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 ticks babesia microti antibody igg CPT 86753 | $134.40 | $168.00 | $23.36 – $61.20 | 15 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $61.60 | $77.00 | $26.45 – $69.30 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $124.80 | $156.00 | $51.53 – $135.00 | 15 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $107.20 | $134.00 | $46.03 – $120.60 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $132.00 | $165.00 | $17.86 – $46.80 | 15 |
| Mayo vasoactive intestinal peptide CPT 84586 | $96.00 | $120.00 | $41.22 – $108.00 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Mayo vitamin b3 (niacin) CPT 84591 | $172.80 | $216.00 | $74.20 – $194.40 | 15 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $32.63 – $85.50 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $71.20 | $89.00 | $30.57 – $80.10 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $557.13 – $557.13 | 2 |
| Measure kidney pressure CPT 50396 | not published | not published | $700.84 – $700.84 | 2 |
| Measurement post void urine by ultrasound CPT 51798 | $172.00 | $215.00 | $62.37 – $193.50 | 15 |
| Measure ureter pressure CPT 50686 | not published | not published | $164.28 – $164.28 | 2 |
| #mec-opiates CPT 80356 | $73.60 | $92.00 | $31.60 – $82.80 | 15 |
| Medial canthopexy CPT 21280 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $557.13 – $557.13 | 2 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $187.06 | $233.82 | $19.32 – $50.61 | 15 |
| Meg evoked single CPT 95966 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Meg spontaneous CPT 95965 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $144.80 | $181.00 | $62.17 – $162.90 | 15 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $35.30 | $44.12 | $15.14 – $39.66 | 15 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.01 – $31.01 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $42.60 | $53.24 | $15.76 – $41.30 | 15 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $43.10 | $53.87 | $17.38 – $45.53 | 15 |
| Metabolic Blood Panel (Basic) CPT 80048 | $107.20 | $134.00 | $50.92 – $120.60 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $136.80 | $171.00 | $64.98 – $153.90 | 15 |
| Metabolic panel ionized ca CPT 80047 | $195.20 | $244.00 | $83.81 – $219.60 | 15 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $93.20 | $116.49 | $40.01 – $104.84 | 15 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $8.24 | $10.29 | $2.30 – $6.02 | 15 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $284.64 | $355.80 | $16.00 – $41.93 | 15 |
| Methotrexate therapeutic drug level CPT 80204 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,180.80 | $1,476.00 | $8.24 – $44.99 | 15 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $44.04 | $55.04 | $18.91 – $49.54 | 15 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $48.55 | $60.68 | $20.84 – $54.61 | 15 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $5.68 | $7.10 | $2.44 – $6.39 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $45.24 | $56.55 | $16.71 – $43.78 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $111.66 | $139.57 | $15.51 – $40.64 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $35.48 | $44.35 | $15.09 – $39.55 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $35.77 | $44.71 | $14.94 – $39.13 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $53.92 | $67.40 | $22.88 – $59.94 | 15 |
| Mgmt promoter methylation analysis CPT 81287 | $620.80 | $776.00 | $245.26 – $642.60 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $143.91 | $179.88 | $30.87 – $80.89 | 15 |
| Microalbumin urine screen CPT 82044 | $63.20 | $79.00 | $27.14 – $71.10 | 15 |
| Microdissection laser CPT 88380 | $468.80 | $586.00 | $201.29 – $527.40 | 15 |
| Microdissection manual CPT 88381 | $446.40 | $558.00 | $184.12 – $482.40 | 15 |
| Microsatellite instability CPT 81301 | $816.00 | $1,020.00 | $350.37 – $918.00 | 15 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $164.28 – $164.28 | 2 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,938.03 – $3,938.03 | 2 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $248.80 | $311.00 | $92.45 – $279.90 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $37.74 | $47.17 | $14.96 – $39.20 | 15 |
| Middle cerebral artery echo CPT 76821 | $466.40 | $583.00 | $111.66 – $524.70 | 15 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,696.35 | $2,120.43 | $205.17 – $537.56 | 15 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $359.08 | $448.84 | $154.18 – $403.96 | 15 |
| Mlh1 gene CPT 81288 | $450.40 | $563.00 | $193.39 – $506.70 | 15 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Mnl appl strs jt radiography CPT 77071 | $264.80 | $331.00 | $92.45 – $297.90 | 15 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $420.00 | $525.00 | $36.07 – $94.50 | 15 |
| Mopath procedure level 1 CPT 81400 | $154.40 | $193.00 | $66.30 – $173.70 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $42.05 | $52.56 | $15.15 – $39.69 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $36.52 | $45.65 | $15.36 – $40.26 | 15 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $48.16 | $60.19 | $19.98 – $52.36 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $193.60 | $242.00 | $83.13 – $217.80 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $272.00 | $340.00 | $83.13 – $217.80 | 15 |
| Motion analysis video/3d CPT 96000 | not published | not published | $557.13 – $557.13 | 2 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $418.99 – $418.99 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $833.60 | $1,042.00 | $341.78 – $895.50 | 15 |
| M/phmtrc alysishquant/semiq CPT 88369 | $240.80 | $301.00 | $72.82 – $190.80 | 15 |
| MRA abdomen post contrast CPT 74185 | $2,647.20 | $3,309.00 | $578.05 – $2,978.10 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,992.00 | $3,740.00 | $578.05 – $3,168.00 | 15 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $374.99 – $374.99 | 2 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $253.81 – $253.81 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $374.99 – $374.99 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,648.80 | $3,311.00 | $578.05 – $2,979.90 | 15 |
| MRA pelvis CPT 72198 | $2,489.60 | $3,112.00 | $578.05 – $2,800.80 | 15 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $374.99 – $374.99 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $253.81 – $253.81 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $578.05 – $578.05 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,264.80 | $4,081.00 | $578.05 – $3,672.90 | 15 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $374.99 – $374.99 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $374.99 – $374.99 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $374.99 – $374.99 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $374.99 – $374.99 | 2 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $253.81 – $253.81 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $253.81 – $253.81 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $253.81 – $253.81 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $253.81 – $253.81 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $374.99 – $374.99 | 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.