SANFORD MEDICAL CENTER THIEF RIVER FALLS
Hospital
Procedure Prices at SANFORD MEDICAL CENTER THIEF RIVER FALLS
Blood Draw From Vein Using Needle
CPT 36415
$2.1
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$5.44
EKG Tracing
CPT 93005
$6.08
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$25.33
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$52.87
Mechanical Traction
CPT 97012
$54.87
Therapeutic Exercises
CPT 97110
$60.71
Therapeutic Activities
CPT 97530
$63.67
Screening Mammogram (bilateral)
CPT 77067
$97.3
Retroperitoneal Ultrasound
CPT 76770
$113.16
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$116.1
Chest X-Ray (1 view)
CPT 71045
$126.7
EKG
CPT 93000
$140
CT Chest
CPT 71250
$143.44
Chest X-Ray (2 views)
CPT 71046
$154.03
Thoracic Spine X-Ray
CPT 72072
$173.04
Diagnostic Mammogram (unilateral)
CPT 77065
$210.53
MRI Joint of Lower Extremity
CPT 73721
$219.02
Diagnostic Mammogram (bilateral)
CPT 77066
$238.06
ER Visit — Low-Moderate Complexity
CPT 99283
$269.22
ER Visit — Moderate Complexity
CPT 99284
$281.5
Abdominal Ultrasound — Limited
CPT 76705
$295.56
Abdominal Ultrasound
CPT 76700
$365.54
OB Ultrasound
CPT 76805
$379.18
Echocardiogram w/ Doppler
CPT 93306
$641.34
Upper GI Endoscopy w/ Biopsy
CPT 43239
$882.11
Colonoscopy w/ Biopsy
CPT 45380
$883.18
Colonoscopy
CPT 45378
$1,051.1
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$1,106.82
MRI Brain w/o Contrast
CPT 70551
$1,130.78
ER Visit — High Complexity
CPT 99285
$1,252.92
Knee Arthroscopy
CPT 29881
$1,713.99
CT Abdomen & Pelvis
CPT 74177
$1,722.92
MRI Brain w/ Contrast
CPT 70553
$1,967.46
Cataract Surgery
CPT 66984
$2,312.73
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$2,317.15
Cataract Surgery — Complex
CPT 66982
$2,510.44
Laparoscopic Hernia Repair
CPT 49650
$2,709.92
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,116.71
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$4,127.44
Inguinal Hernia Repair
CPT 49505
$5,080.15
Laparoscopic Cholecystectomy
CPT 47562
$6,110.35
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.