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 |
|---|---|---|---|---|
| Tone decay hearing test CPT 92563 | not published | not published | $41.21 – $41.21 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $475.71 | $594.63 | $127.08 – $332.96 | 15 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Total Hip Replacement CPT 27130 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $19,309.55 – $19,309.55 | 2 |
| Toxoplasma antibody igg CPT 86777 | $93.60 | $117.00 | $40.19 – $105.30 | 15 |
| Toxoplasma antibody igm CPT 86778 | $120.80 | $151.00 | $51.87 – $135.90 | 15 |
| Tp53 gene full gene sequence CPT 81351 | $1,503.20 | $1,879.00 | $645.44 – $1,691.10 | 15 |
| Tp53 gene trgt sequence alys CPT 81352 | $804.00 | $1,005.00 | $345.22 – $904.50 | 15 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $255.37 – $255.37 | 2 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $13,642.04 – $13,642.04 | 2 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $9,709.51 – $9,709.51 | 2 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $576.03 – $576.03 | 2 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $534.71 – $534.71 | 2 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $117.60 | $147.00 | $50.49 – $132.30 | 15 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $319.40 – $319.40 | 2 |
| Transcath biopsy CPT 37200 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Transcath closure of asd CPT 93580 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Transcath closure of vsd CPT 93581 | not published | not published | $18,854.56 – $18,854.56 | 2 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $7,764.55 – $7,764.55 | 2 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transferrin CPT 84466 | $69.60 | $87.00 | $29.88 – $78.30 | 15 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $6,250.45 – $6,250.45 | 2 |
| Transperi needle place pros CPT 55875 | not published | not published | $5,337.80 – $5,337.80 | 2 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transplant forearm tendon CPT 25312 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transplant hand tendon CPT 26480 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Transplant palm tendon CPT 26485 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $1,721.24 – $1,721.24 | 2 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $62,099.45 – $62,099.45 | 2 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $1,721.24 – $1,721.24 | 2 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $1,721.24 – $1,721.24 | 2 |
| Transposition of vein valve CPT 34510 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $601.60 | $752.00 | $111.66 – $676.80 | 15 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $387.20 | $484.00 | $111.66 – $435.60 | 15 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,217.59 | $2,771.98 | $84.49 – $2,494.78 | 15 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $5,824.20 | $7,280.24 | $29.15 – $6,552.22 | 15 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $4,412.21 | $5,515.26 | $22.97 – $2,186.26 | 15 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,640.00 | $3,300.00 | $1,133.55 – $2,970.00 | 15 |
| Treat ankle dislocation CPT 27842 | $2,207.20 | $2,759.00 | $947.72 – $2,483.10 | 15 |
| Treat ankle dislocation CPT 27846 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat ankle dislocation CPT 27848 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat ankle fracture CPT 28445 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat big toe fracture CPT 28505 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Treat clavicle dislocation 23545 CPT 23545 | $674.40 | $843.00 | $251.87 – $758.70 | 15 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Treat elbow dislocation CPT 24605 | $2,404.00 | $3,005.00 | $1,032.22 – $2,704.50 | 15 |
| Treat elbow dislocation CPT 24615 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat elbow fracture CPT 24586 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Treat elbow fracture CPT 24620 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat elbow fracture CPT 24635 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat eyelid by injection CPT 68200 | not published | not published | $418.99 – $418.99 | 2 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $1,016.97 – $1,016.97 | 2 |
| Treat finger fracture each CPT 26727 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Treat finger fracture each CPT 26742 | $1,419.20 | $1,774.00 | $609.37 – $1,596.60 | 15 |
| Treat foot bone lesion CPT 28005 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Treat foot dislocation CPT 28540 | not published | not published | $251.87 – $251.87 | 2 |
| Treat foot dislocation CPT 28545 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Treat foot dislocation CPT 28546 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat foot dislocation CPT 28570 | not published | not published | $251.87 – $251.87 | 2 |
| Treat foot dislocation CPT 28576 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat foot dislocation CPT 28600 | not published | not published | $251.87 – $251.87 | 2 |
| Treat foot dislocation CPT 28605 | not published | not published | $251.87 – $251.87 | 2 |
| Treat foot dislocation CPT 28606 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Treat fracture of radius CPT 25505 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat fracture of radius CPT 25520 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat fracture of ulna CPT 25535 | not published | not published | $251.87 – $251.87 | 2 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Treat hand bone lesion CPT 26034 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat hand dislocation CPT 26675 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat hand dislocation CPT 26685 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Treat hand dislocation CPT 26686 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Treat heel fracture CPT 28415 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat hip dislocation CPT 27252 | $2,448.80 | $3,061.00 | $1,051.45 – $2,754.90 | 15 |
| Treat hip dislocation CPT 27257 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat hip socket fracture CPT 27222 | not published | not published | $251.87 – $251.87 | 2 |
| Treat humerus fracture CPT 24515 | not published | not published | $13,510.16 – $13,510.16 | 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.