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 |
|---|---|---|---|---|
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,281.09 | $4,101.36 | $992.94 – $3,691.22 | 16 |
| Vaccine Administration (one shot) CPT 90471 | $64.00 | $80.00 | $4.76 – $17.71 | 16 |
| Vaccine dtap < 7 years im CPT 90700 | $76.58 | $95.72 | $23.17 – $86.15 | 16 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $98.16 | $122.70 | $28.90 – $107.43 | 16 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $273.79 | $342.23 | $82.85 – $308.01 | 16 |
| Vaccine dtap-ipv/hib im CPT 90698 | $116.92 | $146.14 | $35.38 – $131.53 | 16 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $77.13 | $96.41 | $23.34 – $86.77 | 16 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $108.57 | $135.71 | $32.86 – $122.14 | 16 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $80.92 | $101.14 | $24.49 – $91.03 | 16 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $264.49 | $330.61 | $80.04 – $297.55 | 16 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $72.72 | $90.90 | $21.08 – $78.37 | 16 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $45.20 | $56.49 | $13.68 – $50.84 | 16 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $38.00 | $47.50 | $11.50 – $42.75 | 16 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $12.64 | $15.79 | $3.82 – $14.21 | 16 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $15.00 | $18.75 | $4.54 – $16.88 | 16 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $294.05 | $367.56 | $88.99 – $330.80 | 16 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $234.96 | $293.70 | $71.10 – $264.33 | 16 |
| Vaccine mmr live subcutaneous CPT 90707 | $191.82 | $239.77 | $58.05 – $215.79 | 16 |
| Vaccine mmrv live subcutaneous CPT 90710 | $474.24 | $592.80 | $143.52 – $533.52 | 16 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $216.43 | $270.53 | $65.50 – $243.48 | 16 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $321.24 | $401.54 | $97.21 – $361.39 | 16 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $339.05 | $423.81 | $102.60 – $381.43 | 16 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $75.02 | $93.77 | $22.70 – $84.39 | 16 |
| Vaccine rabies im CPT 90675 | $518.56 | $648.20 | $148.04 – $550.35 | 16 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $113.44 | $141.79 | $34.33 – $127.61 | 16 |
| Vaccine tdap >=7 years im CPT 90715 | $88.91 | $111.13 | $26.90 – $100.02 | 16 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $83.66 | $104.57 | $25.32 – $94.11 | 16 |
| Vaccine typhoid vicps im CPT 90691 | $201.94 | $252.42 | $61.11 – $227.18 | 16 |
| Vaccine varicella live subcutaneous CPT 90716 | $338.23 | $422.78 | $102.36 – $380.50 | 16 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $211.23 – $211.23 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $100.80 | $126.00 | $11.38 – $42.30 | 16 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $65.55 | $81.93 | $18.44 – $68.55 | 16 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $91.42 | $114.27 | $20.50 – $76.20 | 16 |
| Vancomycin peak therapeutic drug level CPT 80202 | $168.00 | $210.00 | $50.84 – $189.00 | 16 |
| Varicella zoster antibody igg CPT 86787 | $54.40 | $68.00 | $16.46 – $61.20 | 16 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Vasectomy CPT 55250 | $3,714.40 | $4,643.00 | $1,124.07 – $4,178.70 | 16 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $70.44 | $88.04 | $21.31 – $79.24 | 16 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $14,953.49 | $18,691.86 | $22.69 – $16,822.67 | 16 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $557.13 – $557.13 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $326.96 – $326.96 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $557.13 – $557.13 | 1 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $326.96 – $326.96 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $649.17 – $649.17 | 1 |
| Vein x-ray kidney CPT 75831 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $649.17 – $649.17 | 1 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $377.18 – $377.18 | 1 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $164.28 – $164.28 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $164.28 – $164.28 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $326.96 – $326.96 | 1 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Venous sampling s&i CPT 75893 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $565.18 – $565.18 | 1 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $421.92 – $421.92 | 1 |
| Ventilator each subsequent day CPT 94003 | not published | not published | $694.16 – $694.16 | 1 |
| Ventilator Management (first day) CPT 94002 | not published | not published | $694.16 – $694.16 | 1 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $934.80 – $934.80 | 1 |
| Version cephalic external CPT 59412 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | not published | not published | $186.92 – $186.92 | 1 |
| Virus isolation addl studies ea CPT 87253 | $136.00 | $170.00 | $41.16 – $153.00 | 16 |
| Visit esketamine 56m or less HCPCS G2082 | not published | not published | $1,208.03 – $1,208.03 | 1 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | not published | not published | $135.31 – $135.31 | 1 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $164.28 – $164.28 | 1 |
| Vital capacity test CPT 94150 | not published | not published | $164.28 – $164.28 | 1 |
| Vitamin b-12 CPT 82607 | $79.20 | $99.00 | $23.97 – $89.10 | 16 |
| Vitamin D Test CPT 82306 | $132.00 | $165.00 | $32.20 – $119.70 | 16 |
| Vit for macular hole CPT 67042 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Vit for macular pucker CPT 67041 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Vit for membrane dissect CPT 67043 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Volume deplete of harvest CPT 38214 | not published | not published | $459.04 – $459.04 | 1 |
| Volume measurement urine timed CPT 81050 | $44.80 | $56.00 | $13.56 – $50.40 | 16 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $5,018.93 – $5,018.93 | 1 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $118.40 | $148.00 | $35.83 – $133.20 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $383.20 | $479.00 | $21.30 – $79.20 | 16 |
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.