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.

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $51.20 $64 1.3×
Aep hearing status deter broadband stimuli i&r (92651) $300.80 $376 1.3×
Airway inhalation treatment (94640) $173.20 $216.50 0.8×
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×
Bedside Swallowing Eval (92610) $384.80 $481 4.5×
Behavioral and qualitative analysis of voice and resonance (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 Procedure (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 Hormon Antineopl Sq/Im (96402) $155.20 $194 2.1×
Chemo IV push addl drug (96411) $223.20 $279 3.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $969.60 $1,212 2.8×
Chemother, IV infusion, 1 hr (96413) $596.80 $746 1.8×
Chemother, IV infusion, ea add hr (96415) $101.60 $127 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $219.20 $274 2.9×
Chemotherapy, unspecified procedure (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 push tq 1/1st sbst/drug (96409) $388 $485 1.1×
Color/duplex Doppler, complete (93975) $1,075.20 $1,344 4.4×
Color/duplex Doppler, limited (93976) $732.80 $916 6.8×
Comprehensive Hearing Test (92557) $331.20 $414 2.5×
Continuous Glucose Monitoring (95250) $418.40 $523 3.0×
Cpt initial (94667) $185.60 $232 1.4×
Critical care (99291) $2,712 $3,390 3.2×
Debridement Open Wound 20 Sq Cm< (97597) $373.60 $467 1.8×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $187.20 $234 0.8×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $665.60 $832 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $587.20 $734 5.4×
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 extracranial art compl bi study (93880) $981.60 $1,227 4.0×
Duplex Scan Hemodialysis Access (93990) $605.60 $757 5.6×
Echo Heart Xthoracic,Limited (93308) $1,147.20 $1,434 4.7×
Echo Transthoracic - Congenital Tte Complete (93303) $1,880 $2,350 3.3×
Echo Transthoracic - Congenital Tte Limited (93304) $1,424.80 $1,781 2.5×
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×
EKG rhythm strip (93041) $147.20 $184 2.4×
Electrocardiogram Tracing (93005) $221.60 $277 3.6×
Er level 1 (99281) $245.60 $307 2.8×
Er level ii (99282) $395.20 $494 2.5×
Er level iii (99283) $640.80 $801 2.3×
Er level IV (99284) $1,048 $1,310 2.4×
Er level v (99285) $1,622.40 $2,028 2.6×
Eval speech sound production (92522) $391.20 $489 3.5×
Eval to use/fit voice prosth (92597) $439.20 $549 6.2×
Evaluate Pt Use Of Inhaler (94664) $182.40 $228 0.8×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $470.40 $588 3.8×
Evaluation of speech fluency (92521) $391.20 $489 2.9×
Gi tract capsule endoscopy (91110) $2,552 $3,190 2.7×
Group Therapeutic Procedures (97150) $115.20 $144 6.4×
Holter Monitor (93225) $264 $330 1.9×
Imm admn sarscov2 vaccine single dose (90480) $71.20 $89 1.7×
Immunization Admin (90471) $92.80 $116 1.2×
Inhalation bronchial challenge testing (95070) $299.20 $374 0.8×
Iontophoresis 15 min (97033) $117.60 $147 6.2×
Irrig drug delivery device (96523) $173.60 $217 2.9×
IV infusion hydration each additional hour (96361) $114.40 $143 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $321.20 $401.50 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $238.40 $298 3.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $438.80 $548.50 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $151.20 $189 3.1×
IV push ea addl new drug (96375) $120 $150 2.5×
IV push initial (96374) $261.60 $327 1.2×
Manual therapy 15 min (97140) $123.20 $154 4.4×
Massage 15 min (97124) $103.20 $129 3.5×
Mechanical traction (97012) $104.80 $131 7.3×
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 Fluor Eval Swlng Funcj C/V Rec (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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $432.80 $541 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $335.20 $419 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $120 $150 3.7×
Ot Contrast Bath Ea 15 Min (97034) $99.20 $124 7.1×
Ot eval high complex 60 min (97167) $292.80 $366 2.9×
Ot eval low complex 30 min (97165) $256.80 $321 2.6×
Ot eval mod complex 45 min (97166) $280 $350 2.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $124.80 $156 2.5×
Ot Prosthetic Training, Each 15 Min (97761) $128 $160 3.2×
Ot Range Motion Measure,Each Extrem (95851) $112.80 $141 4.3×
Ot re-evaluation (97168) $184.80 $231 2.7×
Ot therapeutic activity 15 min (97530) $121.60 $152 3.5×
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×
Paraffin bath pt (97018) $90.40 $113 15.0×
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×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,636.80 $5,796 5.2×
Psychiatric diagnostic evaluation (90791) $321.60 $402 1.8×
Pt Electrical Stimulation (97032) $56 $70 3.8×
Pt eval high complex 45 min (97163) $292.80 $366 3.0×
Pt eval low complex 20 min (97161) $256.80 $321 2.6×
Pt eval mod complex 30 min (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 Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $137.60 $172 4.2×
Pt Physical Performance Test (97750) $120.80 $151 3.6×
Pt re-evaluation (97164) $184.80 $231 2.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $124 $155 3.8×
Pt Whirlpool Therapy (97022) $101.60 $127 6.5×
Pulmonary stress test simple (94618) $309.60 $387 2.3×
Pure Tone Audiometry Air & Bone (92553) $240 $300 1.8×
Refill/Maint Portable Pump (96521) $555.20 $694 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $340.80 $426 1.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $85.60 $107 4.0×
Rt Chest Wall Manipulation,Subsequent (94668) $127.20 $159 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $190.40 $238 4.0×
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 echo (93350) $2,101.60 $2,627 3.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $132 $165 5.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $140 $175 6.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $294.40 $368 2.9×
Therapeutic prophylactic/dx injection subq/im (96372) $93.60 $117 1.3×
Tte w/doppler, complete (93306) $2,196 $2,745 3.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $280 $350 3.3×
Tympanometry (92567) $96.80 $121 2.5×
Upr/lxtr art stdy 3+ lvls (93923) $660.80 $826 3.0×
Vasc Duplex Scan Extracranial,Limited (93882) $770.40 $963 7.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $740.80 $926 3.3×
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×