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 |
|---|---|---|---|---|
| Medial canthopexy CPT 21280 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $557.13 – $557.13 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $95.50 | $119.37 | $21.31 – $79.24 | 16 |
| Meg evoked single CPT 95966 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $5,762.15 | $7,202.68 | $31.01 – $5,353.56 | 16 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $64.31 | $80.38 | $18.81 – $69.92 | 16 |
| Metabolic Blood Panel (Basic) CPT 80048 | $155.20 | $194.00 | $57.75 – $174.60 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $196.80 | $246.00 | $74.25 – $221.40 | 16 |
| Metabolic panel ionized ca CPT 80047 | $155.20 | $194.00 | $46.97 – $174.60 | 16 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $7.26 | $9.07 | $2.20 – $8.16 | 16 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $232.23 | $290.28 | $70.28 – $261.25 | 16 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $282.63 | $353.28 | $8.24 – $317.95 | 16 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $75.04 | $93.80 | $22.71 – $84.42 | 16 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $64.70 | $80.87 | $19.00 – $70.62 | 16 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $77.59 | $96.98 | $19.24 – $71.52 | 16 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $60.60 | $75.75 | $18.25 – $67.86 | 16 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $60.46 | $75.57 | $18.23 – $67.77 | 16 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $70.15 | $87.68 | $21.11 – $78.46 | 16 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $85.24 | $106.54 | $22.54 – $83.78 | 16 |
| Microalbumin urine screen CPT 82044 | $122.40 | $153.00 | $37.04 – $137.70 | 16 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $164.28 – $164.28 | 1 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,938.03 – $3,938.03 | 1 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $442.40 | $553.00 | $92.45 – $497.70 | 16 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $61.48 | $76.84 | $18.20 – $67.64 | 16 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $111.66 – $111.66 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,210.87 | $1,513.58 | $141.34 – $525.44 | 16 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $92.45 – $92.45 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $61.18 | $76.47 | $18.48 – $68.71 | 16 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $196.00 | $245.00 | $59.31 – $220.50 | 16 |
| Motion analysis video/3d CPT 96000 | not published | not published | $557.13 – $557.13 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $418.99 – $418.99 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $578.05 – $578.05 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $578.05 – $578.05 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $374.99 – $374.99 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $253.81 – $253.81 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $374.99 – $374.99 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $578.05 – $578.05 | 1 |
| MRA pelvis CPT 72198 | not published | not published | $578.05 – $578.05 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $374.99 – $374.99 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $253.81 – $253.81 | 1 |
| MRA spinal canal CPT 72159 | $2,365.60 | $2,957.00 | $578.05 – $2,661.30 | 16 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $578.05 – $578.05 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $374.99 – $374.99 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $374.99 – $374.99 | 1 |
| Mr elastography CPT 76391 | not published | not published | $253.81 – $253.81 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $186.92 – $186.92 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $575.70 – $575.70 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $186.92 – $186.92 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $253.81 – $578.05 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $446.60 – $446.60 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $253.81 – $578.05 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $446.60 – $446.60 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $253.81 – $578.05 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $374.99 – $607.75 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $611.05 – $829.56 | 2 |
| MRI chest without contrast CPT 71550 | $2,977.60 | $3,722.00 | $253.81 – $3,349.80 | 16 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $374.99 – $607.75 | 2 |
| MRI chest w IV cont CPT 71551 | $3,609.60 | $4,512.00 | $611.05 – $4,060.80 | 16 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $253.81 – $578.05 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,313.03 – $1,313.03 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $3,582.40 | $4,478.00 | $374.99 – $4,030.20 | 16 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,955.20 | $3,694.00 | $253.81 – $3,324.60 | 16 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,112.80 | $5,141.00 | $374.99 – $4,626.90 | 16 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $374.99 – $607.75 | 2 |
| MRI tmj CPT 70336 | $2,997.60 | $3,747.00 | $253.81 – $3,372.30 | 16 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,828.00 | $3,535.00 | $253.81 – $3,181.50 | 16 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,062.40 | $5,078.00 | $374.99 – $4,570.20 | 16 |
| MRI upper extremity w/dye CPT 73219 | $3,493.60 | $4,367.00 | $374.99 – $3,930.30 | 16 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $374.99 – $374.99 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $186.92 – $186.92 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $374.99 – $607.75 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $374.99 – $374.99 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $92.45 – $92.45 | 1 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $96.38 – $96.38 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $62.37 – $62.37 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $25.71 – $25.71 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $253.81 – $253.81 | 1 |
| Mr spectroscopy CPT 76390 | not published | not published | $92.45 – $92.45 | 1 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,500.92 – $7,500.92 | 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.