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 |
|---|---|---|---|---|
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $80.00 | $100.00 | $24.21 – $90.00 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $80.00 | $100.00 | $18.16 – $67.50 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $60.00 | $75.00 | $18.16 – $67.50 | 16 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $5.19 | $6.48 | $1.57 – $5.83 | 16 |
| Sodium serum/plasma/whole blood CPT 84295 | $100.00 | $125.00 | $30.26 – $112.50 | 16 |
| Somatosensory testing CPT 95927 | not published | not published | $326.96 – $326.96 | 1 |
| Special physics consult CPT 77370 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $607.39 – $607.39 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $384.37 – $384.37 | 1 |
| Specimen fat stain CPT 89125 | $121.60 | $152.00 | $36.80 – $136.80 | 16 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $490.40 | $613.00 | $148.41 – $551.70 | 16 |
| Speech audiometry complete CPT 92556 | not published | not published | $62.37 – $62.37 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $253.81 – $253.81 | 1 |
| Speech recep thresh CPT 92555 | not published | not published | $62.37 – $62.37 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $324.00 | $405.00 | $157.95 – $364.50 | 16 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $727.15 – $727.15 | 1 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Spine X-ray (single view, one level) CPT 72020 | $393.60 | $492.00 | $92.45 – $442.80 | 16 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $326.96 – $326.96 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $164.28 – $164.28 | 1 |
| Spleen imaging CPT 78185 | $759.20 | $949.00 | $229.75 – $854.10 | 16 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Srs linear based CPT 77372 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Srs multisource CPT 77371 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $164.28 – $164.28 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $390.40 | $488.00 | $118.14 – $439.20 | 16 |
| Stenger test pure tone CPT 92565 | not published | not published | $62.37 – $62.37 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $557.13 – $557.13 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $202.40 | $253.00 | $61.25 – $227.70 | 16 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $5.19 | $6.48 | $1.57 – $5.83 | 16 |
| St evaluate speech sound production CPT 92522 | $376.80 | $471.00 | $114.03 – $423.90 | 16 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,900.00 | $2,375.00 | $421.92 – $2,137.50 | 16 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $165.68 – $165.68 | 1 |
| Strapping of chest CPT 29200 | not published | not published | $165.68 – $165.68 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $62.37 – $62.37 | 1 |
| Strapping of hand or finger CPT 29280 | not published | not published | $62.37 – $62.37 | 1 |
| Strapping of hip CPT 29520 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of knee CPT 29530 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $62.37 – $62.37 | 1 |
| Stress test pulmonary CPT 94618 | not published | not published | $135.35 – $135.35 | 1 |
| Stress tte complete CPT 93351 | not published | not published | $575.70 – $575.70 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $727.15 – $727.15 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $208.64 – $208.64 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $642.74 – $642.74 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $81.25 | $101.56 | $19.28 – $71.68 | 16 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $65.88 | $82.35 | $19.55 – $72.68 | 16 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $68.87 | $86.08 | $20.84 – $77.47 | 16 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $48.45 – $48.45 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $31.20 | $39.00 | $7.99 – $29.70 | 16 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $984.44 – $984.44 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $64.00 | $80.00 | $19.37 – $72.00 | 16 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $136.00 | $170.00 | $41.16 – $153.00 | 16 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $140.00 | $175.00 | $42.37 – $157.50 | 16 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $145.60 | $182.00 | $70.98 – $163.80 | 16 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $679.20 | $849.00 | $205.54 – $764.10 | 16 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,002.40 | $1,253.00 | $303.35 – $1,127.70 | 16 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $117.60 | $147.00 | $16.46 – $61.20 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $162.40 | $203.00 | $49.15 – $182.70 | 16 |
| Susceptibility mic per plate CPT 87186 | $191.20 | $239.00 | $15.74 – $58.50 | 16 |
| Suspension of testis CPT 54620 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Swallowing Evaluation (Bedside) CPT 92610 | $410.40 | $513.00 | $124.20 – $461.70 | 16 |
| Swallowing Therapy Session CPT 92526 | $312.80 | $391.00 | $94.66 – $351.90 | 16 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $41.21 – $41.21 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $147.20 | $184.00 | $44.55 – $165.60 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $92.00 | $115.00 | $27.84 – $103.50 | 16 |
| T4 (thyroxine) free CPT 84439 | $160.80 | $201.00 | $28.08 – $104.40 | 16 |
| T4 (thyroxine) total CPT 84436 | $103.20 | $129.00 | $31.23 – $116.10 | 16 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $1.20 | $1.50 | $0.36 – $1.35 | 16 |
| Tacrolimus therapeutic drug level CPT 80197 | $196.00 | $245.00 | $59.31 – $220.50 | 16 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $442.40 | $553.00 | $92.45 – $497.70 | 16 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $642.74 – $642.74 | 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.