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 |
|---|---|---|---|---|
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $348.00 | $435.00 | $105.31 – $391.50 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,880.90 | $2,351.12 | $32.81 – $2,116.01 | 16 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $21.68 – $21.68 | 1 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $13.88 – $13.88 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $276.13 – $276.13 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $557.13 – $557.13 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $213.56 – $213.56 | 1 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $97.88 | $122.34 | $21.82 – $81.12 | 16 |
| Inj acetaminophen -fresenius HCPCS J0134 | $95.88 | $119.84 | $29.01 – $107.86 | 16 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.25 – $35.25 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | $2,078.72 | $2,598.39 | $222.62 – $827.58 | 16 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.63 – $17.63 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.66 – $500.66 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.24 – $79.24 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $8,081.14 | $10,101.42 | $170.48 – $9,091.28 | 16 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $129.07 | $161.33 | $37.45 – $139.20 | 16 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $116.40 – $116.40 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.74 – $89.74 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.78 – $14.78 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.14 – $17.14 | 1 |
| Inj, daptomycin (baxter) HCPCS J0874 | $180.24 | $225.30 | $54.55 – $202.77 | 16 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,373.60 | $2,967.00 | $718.31 – $2,670.30 | 16 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $4.16 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $309.95 – $309.95 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $727.15 – $727.15 | 1 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $478.43 – $478.43 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $309.95 – $309.95 | 1 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $160.00 – $160.00 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $2,485.45 | $3,106.81 | $78.01 – $1,047.60 | 16 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $22.58 – $22.58 | 1 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $727.15 – $727.15 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $348.27 – $348.27 | 1 |
| Injection for bladder x-ray CPT 51600 | $771.20 | $964.00 | $233.38 – $867.60 | 16 |
| Injection, fulvestrant HCPCS J9395 | $1,486.30 | $1,857.87 | $449.79 – $1,672.08 | 16 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,260.16 | $6,575.19 | $1,591.85 – $5,917.67 | 16 |
| Injection into brain canal CPT 61026 | not published | not published | $727.15 – $727.15 | 1 |
| Injection into brain canal CPT 61055 | not published | not published | $309.95 – $309.95 | 1 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $957.30 – $957.30 | 1 |
| Injection into spinal artery CPT 62294 | not published | not published | $934.80 – $934.80 | 1 |
| Injection into vocal cord CPT 31513 | not published | not published | $407.73 – $407.73 | 1 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,983.20 | $2,479.00 | $309.16 – $1,149.30 | 16 |
| Injection px peyronie ds CPT 54200 | not published | not published | $255.37 – $255.37 | 1 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $421.92 – $421.92 | 1 |
| Injection, renflexis HCPCS Q5104 | $895.69 | $1,119.61 | $27.68 – $1,007.65 | 16 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.36 – $35.36 | 1 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,168.80 | $1,461.00 | $353.71 – $1,314.90 | 16 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $667.20 | $834.00 | $201.91 – $750.60 | 16 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $608.80 | $761.00 | $184.24 – $684.90 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $309.95 – $309.95 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $183.20 | $229.00 | $33.60 – $206.10 | 16 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Injection treatment of nerve CPT 64681 | not published | not published | $934.80 – $934.80 | 1 |
| Injection treatment of nose CPT 30200 | not published | not published | $534.71 – $534.71 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $313.88 – $313.88 | 1 |
| Inject/treat eye socket CPT 67505 | not published | not published | $313.88 – $313.88 | 1 |
| Inject/treat eye socket CPT 67515 | not published | not published | $313.88 – $313.88 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.75 – $33.75 | 1 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $23.18 – $23.18 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $727.15 – $727.15 | 1 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $934.80 – $934.80 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $160.00 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $189.83 – $189.83 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $5,048.82 | $6,311.02 | $1,527.90 – $5,679.92 | 16 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $114.26 – $114.26 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $160.00 | 1 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $14.43 – $14.43 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $76.42 – $76.42 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $72.41 – $72.41 | 1 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,541.19 | $1,926.48 | $466.40 – $1,733.83 | 16 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $78.53 – $78.53 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $76.58 – $76.58 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $493.54 – $493.54 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $934.80 – $934.80 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $272.00 | $340.00 | $82.31 – $306.00 | 16 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $208.64 – $208.64 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $48.29 – $49.50 | 2 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $89.54 – $89.54 | 1 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.35 – $1.35 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $86.52 | $108.14 | $26.18 – $97.33 | 16 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $21.55 | $26.93 | $6.42 – $23.87 | 16 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $323.89 – $323.89 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | $70.02 | $87.52 | $21.19 – $78.77 | 16 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $700.84 – $700.84 | 1 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $191.20 | $239.00 | $57.86 – $215.10 | 16 |
| Inj ogivri 10 mg HCPCS Q5114 | $1,501.52 | $1,876.89 | $64.87 – $776.53 | 16 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $389.78 – $389.78 | 1 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $40.92 – $40.92 | 1 |
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.