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.
743 prices shown (filtered).
| 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 | — | |
| 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 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 | — | |
| Acyclovir Oint 5% Outpatient | 0250 RC | $363 | $291 | $125 – $341 | — | |
| Acyclovir Tab 400 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Outpatient | 0250 RC | $59.59 | $47.68 | $20.47 – $56.01 | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Outpatient | 0250 RC | $6.54 | $5.24 | $2.25 – $6.15 | — | |
| Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) Outpatient | 0250 RC | $8.20 | $6.56 | $2.82 – $7.71 | — | |
| Allopurinol Tab 100 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Alprazolam Tab 0.5 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Outpatient | 0250 RC | $4.63 | $3.71 | $1.59 – $4.35 | — | |
| Aluminum Chloride Soln 20% Outpatient | 0250 RC | $36.62 | $29.30 | $12.58 – $34.42 | — | |
| Alvimopan Cap 12 MG Outpatient | 0250 RC | $285 | $228 | $97.82 – $268 | — | |
| Amantadine HCl Cap 100 MG Outpatient | 0250 RC | $6.77 | $5.42 | $2.33 – $6.36 | — | |
| Amiloride HCl Tab 5 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Amino Acid Infusion 4.25% in D10W Outpatient | 0250 RC | $187 | $150 | $64.23 – $176 | — | |
| Amiodarone HCl Tab 200 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — | |
| Amitriptyline HCl Tab 10 MG Outpatient | 0250 RC | $6.00 | $4.80 | $2.06 – $5.64 | — |