – $557.13 | 2 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $326.96 – $326.96 | 2 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $557.13 – $557.13 | 2 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Egd guide wire insertion CPT 43248 | not published | not published | $984.44 – $984.44 | 2 |
| Egd injection varices CPT 43243 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd remove foreign body CPT 43247 | $2,920.00 | $3,650.00 | $984.44 – $3,285.00 | 15 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd varices ligation CPT 43244 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Egfr gene com variants CPT 81235 | $1,008.00 | $1,260.00 | $432.81 – $1,134.00 | 15 |
| EKG tracing for initial prev HCPCS G0404 | $132.80 | $166.00 | $25.71 – $149.40 | 15 |
| EKG (Tracing Only) CPT 93005 | $221.60 | $277.00 | $62.37 – $249.30 | 15 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $220.00 | $275.00 | $92.45 – $247.50 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $267.20 | $334.00 | $92.45 – $300.60 | 15 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $314.91 – $314.91 | 2 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $314.91 – $314.91 | 2 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $314.91 – $314.91 | 2 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $56.00 | $70.00 | $24.05 – $63.00 | 15 |
| Electrical stimulation/unattended 97014 CPT 97014 | $52.00 | $65.00 | $22.33 – $58.50 | 15 |
| Electrocochleography CPT 92584 | not published | not published | $164.28 – $164.28 | 2 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $557.13 – $557.13 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $1,068.26 – $1,068.26 | 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.