Sanford Tracy Hospital — Infusion prices

← Hospital overviewVerified from Sanford Tracy Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

12 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ED 96360 IV infus therapy hydration fluids initial 31 min-1hr Outpatient	96360 CPT	$746	$597	$181 – $701	—
ED 96365 IV infus ther proph diag initial up to 1hr Outpatient	96365 CPT	$689	$551	$151 – $648	—
ED 96366 IV infus ther proph diag each addl hr Outpatient	96366 CPT	$305	$244	$48.45 – $287	—
Infus tx px dx 1 hr 2v m59 Outpatient	96365 CPT	$689	$551	$151 – $648	—
Infus tx px dx 1 hr 3v m59 Outpatient	96365 CPT	$689	$551	$151 – $648	—
Infus tx px dx addl hr 2v m59 Outpatient	96366 CPT	$305	$244	$48.45 – $287	—
Infus tx px dx addl hr 3v m59 Outpatient	96366 CPT	$305	$244	$48.45 – $287	—
Infusion tx prop dx 1hr 1v Outpatient	96365 CPT	$689	$551	$151 – $648	—
IV hydrat initial 31-60mins Outpatient	96360 CPT	$746	$597	$181 – $701	—
IV hydrat initial31-60min2vm59 Outpatient	96360 CPT	$746	$597	$181 – $701	—
IV infusion each add hr Outpatient	96366 CPT	$305	$244	$48.45 – $287	—
IV infusion tx proph dx init to 1hr Outpatient	96365 CPT	$689	$551	$151 – $648	—