Supplies, drugs & other prices at Sanford Thief River Falls Medical Center

Thief River Falls, MN · every code in this section with a posted price and a Medicare benchmark.

27 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,436.80 $1,796 4.0×
Adm tocilizu covid-19 1st (M0249) $760 $950 1.7×
Adm tocilizu covid-19 2nd (M0250) $812.80 $1,016 1.8×
Behavior counsel obesity 15m (G0447) $88.80 $111 0.8×
Chemo extend iv infus w/pump (G0498) $855.20 $1,069 2.5×
Diab manage trn per indiv (G0108) $117.60 $147 2.1×
Diab manage trn ind/group (G0109) $60.80 $76 3.8×
Direct refer hospital observ (G0379) $225.60 $282 0.4×
Ekg tracing for initial prev (G0404) $132.80 $166 4.4×
Fecal blood scrn immunoassay (G0328) $57.60 $72 3.2×
Group train w/o patient (G0543) $56 $70 1.9×
Hep c screen high risk/other (G0472) $122.40 $153 2.6×
Ig paraprotein qual bld/ur (0077U) $101.60 $127 2.3×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $292.80 $366 2.4×
No pt prsnt train initial 30 (G0541) $132.80 $166 4.4×
Oth resp proc, group (G0239) $100 $125 2.6×
Pemivibart infusion (M0224) $790.40 $988 1.7×
Post op service lvrs min 6 (G0305) $499.20 $624 1.3×
Pre-op service lvrs complete (G0302) $1,180 $1,475 3.1×
Prolonged iv inf, req pump (C8957) $841.60 $1,052 3.8×
Psa screening (G0103) $101.60 $127 5.3×
Therapeutic procd strg endur (G0237) $120.80 $151 4.0×
Tomosynthesis, mammo (G0279) $80 $100 6.3×
Trauma respons w/hosp criti (G0390) $2,640 $3,300 1.9×
Tte w or w/o contr, cont ecg (C8930) $2,420 $3,025 3.0×
Tte w or w/o fol w/con,stres (C8928) $2,511.20 $3,139 3.1×
Tte w or wo fol wcon,doppler (C8929) $2,542.40 $3,178 3.1×