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 |
|---|---|---|---|---|
| Peripheral vascular rehab CPT 93668 | $179.20 | $224.00 | $54.23 – $201.60 | 16 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $575.70 – $575.70 | 1 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $421.92 – $421.92 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $738.77 – $738.77 | 1 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $738.77 – $738.77 | 1 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $255.37 – $255.37 | 1 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.20 – $16.20 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image full body CPT 78813 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ph body fluid CPT 83986 | $39.20 | $49.00 | $9.44 – $35.10 | 16 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $68.18 | $85.22 | $20.63 – $76.70 | 16 |
| Phenobarbital therapeutic drug level CPT 80184 | $85.60 | $107.00 | $21.55 – $80.10 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | $750.39 | $937.98 | $227.08 – $844.18 | 16 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $60.92 | $76.15 | $18.44 – $68.54 | 16 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $60.85 | $76.06 | $18.41 – $68.45 | 16 |
| Phenytoin total therapeutic drug level CPT 80185 | $186.40 | $233.00 | $53.75 – $199.80 | 16 |
| Phlebotomy therapeutic CPT 99195 | $249.60 | $312.00 | $75.54 – $280.80 | 16 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Phosphorus CPT 84100 | $72.00 | $90.00 | $21.79 – $81.00 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $62.40 | $78.00 | $9.44 – $35.10 | 16 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $62.37 – $62.37 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $62.37 – $62.37 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $419.51 – $419.51 | 1 |
| Photo patch test CPT 95052 | not published | not published | $62.37 – $62.37 | 1 |
| Photopheresis CPT 36522 | not published | not published | $4,919.43 – $4,919.43 | 1 |
| Photosensitivity tests CPT 95056 | not published | not published | $135.35 – $135.35 | 1 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $352.80 | $441.00 | $106.77 – $396.90 | 16 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $262.40 | $328.00 | $115.50 – $295.20 | 16 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $308.00 | $385.00 | $93.21 – $346.50 | 16 |
| Physical Therapy Re-Evaluation CPT 97164 | $244.00 | $305.00 | $73.84 – $274.50 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $79.01 | $98.76 | $23.50 – $87.36 | 16 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $642.74 – $642.74 | 1 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pinworm exam CPT 87172 | $82.40 | $103.00 | $24.94 – $92.70 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $62.82 | $78.52 | $18.62 – $69.22 | 16 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Place endorectal app HCPCS C9725 | not published | not published | $957.30 – $957.30 | 1 |
| Place gastrostomy tube perc CPT 49440 | $2,951.20 | $3,689.00 | $893.11 – $3,320.10 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $738.77 – $738.77 | 1 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Place needles pelvic for right CPT 55920 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Place po breast cath for rad CPT 19296 | not published | not published | $10,047.49 – $10,047.49 | 1 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,436.67 – $1,436.67 | 1 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Plasma volume single CPT 78110 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $203.20 | $254.00 | $61.49 – $228.60 | 16 |
| Platelet automated CPT 85049 | $56.00 | $70.00 | $16.95 – $63.00 | 16 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $459.04 – $459.04 | 1 |
| Platelet pheresis irr ea HCPCS P9036 | $704.00 | $880.00 | $213.05 – $792.00 | 16 |
| Platelets each unit HCPCS P9019 | $599.20 | $749.00 | $181.33 – $674.10 | 16 |
| Platelet survival CPT 78191 | not published | not published | $421.92 – $421.92 | 1 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $738.77 – $738.77 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $326.96 – $326.96 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $3,621.42 – $3,621.42 | 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.