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 |
|---|---|---|---|---|
| Revision of eyelid CPT 67950 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Revision of eyelid CPT 67961 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Revision of eyelid CPT 67966 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Revision of foot CPT 28116 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of foot and ankle CPT 28262 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of foot bones CPT 28737 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of foot tendon CPT 28238 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Revision of hip tendon CPT 27097 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Revision of infusion pump CPT 36261 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Revision of iris CPT 66761 | not published | not published | $576.03 – $576.03 | 1 |
| Revision of iris CPT 66762 | not published | not published | $576.03 – $576.03 | 1 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Revision of knee joint CPT 27440 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27441 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27442 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27443 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of knee joint CPT 27446 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of neck muscle CPT 21725 | not published | not published | $738.77 – $738.77 | 1 |
| Revision of nose CPT 30120 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Revision of nose CPT 30430 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30435 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30450 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30460 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of nose CPT 30462 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of penis CPT 54300 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of penis CPT 54304 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of penis CPT 54420 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of penis CPT 54435 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision of radius CPT 25350 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of radius CPT 25355 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Revision of scrotum CPT 55175 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of scrotum CPT 55180 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Revision of spinal shunt CPT 63744 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Revision of testis CPT 54660 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of toe CPT 28312 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of urethra CPT 53460 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of urethra CPT 57220 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision tips CPT 37183 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $121.60 | $152.00 | $23.00 – $85.50 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $88.80 | $111.00 | $25.18 – $93.60 | 16 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $532.80 | $666.00 | $111.66 – $599.40 | 16 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $672.80 | $841.00 | $111.66 – $756.90 | 16 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $636.00 | $795.00 | $111.66 – $715.50 | 16 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $287.06 | $358.82 | $86.87 – $322.94 | 16 |
| Right ventric recording CPT 93603 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $16,977.67 | $21,222.08 | $5,137.87 – $19,099.87 | 16 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $31.28 – $31.28 | 1 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,225.14 | $1,531.42 | $302.01 – $1,122.70 | 16 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,432.20 | $4,290.25 | $305.86 – $1,137.02 | 16 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $738.77 – $738.77 | 1 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $23,568.50 – $23,568.50 | 1 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $33,664.66 – $33,664.66 | 1 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $23,568.50 – $23,568.50 | 1 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $649.17 – $649.17 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $8,689.78 – $8,689.78 | 1 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $20,024.72 – $20,024.72 | 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.