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 |
|---|---|---|---|---|
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $31.28 – $31.28 | 2 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $168.70 – $168.70 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,381.81 – $2,381.81 | 1 |
| Alkaline phosphatase CPT 84075 | $46.40 | $58.00 | $12.37 – $32.40 | 15 |
| Allergen alpha lactalbumin ige CPT 86008 | $59.20 | $74.00 | $21.30 – $55.80 | 15 |
| Allergen egg white ige CPT 86003 | $61.60 | $77.00 | $6.18 – $16.20 | 15 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $48.45 – $48.45 | 2 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $48.45 – $48.45 | 2 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $421.60 | $527.00 | $28.85 – $75.60 | 15 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $233.60 | $292.00 | $63.20 – $165.60 | 15 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $352.00 | $440.00 | $104.42 – $273.60 | 15 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $41.21 – $41.21 | 2 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $25.71 – $25.71 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,625.77 | $3,282.21 | $5.03 – $1,248.17 | 15 |
| Alpha-fetoprotein tumor marker CPT 82105 | $138.40 | $173.00 | $54.27 – $142.20 | 15 |
| Alprostadil for injection HCPCS J0270 | $76.64 | $95.79 | $32.90 – $86.21 | 15 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $11,385.60 | $14,232.00 | $192.44 – $504.21 | 15 |
| Alt/sgpt CPT 84460 | $43.20 | $54.00 | $18.55 – $48.60 | 15 |
| Aluminum - quest CPT 82108 | $196.80 | $246.00 | $84.50 – $221.40 | 15 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $96.38 – $96.38 | 2 |
| Amantadine (symmetrel)-sendout CPT 80375 | $120.00 | $150.00 | $51.53 – $135.00 | 15 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $135.35 – $135.35 | 2 |
| Amino acids quant 2-5 CPT 82136 | $266.40 | $333.00 | $114.39 – $299.70 | 15 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $40.50 | $50.62 | $17.39 – $45.56 | 15 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $36.33 | $45.41 | $15.02 – $39.37 | 15 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $102.40 | $128.00 | $42.56 – $111.51 | 15 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $36.04 | $45.05 | $15.47 – $40.55 | 15 |
| Amitriptyline (elavil) -sendout CPT 80335 | $120.00 | $150.00 | $42.25 – $110.70 | 15 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $6,056.60 | $7,570.74 | $2,600.55 – $6,813.67 | 15 |
| Ammonia CPT 82140 | $70.40 | $88.00 | $16.49 – $43.20 | 15 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $864.00 | $1,080.00 | $370.98 – $972.00 | 15 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $319.40 – $319.40 | 2 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amphetamine confirm urine -sendout CPT 80324 | $68.00 | $85.00 | $25.08 – $65.70 | 15 |
| Amphetamines 5 or more CPT 80326 | $58.40 | $73.00 | $25.08 – $65.70 | 15 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $80.24 | $100.29 | $34.45 – $90.26 | 15 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $144.25 | $180.31 | $60.34 – $158.10 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $40.45 | $50.56 | $15.34 – $40.19 | 15 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $75.10 | $93.87 | $15.29 – $40.06 | 15 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $496.00 | $620.00 | $212.97 – $558.00 | 15 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Amylase CPT 82150 | $105.60 | $132.00 | $29.20 – $76.50 | 15 |
| Anabolic steroid 1 or 2 CPT 80327 | $220.80 | $276.00 | $94.81 – $248.40 | 15 |
| Anal pressure record CPT 91122 | not published | not published | $326.96 – $326.96 | 2 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $164.28 – $164.28 | 2 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $255.37 – $255.37 | 2 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $96.38 – $96.38 | 2 |
| Analysis gene f2 20210g>a variant CPT 81240 | $192.00 | $240.00 | $82.44 – $216.00 | 15 |
| Analysis gene f5 leiden variant CPT 81241 | $192.00 | $240.00 | $82.44 – $216.00 | 15 |
| Analysis nerve CPT 88356 | $292.00 | $365.00 | $125.38 – $328.50 | 15 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $39.15 – $39.15 | 2 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $96.38 – $96.38 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | $228.80 | $286.00 | $81.75 – $214.20 | 15 |
| An cholangiogram percutaneous compl CPT 47531 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| An fluoro guide for cvp CPT 77001 | $705.60 | $882.00 | $302.97 – $793.80 | 15 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $251.24 | $314.04 | $2.06 – $5.40 | 15 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Ankle X-ray CPT 73610 | $351.20 | $439.00 | $92.45 – $395.10 | 15 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $220.00 | $275.00 | $92.45 – $247.50 | 15 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $314.91 – $314.91 | 2 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $211.23 – $211.23 | 2 |
| Anora (draw only) CPT 99001 | $48.00 | $60.00 | $20.61 – $54.00 | 15 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Anoscopy CPT 46611 | not published | not published | $957.30 – $957.30 | 2 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $957.30 – $957.30 | 2 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $326.96 – $326.96 | 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.