Sanford Tracy Medical Center — procedure prices

Published prices for 359 procedures at Sanford Tracy Medical Center (Tracy, MN), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $131 $164 $102 $51
Abdominal fluid drain (paracentesis) $984 $284
Abdominal ultrasound $940 $1,175 $868 $100
Abscess incision and drainage $659 $824 $628 $174
Achilles tendon repair $7,501 $624
ACL knee reconstruction $7,501 $889
Acupuncture $26 $38
Adenoid removal (adenoidectomy) $3,405 $204
Albumin blood test $100 $125 $34 $5
Aldosterone test $383 $479 $202 $41
Alkaline phosphatase test $86 $107 $34 $5
Allergy patch testing $1,068 $5
Allergy shots $59 $74 $55 $11
Allergy testing $1,068 $4
Alpha-fetoprotein (AFP) test $192 $240 $200 $17
ALT liver enzyme test $86 $107 $89 $5
Ammonia blood test $175 $219 $68 $15
Amniocentesis $914 $120
Amylase test $105 $131 $109 $6
Anal fistula repair $2,880 $541
Ankle fracture repair $7,501 $608
Ankle replacement $19,310 $885
Anoscopy $135 $129
Antinuclear antibody (ANA) test $177 $221 $185 $12
Arterial blood gas (ABG) $321 $401 $335 $26
AST liver enzyme test $86 $107 $89 $5
Barium swallow study $187 $107
Bartholin cyst removal $211 $182
Basic metabolic panel $155 $194 $159 $8
Benign skin lesion removal $802 $1,003 $691 $171
Bilirubin blood test $86 $107 $89 $5
Bladder function test (urodynamics) $373 $466 $397 $345
Bladder scope (cystoscopy) $3,841 $4,801 $4,009 $216
Bladder tumor removal (TURBT) $3,621 $236
Blood clotting test (PT/INR) $78 $98 $81 $4
Blood crossmatch $137 $171 $143
Blood glucose test $53 $66 $58 $5
Blood transfusion $1,093 $1,366 $1,141 $47
Blood type and screen $117 $146 $122 $10
Blood type test $54 $67 $53 $3
BNP (heart failure) test $200 $250 $117 $39
Bone density scan (DEXA) $819 $1,024 $855 $39
Bone marrow biopsy $2,353 $172
Bone scan (nuclear) $2,034 $2,542 $2,123 $259
Botox for migraine $310 $157
Breast biopsy $1,701 $478
Breast MRI $893 $216
Breast reconstruction $18,268 $1,227
Breast reduction $6,848 $980
Breast ultrasound $480 $600 $496 $92
Breathing tube insertion (intubation) $618 $772 $645 $133
Bronchoscopy $1,811 $303
Bunion surgery (bunionectomy) $7,501 $883
Burn treatment $362 $453 $374 $129
C-reactive protein (CRP) $116 $145 $121 $5
CA 19-9 tumor marker test $102 $127 $106 $21
CA-125 ovarian marker test $102 $127 $106 $21
Calcium blood test $86 $107 $89 $5
Capsule endoscopy $984 $802
Cardiac ablation $25,759 $759
Cardiac catheterization $3,377 $1,049
Cardiac MRI $882 $322
Cardiac rehabilitation $282 $352 $292 $26
Cardiac stress test $1,113 $1,391 $1,161 $39
Cardioversion $1,761 $2,201 $1,838 $155
Carotid artery ultrasound $1,060 $1,325 $984 $156
Carpal tunnel release $2,050 $483
Cataract surgery $2,395 $547
CEA tumor marker test $100 $125 $104 $19
Celiac disease test $11 $14 $12 $12
Central line placement $1,938 $2,422 $2,022 $238
Cervical cerclage $3,339 $137
Cervical LEEP procedure $3,339 $325
Chalazion (eyelid cyst) removal $314 $131
Chemotherapy infusion $574 $718 $335 $81
Chest fluid drain (thoracentesis) $1,754 $2,193 $1,831 $311
Chest tube insertion $1,075 $1,344 $1,122 $143
Chest X-ray $402 $502 $385 $37
Chickenpox (varicella) vaccine $338 $423 $353
Chiropractic adjustment $27 $38
Circumcision $2,151 $167
CK-MB heart enzyme test $179 $224 $187 $12
Clotting time test (PTT) $114 $143 $119 $6
Colonoscopy $1,877 $480
Colposcopy $319 $161
Complete blood count (CBC) $110 $137 $96 $7
Complex wound repair $643 $390
Comprehensive eye exam $135 $138
Comprehensive metabolic panel $197 $246 $201 $11
Contraceptive implant (Nexplanon) $419 $115
Copper blood test $142 $177 $57 $12
Corneal transplant $4,224 $1,066
Coronary CT angiography $670 $326
Cortisol test $167 $209 $89 $16
COVID-19 PCR test $125 $156 $131 $51
CPAP titration study $417 $521 $496 $69
Creatine kinase (CK) test $121 $151 $126 $7
CT angiography of the chest $2,927 $3,659 $2,927 $281
CT angiography of the head $2,976 $3,720 $2,976 $274
CT colonography (virtual colonoscopy) $254 $835
CT scan of the abdomen $2,932 $3,665 $2,520 $230
CT scan of the abdomen and pelvis $4,656 $5,820 $4,371 $300
CT scan of the arm $2,307 $2,884 $2,370 $199
CT scan of the chest $2,840 $3,550 $2,449 $167
CT scan of the head $2,717 $3,396 $2,392 $148
CT scan of the leg $2,359 $2,949 $2,506 $166
CT scan of the lower back (lumbar spine) $2,681 $3,351 $2,733 $169
CT scan of the neck $2,498 $3,122 $2,351 $183
CT scan of the neck (cervical spine) $2,440 $3,050 $2,408 $168
CT scan of the pelvis $2,544 $3,180 $2,226 $226
CT scan of the sinuses $2,519 $3,149 $2,335 $152
D-dimer test $219 $274 $229 $10
Defibrillator (ICD) implant $33,665 $798
DHEA-sulfate test $54 $67 $70 $22
Diagnostic mammogram $466 $582 $487 $140
Dialysis fistula creation $3,305 $601
Dilation and curettage (D&C) $3,339 $298
Droopy eyelid repair (ptosis) $2,450 $745
Drug screen (urine) $179 $224 $134 $17
Ear pressure test (tympanometry) $41 $16
Ear tubes (myringotomy) $1,045 $174
Eardrum repair (tympanoplasty) $6,211 $799
Echocardiogram $1,782 $2,228 $1,364 $138
Elbow replacement $19,310 $1,301
Electrocardiogram (EKG) $278 $348 $278 $8
Electroencephalogram (EEG) $1,214 $1,517 $1,256 $448
Electrolyte panel $127 $159 $133 $7
Electromyography (EMG) $135 $141
Emergency department visit $705 $881 $682 $69
Endometrial biopsy $211 $98
Epidural steroid injection $727 $275
ERCP (bile duct endoscopy) $3,995 $311
Esophageal dilation $3,694 $4,618 $3,817 $522
Esophageal variceal banding $1,992 $126
Estradiol (estrogen) test $282 $353 $76 $28
Eyelid surgery (blepharoplasty) $1,921 $552
Facet joint injection (spine) $935 $99
Fallopian tube X-ray (HSG) $254 $164
Family therapy session $169 $110
Fecal occult blood (stool) test $56 $70 $59 $10
Feeding tube (PEG) placement $1,992 $178
Femoral hernia repair $3,706 $584
Ferritin (iron) test $157 $196 $164 $14
Fibrinogen test $48 $60 $50 $10
Flexible sigmoidoscopy $2,205 $2,756 $2,254 $323
Flu test $86 $108 $97 $17
Folate (folic acid) test $134 $168 $140 $15
Foreign body removal (skin) $686 $857 $716 $157
Free T4 thyroid test $161 $201 $104 $9
FSH hormone test $247 $309 $70 $19
Gallbladder removal (laparoscopic) $6,126 $658
Gallbladder scan (HIDA) $2,028 $2,536 $2,109 $334
Ganglion cyst removal $1,680 $321
GGT liver test $74 $93 $78 $7
Glaucoma surgery $2,395 $984
Glucose tolerance test $141 $177 $65 $8
Group therapy session $97 $30
H. pylori test $418 $523 $437 $67
Hammertoe repair $4,127 $5,159 $4,308 $548
HDL cholesterol test $86 $107 $89 $8
Hearing test (audiometry) $164 $36
Hematocrit test $49 $61 $51 $2
Hemodialysis $735 $75
Hemoglobin A1c (diabetes test) $118 $147 $120 $10
Hemorrhoid removal $1,918 $338
Hepatitis A vaccine $109 $136 $113
Hepatitis B test $149 $186 $155 $10
Hepatitis C test $222 $278 $232 $14
Hip arthroscopy $7,501 $931
Hip replacement $13,510 $1,162
HIV test $149 $187 $143 $19
Holter heart monitor $607 $759 $599 $26
Home sleep apnea test $608 $760 $628 $123
Hydrocele repair $3,706 $315
Hysterectomy $10,932 $933
Hysteroscopy $3,339 $1,270
Inguinal hernia repair $3,706 $538
Iron blood test $74 $93 $78 $6
IUD removal $319 $112
IV infusion therapy $398 $497 $288 $44
IVC filter placement $5,676 $1,885
Joint aspiration (small/intermediate) $694 $868 $718 $57
Kidney biopsy $1,701 $492
Kidney scan (nuclear) $2,428 $3,035 $2,534 $172
Kidney stone shock-wave (lithotripsy) $3,621 $760
Kidney ultrasound $863 $1,079 $820 $84
Knee arthroscopy $3,407 $524
Knee joint injection $812 $1,015 $848 $69
Lactate test $129 $161 $134 $12
Laminectomy (spine) $7,501 $1,157
Laryngoscopy $1,007 $189
LDH test $82 $103 $86 $6
LDL cholesterol test $112 $140 $117 $11
Leg artery angiogram $3,305 $149
Leg artery angioplasty $8,947
Leg vein ultrasound (Doppler) $1,184 $1,480 $1,155 $150
LH hormone test $243 $304 $71 $19
Lipase test $208 $260 $217 $7
Lipid (cholesterol) panel $146 $182 $149 $13
Liver biopsy $1,701 $288
Liver function panel $175 $219 $183 $8
Lumbar discectomy $7,501 $898
Lumpectomy (breast) $5,434 $750
Lung function test (PFT) $470 $588 $325 $37
Lung scan (V/Q) $2,146 $2,683 $2,240 $291
Magnesium blood test $89 $111 $61 $7
Mastectomy $6,848 $1,021
Mastoidectomy $6,211 $840
Meniscus repair (knee) $3,407 $714
MMR vaccine $192 $240 $200
Mohs skin cancer surgery $643 $535
MRA of the brain $3,314 $4,142 $3,314 $226
MRA of the neck $3,053 $3,816 $3,084 $245
MRI of the abdomen $3,474 $4,342 $3,425 $300
MRI of the ankle $3,582 $4,478 $3,325 $261
MRI of the brain $3,609 $4,511 $3,363 $269
MRI of the chest $3,294 $4,117 $3,234 $371
MRI of the knee $3,438 $4,297 $3,171 $315
MRI of the lower back (lumbar spine) $3,508 $4,385 $3,508 $270
MRI of the mid-back (thoracic spine) $3,497 $4,371 $3,702 $271
MRI of the neck (cervical spine) $3,486 $4,358 $3,648 $274
MRI of the pelvis $4,008 $5,010 $3,551 $268
MRI of the shoulder $3,705 $4,631 $3,322 $313
MRI of the wrist $3,494 $4,367 $3,182 $330
Nebulizer breathing treatment $204 $255 $201 $9
Neck (cervical) spinal fusion $13,510 $1,410
Nerve conduction study $902 $1,128 $659 $118
Newborn hospital care $135 $58
Nuchal translucency ultrasound $112 $116
Nuclear cardiac stress test $4,921 $6,151 $4,921 $428
Occupational therapy evaluation $322 $403 $318 $101
Office visit (established patient) $229 $287 $188 $115
Office visit (new patient) $177 $221 $185 $177
Orthopedic hardware removal $6,682 $8,352 $6,974 $632
Ovarian cyst removal $5,183 $698
Pap smear (cervical screening) $108 $135 $113 $20
Parathyroid hormone (PTH) test $217 $271 $226 $41
Parathyroid removal $6,211 $891
Pelvic ultrasound $864 $1,081 $804 $78
PET scan $1,532
Phosphorus blood test $72 $90 $75 $5
Physical therapy evaluation $308 $385 $304 $98
Pilonidal cyst removal $3,005 $541
Platelet count $56 $70 $58 $4
Pneumonia vaccine $216 $271 $226
Pregnancy blood test (hCG) $86 $107 $89 $8
Pregnancy ultrasound $997 $1,246 $1,038 $126
Procalcitonin test $389 $486 $406 $27
Prolactin test $263 $329 $275 $19
Prostate biopsy $2,151
Prostate removal (prostatectomy) $10,932 $1,063
Prostate surgery (TURP) $5,338 $526
Prostate test (PSA) $90 $112 $94 $18
Psychiatric evaluation $169 $188
Psychotherapy session $169 $140
Pterygium removal (eye) $2,450 $540
Pulmonary rehabilitation $224 $280 $234 $87
Radiofrequency nerve ablation $2,050 $462
Retina scan (OCT) $62 $33
Retinal (fundus) photography $135 $37
Retinal detachment repair $4,224 $966
Rheumatoid factor test $76 $95 $86 $6
Rotator cuff repair $7,501 $792
Routine eye exam $135 $88
Scoliosis spine X-ray $482 $603 $494 $58
Screening colonoscopy $1,714 $378
Screening mammogram $449 $561 $446 $126
Scrotal ultrasound $821 $1,026 $857 $99
Sedimentation rate (ESR) test $55 $69 $51 $3
Semen analysis $102 $127 $106 $12
Septoplasty (deviated septum) $3,405 $613
Sex hormone binding globulin test $166 $208 $60 $22
Shingles vaccine $332 $415 $347
Shoulder arthroscopy $7,501 $962
Shoulder replacement $19,310 $1,300
Simple wound stitches $369 $462 $383 $127
Sinus surgery (endoscopic) $7,269 $224
Skin biopsy $530 $663 $517 $121
Skin cancer lesion removal $654 $817 $682 $240
Skin graft $2,882 $898
Skin lesion freezing (cryotherapy) $209 $36
Skin tag removal $209 $92
Sleep study (polysomnography) $4,701 $5,876 $3,902 $691
Soft tissue ultrasound $592 $740 $618 $64
Speech therapy $324 $405 $337 $76
Spinal cord stimulator $6,891 $2,388
Spinal tap (lumbar puncture) $993 $1,241 $1,036 $165
Spine fracture repair (kyphoplasty) $7,501 $5,803
Spleen removal (splenectomy) $10,932 $1,036
Strabismus (eye muscle) surgery $3,205 $475
Strep throat test $80 $100 $84 $17
Stress echocardiogram $2,186 $2,732 $2,258 $209
Swallow study $410 $513 $428 $85
T3 thyroid test $92 $115 $96 $14
Tdap (tetanus) vaccine $89 $111 $93
Testicle removal (orchiectomy) $3,621 $306
Testosterone test $61 $76 $67 $26
Thyroid removal (thyroidectomy) $6,169 $1,004
Thyroid test (TSH) $142 $177 $145 $17
Thyroid ultrasound $902 $1,128 $942 $109
Thyroid uptake scan $1,503 $1,879 $1,556 $145
Tilt table test $557 $168
Tonsillectomy $4,808 $252
Total IgE allergy test $188 $235 $195 $16
Total protein test $86 $107 $89 $4
Tracheostomy $3,405 $273
Transesophageal echocardiogram (TEE) $3,103 $3,879 $3,206 $239
Transvaginal ultrasound $903 $1,129 $943 $118
Trigger finger release $1,680 $630
Trigger point injection $609 $761 $629 $56
Triglycerides test $86 $107 $89 $6
Troponin (heart) test $213 $266 $222 $12
Tubal ligation $6,126 $333
Turbinate reduction $3,405 $294
Turning a breech baby (version) $3,339 $94
Ulnar nerve surgery (elbow) $2,050 $575
Upper GI endoscopy (EGD) $1,703 $371
Upper GI series (barium) $187 $128
Ureteral stent placement $3,621 $373
Ureteroscopy (stone removal) $5,338 $365
Uric acid (gout) test $74 $93 $78 $5
Urinalysis $61 $76 $43 $3
Urine microalbumin test $128 $161 $32 $5
Urine pregnancy test $89 $111 $93 $9
UV light therapy (skin) $62 $106
Vaccine administration $60 $75 $63 $19
Varicocele repair $3,621 $327
Varicose vein ablation $7,246 $9,057 $7,486 $1,018
Vasectomy $3,714 $4,643 $3,877 $347
Visual field test $135 $64
Vitamin B12 test $79 $99 $83 $15
Vitamin D test $132 $165 $120 $30
Vitrectomy (eye) $4,224 $814
Vocal cord injection $3,871 $211
Wart removal $249 $311 $257 $121
Wound debridement $1,073 $1,341 $1,120 $186
Wrist fracture repair $7,501 $735
X-ray of the abdomen $406 $508 $440 $36
X-ray of the ankle $420 $525 $438 $37
X-ray of the collarbone $422 $528 $441 $33
X-ray of the elbow $446 $558 $466 $33
X-ray of the facial bones $482 $602 $411 $39
X-ray of the foot $452 $565 $472 $34
X-ray of the forearm $413 $516 $431 $29
X-ray of the hand $430 $537 $448 $38
X-ray of the hip $413 $516 $343 $49
X-ray of the knee $415 $519 $419 $42
X-ray of the lower back (lumbar spine) $606 $758 $564 $47
X-ray of the lower leg $456 $570 $476 $31
X-ray of the mid-back (thoracic spine) $522 $653 $516 $36
X-ray of the neck (cervical spine) $579 $724 $558 $47
X-ray of the pelvis $422 $527 $438 $36
X-ray of the ribs $533 $666 $514 $42
X-ray of the shoulder $442 $552 $461 $36
X-ray of the skull $536 $671 $488 $40
X-ray of the upper arm $403 $504 $421 $32
X-ray of the wrist $446 $558 $466 $43
YAG laser capsulotomy (eye) $576 $335
Zinc blood test $26 $33 $36 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.