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 |
|---|---|---|---|---|
| Treat trigeminal nerve CPT 61790 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Treat trigeminal tract CPT 61791 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Treat ulnar fracture CPT 24675 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat ulnar fracture CPT 24685 | not published | not published | $7,500.92 – $7,500.92 | 2 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $211.23 – $211.23 | 2 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Treat wrist dislocation CPT 25675 | not published | not published | $251.87 – $251.87 | 2 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $39,468.14 | $49,335.17 | $16,946.63 – $44,401.65 | 15 |
| Treponema pallidum antibody CPT 86780 | $66.40 | $83.00 | $14.77 – $38.70 | 15 |
| Trg gene rearrangement anal CPT 81342 | $492.00 | $615.00 | $202.67 – $531.00 | 15 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $41.57 | $51.96 | $15.72 – $41.18 | 15 |
| Triglycerides CPT 84478 | $149.60 | $187.00 | $12.37 – $32.40 | 15 |
| Trim nail(s) HCPCS G0127 | not published | not published | $62.37 – $62.37 | 2 |
| Trim nondyst nails CPT 11719 | $112.00 | $140.00 | $48.09 – $126.00 | 15 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $4,224.00 – $4,224.00 | 2 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $5,417.70 – $5,417.70 | 2 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $13,510.16 – $13,510.16 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $251.87 – $251.87 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,920.69 – $1,920.69 | 2 |
| Troponin quantitative CPT 84484 | $116.80 | $146.00 | $50.15 – $131.40 | 15 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $576.03 – $576.03 | 2 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,621.42 – $3,621.42 | 2 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,420.00 | $3,025.00 | $829.56 – $2,722.50 | 15 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,511.20 | $3,139.00 | $829.56 – $2,825.10 | 15 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $829.56 – $829.56 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $829.56 – $829.56 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $6,126.08 – $6,126.08 | 2 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $459.04 – $459.04 | 2 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $7,764.55 – $7,764.55 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $25,758.92 – $25,758.92 | 2 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $251.87 – $251.87 | 2 |
| Tx closed hip disl traumatic without anes CPT 27250 | $586.40 | $733.00 | $251.79 – $659.70 | 15 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $251.87 – $251.87 | 2 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $642.74 – $642.74 | 2 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $642.74 – $642.74 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $251.87 – $251.87 | 2 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $164.28 – $164.28 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $534.71 – $534.71 | 2 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $6,211.44 – $6,211.44 | 2 |
| Ua w/micro/comp poc CPT 81000 | $50.40 | $63.00 | $21.64 – $56.70 | 15 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $70.76 – $70.76 | 1 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $111.66 – $111.66 | 2 |
| Ultrasound breast complete CPT 76641 | $480.00 | $600.00 | $111.66 – $540.00 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $496.80 | $621.00 | $92.45 – $558.90 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $511.20 | $639.00 | $111.66 – $575.10 | 15 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $111.66 – $111.66 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | $241.60 | $302.00 | $103.74 – $271.80 | 15 |
| Ultrasound encephalogram CPT 76506 | $481.60 | $602.00 | $111.66 – $541.80 | 15 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $658.40 | $823.00 | $111.66 – $740.70 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $624.00 | $780.00 | $111.66 – $702.00 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $765.60 | $957.00 | $328.73 – $861.30 | 15 |
| Ultrasound guidance for vascular access CPT 76937 | $540.00 | $675.00 | $231.86 – $607.50 | 15 |
| Ultrasound guide intraoperative CPT 76998 | $1,037.60 | $1,297.00 | $445.52 – $1,167.30 | 15 |
| Ultrasound hips infant dynamic CPT 76885 | $453.60 | $567.00 | $92.45 – $510.30 | 15 |
| Ultrasound infant hips ltd without stress CPT 76886 | $620.80 | $776.00 | $92.45 – $698.40 | 15 |
| Ultrasound joint complete left CPT 76881 | $696.00 | $870.00 | $111.66 – $783.00 | 15 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $111.66 – $111.66 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $554.40 | $693.00 | $238.05 – $623.70 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $502.40 | $628.00 | $215.72 – $565.20 | 15 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $988.80 | $1,236.00 | $253.81 – $1,112.40 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $524.80 | $656.00 | $111.66 – $590.40 | 15 |
| Ultrasound prostate/transrectal CPT 76872 | $656.00 | $820.00 | $111.66 – $738.00 | 15 |
| Ultrasound spinal canal and contents CPT 76800 | $521.60 | $652.00 | $111.66 – $586.80 | 15 |
| Ultrasound transabd ea addl gest CPT 76812 | $580.00 | $725.00 | $249.04 – $652.50 | 15 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $186.92 – $186.92 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $319.40 – $319.40 | 2 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $25.71 – $25.71 | 2 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $25.71 – $25.71 | 2 |
| Unlisted chemotherapy px CPT 96549 | $178.40 | $223.00 | $48.45 – $200.70 | 15 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $4,292.00 | $5,365.00 | $243.83 – $4,828.50 | 15 |
| Unlisted CT procedure CPT 76497 | not published | not published | $92.45 – $92.45 | 2 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $421.92 – $421.92 | 2 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $164.28 – $164.28 | 2 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $421.92 – $421.92 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $211.23 – $211.23 | 2 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $92.45 – $92.45 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $421.92 – $421.92 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $421.92 – $421.92 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $211.23 – $211.23 | 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.