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 |
|---|---|---|---|---|
| Fluorescein&icg angiography CPT 92242 | not published | not published | $326.96 – $326.96 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $54.40 | $68.00 | $23.36 – $61.20 | 15 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $660.80 | $826.00 | $283.73 – $743.40 | 15 |
| Fluoroguide needle placement CPT 77002 | $645.60 | $807.00 | $277.20 – $726.30 | 15 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $516.80 | $646.00 | $221.90 – $581.40 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $319.54 | $399.42 | $121.93 – $319.46 | 15 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $140.12 | $175.15 | $60.16 – $157.64 | 15 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $253.81 – $578.05 | 3 |
| Fmri brain by tech CPT 70554 | not published | not published | $253.81 – $578.05 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $738.77 – $738.77 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $738.77 – $738.77 | 2 |
| Folic acid CPT 82746 | $95.20 | $119.00 | $40.88 – $107.10 | 15 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $34.69 | $43.36 | $14.88 – $38.98 | 15 |
| Follow-up angiography CPT 75898 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,594.03 | $1,992.53 | $655.06 – $1,716.33 | 15 |
| Fondaparinux sodium HCPCS J1652 | $103.67 | $129.58 | $18.13 – $47.49 | 15 |
| Foot X-ray CPT 73630 | $313.60 | $392.00 | $92.45 – $352.80 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $224.80 | $281.00 | $92.45 – $252.90 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $240.00 | $300.00 | $92.45 – $270.00 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $616.80 | $771.00 | $255.37 – $693.90 | 15 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $949.47 | $1,186.83 | $29.52 – $77.36 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $45.80 | $57.25 | $15.48 – $40.57 | 15 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $92.45 – $92.45 | 2 |
| _fragile x methylation-sendout CPT 81244 | $120.80 | $151.00 | $51.87 – $135.90 | 15 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Frenotomy 40806 CPT 40806 | not published | not published | $534.71 – $534.71 | 2 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $246.40 | $308.00 | $105.80 – $277.20 | 15 |
| Fresh frozen plasma thawing ea un CPT 86927 | $235.20 | $294.00 | $100.99 – $264.60 | 15 |
| Fructosamine glycated protein CPT 82985 | $51.20 | $64.00 | $21.98 – $57.60 | 15 |
| Ftl cgen abnor four anal CPT 81511 | $371.20 | $464.00 | $159.38 – $417.60 | 15 |
| Full mouth x-ray of teeth CPT 70320 | $163.20 | $204.00 | $70.07 – $183.60 | 15 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $342.40 | $428.00 | $111.66 – $385.20 | 15 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $135.35 – $135.35 | 2 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $36.64 | $45.80 | $14.95 – $39.18 | 15 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of big toe joint CPT 28755 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Fusion of foot bones CPT 28730 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Fusion of foot bones CPT 28735 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of hand joint CPT 26843 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of knuckle CPT 26850 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Fusion of thumb CPT 26841 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Fusion of toes CPT 28280 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $107.11 | $133.88 | $45.99 – $120.49 | 15 |
| Galactose transferase test CPT 82776 | $20.00 | $25.00 | $8.59 – $22.50 | 15 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,771.20 | $2,214.00 | $421.92 – $1,992.60 | 15 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,594.40 | $1,993.00 | $565.18 – $1,793.70 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Galsulfase injection HCPCS J1458 | not published | not published | $493.88 – $493.88 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $507.94 – $507.94 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $50.78 – $50.78 | 1 |
| Gammaglobulin iga CPT 82784 | $40.80 | $51.00 | $10.31 – $27.00 | 15 |
| Gammaglobulin ige CPT 82785 | $88.80 | $111.00 | $36.41 – $95.40 | 15 |
| Gamma glutamyltransferase CPT 82977 | $62.40 | $78.00 | $26.79 – $70.20 | 15 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.03 – $59.03 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $6,908.43 | $8,635.53 | $49.73 – $424.20 | 15 |
| Gastric emptying imag study CPT 78265 | not published | not published | $421.92 – $421.92 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $565.18 – $565.18 | 2 |
| Gastric motility studies CPT 91020 | not published | not published | $557.13 – $557.13 | 2 |
| Gastric mucosa imaging CPT 78261 | $1,266.40 | $1,583.00 | $421.92 – $1,424.70 | 15 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $421.92 – $421.92 | 2 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $557.13 – $557.13 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $984.44 – $984.44 | 2 |
| Gated heart multiple CPT 78473 | not published | not published | $421.92 – $421.92 | 2 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $338.20 | $422.75 | $122.82 – $321.80 | 15 |
| General health panel CPT 80050 | $337.60 | $422.00 | $144.96 – $379.80 | 15 |
| Generator barostim neo2 2014 HCPCS C1767 | $23,660.00 | $29,575.00 | $9,317.44 – $24,412.50 | 15 |
| Generator emblem MRI sicd subq HCPCS C1722 | $31,785.60 | $39,732.00 | $13,647.94 – $35,758.80 | 15 |
| Genioplasty augmentation CPT 21120 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $68.15 | $85.18 | $15.04 – $39.40 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $100.00 | $125.00 | $42.94 – $112.50 | 15 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $557.13 – $557.13 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $1,628.00 | $2,035.00 | $699.02 – $1,831.50 | 15 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $35.20 | $44.00 | $15.11 – $39.60 | 15 |
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.