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 |
|---|---|---|---|---|
| Tbs techl calculation only CPT 77091 | not published | not published | $92.45 – $92.45 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $92.45 – $92.45 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $279.20 | $349.00 | $84.49 – $314.10 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $542.40 | $678.00 | $54.23 – $201.60 | 16 |
| Tc-99m labeled rbc HCPCS A9560 | $428.00 | $535.00 | $129.52 – $481.50 | 16 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $53.99 – $200.70 | 16 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $40.43 – $150.30 | 16 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $228.78 – $850.50 | 16 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $50.84 – $189.00 | 16 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $106.52 – $396.00 | 16 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $93.21 – $346.50 | 16 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $111.66 – $111.66 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $111.66 – $111.66 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $459.04 – $459.04 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $184.00 | $230.00 | $55.68 – $207.00 | 16 |
| T cells total count CPT 86359 | $160.80 | $201.00 | $48.66 – $180.90 | 16 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $326.96 – $326.96 | 1 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $326.96 – $326.96 | 1 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $326.96 – $326.96 | 1 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $829.56 – $829.56 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $829.56 – $829.56 | 1 |
| Telehealth original site facility fee HCPCS Q3014 | $69.60 | $87.00 | $21.06 – $78.30 | 16 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $384.37 – $384.37 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $384.37 – $384.37 | 1 |
| Temperature gradient studies CPT 93740 | not published | not published | $164.28 – $164.28 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $12,366.50 | $15,458.12 | $3,742.41 – $13,912.31 | 16 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $60.96 | $76.19 | $18.45 – $68.57 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $421.92 – $421.92 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $1,112.80 | $1,391.00 | $326.96 – $1,251.90 | 16 |
| Tetanus immune globulin inj HCPCS J1670 | $874.64 | $1,093.30 | $264.69 – $983.97 | 16 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.45 – $18.45 | 1 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $459.04 – $459.04 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $162.40 | $203.00 | $49.15 – $182.70 | 16 |
| Therapeutic procd strg endur HCPCS G0237 | $136.00 | $170.00 | $25.71 – $153.00 | 16 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $133.60 | $167.00 | $60.50 – $150.30 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $128.80 | $161.00 | $62.79 – $144.90 | 16 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $70.40 | $88.00 | $21.30 – $79.20 | 16 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $64.00 | $80.00 | $19.37 – $72.00 | 16 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $208.64 – $208.64 | 1 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $186.92 – $186.92 | 1 |
| Ther/proph/diag inj ia CPT 96373 | $226.40 | $283.00 | $44.80 – $254.70 | 16 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $63.50 | $79.37 | $19.22 – $71.43 | 16 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $468.80 | $586.00 | $92.45 – $527.40 | 16 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,754.40 | $2,193.00 | $530.93 – $1,973.70 | 16 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,329.60 | $2,912.00 | $421.92 – $2,620.80 | 16 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $92.45 – $92.45 | 1 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Thrombin time CPT 85670 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $179.20 | $224.00 | $54.23 – $201.60 | 16 |
| Thumb fusion with graft CPT 26820 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Thumb fusion with graft CPT 26842 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Thyroglobulin antibody CPT 86800 | $181.60 | $227.00 | $15.98 – $59.40 | 16 |
| Thyroid imaging CPT 78013 | $1,136.00 | $1,420.00 | $343.78 – $1,278.00 | 16 |
| Thyroid met imaging CPT 78015 | not published | not published | $421.92 – $421.92 | 1 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $421.92 – $421.92 | 1 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $565.18 – $565.18 | 1 |
| Thyroid (TSH) Test CPT 84443 | $141.60 | $177.00 | $49.50 – $159.30 | 16 |
| Thyroid Ultrasound CPT 76536 | $902.40 | $1,128.00 | $111.66 – $1,015.20 | 16 |
| Thyroid uptake measurement CPT 78012 | $1,538.40 | $1,923.00 | $421.92 – $1,730.70 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Tilt table study CPT 93660 | not published | not published | $557.13 – $557.13 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $140.80 | $176.00 | $42.61 – $158.40 | 16 |
| Tissue transglutaminase iga CPT 86364 | $11.20 | $14.00 | $3.39 – $12.60 | 16 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $60.62 | $75.77 | $18.34 – $68.19 | 16 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,203.08 | $5,253.84 | $6.08 – $2,397.98 | 16 |
| Toe X-ray (both feet) CPT 73660 | $351.20 | $439.00 | $92.45 – $395.10 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $90.40 | $113.00 | $44.07 – $101.70 | 16 |
| Tone decay hearing test CPT 92563 | not published | not published | $41.21 – $41.21 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,405.22 – $3,405.22 | 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.