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 |
|---|---|---|---|---|
| X-ray exam of middle ear CPT 70134 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray exam of penis CPT 74445 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of perineum CPT 74775 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam si joints CPT 72200 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | $616.80 | $771.00 | $111.66 – $693.90 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $347.20 | $434.00 | $92.45 – $390.60 | 16 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $464.80 | $581.00 | $111.66 – $522.90 | 16 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $742.40 | $928.00 | $111.66 – $835.20 | 16 |
| X-ray joint survey 1 view CPT 77077 | $332.80 | $416.00 | $100.71 – $374.40 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $314.40 | $393.00 | $92.45 – $353.70 | 16 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $484.00 | $605.00 | $111.66 – $544.50 | 16 |
| X-ray male genital tract CPT 74440 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | $356.00 | $445.00 | $92.45 – $400.50 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $270.40 | $338.00 | $81.83 – $304.20 | 16 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray optic foramina CPT 70190 | $409.60 | $512.00 | $92.45 – $460.80 | 16 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,110.40 | $1,388.00 | $336.03 – $1,249.20 | 16 |
| X-ray ribs 2 views left CPT 71100 | $442.40 | $553.00 | $92.45 – $497.70 | 16 |
| X-ray sella turcica CPT 70240 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $395.20 | $494.00 | $92.45 – $444.60 | 16 |
| X-ray surgical specimen CPT 76098 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $443.20 | $554.00 | $92.45 – $498.60 | 16 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $186.92 – $186.92 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $166.44 | $208.05 | $19.57 – $72.76 | 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.