Sanford Thief River Falls Medical Center — procedure prices

Published prices for 358 procedures at Sanford Thief River Falls Medical Center (Thief River Falls, MN), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $356 $445 $238 $51
Abdominal fluid drain (paracentesis) $1,990 $2,487 $1,643 $284
Abdominal ultrasound $789 $986 $694 $100
Abscess incision and drainage $666 $833 $564 $174
Achilles tendon repair — — $7,501 $624
ACL knee reconstruction — — $7,501 $889
Acupuncture — — $26 $38
Adenoid removal (adenoidectomy) — — $3,405 $204
Albumin blood test $46 $57 $31 $5
Aldosterone test $294 $368 $152 $41
Alkaline phosphatase test $46 $58 $32 $5
Allergy patch testing — — $1,068 $5
Allergy shots — — $48 $11
Allergy testing — — $1,068 $4
Alpha-fetoprotein (AFP) test $126 $158 $124 $17
ALT liver enzyme test $43 $54 $41 $5
Ammonia blood test $70 $88 $43 $15
Amniocentesis $864 $1,080 $875 $120
Amylase test $68 $85 $74 $6
Anal fistula repair — — $2,880 $541
Ankle fracture repair — — $7,501 $608
Ankle replacement — — $19,310 $885
Anoscopy $282 $353 $233 $129
Antinuclear antibody (ANA) test $98 $122 $60 $12
Arterial blood gas (ABG) $191 $239 $179 $26
AST liver enzyme test $45 $56 $42 $5
Barium swallow study $664 $831 $561 $107
Bartholin cyst removal $560 $700 $462 $182
Basic metabolic panel $107 $134 $109 $8
Benign skin lesion removal — — $739 $171
Bilirubin blood test $42 $53 $40 $5
Bladder function test (urodynamics) — — $701 $345
Bladder scope (cystoscopy) — — $701 $216
Bladder tumor removal (TURBT) — — $3,621 $236
Blood clotting test (PT/INR) $51 $64 $28 $4
Blood crossmatch $136 $170 $128 —
Blood glucose test $62 $78 $42 $5
Blood transfusion $1,248 $1,560 $1,031 $47
Blood type and screen $118 $147 $110 $10
Blood type test $46 $58 $43 $3
BNP (heart failure) test $230 $287 $110 $39
Bone density scan (DEXA) $432 $540 $357 $39
Bone marrow biopsy $731 $914 $643 $172
Bone scan (nuclear) $1,198 $1,497 $989 $259
Botox for migraine — — $310 $157
Breast biopsy $2,420 $3,025 $2,229 $478
Breast MRI — — $512 $216
Breast reconstruction — — $18,268 $1,227
Breast reduction — — $6,848 $980
Breast ultrasound $488 $611 $403 $92
Breathing tube insertion (intubation) $593 $741 $490 $133
Bronchoscopy — — $1,811 $303
Bunion surgery (bunionectomy) — — $7,501 $883
Burn treatment $429 $536 $338 $129
C-reactive protein (CRP) $74 $92 $69 $5
CA 19-9 tumor marker test $102 $127 $95 $21
CA-125 ovarian marker test $102 $127 $95 $21
Calcium blood test $52 $65 $49 $5
Capsule endoscopy $2,552 $3,190 $2,107 $802
Cardiac ablation — — $25,759 $759
Cardiac catheterization — — $3,377 $1,049
Cardiac MRI — — $477 $322
Cardiac rehabilitation $244 $305 $220 $26
Cardiac stress test $440 $550 $363 $39
Cardioversion $1,659 $2,074 $1,370 $155
Carotid artery ultrasound $876 $1,095 $773 $156
Carpal tunnel release — — $2,050 $483
Cataract surgery — — $2,395 $547
CEA tumor marker test $100 $125 $94 $19
Celiac disease test $44 $55 $41 $12
Central line placement $1,965 $2,456 $1,989 $238
Cervical cerclage — — $3,339 $137
Cervical LEEP procedure — — $3,339 $325
Chalazion (eyelid cyst) removal — — $314 $131
Chemotherapy infusion $349 $437 $188 $81
Chest fluid drain (thoracentesis) $1,502 $1,878 $1,241 $311
Chest tube insertion $1,650 $2,063 $1,631 $143
Chest X-ray $340 $426 $326 $37
Chickenpox (varicella) vaccine $397 $496 $372 —
Chiropractic adjustment — — $27 $38
Circumcision — — $2,151 $167
CK-MB heart enzyme test $99 $124 $93 $12
Clotting time test (PTT) $82 $102 $26 $6
Colonoscopy — — $1,238 $480
Colposcopy — — $319 $161
Complete blood count (CBC) $74 $92 $66 $7
Complex wound repair — — $643 $390
Comprehensive eye exam — — $135 $138
Comprehensive metabolic panel $137 $171 $139 $11
Contraceptive implant (Nexplanon) — — $419 $115
Copper blood test $108 $135 $51 $12
Corneal transplant — — $4,224 $1,066
Coronary CT angiography — — $411 $326
Cortisol test $118 $148 $56 $16
COVID-19 PCR test $125 $156 $126 $51
CPAP titration study — — $214 $69
Creatine kinase (CK) test $66 $82 $62 $7
CT angiography of the chest $2,650 $3,313 $2,088 $281
CT angiography of the head $2,634 $3,293 $2,076 $274
CT colonography (virtual colonoscopy) — — $254 $835
CT scan of the abdomen $2,375 $2,969 $1,912 $230
CT scan of the abdomen and pelvis $3,747 $4,684 $3,054 $300
CT scan of the arm $2,082 $2,603 $1,753 $199
CT scan of the chest $2,200 $2,750 $1,823 $167
CT scan of the head $1,966 $2,458 $1,712 $148
CT scan of the leg $2,092 $2,615 $1,746 $166
CT scan of the lower back (lumbar spine) $2,419 $3,024 $2,282 $169
CT scan of the neck $2,135 $2,669 $1,862 $183
CT scan of the neck (cervical spine) $2,242 $2,802 $1,860 $168
CT scan of the pelvis $2,211 $2,764 $1,771 $226
CT scan of the sinuses $2,156 $2,695 $1,805 $152
D-dimer test $114 $142 $52 $10
Defibrillator (ICD) implant — — $33,665 $798
DHEA-sulfate test $143 $179 $134 $22
Diagnostic mammogram $440 $551 $391 $140
Dialysis fistula creation — — $3,305 $601
Dilation and curettage (D&C) $3,304 $4,130 $3,339 $298
Droopy eyelid repair (ptosis) — — $2,450 $745
Drug screen (urine) $162 $203 $147 $17
Ear pressure test (tympanometry) $97 $121 $80 $16
Ear tubes (myringotomy) — — $1,045 $174
Eardrum repair (tympanoplasty) — — $6,211 $799
Echocardiogram $1,603 $2,004 $1,265 $138
Elbow replacement — — $19,310 $1,301
Electrocardiogram (EKG) $222 $277 $175 $8
Electroencephalogram (EEG) $1,134 $1,418 $935 $448
Electrolyte panel $117 $146 $110 $7
Electromyography (EMG) — — $135 $141
Emergency department visit $641 $801 $501 $69
Endometrial biopsy — — $211 $98
Epidural steroid injection $1,708 $2,135 $1,410 $275
ERCP (bile duct endoscopy) — — $3,995 $311
Esophageal dilation — — $1,488 $522
Esophageal variceal banding — — $1,992 $126
Estradiol (estrogen) test $128 $160 $76 $28
Eyelid surgery (blepharoplasty) — — $1,921 $552
Facet joint injection (spine) $1,082 $1,352 $949 $99
Fallopian tube X-ray (HSG) $478 $598 $350 $164
Family therapy session — — $169 $110
Fecal occult blood (stool) test $60 $75 $56 $10
Feeding tube (PEG) placement — — $1,992 $178
Femoral hernia repair — — $3,706 $584
Ferritin (iron) test $90 $112 $84 $14
Fibrinogen test $48 $60 $42 $10
Flexible sigmoidoscopy — — $957 $323
Flu test $70 $88 $66 $17
Folate (folic acid) test $95 $119 $89 $15
Foreign body removal (skin) $780 $975 $644 $157
Free T4 thyroid test $90 $112 $84 $9
FSH hormone test $132 $165 $124 $19
Gallbladder removal (laparoscopic) — — $6,126 $658
Gallbladder scan (HIDA) $1,683 $2,104 $1,395 $334
Ganglion cyst removal — — $1,680 $321
GGT liver test $62 $78 $59 $7
Glaucoma surgery — — $2,395 $984
Glucose tolerance test $60 $76 $42 $8
Group therapy session — — $97 $30
H. pylori test $252 $315 $236 $67
Hammertoe repair — — $3,407 $548
HDL cholesterol test $86 $107 $35 $8
Hearing test (audiometry) $331 $414 $274 $36
Hematocrit test $35 $44 $33 $2
Hemodialysis — — $735 $75
Hemoglobin A1c (diabetes test) $67 $84 $35 $10
Hemorrhoid removal — — $1,918 $338
Hepatitis B test $69 $86 $38 $10
Hepatitis B vaccine $114 $142 $107 —
Hepatitis C test $80 $100 $67 $14
Hip arthroscopy — — $7,501 $931
Hip replacement — — $13,510 $1,162
HIV test $78 $98 $71 $19
Holter heart monitor $264 $330 $208 $26
Home sleep apnea test — — $113 $123
Hydrocele repair — — $3,706 $315
Hysterectomy — — $10,932 $933
Hysteroscopy — — $3,339 $1,270
Inguinal hernia repair — — $3,706 $538
Iron blood test $93 $116 $67 $6
IUD removal $626 $783 $517 $112
IV infusion therapy $281 $352 $201 $44
IVC filter placement — — $5,676 $1,885
Joint aspiration (small/intermediate) $568 $710 $481 $57
Kidney biopsy — — $1,701 $492
Kidney scan (nuclear) $1,958 $2,448 $1,617 $172
Kidney stone shock-wave (lithotripsy) — — $3,621 $760
Kidney ultrasound $703 $879 $612 $84
Knee arthroscopy — — $3,407 $524
Knee joint injection $601 $751 $496 $69
Lactate test $64 $80 $67 $12
Laminectomy (spine) — — $7,501 $1,157
Laryngoscopy — — $1,007 $189
LDH test $59 $74 $32 $6
LDL cholesterol test $88 $110 $83 $11
Leg artery angiogram — — $3,305 $149
Leg artery angioplasty — — $8,947 —
Leg vein ultrasound (Doppler) $741 $927 $620 $150
LH hormone test $124 $155 $116 $19
Lipase test $88 $110 $83 $7
Lipid (cholesterol) panel $124 $155 $112 $13
Liver biopsy $1,893 $2,366 $1,701 $288
Liver function panel $120 $150 $113 $8
Lumbar discectomy — — $7,501 $898
Lumpectomy (breast) — — $5,434 $750
Lung function test (PFT) $300 $375 $230 $37
Lung scan (V/Q) $1,938 $2,422 $1,600 $291
Magnesium blood test $58 $72 $39 $7
Mastectomy — — $6,848 $1,021
Mastoidectomy — — $6,211 $840
Meniscus repair (knee) — — $3,407 $714
MMR vaccine $142 $178 $134 —
Mohs skin cancer surgery — — $643 $535
MRA of the brain $2,925 $3,656 $2,688 $226
MRA of the neck $2,966 $3,707 $2,561 $245
MRI of the abdomen $3,252 $4,065 $3,153 $300
MRI of the ankle $2,935 $3,669 $2,645 $261
MRI of the brain $3,116 $3,895 $2,792 $269
MRI of the chest $2,708 $3,385 $2,607 $371
MRI of the knee $3,146 $3,933 $2,592 $315
MRI of the lower back (lumbar spine) $3,382 $4,228 $2,821 $270
MRI of the mid-back (thoracic spine) $3,304 $4,130 $2,741 $271
MRI of the neck (cervical spine) $3,180 $3,975 $2,792 $274
MRI of the pelvis $3,708 $4,635 $2,909 $268
MRI of the shoulder $3,170 $3,962 $2,690 $313
MRI of the wrist $2,956 $3,695 $2,435 $330
Nebulizer breathing treatment $118 $147 $132 $9
Neck (cervical) spinal fusion — — $13,510 $1,410
Nerve conduction study — — $327 $118
Newborn hospital care — — $135 $58
Nuchal translucency ultrasound — — $112 $116
Nuclear cardiac stress test $2,927 $3,659 $2,635 $428
Occupational therapy evaluation $280 $350 $256 $101
Orthopedic hardware removal — — $3,005 $632
Ovarian cyst removal — — $5,183 $698
Pap smear (cervical screening) $85 $106 $75 $20
Parathyroid hormone (PTH) test $246 $308 $118 $41
Parathyroid removal — — $6,211 $891
Pelvic ultrasound $534 $668 $447 $78
PET scan — — $1,532 —
Phosphorus blood test $49 $61 $32 $5
Physical therapy evaluation $280 $350 $256 $98
Pilonidal cyst removal — — $3,005 $541
Platelet count $50 $62 $47 $4
Pneumonia vaccine $272 $340 $255 —
Pregnancy blood test (hCG) $90 $113 $85 $8
Pregnancy ultrasound $605 $757 $461 $126
Procalcitonin test $100 $125 $94 $27
Prolactin test $129 $161 $58 $19
Prostate biopsy — — $2,151 —
Prostate removal (prostatectomy) — — $10,932 $1,063
Prostate surgery (TURP) — — $5,338 $526
Prostate test (PSA) $90 $112 $62 $18
Psychiatric evaluation $430 $538 $326 $188
Psychotherapy session $129 $161 $132 $140
Pterygium removal (eye) — — $2,450 $540
Pulmonary rehabilitation — — $62 $87
Radiofrequency nerve ablation — — $2,050 $462
Retina scan (OCT) — — $62 $33
Retinal (fundus) photography — — $135 $37
Retinal detachment repair — — $4,224 $966
Rheumatoid factor test $40 $50 $45 $6
Rotator cuff repair — — $7,501 $792
Routine eye exam — — $135 $88
Sacroiliac joint injection $1,117 $1,396 $1,048 $176
Scoliosis spine X-ray $312 $390 $270 $58
Screening colonoscopy — — $1,050 $378
Screening mammogram $414 $518 $375 $126
Scrotal ultrasound $579 $724 $478 $99
Sedimentation rate (ESR) test $52 $66 $47 $3
Semen analysis $60 $75 $56 $12
Septoplasty (deviated septum) — — $3,405 $613
Sex hormone binding globulin test $150 $187 $59 $22
Shingles vaccine $423 $528 $257 —
Shoulder arthroscopy — — $7,501 $962
Shoulder replacement — — $19,310 $1,300
Simple wound stitches $489 $611 $403 $127
Sinus surgery (endoscopic) — — $7,269 $224
Skin biopsy $478 $598 $431 $121
Skin cancer lesion removal — — $739 $240
Skin graft — — $2,882 $898
Skin lesion freezing (cryotherapy) — — $209 $36
Skin tag removal — — $209 $92
Sleep study (polysomnography) $4,340 $5,425 $3,653 $691
Soft tissue ultrasound $413 $516 $341 $64
Speech therapy $292 $365 $296 $76
Spinal cord stimulator — — $6,891 $2,388
Spinal tap (lumbar puncture) $1,177 $1,471 $972 $165
Spine fracture repair (kyphoplasty) — — $7,501 $5,803
Spleen removal (splenectomy) — — $10,932 $1,036
Strabismus (eye muscle) surgery — — $3,205 $475
Strep throat test $66 $83 $62 $17
Stress echocardiogram $2,261 $2,826 $1,907 $209
Swallow study $385 $481 $361 $85
T3 thyroid test $102 $128 $96 $14
Tdap (tetanus) vaccine $81 $101 $74 —
Testicle removal (orchiectomy) — — $3,621 $306
Testosterone test $61 $76 $66 $26
Thyroid removal (thyroidectomy) — — $6,169 $1,004
Thyroid test (TSH) $103 $129 $102 $17
Thyroid ultrasound $507 $634 $419 $109
Thyroid uptake scan $820 $1,025 $646 $145
Tilt table test — — $557 $168
Tonsillectomy — — $4,808 $252
Total IgE allergy test $89 $111 $81 $16
Total protein test $45 $56 $42 $4
Tracheostomy — — $3,405 $273
Transesophageal echocardiogram (TEE) — — $576 $239
Transvaginal ultrasound $602 $752 $497 $118
Trigger finger release — — $1,680 $630
Trigger point injection $629 $786 $495 $56
Triglycerides test $85 $106 $69 $6
Troponin (heart) test $117 $146 $110 $12
Tubal ligation — — $6,126 $333
Turbinate reduction — — $3,405 $294
Turning a breech baby (version) $2,428 $3,035 $2,458 $94
Ulnar nerve surgery (elbow) — — $2,050 $575
Upper GI endoscopy (EGD) $2,581 $3,226 $2,153 $371
Upper GI series (barium) $701 $877 $617 $128
Ureteral stent placement — — $3,621 $373
Ureteroscopy (stone removal) — — $5,338 $365
Uric acid (gout) test $41 $51 $38 $5
Urinalysis $54 $68 $47 $3
Urine microalbumin test $72 $90 $29 $5
Urine pregnancy test $30 $38 $29 $9
UV light therapy (skin) — — $62 $106
Vaccine administration $66 $82 $58 $19
Varicocele repair — — $3,621 $327
Varicose vein ablation — — $3,305 $1,018
Vasectomy — — $2,151 $347
Visual field test — — $135 $64
Vitamin B12 test $90 $113 $85 $15
Vitamin D test $132 $165 $104 $30
Vitrectomy (eye) — — $4,224 $814
Vocal cord injection — — $3,871 $211
Wart removal — — $209 $121
Wound debridement $912 $1,140 $719 $186
Wrist fracture repair — — $7,501 $735
X-ray of the abdomen $378 $472 $305 $36
X-ray of the ankle $351 $439 $290 $37
X-ray of the collarbone $278 $348 $230 $33
X-ray of the elbow $267 $334 $221 $33
X-ray of the facial bones $311 $389 $265 $39
X-ray of the foot $314 $392 $259 $34
X-ray of the forearm $240 $300 $198 $29
X-ray of the hand $325 $406 $268 $38
X-ray of the hip $315 $394 $280 $49
X-ray of the knee $391 $489 $337 $42
X-ray of the lower back (lumbar spine) $497 $621 $430 $47
X-ray of the lower leg $274 $342 $226 $31
X-ray of the mid-back (thoracic spine) $350 $438 $289 $36
X-ray of the neck (cervical spine) $421 $527 $349 $47
X-ray of the pelvis $324 $405 $267 $36
X-ray of the ribs $438 $547 $346 $42
X-ray of the shoulder $325 $406 $268 $36
X-ray of the skull $389 $487 $327 $40
X-ray of the upper arm $314 $392 $259 $32
X-ray of the wrist $314 $392 $259 $43
YAG laser capsulotomy (eye) $1,465 $1,831 $1,210 $335
Zinc blood test $105 $131 $98 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.