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 |
|---|---|---|---|---|
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $148.00 | $185.00 | $44.79 – $166.50 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $148.00 | $185.00 | $16.46 – $61.20 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $89.58 – $333.00 | 16 |
| Mayo chromium CPT 82495 | $64.80 | $81.00 | $19.61 – $72.90 | 16 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $96.00 | $120.00 | $17.19 – $63.90 | 16 |
| Mayo coccidioides antibody CPT 86635 | $111.20 | $139.00 | $33.65 – $125.10 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $63.20 | $79.00 | $19.13 – $71.10 | 16 |
| Mayo cortisol free CPT 82530 | $108.80 | $136.00 | $15.74 – $58.50 | 16 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $35.20 | $44.00 | $10.65 – $39.60 | 16 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $18.64 – $69.30 | 16 |
| Mayo estriol CPT 82677 | $264.00 | $330.00 | $17.67 – $65.70 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $130.40 | $163.00 | $13.07 – $48.60 | 16 |
| Mayo factor ii CPT 85210 | $272.00 | $340.00 | $82.31 – $306.00 | 16 |
| Mayo factor v CPT 85220 | $295.20 | $369.00 | $89.33 – $332.10 | 16 |
| Mayo factor vii CPT 85230 | $100.80 | $126.00 | $21.79 – $81.00 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $199.20 | $249.00 | $18.40 – $68.40 | 16 |
| Mayo factor x CPT 85260 | $250.40 | $313.00 | $13.32 – $49.50 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Mayo fbl culture fungi blood CPT 87103 | $123.20 | $154.00 | $37.28 – $138.60 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $34.40 | $43.00 | $10.41 – $38.70 | 16 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $256.00 | $320.00 | $77.47 – $288.00 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $360.00 | $450.00 | $50.11 – $186.30 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $165.60 | $207.00 | $50.11 – $186.30 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $111.20 | $139.00 | $13.80 – $51.30 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $261.60 | $327.00 | $72.15 – $268.20 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $72.80 | $91.00 | $22.03 – $81.90 | 16 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $84.00 | $105.00 | $25.42 – $94.50 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $87.20 | $109.00 | $12.11 – $45.00 | 16 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $436.00 | $545.00 | $12.11 – $45.00 | 16 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $52.80 | $66.00 | $15.98 – $59.40 | 16 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $101.60 | $127.00 | $30.75 – $114.30 | 16 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $15.98 – $59.40 | 16 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $188.00 | $235.00 | $31.47 – $117.00 | 16 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $40.80 | $51.00 | $12.35 – $45.90 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $143.20 | $179.00 | $43.34 – $161.10 | 16 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $31.72 – $117.90 | 16 |
| Mayo inhab inhibin a CPT 86336 | $56.80 | $71.00 | $17.19 – $63.90 | 16 |
| Mayo iodine CPT 83789 | $240.00 | $300.00 | $65.12 – $242.10 | 16 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $11.38 – $42.30 | 16 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $216.00 | $270.00 | $65.37 – $243.00 | 16 |
| Mayo legionella antibody CPT 86713 | $244.00 | $305.00 | $47.45 – $176.40 | 16 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.80 | $66.00 | $15.98 – $59.40 | 16 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $14.04 – $52.20 | 16 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $54.40 | $68.00 | $16.46 – $61.20 | 16 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $108.00 | $135.00 | $32.68 – $121.50 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $100.00 | $125.00 | $15.98 – $59.40 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $232.80 | $291.00 | $16.46 – $61.20 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $447.20 | $559.00 | $100.23 – $372.60 | 16 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $596.80 | $746.00 | $180.61 – $671.40 | 16 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo myoglobin CPT 83874 | $302.40 | $378.00 | $65.85 – $244.80 | 16 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $80.80 | $101.00 | $24.45 – $90.90 | 16 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $167.20 | $209.00 | $29.54 – $109.80 | 16 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $52.00 | $65.00 | $15.25 – $56.70 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $17.19 – $63.90 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $164.80 | $206.00 | $15.98 – $59.40 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $200.80 | $251.00 | $60.77 – $225.90 | 16 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $164.00 | $205.00 | $49.63 – $184.50 | 16 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo pregnenolone CPT 84140 | $49.60 | $62.00 | $15.01 – $55.80 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo proinsulin CPT 84206 | $61.60 | $77.00 | $18.64 – $69.30 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $271.20 | $339.00 | $27.12 – $100.80 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $323.20 | $404.00 | $15.74 – $58.50 | 16 |
| Mayo renin CPT 84244 | $51.20 | $64.00 | $9.68 – $36.00 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | $145.60 | $182.00 | $44.06 – $163.80 | 16 |
| Mayo selenium CPT 84255 | $61.60 | $77.00 | $18.64 – $69.30 | 16 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $216.80 | $271.00 | $65.61 – $243.90 | 16 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $31.23 – $116.10 | 16 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $56.80 | $71.00 | $17.19 – $63.90 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $115.20 | $144.00 | $34.86 – $129.60 | 16 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $55.20 | $69.00 | $16.70 – $62.10 | 16 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $84.00 | $105.00 | $25.42 – $94.50 | 16 |
| Mayo tau phosphorylated 217 each CPT 84393 | $500.00 | $625.00 | $151.31 – $562.50 | 16 |
| Mayo tgrp testosterone free CPT 84402 | $60.00 | $75.00 | $18.16 – $67.50 | 16 |
| Mayo tgrp testosterone total CPT 84403 | $262.40 | $328.00 | $18.40 – $68.40 | 16 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $150.40 | $188.00 | $45.51 – $169.20 | 16 |
| Mayo thyroglobulin CPT 84432 | $228.00 | $285.00 | $13.80 – $51.30 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.80 | $71.00 | $16.46 – $61.20 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $54.40 | $68.00 | $16.46 – $61.20 | 16 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $104.80 | $131.00 | $31.72 – $117.90 | 16 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $124.80 | $156.00 | $36.32 – $135.00 | 16 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $210.40 | $263.00 | $63.67 – $236.70 | 16 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $132.00 | $165.00 | $11.38 – $42.30 | 16 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $23.00 – $85.50 | 16 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $557.13 – $557.13 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $700.84 – $700.84 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | $190.40 | $238.00 | $57.62 – $214.20 | 16 |
| Measure ureter pressure CPT 50686 | not published | not published | $164.28 – $164.28 | 1 |
| #mec-opiates CPT 80356 | $77.60 | $97.00 | $23.48 – $87.30 | 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.