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 |
|---|---|---|---|---|
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $135.35 – $135.35 | 2 |
| Extended visual field xm CPT 92083 | not published | not published | $135.35 – $135.35 | 2 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Extensive surgery of throat CPT 42844 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| External cannula declotting CPT 36860 | not published | not published | $1,631.11 – $1,631.11 | 2 |
| External chromosome analysis 20-25 cells CPT 88264 | $338.40 | $423.00 | $145.30 – $380.70 | 15 |
| External newborn metabolic screening panel HCPCS S3620 | $235.20 | $294.00 | $100.99 – $264.60 | 15 |
| External ocular photography CPT 92285 | not published | not published | $41.21 – $41.21 | 2 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $569.60 | $712.00 | $135.00 – $353.70 | 15 |
| Extnd color vision xm CPT 92283 | not published | not published | $62.37 – $62.37 | 2 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $120.00 | $150.00 | $22.33 – $58.50 | 15 |
| Extraction of lens CPT 66930 | not published | not published | $4,224.00 – $4,224.00 | 2 |
| Extraction of lens CPT 66940 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $135.35 – $135.35 | 2 |
| Eye allergy tests CPT 95060 | not published | not published | $135.35 – $135.35 | 2 |
| Eye Socket (Orbit) X-ray CPT 70200 | $481.60 | $602.00 | $111.66 – $541.80 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,578.40 | $3,223.00 | $186.92 – $2,900.70 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,194.40 | $2,743.00 | $186.92 – $2,468.70 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,815.20 | $2,269.00 | $111.66 – $2,042.10 | 15 |
| Face bone graft CPT 21210 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,772.00 | $4,715.00 | $374.99 – $4,243.50 | 15 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,835.20 | $3,544.00 | $253.81 – $3,189.60 | 15 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $253.60 | $317.00 | $92.45 – $285.30 | 15 |
| Facial Bones X-ray (complete) CPT 70150 | $368.80 | $461.00 | $111.66 – $414.90 | 15 |
| Facial nerve function test CPT 92516 | not published | not published | $326.96 – $326.96 | 2 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Factor ix CPT 85250 | $83.20 | $104.00 | $33.66 – $88.20 | 15 |
| Factor ix non-recombinant HCPCS J7193 | $61.40 | $76.75 | $26.36 – $69.08 | 15 |
| Factor viii CPT 85240 | $78.40 | $98.00 | $33.32 – $87.30 | 15 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $168.70 – $168.70 | 2 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $168.70 – $168.70 | 2 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $35.24 | $44.04 | $15.00 – $39.31 | 15 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $3,579.24 | $4,474.04 | $1,536.83 – $4,026.64 | 15 |
| Fatty acids nonesterified CPT 82725 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $957.30 – $957.30 | 2 |
| #fecal-sodium CPT 84302 | $28.00 | $35.00 | $12.02 – $31.50 | 15 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $36.80 | $46.00 | $15.80 – $41.40 | 15 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Feno poc CPT 95012 | not published | not published | $41.21 – $41.21 | 2 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $39.56 | $49.45 | $14.87 – $38.97 | 15 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $554.32 | $692.90 | $238.01 – $623.61 | 15 |
| Ferritin CPT 82728 | $89.60 | $112.00 | $38.47 – $100.80 | 15 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,997.59 | $2,496.98 | $857.71 – $2,247.28 | 15 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.32 – $0.32 | 2 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $823.20 | $1,029.00 | $111.66 – $926.10 | 15 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $610.40 | $763.00 | $211.23 – $686.70 | 15 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $319.40 – $319.40 | 2 |
| Fetal fibronectin CPT 82731 | $311.20 | $389.00 | $133.62 – $350.10 | 15 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $319.40 – $319.40 | 2 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $266.40 | $333.00 | $114.39 – $299.70 | 15 |
| Fetal hemoglobin rosette CPT 85461 | $30.40 | $38.00 | $13.05 – $34.20 | 15 |
| Fetal non stress test CPT 59025 | $300.00 | $375.00 | $128.81 – $337.50 | 15 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $319.40 – $319.40 | 2 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $319.40 – $319.40 | 2 |
| #_fet/norfentcnfrmur CPT 80354 | $178.40 | $223.00 | $31.60 – $82.80 | 15 |
| Fibrin degradation d dimer quantitative CPT 85379 | $113.60 | $142.00 | $18.89 – $49.50 | 15 |
| Fibrinogen activity CPT 85384 | $48.00 | $60.00 | $18.21 – $47.70 | 15 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $86.40 | $108.00 | $37.10 – $97.20 | 15 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $60.00 | $75.00 | $25.76 – $67.50 | 15 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $391.88 | $489.85 | $83.98 – $220.02 | 15 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,096.24 | $1,370.29 | $392.29 – $1,027.85 | 15 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $478.36 | $597.94 | $83.78 – $219.52 | 15 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Filtered speech hearing test CPT 92571 | not published | not published | $41.21 – $41.21 | 2 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $1,991.20 | $2,489.00 | $854.97 – $2,240.10 | 15 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $738.77 – $738.77 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,006.40 | $1,258.00 | $432.12 – $1,132.20 | 15 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $419.51 – $419.51 | 2 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Finger X-ray (both hands) CPT 73140 | $220.00 | $275.00 | $92.45 – $247.50 | 15 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $211.23 – $211.23 | 2 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $984.44 – $984.44 | 2 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Flebogamma injection HCPCS J1572 | not published | not published | $52.94 – $52.94 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $516.80 | $646.00 | $221.90 – $581.40 | 15 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $957.30 – $957.30 | 2 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Flow cytometry marker each additional CPT 88185 | $114.40 | $143.00 | $25.42 – $66.60 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $558.40 | $698.00 | $83.13 – $217.80 | 15 |
| Flt3 gene CPT 81245 | $443.20 | $554.00 | $166.25 – $435.60 | 15 |
| Flt3 gene analysis CPT 81246 | $222.40 | $278.00 | $83.47 – $218.70 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $74.24 | $92.80 | $23.74 – $62.19 | 15 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $330.40 | $412.99 | $141.86 – $371.69 | 15 |
| Fluidotherapy charges pt CPT 97022 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $738.77 – $738.77 | 2 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $557.13 – $557.13 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | 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.