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 |
|---|---|---|---|---|
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Incision of tongue fold CPT 41010 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Incision of tongue nerve CPT 64740 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Incision of urethra CPT 53000 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Incision of urethra CPT 53010 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Incision of urethra CPT 53020 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Incision of urethra CPT 53025 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Incision of windpipe CPT 31610 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Incision secondary cataract CPT 66820 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Incisn windpipe CPT 31600 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $154.40 | $193.00 | $56.33 – $147.60 | 15 |
| Infect ag ia optc obs influenza CPT 87804 | $70.40 | $88.00 | $30.23 – $79.20 | 15 |
| Infect ag na hep b amp CPT 87516 | $87.20 | $109.00 | $37.44 – $98.10 | 15 |
| Infect ag na hpv high-risk types CPT 87624 | $131.20 | $164.00 | $56.33 – $147.60 | 15 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $248.80 | $311.00 | $106.83 – $279.90 | 15 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $144.00 | $180.00 | $61.83 – $162.00 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $52.00 | $65.00 | $22.33 – $58.50 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $89.60 | $112.00 | $35.04 – $91.80 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $158.40 | $198.00 | $68.01 – $178.20 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $139.20 | $174.00 | $57.36 – $150.30 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $68.80 | $86.00 | $14.43 – $37.80 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $67.20 | $84.00 | $28.85 – $75.60 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $89.60 | $112.00 | $38.47 – $100.80 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $164.00 | $205.00 | $13.74 – $36.00 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $130.40 | $163.00 | $18.21 – $47.70 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $90.40 | $113.00 | $38.82 – $101.70 | 15 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $304.00 | $380.00 | $37.10 – $97.20 | 15 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $173.60 | $217.00 | $49.12 – $128.70 | 15 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $132.80 | $166.00 | $57.02 – $149.40 | 15 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,633.60 | $2,042.00 | $701.43 – $1,837.80 | 15 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $152.80 | $191.00 | $37.44 – $98.10 | 15 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $136.00 | $170.00 | $56.33 – $147.60 | 15 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $319.20 | $399.00 | $66.64 – $174.60 | 15 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $211.20 | $264.00 | $35.72 – $93.60 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $124.80 | $156.00 | $59.28 – $140.40 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $349.60 | $437.00 | $150.11 – $393.30 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $460.80 | $576.00 | $197.86 – $518.40 | 15 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $105.60 | $132.00 | $45.34 – $118.80 | 15 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $120.80 | $151.00 | $46.37 – $121.50 | 15 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $384.80 | $481.00 | $86.22 – $225.90 | 15 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $211.20 | $264.00 | $90.68 – $237.60 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,227.20 | $1,534.00 | $526.93 – $1,380.60 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $312.80 | $391.00 | $134.31 – $351.90 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $717.60 | $897.00 | $298.85 – $783.00 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $275.20 | $344.00 | $44.31 – $116.10 | 15 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $100.00 | $125.00 | $42.94 – $112.50 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $120.80 | $151.00 | $51.53 – $135.00 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $522.40 | $653.00 | $224.31 – $587.70 | 15 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $348.00 | $435.00 | $149.42 – $391.50 | 15 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,086.58 | $2,608.22 | $32.81 – $1,306.07 | 15 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,079.04 | $1,348.80 | $21.68 – $1,213.92 | 15 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,161.24 | $1,451.55 | $13.88 – $1,306.40 | 15 |
| Infuse radioactive materials CPT 77750 | not published | not published | $276.13 – $276.13 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $557.13 – $557.13 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $239.20 | $299.00 | $102.71 – $269.10 | 15 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $4,069.32 | $5,086.64 | $1,747.22 – $4,577.88 | 15 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $74.64 | $93.30 | $16.02 – $41.99 | 15 |
| Inj acetaminophen -fresenius HCPCS J0134 | $75.68 | $94.60 | $32.50 – $85.14 | 15 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $43.28 | $54.10 | $18.58 – $48.69 | 15 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.25 – $35.25 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | $2,167.04 | $2,708.80 | $331.67 – $869.00 | 15 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $8,006.57 | $10,008.21 | $17.63 – $9,007.39 | 15 |
| Inj, aponvie, 1 mg HCPCS C9145 | $112.05 | $140.06 | $48.11 – $126.05 | 15 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $3,854.61 | $4,818.26 | $1,655.07 – $4,336.43 | 15 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.66 – $500.66 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.24 – $79.24 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $170.48 – $170.48 | 1 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $1,859.18 | $2,323.97 | $798.28 – $2,091.57 | 15 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $36.88 | $46.09 | $15.83 – $41.48 | 15 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $37.45 | $46.81 | $16.08 – $42.13 | 15 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $116.40 – $116.40 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.74 – $89.74 | 1 |
| Inj, clindamycin (baxter) HCPCS J0737 | $74.08 | $92.60 | $31.81 – $83.34 | 15 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.78 – $14.78 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.14 – $17.14 | 1 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $667.19 | $833.98 | $200.86 – $526.28 | 15 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $4.16 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $309.95 – $309.95 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $727.15 – $727.15 | 2 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $652.00 | $815.00 | $279.95 – $733.50 | 15 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $478.43 – $478.43 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $309.95 – $309.95 | 2 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $160.00 – $160.00 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $2,767.54 | $3,459.42 | $78.01 – $1,110.05 | 15 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $22.58 – $22.58 | 1 |
| Injection epidural blood patch or clot CPT 62273 | $1,593.60 | $1,992.00 | $684.25 – $1,792.80 | 15 |
| Injection eye drug CPT 67028 | not published | not published | $348.27 – $348.27 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $552.80 | $691.00 | $237.36 – $621.90 | 15 |
| Injection for bladder x-ray CPT 51600 | $460.00 | $575.00 | $197.51 – $517.50 | 15 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $641.60 | $802.00 | $275.49 – $721.80 | 15 |
| Injection, fulvestrant HCPCS J9395 | $514.21 | $642.76 | $27.30 – $71.53 | 15 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,630.57 | $7,038.21 | $2,417.63 – $6,334.39 | 15 |
| Injection into brain canal CPT 61026 | not published | not published | $727.15 – $727.15 | 2 |
| Injection into brain canal CPT 61055 | not published | not published | $309.95 – $309.95 | 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.