Sanford Thief River Falls Medical Center — price list
← Hospital overviewVerified from Sanford Thief River Falls Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Outpatient | 0250 RC | $68.85 | $55.08 | $23.65 – $64.72 | — | |
| A-v shunt fistula Outpatient | 0360 RC | $2,575 | $2,060 | $885 – $2,421 | — | |
| Abatacept For IV Soln 250 MG Outpatient | J0129 HCPCS | $3,727 | $2,982 | $44.25 – $3,504 | — | |
| Abd hysterectomy Outpatient | 0360 RC | $4,480 | $3,584 | $1,539 – $4,211 | — | |
| Abdominoplasty Outpatient | 0360 RC | $4,697 | $3,758 | $1,613 – $4,415 | — | |
| Acamprosate Calcium Tab Delayed Release 333 MG Outpatient | 0250 RC | $6.51 | $5.21 | $2.24 – $6.12 | — | |
| Acarbose Tab 25 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0134 HCPCS | $94.60 | $75.68 | $32.50 – $88.92 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0131 HCPCS | $93.70 | $74.96 | $32.19 – $88.08 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0136 HCPCS | $93.30 | $74.64 | $32.05 – $87.70 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0137 HCPCS | $54.10 | $43.28 | $18.58 – $50.85 | — | |
| Acetaminophen Suppos 120 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Acetaminophen Suppos 325 MG Outpatient | 0250 RC | $6.65 | $5.32 | $2.28 – $6.25 | — | |
| Acetaminophen Suppos 650 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Acetaminophen Susp 160 MG/5ML Outpatient | 0250 RC | $5.98 | $4.79 | $2.05 – $5.62 | — | |
| Acetaminophen Tab 325 MG Outpatient | 0250 RC | $1.75 | $1.40 | $0.60 – $1.65 | — | |
| Acetaminophen Tab ER 650 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Acetazolamide Cap ER 12HR 500 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Acetic Acid Otic Soln 2% Outpatient | 0250 RC | $53.88 | $43.11 | $18.51 – $50.65 | — | |
| Acetic Acid Soln 5% Outpatient | 0250 RC | $58.00 | $46.40 | $19.92 – $54.52 | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Outpatient | 0250 RC | $145 | $116 | $49.67 – $136 | — | |
| Acetylcysteine Inhal Soln 20% Outpatient | 0250 RC | $9.32 | $7.46 | $3.20 – $8.76 | — | |
| Acetylcysteine Inj 200 MG/ML Outpatient | J0132 HCPCS | $103 | $82.68 | $35.50 – $97.15 | — | |
| Acyclovir Oint 5% Outpatient | 0250 RC | $363 | $291 | $125 – $341 | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Outpatient | J0133 HCPCS | $46.94 | $37.56 | $16.12 – $44.12 | — | |
| Acyclovir Tab 400 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Adenoidectomy Outpatient | 0360 RC | $2,186 | $1,749 | $751 – $2,055 | — | |
| Adenosine IV Soln 3 MG/ML (Diagnostic) Outpatient | J0153 HCPCS | $277 | $221 | $95.03 – $260 | — | |
| Adenosine IV Soln 6 MG/2ML Outpatient | J0153 HCPCS | $44.48 | $35.59 | $15.28 – $41.81 | — |