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 |
|---|---|---|---|---|
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $151.14 – $396.00 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $132.25 – $346.50 | 15 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,171.20 | $1,464.00 | $502.88 – $1,317.60 | 15 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $111.66 – $111.66 | 2 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $111.66 – $111.66 | 2 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $459.04 – $459.04 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $147.20 | $184.00 | $56.68 – $148.50 | 15 |
| T cells absolute cd 4 count CPT 86361 | $124.00 | $155.00 | $53.24 – $139.50 | 15 |
| T cells total count CPT 86359 | $117.60 | $147.00 | $47.75 – $125.10 | 15 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $326.96 – $326.96 | 2 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $326.96 – $326.96 | 2 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $326.96 – $326.96 | 2 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $829.56 – $829.56 | 2 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $829.56 – $829.56 | 2 |
| Telavancin injection HCPCS J3095 | $1,068.99 | $1,336.23 | $459.00 – $1,202.61 | 15 |
| Telehealth original site facility fee HCPCS Q3014 | $60.80 | $76.00 | $26.11 – $68.40 | 15 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $384.37 – $384.37 | 2 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $384.37 – $384.37 | 2 |
| Temperature gradient studies CPT 93740 | not published | not published | $164.28 – $164.28 | 2 |
| Tendon lengthening CPT 26476 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tendon shortening CPT 26477 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $10,743.58 | $13,429.47 | $4,177.12 – $10,944.41 | 15 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $35.74 | $44.67 | $15.25 – $39.97 | 15 |
| Tert gene targeted seq alys CPT 81345 | $1,071.20 | $1,339.00 | $459.95 – $1,205.10 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $421.92 – $421.92 | 2 |
| Test stress cardiovascular tracing only CPT 93017 | $440.00 | $550.00 | $188.93 – $495.00 | 15 |
| Tetanus immune globulin inj HCPCS J1670 | $1,009.47 | $1,261.83 | $433.44 – $1,135.65 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.45 – $18.45 | 1 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $7,058.40 | $8,823.00 | $3,030.70 – $7,940.70 | 15 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,193.60 | $2,742.00 | $941.88 – $2,467.80 | 15 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $459.04 – $459.04 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $112.80 | $141.00 | $48.43 – $126.90 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | $120.80 | $151.00 | $25.71 – $135.90 | 15 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $121.60 | $152.00 | $57.76 – $136.80 | 15 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $119.20 | $149.00 | $56.62 – $134.10 | 15 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $63.20 | $79.00 | $27.14 – $71.10 | 15 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $60.00 | $75.00 | $25.76 – $67.50 | 15 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $208.64 – $208.64 | 2 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $186.92 – $186.92 | 2 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $44.80 – $221.22 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $41.18 | $51.47 | $15.44 – $40.46 | 15 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $305.60 | $382.00 | $92.45 – $343.80 | 15 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,502.40 | $1,878.00 | $645.09 – $1,690.20 | 15 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,506.40 | $1,883.00 | $421.92 – $1,694.70 | 15 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $92.45 – $92.45 | 2 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Thrombin time CPT 85670 | $53.60 | $67.00 | $11.68 – $30.60 | 15 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $81.60 | $102.00 | $25.08 – $65.70 | 15 |
| Thumb fusion with graft CPT 26820 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Thumb fusion with graft CPT 26842 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Thyroglobulin antibody CPT 86800 | $126.40 | $158.00 | $22.67 – $59.40 | 15 |
| Thyroid imaging CPT 78013 | not published | not published | $421.92 – $421.92 | 2 |
| Thyroid met imaging CPT 78015 | not published | not published | $421.92 – $421.92 | 2 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $421.92 – $421.92 | 2 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $565.18 – $565.18 | 2 |
| Thyroid (TSH) Test CPT 84443 | $103.20 | $129.00 | $49.02 – $116.10 | 15 |
| Thyroid Ultrasound CPT 76536 | $507.20 | $634.00 | $111.66 – $570.60 | 15 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $421.92 – $421.92 | 2 |
| Thyroxine binding globulin (tbg) CPT 84442 | $48.80 | $61.00 | $20.95 – $54.90 | 15 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Tigecycline injection HCPCS J3243 | $226.89 | $283.61 | $97.42 – $255.25 | 15 |
| Tilt table study CPT 93660 | not published | not published | $557.13 – $557.13 | 2 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $543.51 | $679.38 | $233.37 – $611.44 | 15 |
| Tissue culture skin/biopsy CPT 88233 | $343.20 | $429.00 | $147.36 – $386.10 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $43.20 | $54.00 | $18.55 – $48.60 | 15 |
| Tissue transglutaminase iga CPT 86364 | $44.00 | $55.00 | $18.89 – $49.50 | 15 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $10,931.77 – $10,931.77 | 2 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $35.60 | $44.50 | $15.12 – $39.61 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $167.20 | $209.00 | $71.79 – $188.10 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,621.01 | $5,776.26 | $6.08 – $1,720.89 | 15 |
| Toe X-ray (both feet) CPT 73660 | $220.00 | $275.00 | $92.45 – $247.50 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $80.00 | $100.00 | $34.35 – $90.00 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $84.00 | $105.00 | $39.90 – $94.50 | 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.