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 |
|---|---|---|---|---|
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $7,268.59 – $7,268.59 | 2 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,871.30 – $3,871.30 | 2 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,810.69 – $1,810.69 | 2 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $607.39 – $607.39 | 2 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $607.39 – $607.39 | 2 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $421.92 – $421.92 | 2 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $235.34 – $235.34 | 2 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $235.34 – $235.34 | 2 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $235.34 – $235.34 | 2 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $235.34 – $235.34 | 2 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,927.20 | $3,659.00 | $1,370.75 – $3,293.10 | 15 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $235.34 – $235.34 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $11,796.27 | $14,745.33 | $5,065.02 – $13,270.80 | 15 |
| Observation direct referral from physician office for admission HCPCS G0379 | $225.60 | $282.00 | $96.87 – $253.80 | 15 |
| Observation per hour HCPCS G0378 | $64.00 | $80.00 | $27.48 – $72.00 | 15 |
| Obstetric panel inc HIV tstg CPT 80081 | $521.60 | $652.00 | $223.96 – $586.80 | 15 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $111.66 – $111.66 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $292.80 | $366.00 | $125.72 – $329.40 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $256.80 | $321.00 | $110.26 – $288.90 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $280.00 | $350.00 | $120.23 – $315.00 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $26,156.43 | $32,695.53 | $60.94 – $29,425.98 | 15 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $44.54 | $55.67 | $14.88 – $38.98 | 15 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $4,938.55 | $6,173.18 | $2,120.49 – $5,555.86 | 15 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $576.03 – $576.03 | 2 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,959.55 – $3,959.55 | 2 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,417.70 – $5,417.70 | 2 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,959.55 – $3,959.55 | 2 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $168.70 – $168.70 | 2 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $168.70 – $168.70 | 2 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $102.56 | $128.19 | $19.11 – $50.06 | 15 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,512.55 | $3,140.68 | $39.04 – $2,826.61 | 15 |
| Onco (ovar) five proteins CPT 81503 | $2,188.80 | $2,736.00 | $939.82 – $2,462.40 | 15 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $35.81 | $44.76 | $14.93 – $39.11 | 15 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Ophthalmic biometry CPT 92136 | not published | not published | $135.35 – $135.35 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $41.21 – $41.21 | 2 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $135.35 – $135.35 | 2 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $111.66 – $111.66 | 2 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $111.66 – $111.66 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $31,997.27 – $31,997.27 | 2 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $22,516.61 – $22,516.61 | 2 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $13,093.83 – $13,093.83 | 2 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $6,891.05 – $6,891.05 | 2 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $31,997.27 – $31,997.27 | 2 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $447.11 – $447.11 | 2 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $62.37 – $62.37 | 2 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $62.37 – $62.37 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx lunate dislocation CPT 25695 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx medial ankle fx CPT 27766 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $19,309.55 – $19,309.55 | 2 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,500.92 – $7,500.92 | 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.