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 |
|---|---|---|---|---|
| Urethrocystography void s&i CPT 74455 | $722.40 | $903.00 | $253.81 – $812.70 | 15 |
| Uric acid blood CPT 84550 | $40.80 | $51.00 | $17.52 – $45.90 | 15 |
| Uric acid urine CPT 84560 | $53.60 | $67.00 | $5.84 – $15.30 | 15 |
| Urinalysis microscopic only CPT 81015 | $38.40 | $48.00 | $16.49 – $43.20 | 15 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $50.40 | $63.00 | $21.64 – $56.70 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $60.80 | $76.00 | $26.11 – $68.40 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $47.20 | $59.00 | $18.55 – $48.60 | 15 |
| Urinary bldr retent nuc study CPT 78730 | $455.20 | $569.00 | $195.45 – $512.10 | 15 |
| Urinary reflex study CPT 51792 | not published | not published | $62.37 – $62.37 | 2 |
| Urine Culture Test CPT 87086 | $92.00 | $115.00 | $39.50 – $103.50 | 15 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $135.35 – $135.35 | 2 |
| Urine pregnancy test CPT 81025 | $30.40 | $38.00 | $13.05 – $34.20 | 15 |
| Urography, antegrade CPT 74425 | not published | not published | $374.99 – $374.99 | 2 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $186.92 – $186.92 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $111.66 – $111.66 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,624.45 | $4,530.56 | $1,556.25 – $4,077.50 | 15 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $35,620.92 | $44,526.14 | $3,090.75 – $8,098.03 | 15 |
| Vaccine Administration (one shot) CPT 90471 | $92.80 | $116.00 | $6.76 – $17.71 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $68.29 | $85.36 | $29.32 – $76.82 | 15 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $190.85 | $238.56 | $81.95 – $214.70 | 15 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $113.76 | $142.20 | $48.85 – $127.98 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $367.17 | $458.96 | $157.65 – $413.06 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $72.11 | $90.13 | $18.99 – $49.75 | 15 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $58.24 | $72.79 | $25.00 – $65.51 | 15 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $33.55 | $41.93 | $14.40 – $37.74 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $142.44 | $178.05 | $61.16 – $160.25 | 15 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $271.97 | $339.96 | $116.78 – $305.96 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $260.04 | $325.04 | $95.66 – $250.63 | 15 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $271.12 | $338.89 | $116.41 – $305.00 | 15 |
| Vaccine rabies im CPT 90675 | $963.04 | $1,203.79 | $404.99 – $1,061.10 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $80.75 | $100.93 | $33.29 – $87.21 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $71.28 | $89.10 | $21.21 – $55.58 | 15 |
| Vaccine typhoid vicps im CPT 90691 | $145.96 | $182.45 | $62.67 – $164.21 | 15 |
| Vaccine varicella live subcutaneous CPT 90716 | $396.97 | $496.21 | $170.45 – $446.59 | 15 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,764.55 – $7,764.55 | 2 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Vaginal bx CPT 58999 | not published | not published | $211.23 – $211.23 | 2 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,183.27 – $5,183.27 | 2 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $120.00 | $150.00 | $17.86 – $46.80 | 15 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,986.60 – $5,986.60 | 2 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $74.84 | $93.54 | $15.35 – $40.22 | 15 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $49.30 | $61.62 | $18.16 – $47.58 | 15 |
| Vancomycin peak therapeutic drug level CPT 80202 | $154.40 | $193.00 | $66.30 – $173.70 | 15 |
| Varicella zoster antibody igg CPT 86787 | $54.40 | $68.00 | $23.36 – $61.20 | 15 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Vasectomy CPT 55250 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $70.24 | $87.79 | $16.20 – $42.44 | 15 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $12,688.32 | $15,860.39 | $22.69 – $14,274.35 | 15 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $557.13 – $557.13 | 2 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $1,068.26 – $1,068.26 | 2 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $326.96 – $326.96 | 2 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $557.13 – $557.13 | 2 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $326.96 – $326.96 | 2 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $649.17 – $649.17 | 2 |
| Vein x-ray kidney CPT 75831 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $649.17 – $649.17 | 2 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $377.18 – $377.18 | 1 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $164.28 – $164.28 | 2 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $164.28 – $164.28 | 2 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $326.96 – $326.96 | 2 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $58.40 | $73.00 | $25.08 – $65.70 | 15 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $1,631.11 – $1,631.11 | 2 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $1,631.11 – $1,631.11 | 2 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $11,907.60 – $11,907.60 | 2 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Venous sampling s&i CPT 75893 | not published | not published | $5,675.99 – $5,675.99 | 2 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $565.18 – $565.18 | 2 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $421.92 – $421.92 | 2 |
| Ventilator each subsequent day CPT 94003 | $946.40 | $1,183.00 | $406.36 – $1,064.70 | 15 |
| Ventilator Management (first day) CPT 94002 | $1,172.00 | $1,465.00 | $503.23 – $1,318.50 | 15 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $934.80 – $934.80 | 2 |
| Version cephalic external CPT 59412 | $2,428.00 | $3,035.00 | $1,042.52 – $2,731.50 | 15 |
| Very long chain fatty acids CPT 82726 | $92.00 | $115.00 | $39.50 – $103.50 | 15 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $791.20 | $989.00 | $186.92 – $890.10 | 15 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $303.48 | $379.34 | $130.30 – $341.41 | 15 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $287.63 | $359.53 | $122.91 – $322.03 | 15 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $358.48 | $448.10 | $153.92 – $403.29 | 15 |
| Viper venom prothrombin time CPT 85612 | $46.40 | $58.00 | $19.92 – $52.20 | 15 |
| Virus isolation addl studies ea CPT 87253 | $146.40 | $183.00 | $62.86 – $164.70 | 15 |
| Visit esketamine 56m or less HCPCS G2082 | not published | not published | $1,208.03 – $1,208.03 | 2 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | not published | not published | $135.31 – $135.31 | 2 |
| Visual audiometry (vra) CPT 92579 | $288.00 | $360.00 | $123.66 – $324.00 | 15 |
| Vital capacity test CPT 94150 | not published | not published | $164.28 – $164.28 | 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.