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 |
|---|---|---|---|---|
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,551.74 – $6,551.74 | 2 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,551.74 – $6,551.74 | 2 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,879.51 – $2,879.51 | 2 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $235.34 – $235.34 | 2 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Rsv assay w/optic CPT 87807 | $63.20 | $79.00 | $27.14 – $71.10 | 15 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $135.31 – $135.31 | 2 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $39.15 – $39.15 | 2 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $39.15 – $39.15 | 2 |
| Rubella antibody igg CPT 86762 | $79.20 | $99.00 | $16.14 – $42.30 | 15 |
| Rubeola antibody igg CPT 86765 | $112.00 | $140.00 | $14.43 – $37.80 | 15 |
| Russell viper venom diluted CPT 85613 | $41.60 | $52.00 | $10.99 – $28.80 | 15 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $256.00 | $320.00 | $109.92 – $288.00 | 15 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $3,050.36 | $3,812.94 | $1,309.74 – $3,431.65 | 15 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $334.40 | $418.00 | $111.66 – $376.20 | 15 |
| Salivary gland function exam CPT 78232 | not published | not published | $421.92 – $421.92 | 2 |
| Salivary gland imaging CPT 78230 | not published | not published | $421.92 – $421.92 | 2 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $421.92 – $421.92 | 2 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $135.31 – $135.31 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $86.40 | $108.00 | $37.10 – $97.20 | 15 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $732.00 | $915.00 | $253.81 – $823.50 | 15 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $745.60 | $932.00 | $111.66 – $838.80 | 15 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $770.40 | $963.00 | $111.66 – $866.70 | 15 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $570.40 | $713.00 | $111.66 – $641.70 | 15 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $640.80 | $801.00 | $111.66 – $720.90 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $587.20 | $734.00 | $111.66 – $660.60 | 15 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $957.30 – $1,142.90 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $957.30 – $1,142.90 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $52.56 – $137.70 | 15 |
| Screening Mammogram CPT 77067 | $414.40 | $518.00 | $165.00 – $466.20 | 15 |
| Screening prostate cancer PSA HCPCS G0103 | $101.60 | $127.00 | $43.62 – $114.30 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $6,860.00 | $8,575.00 | $2.06 – $5.40 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $579.20 | $724.00 | $111.66 – $651.60 | 15 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $74.73 – $148.00 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $43.20 | $54.00 | $18.55 – $48.60 | 15 |
| Select picture audiometry CPT 92583 | not published | not published | $62.37 – $62.37 | 2 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $124.00 | $155.00 | $53.24 – $139.50 | 15 |
| Semen analysis presence/motility CPT 89321 | $60.00 | $75.00 | $25.76 – $67.50 | 15 |
| Semen analysis w/count CPT 89310 | $72.00 | $90.00 | $30.92 – $81.00 | 15 |
| Sensorimotor examination CPT 92060 | not published | not published | $62.37 – $62.37 | 2 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $41.21 – $41.21 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Set radiation therapy field CPT 77280 | not published | not published | $139.41 – $139.41 | 2 |
| Set radiation therapy field CPT 77285 | not published | not published | $384.37 – $384.37 | 2 |
| Set radiation therapy field CPT 77290 | not published | not published | $384.37 – $384.37 | 2 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $314.91 – $314.91 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $208.64 – $208.64 | 2 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $208.64 – $208.64 | 2 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $419.51 – $419.51 | 2 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $419.51 – $419.51 | 2 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $203.20 | $254.00 | $87.25 – $228.60 | 15 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $208.64 – $208.64 | 2 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $208.64 – $208.64 | 2 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $419.51 – $419.51 | 2 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $419.51 – $419.51 | 2 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $208.64 – $208.64 | 2 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $208.64 – $208.64 | 2 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $93.60 | $117.00 | $8.59 – $22.50 | 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.