Vaccine pneumonococcal conjugate 15 valent (pcv15) im at Sanford Tracy Hospital

251 5th St E, Tracy, MN · Sanford Health · · NPI 1003851171

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$339.05

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$423.81

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

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The hospital's undiscounted list price — almost no one pays this.

$102.60 with Blue Cross Blue Shield of Minnesota vs $398.38 with Medica — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Blue Cross Blue Shield of Minnesota PMAP $102.60 ↓ -70%
Sanford Health Plan Align Medicare Replacement $165.29 ↓ -51%
Ucare Medicare Replacement $177.15 ↓ -48%
Wellmark SD Medicare Replacement $177.15 ↓ -48%
Aetna Medicare Replacement $178.85 ↓ -47%
United Healthcare Medicare Replacement $178.85 ↓ -47%
Health Partners Medicare Replacement $178.85 ↓ -47%
Great Plains Medicare Advantage Medicare Replacement $178.85 ↓ -47%
Primewest Medicare Replacement $182.45 ↓ -46%
Primewest Medicaid Managed Care $205.12 ↓ -40%
Security Health Plan Commercial $233.10 ↓ -31%
Health Partners State Employees $292.01 ↓ -14%
Sanford Health Plan SD Exchange True $334.56 ↓ -1%
Sanford Health Plan Group Health/True $334.56 ↓ -1%
Health Partners Commercial $339.05 ↑ +0%
Blue Cross Blue Shield of Minnesota State Employees $346.68 ↑ +2%
United Healthcare Commercial + Top 20 $353.88 ↑ +4%
Aetna Commercial $368.29 ↑ +9%
Ucare Commercial $372.36 ↑ +10%
Medica Choice $372.53 ↑ +10%
Healthez Commercial $381.43 ↑ +12%
Cigna Commercial $381.43 ↑ +12%
Multiplan Commercial $381.43 ↑ +12%
First Choice Health Network Commercial $381.43 ↑ +12%
Blue Cross Blue Shield of Minnesota Commercial/Federal $392.11 ↑ +16%
Sanford Health Plan SD Exchange Commercial $393.59 ↑ +16%
Sanford Health Plan Commercial/ND Pers $393.59 ↑ +16%
Medica Elect $398.38 ↑ +17%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Vaccine pneumonococcal conjugate 15 valent (pcv15) im at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $365.22 $110.52 – $410.87
Sanford Westbrook Hospital Westbrook $370.80 $112.21 – $417.14
Sanford Bemidji Medical Center Bemidji $234.07 $133.33 – $274.20
Sanford Worthington Medical Center Worthington $367.34 $178.02 – $413.25

All Minnesota hospitals for this procedure →