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 |
|---|---|---|---|---|
| Unlisted laps px testis CPT 54699 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted mr procedure CPT 76498 | not published | not published | $92.45 – $92.45 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $164.28 – $164.28 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $25.71 – $25.71 | 1 |
| Unlisted orl service/px CPT 92700 | not published | not published | $25.71 – $25.71 | 1 |
| Unlisted procedure colon CPT 45399 | not published | not published | $957.30 – $957.30 | 1 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted procedure liver CPT 47399 | not published | not published | $738.77 – $738.77 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $738.77 – $738.77 | 1 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $957.30 – $957.30 | 1 |
| Unlisted procedure spine CPT 22899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $31.28 – $31.28 | 1 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $165.68 – $165.68 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $738.77 – $738.77 | 1 |
| Unlisted px external ear CPT 69399 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px forearm/wrist CPT 25999 | $3,908.80 | $4,886.00 | $251.87 – $4,397.40 | 16 |
| Unlisted px hands/fingers CPT 26989 | $2,334.40 | $2,918.00 | $251.87 – $2,626.20 | 16 |
| Unlisted px inner ear CPT 69949 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $255.37 – $255.37 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $139.41 – $139.41 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px small intestine CPT 44799 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $139.41 – $139.41 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $208.64 – $208.64 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $669.60 | $837.00 | $92.45 – $753.30 | 16 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $649.17 – $649.17 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $421.92 – $421.92 | 1 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $734.71 – $734.71 | 1 |
| Upgrade pm system CPT 33214 | not published | not published | $10,988.60 – $10,988.60 | 1 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $403.20 | $504.00 | $92.45 – $453.60 | 16 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | not published | not published | $186.92 – $446.60 | 2 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,564.00 | $3,205.00 | $111.66 – $2,884.50 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,322.40 | $5,403.00 | $374.99 – $4,862.70 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,496.80 | $4,371.00 | $374.99 – $3,933.90 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,370.40 | $4,213.00 | $253.81 – $3,791.70 | 16 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $463.20 | $579.00 | $111.66 – $521.10 | 16 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $580.80 | $726.00 | $111.66 – $653.40 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | not published | not published | $186.92 – $186.92 | 1 |
| Upper GI Barium X-ray (barium only) CPT 74240 | not published | not published | $186.92 – $186.92 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $984.44 – $984.44 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Urea nitrogen CPT 84520 | $85.60 | $107.00 | $25.90 – $96.30 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $48.80 | $61.00 | $9.44 – $35.10 | 16 |
| Ureteral reflux study CPT 78740 | not published | not published | $421.92 – $421.92 | 1 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $253.81 – $253.81 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $253.81 – $253.81 | 1 |
| Uric acid blood CPT 84550 | $74.40 | $93.00 | $22.52 – $83.70 | 16 |
| Uric acid urine CPT 84560 | $72.00 | $90.00 | $9.44 – $35.10 | 16 |
| Urinalysis microscopic only CPT 81015 | $76.00 | $95.00 | $23.00 – $85.50 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $50.40 | $63.00 | $15.25 – $56.70 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $82.40 | $103.00 | $24.94 – $92.70 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $39.20 | $49.00 | $11.62 – $43.20 | 16 |
| Urinary reflex study CPT 51792 | not published | not published | $62.37 – $62.37 | 1 |
| Urine Culture Test CPT 87086 | $114.40 | $143.00 | $34.62 – $128.70 | 16 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $135.35 – $135.35 | 1 |
| Urine pregnancy test CPT 81025 | $88.80 | $111.00 | $26.87 – $99.90 | 16 |
| Urography, antegrade CPT 74425 | not published | not published | $374.99 – $374.99 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $186.92 – $186.92 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $111.66 – $111.66 | 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.