Procedures & surgery prices at Sanford Tracy Medical Center

Tracy, MN · every code in this section with a posted price and a Medicare benchmark.

250 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Application cast elbow finger short arm (29075) $236 $295 0.8×
Application cast shoulder hand long arm (29065) $283.20 $354 1.0×
Application finger splint static (29130) $216.80 $271 1.6×
Application long arm splint shoulder hand (29105) $315.20 $394 1.9×
Application of rigid total contact leg cast (29445) $696 $870 2.4×
Application short arm splint forearm-hand static (29125) $277.60 $347 2.0×
Apply long leg splint (29505) $325.60 $407 1.9×
Apply short leg cast (29405) $370.40 $463 1.3×
Apply short leg splint (29515) $299.20 $374 1.8×
Arterial puncture (36600) $146.40 $183 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $700 $875 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $812 $1,015 2.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $688 $860 2.2×
Arthrodesis great toe metatarsophalangeal joint (28750) $8,581.60 $10,727 1.1×
Aspirate pleura w/ imaging (32555) $1,754.40 $2,193 2.7×
Avulsion nail plate partial/complete simple 1 (11730) $416 $520 2.0×
Bladder Irrigation Simple (51700) $504.80 $631 2.0×
Blepharotomy drain absc eyelid (67700) $516.80 $646 1.6×
Blood transfusion service (36430) $1,092.80 $1,366 2.4×
Bx/exc lymph node needle superficial (38505) $2,868 $3,585 1.7×
Chemical cautery tissue (17250) $464.80 $581 2.2×
Close Rx Prox/Mid Fing Shft Fx (26720) $414.40 $518 1.6×
Closed Rx Gr Tuberosity Hum Fx (23620) $380.80 $476 1.5×
Closed Rx Humeral Supracondylar Fx (24530) $508 $635 2.0×
Closed Rx Radial Shaft Fx (25500) $404 $505 1.6×
Closed Rx Tibia Shaft Fx (27750) $448 $560 1.8×
Closed Rx Tibial Plateau Fx (27530) $460.80 $576 1.8×
Closed treatment of calcaneal fracture; without manipulation (28400) $404.80 $506 1.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $521.60 $652 2.0×
Closed treatment of sternoclavicular dislocation; without manipulation (23520) $1,568 $1,960 0.9×
Closed treatment of talus fracture; without manipulation (28430) $400.80 $501 1.6×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $384.80 $481 1.5×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,530.40 $1,913 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,955.20 $2,444 7.7×
Closed Treatment Sesamoid Fracture (28530) $348 $435 1.4×
Closed Treatment Ulnar Styloid Fracture (25650) $652 $815 2.6×
Closed tx ankle dislocation w/o anesthesia (27840) $560.80 $701 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,122.40 $1,403 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $450.40 $563 1.8×
Closed tx knee dislocation w/o anesthesia (27550) $592.80 $741 2.3×
Closed tx metatarsal fracture w/o manipulation (28470) $371.20 $464 1.5×
Closed tx patellar dislocation w/o anesthesia (27560) $544 $680 2.1×
Closed tx radial head/neck fx w/o manipulation (24650) $416.80 $521 1.6×
Closed tx radial&ulnar shaft fractures w/manj (25565) $2,017.60 $2,522 1.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $370.40 $463 1.5×
Closed tx talotarsal joint dislc w/o anes (28570) $348 $435 1.4×
Closed Tx Talus Fracture W/Manipulation (28435) $1,327.20 $1,659 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $597.60 $747 2.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $438.40 $548 1.7×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $480.80 $601 2.0×
Clsd tx clavicular fracture w/o manipulation (23500) $380 $475 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,832.80 $2,291 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $630.40 $788 2.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,006.40 $2,508 1.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,012 $1,265 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $436 $545 1.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $476.80 $596 1.9×
Cltx dstl fibular fx lat malls w/manj (27788) $844 $1,055 3.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $448 $560 1.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $524.80 $656 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $384 $480 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $456 $570 1.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,484.80 $1,856 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,394.40 $2,993 1.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $520 $650 2.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $336.80 $421 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $547.20 $684 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $342.40 $428 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,496 $3,120 1.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $612.80 $766 2.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $447.20 $559 1.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $966.40 $1,208 3.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $496 $620 1.9×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $453.60 $567 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $573.60 $717 2.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $403.20 $504 1.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $500 $625 2.0×
Cltx metatarsophlngl jt dislc w/o anes (28630) $432.80 $541 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $520 $650 2.0×
Cltx post hip arthrp dislc req anes (27266) $2,562.40 $3,203 1.5×
Cltx post hip arthrp dislc w/o anes (27265) $630.40 $788 2.5×
Cltx prox fibula/shft fx w/o manj (27780) $386.40 $483 1.5×
Cltx prox tibfib jt dislc w/o anes (27830) $1,036 $1,295 4.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $601.60 $752 2.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,874.40 $2,343 1.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $348 $435 1.4×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,490.40 $1,863 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $538.40 $673 2.1×
Collect Blood From Catheter Venous Nos (36592) $125.60 $157 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $237.60 $297 1.7×
Control Nasal Hemorrhage Anterior Simple (30901) $307.20 $384 2.2×
Correction hammertoe (28285) $4,127.20 $5,159 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $360.80 $451 2.6×
Cystometrogram w/vp (51728) $372.80 $466 0.5×
Cystourethroscopy (52000) $3,840.80 $4,801 5.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $765.60 $957 1.8×
Debride nail 1-5 (11720) $148.80 $186 2.4×
Debride nail 6 or more (11721) $169.60 $212 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,072.80 $1,341 2.6×
Delivery placenta separate procedure (59414) $3,486.40 $4,358 1.0×
Destruction Benign Lesions Up To 14 (17110) $248.80 $311 1.2×
Diagnostic sigmoidoscopy (45330) $2,204.80 $2,756 2.3×
Dilation esophagus over guide wire (43453) $3,694.40 $4,618 1.9×
Drainage external auditory canal abscess (69020) $776.80 $971 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $864 $1,080 1.2×
Drainage Finger Abscess Simple (26010) $458.40 $573 2.2×
Drainage of gum lesion (41800) $388.80 $486 2.8×
Drainage of hematoma/fluid (10140) $2,910.40 $3,638 1.7×
Draw blood off venous device (36591) $124.80 $156 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $738.40 $923 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $358.40 $448 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $365.60 $457 1.8×
Endovenous rf 1st vein (36475) $7,245.60 $9,057 2.2×
Evacuation of subungual hematoma (11740) $192 $240 1.4×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $802.40 $1,003 1.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,568.80 $1,961 2.1×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $906.40 $1,133 1.2×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $421.60 $527 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,119.20 $1,399 1.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,390.40 $5,488 2.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $653.60 $817 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,541.60 $3,177 3.5×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $2,005.60 $2,507 2.7×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $1,113.60 $1,392 1.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,365.60 $2,957 3.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $583.20 $729 0.8×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $2,127.20 $2,659 2.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,370.40 $1,713 0.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $4,485.60 $5,607 2.6×
Fine needle aspiration without imaging guidance (10021) $691.20 $864 1.6×
Forearm or wrist surgery (25999) $3,908.80 $4,886 15.4×
Gastric Intubation/Aspiration, Therapeutic (43753) $321.60 $402 1.4×
I&d abscess simple (10060) $572 $715 2.8×
I&d pilonidal cyst simple (10080) $619.20 $774 0.8×
I&d vulva/perineal abscess (56405) $586.40 $733 1.9×
Incise external hemorrhoid (46083) $492.80 $616 1.9×
Incision & drainage abscess complicated/multiple (10061) $746.40 $933 1.8×
Incision & removal foreign body subq tiss simple (10120) $685.60 $857 1.6×
Incision and drainage perianal abscess superficial (46050) $1,628 $2,035 1.7×
Initial tx 1st degree burn local tx (16000) $307.20 $384 1.5×
Inj tendon sheath/ligament (20550) $667.20 $834 2.1×
Inject Nerv Blck,Intercostal,One (64420) $2,108 $2,635 2.9×
Inject Tendon Origin/Insert (20551) $396 $495 1.3×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,168.80 $1,461 1.6×
Injection into skin lesions (11900) $272 $340 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $608.80 $761 1.9×
Insert Bladder Cath Complex (51703) $340 $425 2.6×
Insert gastrostomy tube percutaneous (49440) $2,951.20 $3,689 1.5×
Insert non-tunnel cv cath (36556) $1,937.60 $2,422 0.6×
Insert Temp Bladder Cath (51702) $282.40 $353 2.1×
Insert,Non-Indwelling Bladder Catheter (51701) $183.20 $229 1.3×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,042.40 $7,553 1.9×
Intubation endotracheal emergency procedure (31500) $617.60 $772 2.5×
Irrigation of corpora cavernosa for priapism (54220) $506.40 $633 2.0×
Lig&div long saph vein saphfem junct/interrupj (37700) $6,522.40 $8,153 2.0×
Ligate leg veins radical (37760) $6,402.40 $8,003 2.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $5,698.40 $7,123 1.7×
N Block Inj, Plantar Digit (64455) $339.20 $424 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $41.60 $52 1.4×
Needle insertion w/o injection 3 or more muscles (20561) $71.20 $89 2.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,100 $1,375 2.6×
Open treatment metatarsal fracture each (28485) $8,840.80 $11,051 1.2×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $5,128.80 $6,411 1.5×
Placement of needle for intraosseous infusion (36680) $386.40 $483 0.8×
Prq skel fixj metar fx w/manj (28476) $6,875.20 $8,594 2.0×
Punch biopsy skin single lesion (11104) $600.80 $751 1.4×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $529.60 $662 1.3×
Removal foreign body foot deep (28192) $3,951.20 $4,939 2.3×
Removal foreign body foot subcutaneous (28190) $1,361.60 $1,702 1.9×
Removal foreign body intranasal (30300) $248 $310 1.8×
Removal foreign body pharynx (42809) $510.40 $638 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $155.20 $194 2.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $133.60 $167 2.2×
Removal implant deep (20680) $6,681.60 $8,352 2.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $399.20 $499 0.9×
Removal of nail bed (11750) $1,147.20 $1,434 2.7×
Removal of sesamoid bone (28315) $4,860 $6,075 1.4×
Remv Ext Canal Foreign Body (69200) $282.40 $353 2.1×
Remv F.B.,Eye,Superf Conjunc (65205) $186.40 $233 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,351.20 $1,689 3.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,540.80 $1,926 3.7×
Repair extensor tendon finger w/o graft each (26418) $3,296.80 $4,121 2.0×
Repair hand tendon (26410) $3,368 $4,210 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $668.80 $836 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $670.40 $838 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $589.60 $737 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $703.20 $879 1.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $795.20 $994 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $932 $1,165 2.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $746.40 $933 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $764 $955 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,252 $1,565 1.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $820 $1,025 2.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,595.20 $3,244 1.2×
Repair of nail bed (11760) $861.60 $1,077 1.1×
Repair tongue laceration (41252) $864 $1,080 3.5×
Repair Tongue Laceration (41250) $585.60 $732 1.3×
Repeat control of nosebleed (30906) $425.60 $532 1.7×
Replacement gastro-jejunostomy tube percutaneous (49452) $2,810.40 $3,513 3.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $344 $430 2.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,467.20 $4,334 2.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,475.20 $1,844 2.7×
Rpr Lip Full Thickness Vermilion Only (40650) $1,217.60 $1,522 2.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,792 $2,240 1.1×
Shave skin lesion 0.5 cm/< (11305) $196 $245 0.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $224 $280 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $207.20 $259 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $327.20 $409 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $374.40 $468 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $394.40 $493 1.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $448 $560 2.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $492.80 $616 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $359.20 $449 1.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $560.80 $701 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $414.40 $518 2.0×
Skin sub graft face/nk/hf/g (15275) $3,061.60 $3,827 4.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $379.20 $474 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $531.20 $664 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $570.40 $713 1.4×
Spinal puncture lumbar diagnostic (62270) $992.80 $1,241 1.4×
Strapping unna boot (29580) $280 $350 1.7×
Tangential biopsy skin single lesion (11102) $459.20 $574 1.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,256 $2,820 1.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,134.40 $1,418 1.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,568.80 $3,211 1.6×
Treat clavicle fracture (23505) $1,502.40 $1,878 0.9×
Treat humerus fracture (23600) $453.60 $567 1.8×
Treat Metatarsal Fracture (28475) $658.40 $823 2.6×
Treat Thumb Dislocation (26641) $454.40 $568 1.8×
Treat Thumb Fx/Disloc,Manip (26645) $1,116.80 $1,396 0.7×
Treat wrist bone fracture (25622) $455.20 $569 1.8×
Treat Wrist Bone Fracture (25630) $396.80 $496 1.6×
Treatment closed elbow dislocation req anes (24605) $2,699.20 $3,374 1.6×
Treatment closed elbow dislocation w/o anes (24600) $583.20 $729 2.3×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $354.40 $443 1.4×
Trim skin lesion (11055) $282.40 $353 1.4×
Trim skin lesions 2 to 4 (11056) $268.80 $336 1.3×
Trim skin lesions over 4 (11057) $252 $315 1.2×
Trimming Of Nondystrophic Nails, Any Number (11719) $113.60 $142 1.9×
Tube thoracostomy includes water seal (32551) $1,075.20 $1,344 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,568.80 $1,961 2.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,836.80 $3,546 1.7×
Unlisted procedure, hands or fingers (26989) $2,334.40 $2,918 9.2×
Urology Surgery Procedure (53899) $4,692 $5,865 18.2×
Us urine capacity measure (51798) $190.40 $238 3.1×
Vaginal delivery only (59409) $3,528 $4,410 1.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,714.40 $4,643 1.7×
Venipuncture (36415) $20.80 $26 2.2×
Wedge excision skin nail fold (11765) $460.80 $576 1.1×
Wound Prep F/N/Hf/G (15004) $3,104.80 $3,881 7.4×