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 |
|---|---|---|---|---|
| Cardiac drug stress test CPT 93024 | not published | not published | $418.99 – $418.99 | 2 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $575.70 – $575.70 | 2 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $575.70 – $575.70 | 2 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $575.70 – $575.70 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $1,370.75 – $1,370.75 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,594.40 | $1,993.00 | $684.60 – $1,793.70 | 15 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $244.00 | $305.00 | $115.90 – $274.50 | 15 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $243.20 | $304.00 | $104.42 – $273.60 | 15 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $421.92 – $421.92 | 2 |
| Cardiokymography HCPCS Q0035 | not published | not published | $41.21 – $41.21 | 2 |
| Cardiolipin antibody iga CPT 86147 | $119.20 | $149.00 | $25.42 – $66.60 | 15 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $687.10 – $687.10 | 2 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,659.20 | $2,074.00 | $687.10 – $1,866.60 | 15 |
| Caregiver health risk assmt CPT 96161 | not published | not published | $31.28 – $31.28 | 2 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $132.80 | $166.00 | $57.02 – $149.40 | 15 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $66.40 | $83.00 | $28.51 – $74.70 | 15 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $4,178.06 | $5,222.57 | $444.12 – $1,163.63 | 15 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $981.60 | $1,227.00 | $253.81 – $1,104.30 | 15 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $2,050.41 – $2,050.41 | 2 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $41.21 – $41.21 | 2 |
| Car-t admn autologous CPT 38228 | not published | not published | $348.27 – $348.27 | 2 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $957.30 – $957.30 | 2 |
| Cataract Surgery CPT 66984 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,394.77 – $2,394.77 | 2 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,205.60 | $1,507.00 | $483.99 – $1,268.10 | 15 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $320.00 | $400.00 | $55.99 – $146.70 | 15 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $100.00 | $125.00 | $39.16 – $102.60 | 15 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $414.40 | $518.00 | $12.02 – $31.50 | 15 |
| Catheter declot mechanical CPT 36596 | not published | not published | $1,631.11 – $1,631.11 | 2 |
| Catheter stripping venous CPT 36595 | not published | not published | $3,304.88 – $3,304.88 | 2 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $420.00 | $525.00 | $131.22 – $343.80 | 15 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $255.37 – $255.37 | 2 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $792.80 | $991.00 | $30.57 – $80.10 | 15 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $3,377.23 – $3,377.23 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $313.60 | $392.00 | $134.65 – $352.80 | 15 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $72.80 | $91.00 | $5.50 – $14.40 | 15 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $208.64 – $208.64 | 2 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Cdna analysis for variants CPT 81403 | $452.00 | $565.00 | $194.08 – $508.50 | 15 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $135.35 – $135.35 | 2 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $75.51 | $94.38 | $15.07 – $39.48 | 15 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $38.11 | $47.63 | $15.64 – $40.99 | 15 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $40.40 | $50.49 | $17.10 – $44.80 | 15 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $214.08 | $267.60 | $14.90 – $39.05 | 15 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $37.93 | $47.41 | $16.29 – $42.67 | 15 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $38.05 | $47.56 | $15.03 – $39.38 | 15 |
| #celiac hla-dq2 CPT 81377 | $136.80 | $171.00 | $58.74 – $153.90 | 15 |
| Cell count body fluid CPT 89050 | $82.40 | $103.00 | $12.71 – $33.30 | 15 |
| Cell count w differential body fluid CPT 89051 | $86.40 | $108.00 | $37.10 – $97.20 | 15 |
| Cell cryopreserve/storage CPT 88240 | $44.80 | $56.00 | $19.24 – $50.40 | 15 |
| Cell function assay w/stim CPT 86352 | $358.40 | $448.00 | $153.89 – $403.20 | 15 |
| Cell marker study CPT 88182 | $324.80 | $406.00 | $137.06 – $359.10 | 15 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $33.82 – $33.82 | 1 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $565.18 – $565.18 | 2 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $8,427.75 | $10,534.68 | $4.73 – $4,926.09 | 15 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,847.53 – $6,847.53 | 2 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,414.03 | $4,267.53 | $522.25 – $1,368.35 | 15 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $700.84 – $700.84 | 2 |
| Change cystostomy tube simple CPT 51705 | $657.60 | $822.00 | $255.37 – $739.80 | 15 |
| Change gastric port open CPT 43888 | not published | not published | $3,844.02 – $3,844.02 | 2 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,991.84 – $1,991.84 | 2 |
| Change nephroureteral cath CPT 50387 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $243.83 – $243.83 | 2 |
| Change stent via transureth CPT 50385 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $208.64 – $208.64 | 2 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $348.27 – $386.40 | 3 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $727.15 – $727.15 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $727.15 – $727.15 | 2 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $727.15 – $727.15 | 2 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,238.03 – $1,238.03 | 2 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $309.95 – $309.95 | 2 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $313.88 – $313.88 | 2 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $309.95 – $309.95 | 2 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $309.95 – $309.95 | 2 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $309.95 – $309.95 | 2 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $309.95 – $309.95 | 2 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $309.95 – $309.95 | 2 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $727.15 – $727.15 | 2 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $727.15 – $727.15 | 2 |
| Chemo extend IV infus w/pump HCPCS G0498 | $855.20 | $1,069.00 | $367.20 – $962.10 | 15 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $48.45 – $176.00 | 3 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $348.27 – $378.40 | 3 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $247.20 – $348.27 | 3 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $221.22 – $314.40 | 3 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $74.73 – $201.60 | 3 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $316.80 – $348.27 | 3 |
| Chemotx admn pertl cav impl CPT 96446 | $736.00 | $920.00 | $316.02 – $828.00 | 15 |
| Chest 2 vws w oblique CPT 71048 | $501.60 | $627.00 | $111.66 – $564.30 | 15 |
| Chest apical lordotic proj CPT 71047 | $354.40 | $443.00 | $92.45 – $398.70 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,654.40 | $3,318.00 | $186.92 – $2,986.20 | 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.