Sanford Tracy Hospital
251 5th St E, Tracy, MN · Sanford Health · · NPI 1003851171
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Hast w/oxygen titrate CPT 94453 | not published | not published | $135.35 – $135.35 | 1 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $144.80 – $144.80 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $186.92 – $186.92 | 1 |
| Hcg qualitative CPT 84703 | $85.60 | $107.00 | $25.90 – $96.30 | 16 |
| Hcg quantitative CPT 84702 | $191.20 | $239.00 | $57.86 – $215.10 | 16 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $642.74 – $642.74 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $642.74 – $642.74 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $565.18 – $565.18 | 1 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $421.92 – $421.92 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $421.92 – $421.92 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $565.18 – $565.18 | 1 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $276.13 – $276.13 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $276.13 – $276.13 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $2,852.00 | $3,565.00 | $186.92 – $3,208.50 | 16 |
| Head CT scan (with contrast) CPT 70460 | $2,716.80 | $3,396.00 | $186.92 – $3,056.40 | 16 |
| Head CT scan (without contrast) CPT 70450 | $2,126.40 | $2,658.00 | $111.66 – $2,392.20 | 16 |
| Heart first pass multiple CPT 78483 | not published | not published | $565.18 – $565.18 | 1 |
| Heart image spect CPT 78494 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image CPT 78466 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $565.18 – $565.18 | 1 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $401.60 | $502.00 | $92.45 – $451.80 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | $196.00 | $245.00 | $59.31 – $220.50 | 16 |
| Hematocrit CPT 85014 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $235.34 – $235.34 | 1 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $734.71 – $734.71 | 1 |
| Hemoglobin CPT 85018 | $50.40 | $63.00 | $15.25 – $56.70 | 16 |
| Hemoglobin plasma CPT 83051 | $96.00 | $120.00 | $29.05 – $108.00 | 16 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $957.30 – $957.30 | 1 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Heparin assay CPT 85520 | $151.20 | $189.00 | $45.76 – $170.10 | 16 |
| Heparin bolus from bag HCPCS J1644 | $97.60 | $121.99 | $18.37 – $68.28 | 16 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $2.20 | $2.75 | $0.67 – $2.48 | 16 |
| Hepatitis a antibody igm CPT 86709 | $131.20 | $164.00 | $39.70 – $147.60 | 16 |
| Hepatitis b core antibody igm CPT 86705 | $136.00 | $170.00 | $41.16 – $153.00 | 16 |
| Hepatitis b core antibody total CPT 86704 | $126.40 | $158.00 | $38.25 – $142.20 | 16 |
| Hepatitis b surface antibody CPT 86706 | $125.60 | $157.00 | $38.01 – $141.30 | 16 |
| Hepatitis c antibody CPT 86803 | $222.40 | $278.00 | $67.30 – $250.20 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $91.20 | $114.00 | $27.60 – $102.60 | 16 |
| Herpes simplex type 2 antibody igg CPT 86696 | $90.40 | $113.00 | $27.36 – $101.70 | 16 |
| Heterophile antibodies screening CPT 86308 | $79.20 | $99.00 | $23.97 – $89.10 | 16 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $548.00 | $685.00 | $111.66 – $616.50 | 16 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $603.20 | $754.00 | $111.66 – $678.60 | 16 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $295.20 | $369.00 | $89.33 – $332.10 | 16 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip X-ray CPT 73502 | $412.80 | $516.00 | $92.45 – $464.40 | 16 |
| Histamine CPT 83088 | $130.40 | $163.00 | $39.46 – $146.70 | 16 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $31.28 – $31.28 | 1 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Hla ii typing 1 loc hr CPT 81382 | $299.20 | $374.00 | $90.55 – $336.60 | 16 |
| Hla i low res one antigen equiv ea CPT 81374 | $228.00 | $285.00 | $69.00 – $256.50 | 16 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $97.13 – $97.13 | 1 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $168.70 – $168.70 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $680.80 | $851.00 | $206.03 – $765.90 | 16 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $29.05 – $108.00 | 16 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $31.28 – $31.28 | 1 |
| H pylori (c-13) breath CPT 83013 | $418.40 | $523.00 | $126.62 – $470.70 | 16 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Human epididymis protein 4 (he4) CPT 86305 | $56.80 | $71.00 | $17.19 – $63.90 | 16 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $99.24 | $124.05 | $30.03 – $111.65 | 16 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $62.57 | $78.21 | $18.68 – $69.44 | 16 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $77.67 | $97.08 | $22.40 – $83.27 | 16 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $60.14 | $75.17 | $18.20 – $67.65 | 16 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $147.84 | $184.80 | $19.58 – $72.77 | 16 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $60.84 | $76.05 | $18.41 – $68.45 | 16 |
| Hymenotomy CPT 56442 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $728.50 – $728.50 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $276.13 – $276.13 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $607.39 – $607.39 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $607.39 – $607.39 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $607.39 – $607.39 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.81 – $17.81 | 1 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $253.81 – $253.81 | 1 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $332.00 | $414.99 | $100.47 – $373.49 | 16 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $224.80 | $281.00 | $68.03 – $252.90 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.