Procedures & surgery 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.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,989.60 $2,487 2.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,440 $1,800 1.5×
Amniocentesis diagnostic (59000) $864 $1,080 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,994.40 $4,993 1.2×
Anoscopy diagnostic (46600) $282.40 $353 2.1×
Application cast elbow finger short arm (29075) $321.60 $402 1.1×
Application Finger Splint Dynamic (29131) $238.40 $298 3.9×
Application finger splint static (29130) $292 $365 2.1×
Application long arm splint shoulder hand (29105) $404.80 $506 2.4×
Application Long Leg Splint (29505) $405.60 $507 2.4×
Application of rigid total contact leg cast (29445) $608 $760 2.1×
Application short arm splint forearm-hand static (29125) $364 $455 2.7×
Application short leg splint calf foot (29515) $393.60 $492 2.3×
Apply hand/wrist cast (29085) $267.20 $334 1.6×
Apply Multlay Comprs Lwr Leg (29581) $163.20 $204 1.0×
Arterial puncture (36600) $125.60 $157 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $610.40 $763 1.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $968 $1,210 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $600.80 $751 1.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $951.20 $1,189 3.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $525.60 $657 1.7×
Aspirate pleura w/ imaging (32555) $1,502.40 $1,878 2.3×
Aspirate Pleura W/O Imaging (32554) $1,524.80 $1,906 2.4×
Avulsion nail plate partial/complete simple 1 (11730) $438.40 $548 2.1×
Biopsy Abdominal Mass (49180) $2,232 $2,790 1.3×
Biopsy bone trocar/needle deep (20225) $2,817.60 $3,522 1.7×
Biopsy muscle percutaneous needle (20206) $2,111.20 $2,639 1.2×
Biopsy of liver, needle; percutaneous (47000) $1,892.80 $2,366 1.1×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,444.80 $3,056 1.4×
Bladder instillation anticarcinogenic agent (51720) $399.20 $499 0.6×
Bladder Irrigation (51700) $556 $695 2.2×
Bladder Scan (51798) $172 $215 2.8×
Blood Transfusion Service (36430) $1,248 $1,560 2.7×
Bone Marrow Biopsy (38221) $616 $770 0.4×
Bone Marrow; Aspiration Only (38220) $1,247.20 $1,559 0.7×
Bx breast 1st lesion mr imag (19085) $3,495.20 $4,369 2.1×
Bx breast 1st lesion strtctc (19081) $2,028.80 $2,536 1.2×
Bx breast 1st lesion us imag (19083) $2,420 $3,025 1.4×
Catheter aspiration nasotracheal spx (31720) $192.80 $241 0.9×
Change Cystostomy Tube Simple (51705) $657.60 $822 2.6×
Chest tube placement (32551) $1,650.40 $2,063 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,500 $1,875 0.9×
Clear outer ear canal (69200) $328 $410 2.4×
Closed tx ankle dislocation w/o anesthesia (27840) $603.20 $754 2.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,354.40 $1,693 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $545.60 $682 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $508.80 $636 2.0×
Closed tx patellar dislocation w/anesthesia (27562) $1,268.80 $1,586 5.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $544.80 $681 2.1×
Closed tx radial head/neck fx w/manipulation (24655) $1,502.40 $1,878 0.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,696 $2,120 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $473.60 $592 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $513.60 $642 2.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $612.80 $766 2.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $674.40 $843 2.6×
Clsd tx clavicular fracture w/o manipulation (23500) $482.40 $603 1.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,466.40 $3,083 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $726.40 $908 2.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,207.20 $2,759 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,419.20 $1,774 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $777.60 $972 3.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $588.80 $736 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $572 $715 2.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $520.80 $651 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $580 $725 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,123.20 $1,404 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,870.40 $3,588 1.7×
Cltx hip dislocation traumatic req anesthesia (27252) $2,448.80 $3,061 1.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $586.40 $733 2.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,733.60 $2,167 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $628 $785 2.5×
Cltx Med Ankle Fx W/Mnpj (27762) $1,544.80 $1,931 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $495.20 $619 1.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $820.80 $1,026 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $680 $850 2.7×
Cltx post hip arthrp dislc req anes (27266) $3,325.60 $4,157 2.0×
Cltx post hip arthrp dislc w/o anes (27265) $856 $1,070 3.4×
Cltx prox fibula/shft fx w/manj (27781) $2,548 $3,185 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $685.60 $857 2.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,609.60 $2,012 1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $533.60 $667 2.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,704.80 $2,131 1.0×
Collect Blood From Catheter Venous Nos (36592) $120 $150 0.9×
Collection of venous blood by venipuncture (36415) $24 $30 2.6×
Control Nasal Hemorrhage Anterior Complex (30903) $383.20 $479 2.8×
Control Nasal Hemorrhage Anterior Simple (30901) $368.80 $461 2.7×
Control oropharyngeal hemorrhage simple (42960) $892 $1,115 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $383.20 $479 2.8×
Cystostomy Cystotomy W/Drainage (51040) $5,991.20 $7,489 2.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $844.80 $1,056 2.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $912 $1,140 2.2×
Declot vascular device (36593) $541.60 $677 1.6×
Delivery of placenta (59414) $1,200 $1,500 0.4×
Dilation & curettage dx&/ther nonobstetric (58120) $3,304 $4,130 1.0×
Drain Cerebro Spinal Fluid (62272) $1,624 $2,030 2.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $771.20 $964 1.1×
Drainage Finger Abscess Complicated (26011) $814.40 $1,018 0.5×
Drainage of finger abscess simple (26010) $597.60 $747 2.9×
Drainage of gum lesion (41800) $475.20 $594 3.5×
Drainage of hematoma/fluid (10140) $1,926.40 $2,408 1.1×
Drainage of scrotum (54700) $4,356 $5,445 2.0×
Draw Blood Off Venous Device (36591) $72 $90 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $530.40 $663 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $428.80 $536 2.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,029.60 $2,537 2.2×
Dx Bone Marrow Bx & Aspir (38222) $845.60 $1,057 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,511.20 $1,889 2.1×
Egd Flexible Foreign Body Removal (43247) $2,920 $3,650 3.1×
Epidural Blood Patch (62273) $1,593.60 $1,992 2.2×
Episiotomy or vaginal repair (59300) $1,660 $2,075 0.5×
Escharotomy; initial incision (16035) $590.40 $738 1.4×
Evacuation of subungual hematoma (11740) $332 $415 2.4×
Exploration penetrating wound spx extremity (20103) $2,210.40 $2,763 1.3×
External cephalic version (59412) $2,428 $3,035 0.7×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,442.40 $3,053 1.0×
Fetal Contraction Stress Test (59020) $610.40 $763 2.9×
Fetal non-stress test (59025) $300 $375 1.4×
Fluoro exam of g/colon tube (49465) $516.80 $646 2.1×
Fna bx w/us gdn 1st les (10005) $1,848.80 $2,311 2.5×
Foreskin manipulation (54450) $616.80 $771 2.4×
Hysteroscopy Endometrial Ablation (58563) $7,251.20 $9,064 1.4×
I&d abscess peritonsillar (42700) $576 $720 2.4×
I&d abscess simple (10060) $540 $675 2.6×
I&d perianal abscess superficial (46050) $1,628 $2,035 1.7×
I&d pilonidal cyst complicated (10081) $1,337.60 $1,672 1.8×
I&d pilonidal cyst simple (10080) $636 $795 0.9×
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,600.80 $2,001 2.4×
Image Cath Fluid Colxn Visc (49405) $2,621.60 $3,277 1.5×
Image Cath Fluid Peri/Retro (49406) $3,050.40 $3,813 1.8×
Incise external hemorrhoid (46083) $654.40 $818 2.5×
Incision & drainage abscess complicated/multiple (10061) $792.80 $991 1.9×
Incision & removal foreign body subq tiss compl (10121) $2,595.20 $3,244 1.5×
Incision & removal foreign body subq tiss simple (10120) $780 $975 1.9×
Incision and drainage of bartholin's gland abscess (56420) $560 $700 2.7×
Incision and drainage of vulva or perineal abscess (56405) $780 $975 2.5×
Incision of rectal abscess (46040) $2,631.20 $3,289 2.1×
Initial Tx 1st Degree Burn Local Tx (16000) $221.60 $277 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,111.20 $2,639 2.3×
Inj W/Fluor Eval Cv Device (36598) $708.80 $886 3.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,130.40 $2,663 2.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $668.80 $836 2.1×
Injection for identification of sentinel node (38792) $1,078.40 $1,348 2.6×
Injection single/mlt trigger point 1/2 muscles (20552) $628.80 $786 2.0×
Injection, anesthetic agent; brachial plexus, single (64415) $314.40 $393 0.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,198.40 $1,498 1.6×
Insert Bladder Cath Complex (51703) $344 $430 2.6×
Insert cath pleura w/o image (32556) $1,979.20 $2,474 1.0×
Insert cervical dilator (59200) $892 $1,115 2.8×
Insert non-tunnel cv cath (36556) $1,964.80 $2,456 0.6×
Insert Temp Bladder Cath (51702) $260 $325 1.9×
Insert,Non-Indwelling Bladder Catheter (51701) $204 $255 1.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,417.60 $3,022 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,471.20 $3,089 1.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,978.40 $4,973 1.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,560 $10,700 1.0×
Intro Gastrointestinal Tube (44500) $1,128 $1,410 1.2×
Intubation endotracheal emergency procedure (31500) $592.80 $741 2.4×
Nasal/Orogastric W/Tube Plmt (43752) $615.20 $769 1.3×
Needle Biopsy Lymph Nodes (38505) $2,140.80 $2,676 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,100 $1,375 2.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $728.80 $911 2.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,792 $2,240 2.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,683.20 $2,104 2.3×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,161.60 $1,452 1.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,732.80 $2,166 2.4×
Pericardiocentesis W/Imaging (33016) $2,640.80 $3,301 1.6×
Perq dev breast 1st strtctc (19283) $1,859.20 $2,324 2.5×
Perq dev breast 1st us imag (19285) $1,672 $2,090 2.3×
Perq device breast 1st imag (19281) $476 $595 0.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,745.60 $2,182 2.4×
Placement of needle for intraosseous infusion (36680) $502.40 $628 1.1×
Punch biopsy skin single lesion (11104) $512 $640 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $509.60 $637 1.2×
Puncture Aspiration Cyst Breast (19000) $1,294.40 $1,618 1.8×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines
$758.40–$834.40 $948–$1,043 varies
Removal Foreign Body Foot Subcutaneous (28190) $1,289.60 $1,612 1.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $145.60 $182 2.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $230.40 $288 3.8×
Removal of foreign body from pharynx (42809) $412 $515 0.9×
Removal of nail bed (11750) $1,192.80 $1,491 2.8×
Remove Forearm Foreign Body (25248) $2,432 $3,040 1.5×
Remove foreign body from eye (65205) $360.80 $451 2.6×
Remove Intrauterine Device (58301) $626.40 $783 2.0×
Remove lung catheter (32552) $1,603.20 $2,004 2.5×
Remove Nasal Foreign Body (30300) $349.60 $437 2.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,375.20 $1,719 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,392 $1,740 3.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,288 $1,610 3.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $788 $985 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $818.40 $1,023 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $792 $990 1.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,003.20 $1,254 2.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,149.60 $1,437 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $788 $985 1.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $912 $1,140 2.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $818.40 $1,023 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $818.40 $1,023 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $825.60 $1,032 2.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $818.40 $1,023 2.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,572.80 $1,966 2.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $818.40 $1,023 2.0×
Repair of nail bed (11760) $605.60 $757 0.8×
Repair tongue laceration (41250) $536.80 $671 1.2×
Replace g/c tube perc (49450) $1,588.80 $1,986 1.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $472 $590 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $424.80 $531 3.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,532.80 $4,416 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,284.80 $4,106 2.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,084.80 $2,606 3.2×
Rplc Gtube No Revj Trc (43762) $772.80 $966 3.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,664.80 $3,331 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $644 $805 3.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,646.40 $2,058 3.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $203.20 $254 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,820.80 $3,526 2.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $485.60 $607 2.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $504 $630 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $569.60 $712 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $475.20 $594 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $527.20 $659 2.5×
Skin Tissue Procedure (17999) $1,395.20 $1,744 6.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $502.40 $628 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $590.40 $738 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $807.20 $1,009 1.9×
Spinal puncture lumbar diagnostic (62270) $1,176.80 $1,471 1.6×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $6,159.20 $7,699 1.9×
Strapping Unna Boot (29580) $144.80 $181 0.9×
Tangential biopsy skin single lesion (11102) $444 $555 1.1×
Thrombolytic Therapy Stroke (37195) $713.60 $892 2.1×
Thyroid biopsy (60100) $1,212.80 $1,516 1.7×
Tooth extraction (41899) $5,280.80 $6,601 21.6×
Treat Humerus Fracture (24505) $1,426.40 $1,783 0.9×
Treat Knuckle Dislocation (26700) $616 $770 2.4×
Treat Thumb Dislocation (26641) $612.80 $766 2.4×
Treat toe dislocation (28630) $581.60 $727 2.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,404 $3,005 1.4×
Treatment closed elbow dislocation w/o anes (24600) $674.40 $843 2.6×
Trimming Nondystrophic Nails Any Number (11719) $112 $140 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,283.20 $1,604 1.7×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $4,292 $5,365 17.6×
Unlisted Procedure Intestine (44799) $2,814.40 $3,518 3.0×
Unlisted procedure nervous system (64999) $824 $1,030 2.6×
Unlisted Procedure Rectum (45999) $1,292.80 $1,616 1.3×
Vaginal delivery only (59409) $2,749.60 $3,437 0.8×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.