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 |
|---|---|---|---|---|
| Hip X-ray CPT 73502 | $315.20 | $394.00 | $92.45 – $354.60 | 15 |
| Histamine CPT 83088 | $130.40 | $163.00 | $32.29 – $84.60 | 15 |
| Histochemical stains add-on CPT 88314 | $189.60 | $237.00 | $74.20 – $194.40 | 15 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $31.28 – $31.28 | 2 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Hla class i high defin qual CPT 86832 | $404.80 | $506.00 | $173.81 – $455.40 | 15 |
| Hla class ii high defin qual CPT 86833 | $371.20 | $464.00 | $159.38 – $417.60 | 15 |
| Hla ii typing 1 loc hr CPT 81382 | $465.60 | $582.00 | $199.92 – $523.80 | 15 |
| Hla ii typing ag equiv lr CPT 81375 | $1,108.00 | $1,385.00 | $475.75 – $1,246.50 | 15 |
| Hla i low res one antigen equiv ea CPT 81374 | $148.00 | $185.00 | $63.55 – $166.50 | 15 |
| Hla i typing complete lr CPT 81372 | $856.80 | $1,071.00 | $367.89 – $963.90 | 15 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $97.13 – $97.13 | 2 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $31.28 – $31.28 | 2 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $31.28 – $31.28 | 2 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $168.70 – $168.70 | 2 |
| Home vent mgmt supervision CPT 94005 | $1,458.40 | $1,823.00 | $626.20 – $1,640.70 | 15 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $41.22 – $108.00 | 15 |
| Homogenization tissue CPT 87176 | $40.80 | $51.00 | $14.43 – $37.80 | 15 |
| Homovanillic acid (hva) CPT 83150 | $60.80 | $76.00 | $26.11 – $68.40 | 15 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $31.28 – $31.28 | 2 |
| Hpv types 16 & 18 only CPT 87625 | $170.40 | $213.00 | $73.17 – $191.70 | 15 |
| H pylori (c-13) breath CPT 83013 | $252.00 | $315.00 | $108.20 – $283.50 | 15 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Htt gene detc abnor alleles CPT 81271 | $373.60 | $467.00 | $160.41 – $420.30 | 15 |
| Human epididymis protein 4 (he4) CPT 86305 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $81.65 | $102.06 | $35.06 – $91.85 | 15 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $37.10 | $46.37 | $15.92 – $41.72 | 15 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $106.10 | $132.62 | $16.46 – $43.12 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $112.66 | $140.82 | $14.93 – $39.11 | 15 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $837.12 | $1,046.39 | $84.70 – $221.92 | 15 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $34.77 | $43.46 | $14.93 – $39.11 | 15 |
| Hymenotomy CPT 56442 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $728.50 – $728.50 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $276.13 – $276.13 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $607.39 – $607.39 | 2 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $607.39 – $607.39 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $607.39 – $607.39 | 2 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.81 – $17.81 | 1 |
| Hysterosalpingography s&i CPT 74740 | $642.40 | $803.00 | $253.81 – $722.70 | 15 |
| Hysteroscopy ablation CPT 58563 | $7,251.20 | $9,064.00 | $3,113.48 – $8,157.60 | 15 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $422.59 | $528.23 | $98.20 – $257.28 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $224.80 | $281.00 | $96.52 – $252.90 | 15 |
| I131 iodide cap, rx HCPCS A9517 | $140.00 | $175.00 | $60.11 – $157.50 | 15 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,003.72 | $1,254.64 | $87.01 – $227.97 | 15 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.19 – $93.19 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $326.96 – $326.96 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $41.21 – $41.21 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $62.37 – $62.37 | 2 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $25.71 – $25.71 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Idh1 common variants CPT 81120 | $471.20 | $589.00 | $202.32 – $530.10 | 15 |
| Idh2 common variants CPT 81121 | $721.60 | $902.00 | $309.84 – $811.80 | 15 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,016.97 – $1,016.97 | 2 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Idursulfase injection HCPCS J1743 | not published | not published | $548.06 – $548.06 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $301.36 | $376.70 | $64.41 – $168.75 | 15 |
| Igh gene rearrange amp meth CPT 81261 | $464.00 | $580.00 | $199.23 – $522.00 | 15 |
| Igh@ var region somatic mutation analy CPT 81263 | $718.40 | $898.00 | $308.46 – $808.20 | 15 |
| Igk rearrangeabn clonal pop CPT 81264 | $404.80 | $506.00 | $173.81 – $455.40 | 15 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $173.60 | $217.00 | $63.20 – $165.60 | 15 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $558.40 | $698.00 | $144.27 – $378.00 | 15 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $265.60 | $332.00 | $71.10 – $186.30 | 15 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $62.37 – $62.37 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $41.21 – $41.21 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $62.37 – $62.37 | 2 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $6,847.53 – $6,847.53 | 2 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $3,953.07 | $4,941.33 | $50.63 – $210.84 | 15 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $83.74 – $83.74 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $49.91 – $49.91 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $90.40 | $113.00 | $13.74 – $36.00 | 15 |
| Immunofixation electrophoresis serum CPT 86334 | $192.00 | $240.00 | $40.53 – $106.20 | 15 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $215.20 | $269.00 | $80.38 – $210.60 | 15 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $288.00 | $360.00 | $121.94 – $319.50 | 15 |
| Impedence cardiogram CPT 93701 | not published | not published | $135.35 – $135.35 | 2 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $19,309.55 – $19,309.55 | 2 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $17,237.25 – $17,237.25 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $33,398.21 – $33,398.21 | 2 |
| Implant eye drug system CPT 67027 | not published | not published | $16,133.07 – $16,133.07 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $418.99 – $418.99 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $22,516.61 – $22,516.61 | 2 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $13,093.83 – $13,093.83 | 2 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,891.05 – $6,891.05 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,891.05 – $6,891.05 | 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.