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 |
|---|---|---|---|---|
| Biopsy of testis CPT 54500 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Biopsy of testis CPT 54505 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Biopsy of urethra CPT 53200 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $4,020.74 – $4,020.74 | 2 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $642.74 – $642.74 | 2 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $1,701.25 – $1,701.25 | 2 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $534.71 – $534.71 | 2 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $534.71 – $534.71 | 2 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Biospy of bladder CPT 53899 | not published | not published | $255.37 – $255.37 | 2 |
| Biotinidase - quest CPT 82261 | $64.80 | $81.00 | $24.05 – $63.00 | 15 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $164.28 – $164.28 | 2 |
| Bladder Catheter Insertion (simple) CPT 51702 | $260.00 | $325.00 | $111.64 – $292.50 | 15 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $556.00 | $695.00 | $238.73 – $625.50 | 15 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $459.04 – $459.04 | 2 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $459.04 – $459.04 | 2 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $472.71 | $590.88 | $132.82 – $347.99 | 15 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $18,375.53 – $18,375.53 | 2 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $10,238.03 – $10,238.03 | 2 |
| Blink reflex test CPT 95933 | not published | not published | $62.37 – $62.37 | 2 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,784.80 | $3,481.00 | $50.15 – $131.40 | 15 |
| Bln dil 900ml preperitnl HCPCS C1727 | $775.20 | $969.00 | $193.39 – $506.70 | 15 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $934.80 – $934.80 | 2 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $934.80 – $934.80 | 2 |
| Block paracervical nrv CPT 64435 | not published | not published | $727.15 – $727.15 | 2 |
| Block plantar digital nerve CPT 64455 | not published | not published | $309.95 – $309.95 | 2 |
| Blood Clotting (PT/INR) Test CPT 85610 | $51.20 | $64.00 | $4.81 – $12.60 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $81.60 | $102.00 | $6.87 – $18.00 | 15 |
| Blood Count (CBC) Test CPT 85025 | $83.20 | $104.00 | $39.52 – $93.60 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $64.00 | $80.00 | $27.48 – $72.00 | 15 |
| Blood Culture Test CPT 87040 | $145.60 | $182.00 | $62.52 – $163.80 | 15 |
| Blood draw capillary 36416 CPT 36416 | $24.00 | $30.00 | $10.31 – $27.00 | 15 |
| Blood Draw (Venipuncture) CPT 36415 | $24.00 | $30.00 | $11.40 – $27.00 | 15 |
| Blood gases ph venous CPT 82800 | $38.40 | $48.00 | $16.49 – $43.20 | 15 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.60 | $72.00 | $24.73 – $64.80 | 15 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $32.00 | $40.00 | $13.74 – $36.00 | 15 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $62.40 | $78.00 | $26.79 – $70.20 | 15 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $26.40 | $33.00 | $11.34 – $29.70 | 15 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $41.60 | $52.00 | $17.86 – $46.80 | 15 |
| Blood Transfusion CPT 36430 | $1,248.00 | $1,560.00 | $459.04 – $1,404.00 | 15 |
| Blood typing abo CPT 86900 | $49.60 | $62.00 | $21.30 – $55.80 | 15 |
| Blood typing ag donor ea ag CPT 86902 | $160.00 | $200.00 | $44.31 – $116.10 | 15 |
| Blood typing patient serum CPT 86904 | $147.20 | $184.00 | $63.20 – $165.60 | 15 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $54.40 | $68.00 | $23.36 – $61.20 | 15 |
| Blood typing rh (d) CPT 86901 | $43.20 | $54.00 | $18.55 – $48.60 | 15 |
| Blood volume CPT 78122 | not published | not published | $565.18 – $565.18 | 2 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $189.60 | $237.00 | $81.41 – $213.30 | 15 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Bone Density Scan (DEXA) CPT 77080 | $432.00 | $540.00 | $111.66 – $486.00 | 15 |
| Bone imaging multiple areas CPT 78305 | $1,576.00 | $1,970.00 | $421.92 – $1,773.00 | 15 |
| Bone/joint imaging ltd area CPT 78300 | $1,234.40 | $1,543.00 | $421.92 – $1,388.70 | 15 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,247.20 | $1,559.00 | $535.52 – $1,403.10 | 15 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $616.00 | $770.00 | $264.50 – $693.00 | 15 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,721.24 – $1,721.24 | 2 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $4,919.43 – $4,919.43 | 2 |
| Bone marrow imaging body CPT 78104 | not published | not published | $421.92 – $421.92 | 2 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $421.92 – $421.92 | 2 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $421.92 – $421.92 | 2 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Bone survey-lead poisoning CPT 77074 | $578.40 | $723.00 | $111.66 – $650.70 | 15 |
| Boot softgait shrt m HCPCS L4387 | $164.00 | $205.00 | $56.33 – $147.60 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $168.00 | $210.00 | $23.36 – $61.20 | 15 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,271.24 | $2,839.04 | $125.63 – $329.16 | 15 |
| (both sides) smear without diff wbc count CPT 85008 | $51.20 | $64.00 | $21.98 – $57.60 | 15 |
| Bowel imaging CPT 78290 | $1,369.60 | $1,712.00 | $421.92 – $1,540.80 | 15 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $129.60 | $162.00 | $55.65 – $145.80 | 15 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,005.15 – $3,005.15 | 2 |
| Brachytx isodose complex CPT 77318 | not published | not published | $384.37 – $384.37 | 2 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $384.37 – $384.37 | 2 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $384.37 – $384.37 | 2 |
| Braf gene CPT 81210 | $460.00 | $575.00 | $176.22 – $461.70 | 15 |
| Brain flow imaging only CPT 78610 | not published | not published | $565.18 – $565.18 | 2 |
| Brain image < 4 views CPT 78600 | not published | not published | $421.92 – $421.92 | 2 |
| Brain image 4+ views CPT 78605 | not published | not published | $565.18 – $565.18 | 2 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $421.92 – $421.92 | 2 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $565.18 – $565.18 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,588.80 | $4,486.00 | $374.99 – $4,037.40 | 15 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,924.80 | $3,656.00 | $374.99 – $3,290.40 | 15 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,655.20 | $3,319.00 | $253.81 – $2,987.10 | 15 |
| Brain MRI (with and without contrast) CPT 70553 | $3,972.00 | $4,965.00 | $374.99 – $4,468.50 | 15 |
| Brain MRI (with contrast) CPT 70552 | $3,116.00 | $3,895.00 | $374.99 – $3,505.50 | 15 |
| Brain MRI (without contrast) CPT 70551 | $2,757.60 | $3,447.00 | $253.81 – $3,102.30 | 15 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $10,047.49 – $10,047.49 | 2 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,420.00 | $3,025.00 | $1,039.09 – $2,722.50 | 15 |
| Breastbone (Sternum) X-ray CPT 71120 | $291.20 | $364.00 | $92.45 – $327.60 | 15 |
| Breast punct aspir cyst, bil CPT 19000 | $1,294.40 | $1,618.00 | $555.78 – $1,456.20 | 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.