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 |
|---|---|---|---|---|
| Chest CT scan (with contrast) CPT 71260 | $2,200.00 | $2,750.00 | $186.92 – $2,475.00 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $1,746.40 | $2,183.00 | $111.66 – $1,964.70 | 15 |
| Chest Physiotherapy (first session) CPT 94667 | $185.60 | $232.00 | $79.69 – $208.80 | 15 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $127.20 | $159.00 | $54.62 – $143.10 | 15 |
| Chest Ultrasound CPT 76604 | $542.40 | $678.00 | $111.66 – $610.20 | 15 |
| Chest X-ray CPT 71046 | $326.40 | $408.00 | $92.45 – $367.20 | 15 |
| Chest X-ray (single view) CPT 71045 | $296.80 | $371.00 | $92.45 – $333.90 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $62.37 – $62.37 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $586.40 | $733.00 | $186.92 – $659.70 | 15 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $26.57 – $26.57 | 2 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $26.57 – $26.57 | 2 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $26.57 – $26.57 | 2 |
| Chlamydia culture CPT 87110 | $103.20 | $129.00 | $44.31 – $116.10 | 15 |
| Chlnggrphy intraop addl s&i CPT 74301 | $148.00 | $185.00 | $63.55 – $166.50 | 15 |
| Chloramphenicol sodium injec HCPCS J0720 | $45.96 | $57.44 | $19.73 – $51.70 | 15 |
| Chloride CPT 82435 | $30.40 | $38.00 | $13.05 – $34.20 | 15 |
| Chloride 24 hour urine CPT 82436 | $49.60 | $62.00 | $6.53 – $17.10 | 15 |
| Chloroprocaine hcl injection HCPCS J2401 | $68.64 | $85.80 | $21.00 – $55.03 | 15 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $77.44 | $96.80 | $33.25 – $87.12 | 15 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $348.27 – $1,822.40 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $766.40 | $958.00 | $329.07 – $862.20 | 15 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,705.51 – $3,705.51 | 2 |
| Cholesterol CPT 82465 | $36.80 | $46.00 | $12.37 – $32.40 | 15 |
| Cholesterol body fluid CPT 84999 | $1.60 | $2.00 | $0.69 – $1.80 | 15 |
| Cholesterol (Lipid) Test CPT 80061 | $124.00 | $155.00 | $46.75 – $139.50 | 15 |
| Cholinesterase CPT 82480 | $35.20 | $44.00 | $15.11 – $39.60 | 15 |
| Cholinesterase challenge CPT 95857 | not published | not published | $326.96 – $326.96 | 2 |
| Chorion biopsy CPT 59015 | not published | not published | $914.28 – $914.28 | 2 |
| Chrom analysis CPT 88273 | $84.80 | $106.00 | $36.41 – $95.40 | 15 |
| Chromatography CPT 83021 | $60.00 | $75.00 | $25.76 – $67.50 | 15 |
| Chromogenic substrate assay CPT 85130 | $289.60 | $362.00 | $124.35 – $325.80 | 15 |
| Chromo high res and frag x - sendout CPT 81243 | $436.00 | $545.00 | $59.77 – $156.60 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | $306.40 | $383.00 | $131.56 – $344.70 | 15 |
| Chromosome analysis 45 CPT 88263 | $366.40 | $458.00 | $157.32 – $412.20 | 15 |
| Chromosome analysis 5 CPT 88261 | $644.80 | $806.00 | $276.86 – $725.40 | 15 |
| Chronic urticaria - sendout CPT 86343 | $100.00 | $125.00 | $42.94 – $112.50 | 15 |
| Chylomicron screen, bf - sendout CPT 82664 | $169.60 | $212.00 | $72.82 – $190.80 | 15 |
| Cidofovir injection HCPCS J0740 | $1,521.24 | $1,901.54 | $504.65 – $1,322.22 | 15 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $111.66 – $111.66 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $194.72 | $243.40 | $23.36 – $61.20 | 15 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $700.84 – $700.84 | 2 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,150.94 – $2,150.94 | 2 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $310.21 | $387.76 | $123.65 – $323.96 | 15 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $521.81 | $652.26 | $224.05 – $587.03 | 15 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Claviculectomy total CPT 23125 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $534.71 – $534.71 | 2 |
| Clearance of airways CPT 31720 | $192.80 | $241.00 | $82.78 – $216.90 | 15 |
| Clearance of tear duct CPT 68530 | not published | not published | $313.88 – $313.88 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $75.52 | $94.40 | $15.50 – $40.60 | 15 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,338.51 – $3,338.51 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $612.80 | $766.00 | $251.87 – $689.40 | 15 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $251.87 – $251.87 | 2 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $251.87 – $251.87 | 2 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,426.40 | $1,783.00 | $612.46 – $1,604.70 | 15 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $581.60 | $727.00 | $249.72 – $654.30 | 15 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $534.71 – $534.71 | 2 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,325.60 | $4,157.00 | $1,427.93 – $3,741.30 | 15 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $251.87 – $251.87 | 2 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $251.87 – $251.87 | 2 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,406.84 – $3,406.84 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $243.83 – $243.83 | 2 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Close tear duct opening CPT 68760 | not published | not published | $313.88 – $313.88 | 2 |
| Close tear duct opening CPT 68761 | not published | not published | $313.88 – $313.88 | 2 |
| Close tear system fistula CPT 68770 | not published | not published | $2,449.61 – $2,449.61 | 2 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,555.34 – $1,555.34 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $534.71 – $534.71 | 2 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,016.97 – $1,016.97 | 2 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,405.22 – $3,405.22 | 2 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $649.17 – $649.17 | 2 |
| Clot factor xii hageman CPT 85280 | $88.80 | $111.00 | $38.13 – $99.90 | 15 |
| Clot factor xiii fibrin scrn CPT 85291 | $40.00 | $50.00 | $17.18 – $45.00 | 15 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $726.40 | $908.00 | $251.87 – $817.20 | 15 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $545.60 | $682.00 | $234.27 – $613.80 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $482.40 | $603.00 | $207.13 – $542.70 | 15 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $520.80 | $651.00 | $223.62 – $585.90 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $777.60 | $972.00 | $251.87 – $874.80 | 15 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $685.60 | $857.00 | $251.87 – $771.30 | 15 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,680.43 – $1,680.43 | 2 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $251.87 – $251.87 | 2 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $580.00 | $725.00 | $249.04 – $652.50 | 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.