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 |
|---|---|---|---|---|
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $32.00 | $40.00 | $13.74 – $36.00 | 15 |
| Antibody elution rbc reference CPT 86860 | $144.00 | $180.00 | $61.83 – $162.00 | 15 |
| Antibody htlv-i CPT 86687 | $66.40 | $83.00 | $28.51 – $74.70 | 15 |
| Antibody htlv-ii CPT 86688 | $66.40 | $83.00 | $28.51 – $74.70 | 15 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $347.20 | $434.00 | $29.20 – $76.50 | 15 |
| Antibody id rbc panel CPT 86870 | $212.80 | $266.00 | $91.37 – $239.40 | 15 |
| Antibody screen rbc CPT 86850 | $117.60 | $147.00 | $50.49 – $132.30 | 15 |
| Antigen therapy services CPT 95145 | not published | not published | $48.45 – $48.45 | 2 |
| Antigen therapy services CPT 95146 | not published | not published | $48.45 – $48.45 | 2 |
| Antigen therapy services CPT 95147 | not published | not published | $74.73 – $74.73 | 2 |
| Antigen therapy services CPT 95148 | not published | not published | $74.73 – $74.73 | 2 |
| Antigen therapy services CPT 95149 | not published | not published | $74.73 – $74.73 | 2 |
| Antigen therapy services CPT 95165 | not published | not published | $48.45 – $48.45 | 2 |
| Antigen therapy services CPT 95170 | not published | not published | $48.45 – $48.45 | 2 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $62.36 | $77.95 | $26.18 – $68.60 | 15 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $55.20 | $69.00 | $23.36 – $61.20 | 15 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $55.20 | $69.00 | $23.70 – $62.10 | 15 |
| Antinuclear antibodies CPT 86038 | $97.60 | $122.00 | $23.36 – $61.20 | 15 |
| Antinuclear antibodies titer CPT 86039 | $98.40 | $123.00 | $42.25 – $110.70 | 15 |
| Antiphosphatidylserine antibody CPT 86148 | $186.40 | $233.00 | $80.04 – $209.70 | 15 |
| Antistreptolysin o titer CPT 86060 | $98.40 | $123.00 | $42.25 – $110.70 | 15 |
| Antithrombin iii activity CPT 85300 | $140.00 | $175.00 | $60.11 – $157.50 | 15 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $135.35 – $135.35 | 2 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $135.35 – $135.35 | 2 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $491.20 | $614.00 | $111.66 – $552.60 | 15 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,919.43 – $4,919.43 | 2 |
| Apheresis plasma CPT 36514 | not published | not published | $1,721.24 – $1,721.24 | 2 |
| Apheresis platelets CPT 36513 | not published | not published | $459.04 – $459.04 | 2 |
| Apheresis rbc CPT 36512 | not published | not published | $1,721.24 – $1,721.24 | 2 |
| Apheresis wbc CPT 36511 | not published | not published | $1,721.24 – $1,721.24 | 2 |
| Apl(pml-rara) quant - sendout CPT 81315 | $500.80 | $626.00 | $208.50 – $546.30 | 15 |
| Appendectomy CPT 44950 | not published | not published | $6,551.74 – $6,551.74 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $165.68 – $165.68 | 2 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $278.86 – $278.86 | 2 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $278.86 – $278.86 | 2 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $278.86 – $278.86 | 2 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $278.86 – $278.86 | 2 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $278.86 – $278.86 | 2 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $278.86 – $278.86 | 2 |
| Appl halo type body cast CPT 29000 | not published | not published | $278.86 – $278.86 | 2 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $278.86 – $278.86 | 2 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $278.86 – $278.86 | 2 |
| Application clubfoot cast CPT 29450 | not published | not published | $165.68 – $165.68 | 2 |
| Application finger splntstatic 29130 CPT 29130 | $292.00 | $365.00 | $125.38 – $328.50 | 15 |
| Application halo femoral CPT 20663 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Application halo pelvic CPT 20662 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Application long leg splint 29505 CPT 29505 | $405.60 | $507.00 | $165.68 – $456.30 | 15 |
| Application lower leg splint 29515 CPT 29515 | $393.60 | $492.00 | $165.68 – $442.80 | 15 |
| Application multi layer compression below knee (both sides) CPT 29581 | $163.20 | $204.00 | $70.07 – $183.60 | 15 |
| Application of body cast CPT 29010 | not published | not published | $278.86 – $278.86 | 2 |
| Application of body cast CPT 29015 | not published | not published | $278.86 – $278.86 | 2 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $278.86 – $278.86 | 2 |
| Application of forearm cast 29075 CPT 29075 | $321.60 | $402.00 | $138.09 – $361.80 | 15 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $278.86 – $278.86 | 2 |
| Application of long leg cast CPT 29355 | not published | not published | $278.86 – $278.86 | 2 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $278.86 – $278.86 | 2 |
| Application of paste boot 29580 CPT 29580 | $144.80 | $181.00 | $62.17 – $162.90 | 15 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $278.86 – $278.86 | 2 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $134.40 | $168.00 | $21.30 – $55.80 | 15 |
| Appl long leg cast brace CPT 29358 | not published | not published | $278.86 – $278.86 | 2 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $90.40 | $113.00 | $38.82 – $101.70 | 15 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $92.80 | $116.00 | $39.85 – $104.40 | 15 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $165.68 – $165.68 | 2 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $278.86 – $278.86 | 2 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $165.68 – $165.68 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $135.35 – $135.35 | 2 |
| Apply hand/wrist cast 29085 CPT 29085 | $267.20 | $334.00 | $114.73 – $300.60 | 15 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $728.50 – $728.50 | 2 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $728.50 – $728.50 | 2 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $607.39 – $607.39 | 2 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $607.39 – $607.39 | 2 |
| Apply of finger splint 29131 CPT 29131 | $238.40 | $298.00 | $62.37 – $268.20 | 15 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Apply rigid leg cast 29445 CPT 29445 | $608.00 | $760.00 | $261.06 – $684.00 | 15 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $278.86 – $278.86 | 2 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $114.98 – $114.98 | 2 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $19,309.55 – $19,309.55 | 2 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $523.00 | $653.74 | $224.56 – $588.37 | 15 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $190.40 | $238.00 | $39.16 – $102.60 | 15 |
| Aquatic exercise - group charge CPT 97150 | $115.20 | $144.00 | $49.46 – $129.60 | 15 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $5,417.70 – $5,417.70 | 2 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $5,417.70 – $5,417.70 | 2 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $3,758.04 | $4,697.55 | $1,613.61 – $4,227.80 | 15 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,082.40 | $2,603.00 | $374.99 – $2,342.70 | 15 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,731.20 | $2,164.00 | $111.66 – $1,947.60 | 15 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $412.80 | $516.00 | $111.66 – $464.40 | 15 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $968.75 | $1,210.93 | $128.08 – $335.58 | 15 |
| Artery to vein shunt CPT 36835 | not published | not published | $3,304.88 – $3,304.88 | 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.