Maximum discharge along the river is currently at the reporting a streamflow rate of cfs. This is also the highest stage along the Sand Hill River, with a gauge stage of ft at this location. This river is monitored from 1 different streamgauging stations along the Sand Hill River, the highest being situated at an altitude of ft, the .

Sand Hill River is a 161-mile-long river that flows through northwest Minnesota and North Dakota. Historically, it was a significant source of water for the region's Native American population. The river is mainly fed by groundwater and is relatively shallow. The river is home to several reservoirs, including the Lake Bronson Dam, which provides flood control and recreational opportunities. The Sand Hill River watershed is used primarily for agricultural purposes, including crop cultivation and livestock grazing. Recreational activities on the river include fishing, boating, and camping. The river is also home to several species of fish, including walleye, northern pike, and yellow perch. Additionally, the river provides a habitat for several species of birds and wildlife.