Sanford Tracy Medical Center

251 Fifth Street East, Tracy, MN 56175 · (507) 629-8400

Critical Access HospitalsVoluntary non-profit - PrivateMarshall, MN metro

Price file

Prices published

File dated 2026-03-04

2,024 price rows for 53 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $155

$155

cash

$58 to $184

44 negotiated rates

$194

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $4,656

$4,656

cash

$375 to $5,506

45 negotiated rates

$5,820

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $2,126

$2,126

cash

$112 to $2,514

45 negotiated rates

$2,658

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,544

$2,544

cash

$187 to $3,008

45 negotiated rates

$3,180

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,395 to $2,395

1 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $114

$114

cash

$35 to $202

132 negotiated rates

$143

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$957 to $2,742

4 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,191 to $2,383

4 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,191 to $2,383

4 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $134

$134

cash

$41 to $158

44 negotiated rates

$167

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $197

$197

cash

$74 to $233

44 negotiated rates

$246

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $487

$487

cash

$147 to $576

44 negotiated rates

$609

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $309

$309

cash

$93 to $365

44 negotiated rates

$386

list

Family psychotherapy with the patient

CPT 90847

—

cash

$169 to $169

1 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$169 to $169

1 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$6,126 to $6,126

1 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $86

$86

cash

$26 to $131

132 negotiated rates

$108

list

Group psychotherapy

CPT 90853

—

cash

$97 to $97

1 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,706 to $3,706

1 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,407 to $3,407

1 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$576 to $576

1 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$3,377 to $3,377

1 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $146

$146

cash

$47 to $172

44 negotiated rates

$182

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $175

$175

cash

$53 to $207

44 negotiated rates

$219

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $4,155

$4,155

cash

$375 to $4,914

45 negotiated rates

$5,194

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $2,818

$2,818

cash

$254 to $3,333

45 negotiated rates

$3,523

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $3,190

$3,190

cash

$254 to $3,772

45 negotiated rates

$3,987

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $3,322

$3,322

cash

$254 to $3,928

45 negotiated rates

$4,152

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$935 to $935

1 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $177

$177

cash

$54 to $209

44 negotiated rates

$221

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $90

$90

cash

$27 to $106

44 negotiated rates

$112

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $114

$114

cash

$35 to $135

44 negotiated rates

$143

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $129

$129

cash

$63 to $152

44 negotiated rates

$161

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $1,038

$1,038

cash

$112 to $1,228

45 negotiated rates

$1,298

list

Prostate biopsy

CPT 55700

—

cash

$2,151 to $2,151

1 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$10,932 to $10,932

1 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $78

$78

cash

$23 to $93

132 negotiated rates

$97

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$169 to $169

1 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$169 to $169

1 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$169 to $169

1 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,021 to $4,021

1 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $422

$422

cash

$165 to $531

88 negotiated rates

$527

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $4,001

$4,001

cash

$1,068 to $5,264

90 negotiated rates

$5,001

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$935 to $935

1 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$727 to $727

1 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $142

$142

cash

$50 to $167

44 negotiated rates

$177

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$6,211 to $6,211

1 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $903

$903

cash

$112 to $1,068

45 negotiated rates

$1,129

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $1,108

$1,108

cash

$112 to $1,310

45 negotiated rates

$1,385

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$984 to $2,270

4 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$984 to $2,270

4 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $82

$82

cash

$25 to $97

44 negotiated rates

$103

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $710

$710

cash

$112 to $840

45 negotiated rates

$888

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://sthpiprd.blob.core.windows.net/machine-readable-files/8378/460388596_sanford-tracy-hospital_standardcharges.csv
Sanford Tracy Hospital · parsed · tall v3.0.0 · file dated 2026-03-04 · 59.6 MB · 2024 price rows read · read Nov 2026