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 |
|---|---|---|---|---|
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $984.44 – $984.44 | 2 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $984.44 – $984.44 | 2 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,994.76 – $3,994.76 | 2 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esophagus motility study CPT 91010 | not published | not published | $557.13 – $557.13 | 2 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $557.13 – $557.13 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $958.10 – $1,991.84 | 3 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $326.96 – $326.96 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $557.13 – $557.13 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $221.60 | $277.00 | $28.51 – $74.70 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $100.80 | $126.00 | $43.28 – $113.40 | 15 |
| Estradiol total CPT 82670 | $128.00 | $160.00 | $28.85 – $75.60 | 15 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Ethylene glycol -sendout CPT 82693 | $200.00 | $250.00 | $85.88 – $225.00 | 15 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $321.65 | $402.06 | $124.29 – $325.66 | 15 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $470.40 | $588.00 | $201.98 – $529.20 | 15 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $267.20 | $334.00 | $114.73 – $300.60 | 15 |
| Evaluation of speech fluency 92521 CPT 92521 | $391.20 | $489.00 | $167.97 – $440.10 | 15 |
| Evaluation psychiatric diagnostic CPT 90791 | $430.40 | $538.00 | $138.09 – $361.80 | 15 |
| Event monitor CPT 93270 | not published | not published | $39.15 – $39.15 | 2 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $326.96 – $326.96 | 2 |
| Evoked oa emissions ltd CPT 92587 | $187.20 | $234.00 | $80.38 – $210.60 | 15 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $275.20 | $344.00 | $118.16 – $309.60 | 15 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $326.96 – $326.96 | 2 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $326.96 – $326.96 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $319.40 – $319.40 | 2 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $738.77 – $738.77 | 2 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $738.77 – $738.77 | 2 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $738.77 – $738.77 | 2 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $738.77 – $738.77 | 2 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $419.51 – $419.51 | 2 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $738.77 – $738.77 | 2 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc excessive skin hip CPT 15834 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc excessive skin leg CPT 15833 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $738.77 – $738.77 | 2 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $3,005.15 – $3,005.15 | 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.