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 |
|---|---|---|---|---|
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $374.99 – $374.99 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $374.99 – $374.99 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $374.99 – $374.99 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $374.99 – $374.99 | 2 |
| Mr elastography CPT 76391 | not published | not published | $253.81 – $253.81 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $186.92 – $186.92 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $575.70 – $575.70 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $186.92 – $186.92 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $253.81 – $578.05 | 3 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $446.60 – $446.60 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $253.81 – $578.05 | 3 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $446.60 – $446.60 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $253.81 – $578.05 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $374.99 – $607.75 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $611.05 – $829.56 | 3 |
| MRI chest without contrast CPT 71550 | $2,708.00 | $3,385.00 | $253.81 – $3,046.50 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,820.00 | $4,775.00 | $374.99 – $4,297.50 | 15 |
| MRI chest w IV cont CPT 71551 | $2,497.60 | $3,122.00 | $611.05 – $2,809.80 | 15 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $253.81 – $578.05 | 3 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,313.03 – $1,313.03 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $2,935.20 | $3,669.00 | $374.99 – $3,302.10 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,612.80 | $3,266.00 | $253.81 – $2,939.40 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,600.00 | $4,500.00 | $374.99 – $4,050.00 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,347.20 | $4,184.00 | $374.99 – $3,765.60 | 15 |
| MRI tmj CPT 70336 | $2,698.40 | $3,373.00 | $253.81 – $3,035.70 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,481.60 | $3,102.00 | $253.81 – $2,791.80 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,429.60 | $4,287.00 | $374.99 – $3,858.30 | 15 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $374.99 – $607.75 | 3 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $374.99 – $374.99 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $186.92 – $186.92 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $374.99 – $607.75 | 3 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $374.99 – $374.99 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $92.45 – $92.45 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $96.38 – $96.38 | 2 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $62.37 – $62.37 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $25.71 – $25.71 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $253.81 – $253.81 | 2 |
| Mr spectroscopy CPT 76390 | not published | not published | $92.45 – $92.45 | 2 |
| Msh6 gene known variants CPT 81299 | $710.40 | $888.00 | $305.03 – $799.20 | 15 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Mthfr gene analy common variants CPT 81291 | $538.40 | $673.00 | $231.18 – $605.70 | 15 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $168.70 – $168.70 | 2 |
| Multiple sleep latency test CPT 95805 | $3,000.00 | $3,750.00 | $557.13 – $3,375.00 | 15 |
| Mumps antibody igg CPT 86735 | $128.00 | $160.00 | $14.43 – $37.80 | 15 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $326.96 – $326.96 | 2 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $164.28 – $164.28 | 2 |
| Muscle test larynx CPT 95865 | not published | not published | $135.35 – $135.35 | 2 |
| Muscle test one fiber CPT 95872 | not published | not published | $164.28 – $164.28 | 2 |
| Muscle transfers CPT 23397 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $5.46 | $6.82 | $2.06 – $5.40 | 15 |
| Mycophenolic acid HCPCS J7518 | $12.55 | $15.68 | $2.32 – $6.08 | 15 |
| Mycoplasma antibody igm CPT 86738 | $98.40 | $123.00 | $42.25 – $110.70 | 15 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $607.20 | $759.00 | $260.72 – $683.10 | 15 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $829.56 – $829.56 | 2 |
| Myelography l-s spine CPT 72265 | not published | not published | $829.56 – $829.56 | 2 |
| Myelography neck spine CPT 72240 | not published | not published | $829.56 – $829.56 | 2 |
| Myelography thoracic spine CPT 72255 | not published | not published | $829.56 – $829.56 | 2 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $829.56 – $829.56 | 2 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $829.56 – $829.56 | 2 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $829.56 – $829.56 | 2 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $829.56 – $829.56 | 2 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $178.40 | $223.00 | $20.27 – $53.10 | 15 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $1,943.03 – $1,943.03 | 2 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $2,048.03 – $2,048.03 | 2 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $2,363.03 – $2,363.03 | 2 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $1,531.52 – $1,531.52 | 2 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Myringoplasty CPT 69620 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $68.80 | $85.99 | $17.33 – $45.41 | 15 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $38.69 | $48.36 | $15.19 – $39.81 | 15 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $36.27 | $45.33 | $14.86 – $38.93 | 15 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $203.85 – $203.85 | 2 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $243.83 – $243.83 | 2 |
| Nasal function studies CPT 92512 | not published | not published | $326.96 – $326.96 | 2 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $407.73 – $407.73 | 2 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $203.85 – $203.85 | 2 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $11,758.96 | $14,698.70 | $24.60 – $13,228.83 | 15 |
| Natriuretic peptide CPT 83880 | $229.60 | $287.00 | $40.53 – $106.20 | 15 |
| Natural killer cells total count CPT 86357 | $117.60 | $147.00 | $47.75 – $125.10 | 15 |
| N block inj common digit CPT 64632 | not published | not published | $309.95 – $309.95 | 2 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $934.80 – $934.80 | 2 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $255.37 – $255.37 | 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.