How many shoppable procedure prices are published for Sanford Behavioral Health Center?

Sanford Behavioral Health Center in Thief River Falls, MN currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sanford Behavioral Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sanford Behavioral Health Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Psychiatric Hospital Voluntary non-profit - Private 16 Beds · rural Updated: 2026-03-04

Sanford Behavioral Health Center

120 Labree Avenue South, Thief River Falls, MN 56701 · 110 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.09×vs. Fair Market Price

Typical commercial prices here are +9% above the fair benchmark (1.09×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 57% of the Time

File Completeness66

Price Logic86

Peer Alignment74

Clean Billing90

Real Cash Discount100

High-Markup Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Sanford Behavioral Health Center maintains elevated commercial insurance contracts (1.09× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 57% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#43 of 76 in MN · 55th State Percentile#1,651 of 3,385 in U.S. · 48th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (63.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.09× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.02× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.23×) jump +21% above the median procedure ratio (Q50 1.02×)
Unnegotiated chargemaster list prices average 9.5× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.71× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+21% Upper Tail

Q25 0.99× · Q50 1.02× · Q75 1.23×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

57% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Sanford Behavioral Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$13,510	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,510	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,126	$6,109	1.0×
Rabies immune globulin HCPCS Code: `90375`	$4,069	$4,069	$322	12.6×
Breast lump removal CPT Code: `19120`	—	$4,021	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,706	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,407	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,407	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,395	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	$2,640	$1,389	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,238	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,164	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,577	$1,060	$987	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,043	$1,068	$1,021	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,196	$713	$583	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$727	$855	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$494	$494	$148	3.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,747	$491	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,972	$491	$511	1.0×
Blood transfusion CPT Code: `36430`	$1,248	$459	$498	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,016	$416	$303	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,758	$416	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$2,758	$416	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,560	$416	$369	1.1×
Psychological testing by technician CPT Code: `96138`	—	$419	$395	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$327	$231	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,966	$317	$242	1.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,371	$317	$258	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,690	$291	$160	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$414	$248	$123	2.0×
Behavioral health assessment HCPCS Code: `H0001`	$229	$229	$157	1.5×
CT scan, pelvis CPT Code: `72192`	$1,738	$232	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$1,730	$232	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,746	$232	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,286	$232	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,962	$232	$169	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$912	$254	$272	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$292	$252	$86	unverified
Speech therapy (group session) CPT Code: `92508`	$167	$167	$27	6.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$169	$166	1.0×
Family therapy session CPT Code: `90847`	—	$169	$173	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$376	$169	$185	0.9×
Physical therapy (gait training) CPT Code: `97116`	$114	$114	$33	3.5×
Occupational therapy (self-care training) CPT Code: `97535`	$124	$124	$38	3.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$121	$121	$38	3.2×
Prosthetic fitting and training CPT Code: `97761`	$128	$128	$45	2.8×
Orthotic fitting and training CPT Code: `97760`	$130	$130	$51	2.5×
Psychological testing evaluation CPT Code: `96136`	—	$135	$128	1.1×
X-ray, chest (two views) CPT Code: `71046`	$326	$105	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$314	$112	$110	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$129	$129	$181	0.7×
X-ray, chest (single view) CPT Code: `71045`	$297	$92	$92	1.0×
X-ray, lower back CPT Code: `72110`	$582	$112	$112	1.0×
X-ray, shoulder CPT Code: `73030`	$325	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$314	$92	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$334	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$325	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$315	$92	$93	1.0×
X-ray, ankle CPT Code: `73610`	$351	$92	$93	1.0×
Group therapy session CPT Code: `90853`	—	$97	$100	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$665	$112	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$650	$112	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$507	$112	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$913	$112	$134	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$122	$122	$201	0.6×
Physical therapy (manual therapy) CPT Code: `97140`	$123	$95	$34	2.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$119	$95	$35	2.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$138	$95	$38	2.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$80	$80	$35	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$122	$91	$40	2.3×
Residential substance abuse treatment HCPCS Code: `H2035`	$86	$86	$88	1.0×
Typhoid vaccine HCPCS Code: `90675`	$948	$948	$347	2.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$397	$397	$203	2.0×
Pneumococcal vaccine HCPCS Code: `90732`	$272	$272	$140	1.9×
Culture, blood CPT Code: `87040`	$146	$146	$11	13.3×
Blood test, liver function panel CPT Code: `80076`	$120	$120	$9	13.3×
Blood antibody screen CPT Code: `86850`	$118	$118	$46	2.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$142	$142	$111	1.3×
Blood test, lipase CPT Code: `83690`	$88	$88	$7	12.6×
Culture, bacterial CPT Code: `87070`	$88	$88	$9	9.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$90	$90	$14	6.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$102	$102	$20	5.1×
Blood test, vitamin D CPT Code: `82306`	$114	$114	$31	3.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$137	$137	$11	unverified
Blood test, amylase CPT Code: `82150`	$87	$87	$7	12.4×
Blood test, basic metabolic panel CPT Code: `80048`	$107	$107	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$124	$124	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$90	$90	$16	5.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$103	$103	$18	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$61	$61	$3	20.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$62	$62	$4	15.5×
Blood test, calcium CPT Code: `82310`	$52	$52	$5	10.4×
Hepatitis C antibody test CPT Code: `86803`	$73	$73	$15	4.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$73	$73	$19	3.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$79	$79	$56	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$83	$83	$8	unverified
Blood test, hemoglobin CPT Code: `85018`	$36	$36	$3	12.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$45	$45	$4	11.3×
Blood test, sodium CPT Code: `84295`	$47	$47	$5	9.4×
Blood test, potassium CPT Code: `84132`	$46	$46	$5	9.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$40	$5	8.0×
Blood test, magnesium CPT Code: `83735`	$46	$46	$7	6.6×
Community mental health services HCPCS Code: `H0038`	$51	$51	$16	3.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$68	$68	$39	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$58	$58	$37	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$222	$71	$64	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$64	$64	$86	0.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$28	$5	5.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$27	$27	$6	4.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$49	$49	$10	unverified

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 63.0%

Audit a Bill or Quote at Sanford Behavioral Health Center (Zero PHI Required)

CMS CCN: 244018

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $13,510

1. Amount on Your Bill or Quote ($) Pre-filled with Sanford Behavioral Health Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $20,437 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,437

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (63.0% of gross = $20,437).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Sanford Behavioral Health Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$19,011 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($32,424) is $19,011 above the denoised Fair BaseRate ($13,413) and 2.5× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (63.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sanford Behavioral Health Center.

Price Index: 1.60× regional baseline

Quality: 54/100 CMS composite

Median Household Income$72,561U.S. Census ACS

Local Uninsured Share4.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 244018

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 244018) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-04

Validated Rate Rows4,510 (CMS v3.0.0)

File Integrity DigestVerified · CCN 244018

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy