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 |
|---|---|---|---|---|
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $74.40 | $93.00 | $31.95 – $83.70 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,308.80 | $1,636.00 | $448.27 – $1,174.50 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $26.45 – $69.30 | 15 |
| Mayo dihydrotestosterone CPT 82642 | $71.20 | $89.00 | $30.57 – $80.10 | 15 |
| Mayo efpo chloride stool CPT 82438 | $28.80 | $36.00 | $12.37 – $32.40 | 15 |
| Mayo estriol CPT 82677 | $58.40 | $73.00 | $25.08 – $65.70 | 15 |
| Mayo estrone CPT 82679 | $60.00 | $75.00 | $25.76 – $67.50 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $132.00 | $165.00 | $16.83 – $44.10 | 15 |
| Mayo factor ii CPT 85210 | $106.40 | $133.00 | $45.69 – $119.70 | 15 |
| Mayo factor v CPT 85220 | $236.00 | $295.00 | $101.33 – $265.50 | 15 |
| Mayo factor vii CPT 85230 | $102.40 | $128.00 | $43.97 – $115.20 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $100.00 | $125.00 | $37.10 – $97.20 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $69.60 | $87.00 | $29.88 – $78.30 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $89.60 | $112.00 | $38.47 – $100.80 | 15 |
| Mayo factor x CPT 85260 | $208.80 | $261.00 | $89.65 – $234.90 | 15 |
| Mayo factor xi CPT 85270 | $86.40 | $108.00 | $37.10 – $97.20 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Mayo fbl culture fungi blood CPT 87103 | $147.20 | $184.00 | $63.20 – $165.60 | 15 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $192.80 | $241.00 | $82.78 – $216.90 | 15 |
| Mayo ffspg allergen clam igg CPT 86001 | $54.40 | $68.00 | $23.36 – $61.20 | 15 |
| Mayo fibrinogen antigen CPT 85385 | $40.80 | $51.00 | $17.52 – $45.90 | 15 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $71.20 | $89.00 | $27.14 – $71.10 | 15 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,576.80 | $1,971.00 | $315.33 – $826.20 | 15 |
| Mayo hemosiderin qualitative urine CPT 83070 | $22.40 | $28.00 | $9.62 – $25.20 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $222.40 | $278.00 | $37.10 – $97.20 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $351.20 | $439.00 | $37.10 – $97.20 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $62.40 | $78.00 | $26.79 – $70.20 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $203.20 | $254.00 | $50.15 – $131.40 | 15 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $53.60 | $67.00 | $23.01 – $60.30 | 15 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $60.80 | $76.00 | $26.11 – $68.40 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $133.60 | $167.00 | $28.17 – $73.80 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $228.00 | $285.00 | $19.58 – $51.30 | 15 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $52.80 | $66.00 | $22.67 – $59.40 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $56.80 | $71.00 | $22.67 – $59.40 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $134.40 | $168.00 | $21.30 – $55.80 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $176.00 | $220.00 | $17.52 – $45.90 | 15 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $247.20 | $309.00 | $85.88 – $225.00 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $369.60 | $462.00 | $44.31 – $116.10 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $288.80 | $361.00 | $88.62 – $232.20 | 15 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $87.20 | $109.00 | $37.44 – $98.10 | 15 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $45.00 – $117.90 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | $150.40 | $188.00 | $64.58 – $169.20 | 15 |
| Mayo inhab inhibin a CPT 86336 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Mayo insulin antibodies CPT 86337 | $64.80 | $81.00 | $23.36 – $61.20 | 15 |
| Mayo iodine CPT 83789 | $180.00 | $225.00 | $25.42 – $66.60 | 15 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $119.20 | $149.00 | $51.18 – $134.10 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $16.14 – $42.30 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $68.80 | $86.00 | $21.30 – $55.80 | 15 |
| Mayo legionella antibody CPT 86713 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Mayo lipoprotein electrophoresis CPT 83700 | $50.40 | $63.00 | $21.64 – $56.70 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.80 | $66.00 | $22.67 – $59.40 | 15 |
| Mayo manganese CPT 83785 | $164.80 | $206.00 | $70.76 – $185.40 | 15 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $19.92 – $52.20 | 15 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $144.80 | $181.00 | $62.17 – $162.90 | 15 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $54.40 | $68.00 | $23.36 – $61.20 | 15 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $47.20 | $59.00 | $20.27 – $53.10 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $126.40 | $158.00 | $22.67 – $59.40 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $256.00 | $320.00 | $18.89 – $49.50 | 15 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $926.40 | $1,158.00 | $142.21 – $372.60 | 15 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $488.80 | $611.00 | $194.08 – $508.50 | 15 |
| Mayo muramidase CPT 85549 | $52.80 | $66.00 | $22.67 – $59.40 | 15 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $540.80 | $676.00 | $232.21 – $608.40 | 15 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $71.20 | $89.00 | $30.57 – $80.10 | 15 |
| Mayo myoglobin CPT 83874 | $159.20 | $199.00 | $16.14 – $42.30 | 15 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $120.00 | $150.00 | $31.60 – $82.80 | 15 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $120.00 | $150.00 | $39.50 – $103.50 | 15 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $132.00 | $165.00 | $30.92 – $81.00 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $52.00 | $65.00 | $21.64 – $56.70 | 15 |
| Mayo organic acids qualitative each specimen CPT 83919 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $57.60 | $72.00 | $16.14 – $42.30 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $328.80 | $411.00 | $22.67 – $59.40 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $400.80 | $501.00 | $37.10 – $97.20 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $120.80 | $151.00 | $33.66 – $88.20 | 15 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $71.20 | $89.00 | $30.57 – $80.10 | 15 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $104.00 | $130.00 | $44.66 – $117.00 | 15 |
| Mayo pregnenolone CPT 84140 | $49.60 | $62.00 | $21.30 – $55.80 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.20 | $89.00 | $30.57 – $80.10 | 15 |
| Mayo proinsulin CPT 84206 | $64.80 | $81.00 | $27.82 – $72.90 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $72.80 | $91.00 | $24.73 – $64.80 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $288.00 | $360.00 | $21.98 – $57.60 | 15 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $204.00 | $255.00 | $87.59 – $229.50 | 15 |
| Mayo receptor assay transferrin soluble CPT 84238 | $122.40 | $153.00 | $52.56 – $137.70 | 15 |
| Mayo renin CPT 84244 | $151.20 | $189.00 | $21.98 – $57.60 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $86.40 | $108.00 | $37.10 – $97.20 | 15 |
| Mayo selenium CPT 84255 | $61.60 | $77.00 | $26.45 – $69.30 | 15 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $140.00 | $175.00 | $60.11 – $157.50 | 15 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $44.31 – $116.10 | 15 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $56.80 | $71.00 | $24.39 – $63.90 | 15 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $81.60 | $102.00 | $35.04 – $91.80 | 15 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $55.20 | $69.00 | $23.70 – $62.10 | 15 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $66.40 | $83.00 | $19.92 – $52.20 | 15 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $509.60 | $637.00 | $210.22 – $550.80 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $60.00 | $75.00 | $25.76 – $67.50 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $169.60 | $212.00 | $26.11 – $68.40 | 15 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $152.00 | $190.00 | $65.27 – $171.00 | 15 |
| Mayo thyroglobulin CPT 84432 | $188.00 | $235.00 | $19.58 – $51.30 | 15 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.80 | $71.00 | $23.36 – $61.20 | 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.