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 |
|---|---|---|---|---|
| Photosensitivity tests CPT 95056 | not published | not published | $135.35 – $135.35 | 2 |
| Phys blood bank serv authrj CPT 86079 | $237.60 | $297.00 | $102.02 – $267.30 | 15 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $292.80 | $366.00 | $125.72 – $329.40 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $256.80 | $321.00 | $115.50 – $288.90 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $280.00 | $350.00 | $120.23 – $315.00 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $184.80 | $231.00 | $79.35 – $207.90 | 15 |
| Pik3ca gene trgt seq alys CPT 81309 | $2,050.40 | $2,563.00 | $880.39 – $2,306.70 | 15 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $642.74 – $642.74 | 2 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Pinworm exam CPT 87172 | $28.00 | $35.00 | $12.02 – $31.50 | 15 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $113.52 | $141.89 | $15.43 – $40.43 | 15 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $6,847.53 – $6,847.53 | 2 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Place endorectal app HCPCS C9725 | not published | not published | $957.30 – $957.30 | 2 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $476.00 | $595.00 | $204.38 – $535.50 | 15 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,200.00 | $1,500.00 | $515.25 – $1,350.00 | 15 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,672.00 | $2,090.00 | $717.92 – $1,881.00 | 15 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Placement of seton CPT 46020 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Place needles h&n for right CPT 41019 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Place needles pelvic for right CPT 55920 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Place po breast cath for rad CPT 19296 | not published | not published | $10,047.49 – $10,047.49 | 2 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,436.67 – $1,436.67 | 2 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $108.00 | $135.00 | $46.37 – $121.50 | 15 |
| Platelet automated CPT 85049 | $49.60 | $62.00 | $21.30 – $55.80 | 15 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $459.04 – $459.04 | 2 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,237.60 | $2,797.00 | $960.77 – $2,517.30 | 15 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $407.20 | $509.00 | $174.84 – $458.10 | 15 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,260.00 | $1,575.00 | $541.01 – $1,417.50 | 15 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,513.60 | $1,892.00 | $649.90 – $1,702.80 | 15 |
| Platelet survival CPT 78191 | not published | not published | $421.92 – $421.92 | 2 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,745.60 | $2,182.00 | $738.77 – $1,963.80 | 15 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $901.60 | $1,127.00 | $387.12 – $1,014.30 | 15 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $908.80 | $1,136.00 | $390.22 – $1,022.40 | 15 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,116.00 | $1,395.00 | $479.18 – $1,255.50 | 15 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $326.96 – $326.96 | 2 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $6,551.74 – $6,551.74 | 2 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Pm device progr eval dual CPT 93280 | not published | not published | $39.15 – $39.15 | 2 |
| Pm device progr eval multi CPT 93281 | not published | not published | $39.15 – $39.15 | 2 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $39.15 – $39.15 | 2 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $649.17 – $649.17 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $191.20 | $239.00 | $82.10 – $215.10 | 15 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $20,233.78 | $25,292.22 | $2,372.36 – $6,215.80 | 15 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,636.80 | $5,796.00 | $1,068.26 – $5,216.40 | 15 |
| Positional change of finger CPT 26555 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Post op service lvrs min 6 HCPCS G0305 | $499.20 | $624.00 | $214.34 – $561.60 | 15 |
| Potassium 24 hour urine CPT 84133 | $32.00 | $40.00 | $5.15 – $13.50 | 15 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $76.40 | $95.50 | $14.99 – $39.28 | 15 |
| Potassium serum/plasma/whole blood CPT 84132 | $46.40 | $58.00 | $19.92 – $52.20 | 15 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $649.17 – $649.17 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $185.73 | $232.16 | $79.75 – $208.94 | 15 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,994.40 | $4,993.00 | $1,715.10 – $4,493.70 | 15 |
| Pr application of long arm splint CPT 29105 | $404.80 | $506.00 | $165.68 – $455.40 | 15 |
| Pr application splint static short arm CPT 29125 | $364.00 | $455.00 | $135.35 – $409.50 | 15 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $41.21 – $41.21 | 2 |
| Pr biopsy skin punch single lesion CPT 11104 | $512.00 | $640.00 | $219.84 – $576.00 | 15 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | not published | not published | $31.28 – $31.28 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Prealbumin CPT 84134 | $80.00 | $100.00 | $34.35 – $90.00 | 15 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.71 | $4.63 | $1.59 – $4.17 | 15 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $792.00 | $990.00 | $111.66 – $891.00 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $418.40 | $523.00 | $111.66 – $470.70 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $508.80 | $636.00 | $111.66 – $572.40 | 15 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $326.96 – $326.96 | 2 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $557.13 – $557.13 | 2 |
| Pre-op service lvrs complete HCPCS G0302 | $1,180.00 | $1,475.00 | $506.66 – $1,327.50 | 15 |
| Preparation palate mold CPT 42280 | not published | not published | $534.71 – $534.71 | 2 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $7,613.03 – $7,613.03 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $7,613.03 – $7,613.03 | 2 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $642.74 – $642.74 | 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.