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 |
|---|---|---|---|---|
| Electroejaculation CPT 55870 | not published | not published | $914.28 – $914.28 | 2 |
| Electrogastrography CPT 91132 | not published | not published | $326.96 – $326.96 | 2 |
| Electrogastrography w/test CPT 91133 | not published | not published | $135.35 – $135.35 | 2 |
| Electrolyte panel CPT 80051 | $116.80 | $146.00 | $50.15 – $131.40 | 15 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $96.38 – $96.38 | 2 |
| Electron microscopy diagnostic CPT 88348 | $1,024.80 | $1,281.00 | $440.02 – $1,152.90 | 15 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $135.35 – $135.35 | 2 |
| Electrophysiologic study CPT 93624 | not published | not published | $7,967.51 – $7,967.51 | 2 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $7,967.51 – $7,967.51 | 2 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $7,967.51 – $7,967.51 | 2 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $1,274.69 – $1,274.69 | 2 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $299.48 – $299.48 | 1 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $5,136.27 | $6,420.33 | $1,816.50 – $4,759.39 | 15 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $211.23 – $211.23 | 2 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $135.35 – $135.35 | 2 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $164.28 – $164.28 | 2 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $326.96 – $326.96 | 2 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $135.35 – $135.35 | 2 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $164.28 – $164.28 | 2 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $326.96 – $326.96 | 2 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $319.40 – $319.40 | 2 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $914.28 – $914.28 | 2 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $957.30 – $957.30 | 2 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $957.30 – $957.30 | 2 |
| Endoscopy of ureter CPT 50951 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $4,851.24 | $6,064.05 | $1,483.02 – $3,885.64 | 15 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $74.06 | $92.57 | $15.60 – $40.87 | 15 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | $58.40 | $73.00 | $25.08 – $65.70 | 15 |
| Enzyme histochemistry CPT 88319 | $276.80 | $346.00 | $118.85 – $311.40 | 15 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $25,758.92 – $25,758.92 | 2 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $25,758.92 – $25,758.92 | 2 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $934.80 – $934.80 | 2 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $934.80 – $934.80 | 2 |
| Epiglottidectomy CPT 31420 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $1,274.69 – $1,274.69 | 2 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $41.61 | $52.01 | $17.87 – $46.81 | 15 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $36.68 | $45.85 | $15.75 – $41.27 | 15 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $37.04 | $46.29 | $15.24 – $39.93 | 15 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $1,660.00 | $2,075.00 | $712.76 – $1,867.50 | 15 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $462.81 | $578.51 | $197.20 – $516.69 | 15 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $560.00 | $700.00 | $48.09 – $126.00 | 15 |
| Epstein barr nuclear antigen antibody CPT 86664 | $60.00 | $75.00 | $25.76 – $67.50 | 15 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $90.40 | $113.00 | $35.38 – $92.70 | 15 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.05 – $19.05 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,220.36 | $1,525.45 | $523.99 – $1,372.91 | 15 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $134.70 | $168.37 | $20.36 – $53.35 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $245.60 | $307.00 | $92.45 – $276.30 | 15 |
| ER Visit (level 2) CPT 99282 | $395.20 | $494.00 | $166.28 – $444.60 | 15 |
| ER Visit (level 3) CPT 99283 | $640.80 | $801.00 | $275.14 – $720.90 | 15 |
| ER Visit (level 4) CPT 99284 | $1,048.00 | $1,310.00 | $447.11 – $1,179.00 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $1,622.40 | $2,028.00 | $643.76 – $1,825.20 | 15 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $39.99 | $49.98 | $15.66 – $41.03 | 15 |
| Esophageal dilat s&i CPT 74360 | $875.20 | $1,094.00 | $375.79 – $984.60 | 15 |
| Esophageal motility CPT 78258 | not published | not published | $421.92 – $421.92 | 2 |
| Esophageal recording CPT 93615 | not published | not published | $1,274.69 – $1,274.69 | 2 |
| Esophageal recording CPT 93616 | not published | not published | $1,274.69 – $1,274.69 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $984.44 – $984.44 | 2 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,991.84 – $1,991.84 | 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.