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 |
|---|---|---|---|---|
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $39.15 – $39.15 | 2 |
| Interstitial brachy inter CPT 77799 | not published | not published | $114.98 – $114.98 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Intra-atrial pacing CPT 93610 | not published | not published | $7,967.51 – $7,967.51 | 2 |
| Intra-atrial recording CPT 93602 | not published | not published | $7,967.51 – $7,967.51 | 2 |
| Intracranial complete study CPT 93886 | not published | not published | $253.81 – $253.81 | 2 |
| Intracranial limited study CPT 93888 | not published | not published | $111.66 – $111.66 | 2 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $534.71 – $534.71 | 2 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $213.56 – $213.56 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $459.04 – $459.04 | 2 |
| Intraventricular pacing CPT 93612 | not published | not published | $7,967.51 – $7,967.51 | 2 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $135.31 – $135.31 | 2 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,631.11 – $1,631.11 | 2 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Intro long gi tube CPT 44500 | $1,128.00 | $1,410.00 | $484.34 – $1,269.00 | 15 |
| Intro long gi tube w/mult fluo CPT 74340 | $678.40 | $848.00 | $291.29 – $763.20 | 15 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $592.80 | $741.00 | $243.83 – $666.90 | 15 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $62.37 – $62.37 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $39.15 – $39.15 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $105.00 | $131.25 | $9.02 – $23.63 | 15 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $35,986.88 | $44,983.59 | $4,075.26 – $10,677.55 | 15 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $338.66 | $423.32 | $18.95 – $49.64 | 15 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $965.44 | $1,206.79 | $414.53 – $1,086.11 | 15 |
| Iron CPT 83540 | $92.80 | $116.00 | $26.45 – $69.30 | 15 |
| Iron binding capacity CPT 83550 | $42.40 | $53.00 | $18.21 – $47.70 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $72.64 | $90.79 | $31.19 – $81.71 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $41.25 | $51.56 | $16.79 – $43.99 | 15 |
| Irradiation of blood product each unit reference CPT 86945 | $164.00 | $205.00 | $70.42 – $184.50 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $180.80 | $226.00 | $60.80 – $195.30 | 15 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $62.37 – $62.37 | 2 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Ivc venogram s&i CPT 75825 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| IV Fluids (each additional hour) CPT 96361 | $132.80 | $166.00 | $41.22 – $108.00 | 15 |
| IV Fluids (first hour) CPT 96360 | $342.40 | $428.00 | $128.81 – $337.50 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $107.20 | $134.00 | $46.03 – $120.60 | 15 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $421.92 – $421.92 | 2 |
| IV Medicine Infusion (additional drug) CPT 96367 | $238.40 | $298.00 | $68.80 – $268.20 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $182.40 | $228.00 | $48.45 – $135.00 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $497.60 | $622.00 | $151.20 – $427.50 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $418.99 – $418.99 | 2 |
| IV Push Injection (each additional drug) CPT 96375 | $120.00 | $150.00 | $8.59 – $22.50 | 15 |
| IV Push Injection (first drug) CPT 96374 | $261.60 | $327.00 | $88.80 – $294.30 | 15 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $186.92 – $186.92 | 2 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $929.60 | $1,162.00 | $186.92 – $1,045.80 | 15 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $442.40 | $553.00 | $92.45 – $497.70 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $328.80 | $411.00 | $111.66 – $369.90 | 15 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $15,003.78 – $15,003.78 | 2 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $31.20 | $39.00 | $13.40 – $35.10 | 15 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $38.74 | $48.42 | $2.28 – $5.97 | 15 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Kidney function study CPT 78725 | not published | not published | $421.92 – $421.92 | 2 |
| Kidney imaging morphology CPT 78700 | not published | not published | $421.92 – $421.92 | 2 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $565.18 – $565.18 | 2 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,880.00 | $2,350.00 | $565.18 – $2,115.00 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $776.80 | $971.00 | $111.66 – $873.90 | 15 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $629.60 | $787.00 | $111.66 – $708.30 | 15 |
| Kit gene analys d816 variant CPT 81273 | $526.40 | $658.00 | $226.02 – $592.20 | 15 |
| Kit lead specify 5-6-5 HCPCS C1778 | $2,800.00 | $3,500.00 | $525.90 – $1,377.90 | 15 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,028.80 | $1,286.00 | $441.74 – $1,157.40 | 15 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $3,605.60 | $4,507.00 | $374.99 – $4,056.30 | 15 |
| Knee MRI (with contrast) CPT 73722 | $3,146.40 | $3,933.00 | $611.05 – $3,539.70 | 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.