Visits & medical services 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.
154 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $51.20 | $64 | 1.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $71.20 | $89 | 1.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $300.80 | $376 | 1.3× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$117.60–$224.80 | $147–$281 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $90.40 | $113 | 6.3× |
| Application on-body injector (96377) | $138.40 | $173 | 2.9× |
| Assessment of aphasia per hr (96105) | $359.20 | $449 | 3.7× |
| Audiometry Air & Bone (92553) | $240 | $300 | 1.8× |
| Behavral qualit analys voice (92524) | $407.20 | $509 | 3.7× |
| Biofeedback training any modality (90901) | $188 | $235 | 4.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $395.20 | $494 | 1.0× |
| Canalith repositioning proc (95992) | $143.20 | $179 | 3.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $440 | $550 | 2.0× |
| Cardiopulmonary resuscitation (92950) | $1,083.20 | $1,354 | 4.9× |
| Cardioversion (92960) | $1,659.20 | $2,074 | 2.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $66.40 | $83 | 2.5× |
| Cbt 1st hour (94644) | $240 | $300 | 1.7× |
| Chemo Admin Peritoneal Cavity (96446) | $736 | $920 | 2.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $219.20 | $274 | 2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $155.20 | $194 | 2.1× |
| Chemo IV infusion addl hr (96415) | $101.60 | $127 | 1.4× |
| Chemo IV push addl drug (96411) | $223.20 | $279 | 3.0× |
| Chemother Prolong Infuse W/Pump (96416) | $969.60 | $1,212 | 2.8× |
| Chemotherapy Unspecified (96549) | $178.40 | $223 | 3.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $288.80 | $361 | 3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $596.80 | $746 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $388 | $485 | 1.1× |
| Chest Wall Manipulation (94668) | $127.20 | $159 | 0.9× |
| Color/duplex Doppler, complete (93975) | $1,075.20 | $1,344 | 4.4× |
| Color/duplex Doppler, limited (93976) | $732.80 | $916 | 6.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $120 | $150 | 3.7× |
| Comprehensive Hearing Test (92557) | $331.20 | $414 | 2.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $418.40 | $523 | 3.0× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$132.80–$485.60 | $166–$607 | varies |
| Cpt initial (94667) | $185.60 | $232 | 1.4× |
| Critical care first hour (99291) | $2,712 | $3,390 | 3.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $373.60 | $467 | 1.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $732 | $915 | 3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $745.60 | $932 | 6.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,032.80 | $1,291 | 4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $640.80 | $801 | 5.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $912 | $1,140 | 3.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $570.40 | $713 | 5.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $872.80 | $1,091 | 3.5× |
| Duplex Scan Hemodialysis Access (93990) | $605.60 | $757 | 5.6× |
| Duplex up extrem art bilat (93930) | $665.60 | $832 | 2.7× |
| Duplex up extrem art unilat/ltd (93931) | $587.20 | $734 | 5.4× |
| Echo Congenital Complete (93303) | $1,880 | $2,350 | 3.3× |
| Echo Heart Xthoracic,Limited (93308) | $1,147.20 | $1,434 | 4.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,420 | $3,025 | 4.3× |
| EEG awake and asleep (95819) | $1,182.40 | $1,478 | 5.3× |
| EEG awake drowsy (95816) | $1,085.60 | $1,357 | 4.9× |
| Electrical Stimulation Ea 15 Min (97032) | $56 | $70 | 3.8× |
| Electrocardiogram Tracing (93005) | $221.60 | $277 | 3.6× |
| Emergency Dept Visit Level 2 (99282) | $395.20 | $494 | 2.5× |
| Emergency Dept Visit Level 3 (99283) | $640.80 | $801 | 2.3× |
| Emergency Dept Visit Level 4 (99284) | $1,048 | $1,310 | 2.4× |
| Er level 1 (99281) | $245.60 | $307 | 2.8× |
| Er level v (99285) | $1,622.40 | $2,028 | 2.6× |
| Evaluate pt use of inhaler (94664) | $182.40 | $228 | 0.8× |
| Evaluate Speech Production (92522) | $391.20 | $489 | 3.5× |
| Evaluate Swallowing Function (92610) | $384.80 | $481 | 4.5× |
| Evaluation of speech fluency (92521) | $391.20 | $489 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $187.20 | $234 | 0.8× |
| Extracranial Bilat Study (93880) | $981.60 | $1,227 | 4.0× |
| Extracranial Uni/Ltd Study (93882) | $770.40 | $963 | 7.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,424.80 | $1,781 | 2.5× |
| Gi tract capsule endoscopy (91110) | $2,552 | $3,190 | 2.7× |
| Group Therapeutic Procedures (97150) | $115.20 | $144 | 6.4× |
| Holter monitor recording (93225) | $264 | $330 | 1.9× |
| Immunization administration (90471) range across 9 matching MRF lines |
$15.75–$92.80 | $19.68–$116 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $299.20 | $374 | 0.8× |
| Iontophoresis 15 min (97033) | $117.60 | $147 | 6.2× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$173.60–$180.80 | $217–$226 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$96–$132.80 | $120–$166 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$300–$342.40 | $375–$428 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $238.40 | $298 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$120–$182.40 | $150–$228 | varies |
| IV push initial (96374) | $261.60 | $327 | 1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $740.80 | $926 | 3.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $60 | $75 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $63.20 | $79 | 1.7× |
| Methacholine challenge (94070) | $835.20 | $1,044 | 2.2× |
| Motion Fluoroscopy/Swallow (92611) | $507.20 | $634 | 5.5× |
| Multiple Sleep Latency Test (95805) | $3,000 | $3,750 | 3.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $316.80 | $396 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $435.20 | $544 | 1.0× |
| Neuromuscular Reeducation (97112) | $137.60 | $172 | 4.2× |
| Oral Function Therapy (92526) | $280 | $350 | 3.3× |
| Oral Speech Device Eval (92597) | $439.20 | $549 | 6.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $124.80 | $156 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $129.60 | $162 | 2.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $63.20 | $79 | 2.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $99.20 | $124 | 7.1× |
| Ot eval high complexity (97167) | $292.80 | $366 | 2.9× |
| Ot Eval Low Complex (97165) | $256.80 | $321 | 2.6× |
| Ot Eval Moderate Complexity (97166) | $280 | $350 | 2.8× |
| Ot manual therapy 15 min (97140) | $123.20 | $154 | 4.4× |
| Ot paraffin bath (97018) | $90.40 | $113 | 15.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $128 | $160 | 3.2× |
| Ot Re-Eval Est Plan Care (97168) | $184.80 | $231 | 2.7× |
| Ot rom hand (95852) | $85.60 | $107 | 4.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $244 | $305 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $243.20 | $304 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $239.20 | $299 | 1.1× |
| Peripheral arterial disease rehab per session (93668) | $161.60 | $202 | 2.7× |
| Phlebotomy therapeutic (99195) | $253.60 | $317 | 1.8× |
| Physical Performance Test (97750) | $120.80 | $151 | 3.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,636.80 | $5,796 | 5.2× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$321.60–$430.40 | $402–$538 | varies |
| Pt Eval High Complex (97163) | $292.80 | $366 | 3.0× |
| Pt eval low complex 20 min (97161) | $256.80 | $321 | 2.6× |
| Pt Eval Mod Complex (97162) | $280 | $350 | 2.9× |
| Pt gait training 15 min (97116) | $113.60 | $142 | 3.9× |
| Pt group caregiver training (97552) | $56 | $70 | 2.5× |
| Pt mechanical traction (97012) | $104.80 | $131 | 7.3× |
| Pt Re-Eval Est Plan Care (97164) | $184.80 | $231 | 2.7× |
| Pulmonary Stress Testing (94618) | $309.60 | $387 | 2.3× |
| Refill/Maint Portable Pump (96521) | $555.20 | $694 | 2.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $147.20 | $184 | 2.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $340.80 | $426 | 1.6× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $112.80 | $141 | 4.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $470.40 | $588 | 3.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $190.40 | $238 | 4.0× |
| Self Care Mngment Training (97535) | $124 | $155 | 3.8× |
| Sensory Integration Ea 15 Min (97533) | $114.40 | $143 | 1.9× |
| Slp caregiver training 1st 30 min (97550) | $132.80 | $166 | 2.5× |
| Speech Audiometry Complete (92556) | $146.40 | $183 | 2.4× |
| Speech audiometry threshold (92555) | $99.20 | $124 | 1.6× |
| Speech sound lang comprehen (92523) | $496 | $620 | 2.2× |
| Spirometry (94010) | $204.80 | $256 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $336.80 | $421 | 3.3× |
| Stress Tte Only (93350) | $2,101.60 | $2,627 | 3.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $132 | $165 | 5.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $140 | $175 | 6.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $103.20 | $129 | 3.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $294.40 | $368 | 2.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$20–$93.60 | $25–$117 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$380–$497.60 | $475–$622 | varies |
| Therapeutic Activities (97530) | $121.60 | $152 | 3.5× |
| Tte w/doppler, complete (93306) | $2,196 | $2,745 | 3.9× |
| Tte W/O Doppler Complete (93307) | $1,603.20 | $2,004 | 6.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $292 | $365 | 3.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $167.20 | $209 | 7.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$20–$120 | $25–$150 | varies |
| Tympanometry (92567) | $96.80 | $121 | 2.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $432.80 | $541 | 3.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $660.80 | $826 | 3.0× |
| Vasopneumatic device (97016) | $92.80 | $116 | 7.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,172 | $1,465 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $946.40 | $1,183 | 1.5× |
| Visual reinforcement audiometry (vra) (92579) | $288 | $360 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $118.40 | $148 | 3.8× |
| Whirlpool Therapy (97022) | $101.60 | $127 | 6.5× |
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.