CMS Price Transparency Data

CT scan, pelvis

Facility: Sanford Behavioral Health Center

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$231
about 2.2× the $107 Medicare rate · typically $102–$447
modeled estimate · not a bill or quote
What this hospital charges insurers
$232
About the fair price
about $1 over the fair price · 2.2× Medicare
Medicare pays $107 Fair price $231 This hospital $232 Cash price $1,738 Hospital's list price $2,172

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $56 Priciest $232

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $231 (about 2.2× the $107 Medicare rate). Sanford Behavioral Health Center charges insurers about $232, or about $1,738 in cash — about the fair price. Located in Thief River Falls, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $895 - $1,814 838%
Blue Cross Blue Shieldmajor $353 - $895 330%
Aetnamajor $895 - $1,887 838%
Cignamajor $1,955 1830%
Health Net $1,955 1830%
HealthPartners $895 - $1,759 838%
Medica $1,909 - $2,055 1787%
Sanford Health Plan $825 - $1,369 772%
Security Health Plan $1,195 1119%
UCare $112 - $1,908 105%
+ 2 smaller / regional plans $112 - $1,955
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 120 Labree Avenue South, Thief River Falls, MN 56701
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric