Home › Hospitals › Sanford Thief River Falls Medical Center Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $2,584.80
$3,231
2.8×
Upper GI endoscopy (EGD) with biopsy (43239) $2,576.80
$3,221
2.8×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,109.60
$1,387
1.2×
Transforaminal epidural injection, lumbar/sacral (64483) $2,155.20
$2,694
2.4×
After-cataract laser surgery (YAG capsulotomy) (66821) $1,464.80
$1,831
2.6×
CT head/brain without contrast (70450) $1,690.40
$2,113
15.7×
MRI brain without contrast (70551) $2,757.60
$3,447
11.2×
MRI brain with contrast (70552) $3,116
$3,895
8.7×
MRI brain without and with contrast (70553) $3,972
$4,965
11.0×
X-ray lower spine, 4+ views (72110) $581.60
$727
5.4×
MRI lumbar spine without contrast (72148) $2,757.60
$3,447
11.2×
CT pelvis with contrast (72193) $2,211.20
$2,764
12.2×
MRI lower-extremity joint without contrast (73721) $2,560
$3,200
10.4×
CT abdomen and pelvis with contrast (74177) $3,747.20
$4,684
10.4×
Ultrasound, abdomen complete (76700) $912.80
$1,141
8.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $792
$990
7.3×
Ultrasound, transvaginal (76830) $601.60
$752
5.6×
Mammography, one breast (diagnostic) (77065) $386.40
$483
4.5×
Mammography, both breasts (diagnostic) (77066) $494.40
$618
4.5×
Mammography, screening (bilateral) (77067) $414.40
$518
4.5×
Basic metabolic panel (80048) $107.20
$134
12.7×
Comprehensive metabolic panel (80053) $136.80
$171
13.0×
Lipid panel (80061) $124
$155
9.3×
Renal function panel (80069) $129.60
$162
14.9×
Hepatic function panel (80076) $120
$150
14.7×
Urinalysis, non-automated, with microscopy (81000) $50.40
$63
12.5×
PSA, total (84153) $72.80
$91
4.0×
Thyroid stimulating hormone (TSH) (84443) $103.20
$129
6.1×
CBC with automated differential (85025) $83.20
$104
10.7×
CBC, automated (85027) $64
$80
9.9×
Prothrombin time (PT) (85610) $28
$35
6.5×
Partial thromboplastin time (PTT) (85730) $27.20
$34
4.5×
Psychotherapy, 60 minutes (90837) $128.80
$161
0.7×
Sleep study (attended polysomnography) (95810) $4,043.20
$5,054
4.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $119.20
$149
4.1×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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