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 |
|---|---|---|---|---|
| Neurectomy popliteal CPT 27326 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $309.95 – $309.95 | 1 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $934.80 – $934.80 | 1 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $934.80 – $934.80 | 1 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | not published | not published | $164.28 – $164.28 | 1 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Neutron beam tx complex CPT 77423 | not published | not published | $607.39 – $607.39 | 1 |
| New Patient Office Visit (level 2) CPT 99202 | $140.80 | $176.00 | $42.61 – $158.40 | 16 |
| New Patient Office Visit (level 3) CPT 99203 | $176.80 | $221.00 | $53.50 – $198.90 | 16 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $198.96 | $248.70 | $60.21 – $223.83 | 16 |
| Nintedanib 150 mg capsule HCPCS J8999 | $1.20 | $1.50 | $0.36 – $1.35 | 16 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Nipple exploration CPT 19110 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $38.06 – $38.06 | 1 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $228.20 – $228.20 | 1 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $934.80 – $934.80 | 1 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $727.15 – $727.15 | 1 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $934.80 – $934.80 | 1 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $309.95 – $309.95 | 1 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $934.80 – $934.80 | 1 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $934.80 – $934.80 | 1 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $934.80 – $934.80 | 1 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $934.80 – $934.80 | 1 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $700.84 – $700.84 | 1 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,113.60 | $2,642.00 | $421.92 – $2,377.80 | 16 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,652.80 | $2,066.00 | $421.92 – $1,859.40 | 16 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,428.00 | $3,035.00 | $565.18 – $2,731.50 | 16 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,146.40 | $2,683.00 | $565.18 – $2,414.70 | 16 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,467.20 | $1,834.00 | $421.92 – $1,650.60 | 16 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $235.34 – $235.34 | 1 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $28,875.53 – $28,875.53 | 1 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $421.92 – $421.92 | 1 |
| Non-imaging heart function CPT 78414 | not published | not published | $565.18 – $565.18 | 1 |
| Noninv pace analysis CPT 93724 | not published | not published | $314.91 – $314.91 | 1 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $374.99 – $374.99 | 1 |
| No pt prsnt train add 15 HCPCS G0542 | $64.80 | $81.00 | $19.61 – $72.90 | 16 |
| No pt prsnt train initial 30 HCPCS G0541 | $129.60 | $162.00 | $39.22 – $145.80 | 16 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $442.40 | $553.00 | $92.45 – $497.70 | 16 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $557.13 – $557.13 | 1 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $1,843.71 – $1,843.71 | 1 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $607.39 – $607.39 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $607.39 – $607.39 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $421.92 – $421.92 | 1 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,920.80 | $6,151.00 | $1,370.75 – $5,535.90 | 16 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $235.34 – $235.34 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $194.40 | $243.00 | $58.83 – $218.70 | 16 |
| Observation per hour HCPCS G0378 | $60.00 | $75.00 | $18.16 – $67.50 | 16 |
| Obstetrics panel CPT 80055 | $238.40 | $298.00 | $72.15 – $268.20 | 16 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $111.66 – $111.66 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $386.40 | $483.00 | $116.93 – $434.70 | 16 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $280.00 | $350.00 | $84.74 – $315.00 | 16 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $322.40 | $403.00 | $97.57 – $362.70 | 16 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $31,448.64 | $39,310.80 | $60.94 – $35,379.72 | 16 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $60.90 | $76.12 | $18.43 – $68.51 | 16 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $9,633.08 | $12,041.34 | $1,467.42 – $5,455.08 | 16 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $576.03 – $576.03 | 1 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $168.70 – $168.70 | 1 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $168.70 – $168.70 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $75.88 | $94.84 | $21.11 – $78.48 | 16 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $39.04 – $39.04 | 1 |
| Onco (ovar) five proteins CPT 81503 | $2,188.80 | $2,736.00 | $662.39 – $2,462.40 | 16 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.20 | $1.50 | $0.36 – $1.35 | 16 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $60.28 | $75.34 | $18.21 – $67.70 | 16 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,211.44 – $6,211.44 | 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.