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 |
|---|---|---|---|---|
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,726.87 | $2,158.58 | $522.59 – $1,942.72 | 16 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $2,653.91 | $3,317.38 | $803.14 – $2,985.64 | 16 |
| Palonosetron hcl HCPCS J2469 | $67.43 | $84.28 | $20.40 – $75.85 | 16 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $61.45 | $76.81 | $18.41 – $68.45 | 16 |
| Parathormone (pth) intact CPT 83970 | $216.80 | $271.00 | $65.61 – $243.90 | 16 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $565.18 – $565.18 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,532.00 | $1,915.00 | $421.92 – $1,723.50 | 16 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,100.80 | $2,626.00 | $421.92 – $2,363.40 | 16 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $282.40 | $353.00 | $85.46 – $317.70 | 16 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Part removal of metatarsal CPT 28110 | $5,128.80 | $6,411.00 | $1,552.10 – $5,769.90 | 16 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $56.10 – $56.10 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $418.99 – $418.99 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $326.96 – $326.96 | 1 |
| Pcv21 vaccine im CPT 90684 | $410.26 | $512.82 | $124.15 – $461.54 | 16 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $208.64 – $208.64 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $164.28 – $164.28 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,290.61 | $9,113.26 | $31.73 – $8,201.93 | 16 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,217.04 | $4,021.30 | $98.36 – $3,619.17 | 16 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,294.00 | $4,117.50 | $146.06 – $3,705.75 | 16 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,616.16 | $8,270.20 | $311.44 – $7,443.18 | 16 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,075.76 | $2,594.70 | $138.08 – $2,335.23 | 16 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.71 – $189.71 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,675.20 | $3,344.00 | $186.92 – $3,009.60 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,544.00 | $3,180.00 | $186.92 – $2,862.00 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,978.40 | $2,473.00 | $111.66 – $2,225.70 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,391.20 | $5,489.00 | $374.99 – $4,940.10 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $4,008.00 | $5,010.00 | $374.99 – $4,509.00 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $3,156.00 | $3,945.00 | $253.81 – $3,550.50 | 16 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,014.40 | $1,268.00 | $111.66 – $1,141.20 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $714.40 | $893.00 | $111.66 – $803.70 | 16 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $399.20 | $499.00 | $111.66 – $449.10 | 16 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $444.00 | $555.00 | $111.66 – $499.50 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $6,108.96 | $7,636.19 | $58.52 – $6,872.57 | 16 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $3,583.96 | $4,479.94 | $313.20 – $1,164.33 | 16 |
| Pemivibart infusion HCPCS M0224 | $798.40 | $998.00 | $241.62 – $898.20 | 16 |
| Peng benzathine/procaine inj HCPCS J0558 | $284.30 | $355.37 | $86.04 – $319.83 | 16 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $63.29 | $79.11 | $19.15 – $71.20 | 16 |
| Penile injection CPT 54235 | not published | not published | $255.37 – $255.37 | 1 |
| Penile vascular study CPT 93980 | not published | not published | $111.66 – $111.66 | 1 |
| Penile vascular study CPT 93981 | not published | not published | $111.66 – $111.66 | 1 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Penis study CPT 54240 | not published | not published | $326.96 – $326.96 | 1 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,338.51 – $3,338.51 | 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.