New Ulm Medical Center
1324 5th St N. New Ulm, MN 56073, MN · Allinahealth · · NPI 1558328435
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $66.02 | $117.90 | $21.23 – $121.07 | 10 |
| 3d recon without postprocess indpndt CPT 76376 | $1,573.32 | $2,809.50 | $57.03 – $2,297.58 | 8 |
| 4-bar link above knee w/swng HCPCS L5614 | $2,675.51 | $4,777.70 | $1,210.20 – $3,907.15 | 10 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $39.59 | $70.70 | $30.95 – $195.83 | 8 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,793.16 | $4,987.78 | $42.53 – $4,078.96 | 11 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,118.88 | $1,998.00 | $166.81 – $1,633.94 | 10 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $805.78 | $1,438.90 | $63.87 – $571.11 | 10 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,589.34 | $2,838.10 | $171.73 – $2,320.97 | 10 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,192.13 | $2,128.80 | $171.73 – $1,740.91 | 10 |
| Abdominal CT scan (without contrast) CPT 74150 | $794.70 | $1,419.10 | $102.36 – $870.37 | 10 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,027.75 | $5,406.70 | $341.56 – $4,421.54 | 10 |
| Abdominal MRI (without contrast) CPT 74181 | $2,422.17 | $4,325.30 | $233.60 – $3,537.19 | 10 |
| Abdominal pad HCPCS L1270 | $131.15 | $234.20 | $59.32 – $191.53 | 10 |
| Abdominal paracentesis w/image guidance CPT 49083 | $931.62 | $1,663.60 | $320.73 – $1,360.48 | 10 |
| Abdominal Ultrasound (complete) CPT 76700 | $566.94 | $1,012.40 | $102.36 – $571.11 | 10 |
| Abdominal Ultrasound (limited) CPT 76705 | $472.42 | $843.60 | $102.36 – $571.11 | 10 |
| Abdominal X-ray (2 views) CPT 74019 | $257.66 | $460.10 | $85.99 – $260.00 | 10 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $171.81 | $306.80 | $90.73 – $310.64 | 10 |
| Abdominal X-ray (single view) CPT 74018 | $257.66 | $460.10 | $70.19 – $250.90 | 10 |
| Abduct control hip semi-flex HCPCS L1630 | $334.32 | $597.00 | $151.21 – $488.22 | 10 |
| Abduction bar jointed adjust HCPCS L2300 | $398.38 | $711.40 | $180.20 – $581.78 | 10 |
| Abduction bar-straight HCPCS L2310 | $182.00 | $325.00 | $82.34 – $265.78 | 10 |
| Abduction rotation bar shoe HCPCS L3140 | $140.90 | $251.60 | $63.72 – $205.76 | 10 |
| Abduct rotation bar without shoe HCPCS L3150 | $128.80 | $230.00 | $58.27 – $188.09 | 10 |
| Ablate pulm tumor perq crybl CPT 32994 | $377.16 | $673.50 | $294.82 – $10,945.15 | 10 |
| Ablation cryo abd perit om CPT 49999 | $2,293.54 | $4,095.60 | $887.99 – $3,349.34 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | $987.90 | $1,764.10 | $300.52 – $1,212.62 | 9 |
| Above elbow prosth tiss shap HCPCS L6500 | $5,352.48 | $9,558.00 | $2,504.57 – $7,816.44 | 10 |
| Above knee cushion socket HCPCS L5648 | $1,156.57 | $2,065.30 | $523.15 – $1,688.98 | 10 |
| Above knee flex cover system HCPCS L5964 | $1,777.33 | $3,173.80 | $803.93 – $2,595.50 | 10 |
| Above knee hydracadence HCPCS L5610 | $3,987.70 | $7,120.90 | $1,803.71 – $5,823.40 | 10 |
| Above knee leather socket HCPCS L5642 | $1,076.88 | $1,923.00 | $487.09 – $1,572.61 | 10 |
| Above knee manual lock HCPCS L5925 | $529.70 | $945.90 | $239.59 – $773.55 | 10 |
| Above knee wood socket HCPCS L5644 | $931.06 | $1,662.60 | $421.14 – $1,359.66 | 10 |
| Abscess drain retroperitoneal surg code CPT 49406 | $801.47 | $1,431.20 | $626.49 – $2,681.88 | 10 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $32.32 | $57.72 | $0.05 – $44.55 | 8 |
| Acetaminophen level CPT 80143 | $58.80 | $105.00 | $17.36 – $82.08 | 10 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $96.07 | $171.55 | $19.40 – $86.10 | 8 |
| Acetone qualitative CPT 82009 | $23.13 | $41.30 | $4.21 – $46.56 | 10 |
| Acetylcholine receptor modulating antibody CPT 86043 | $96.15 | $171.70 | $11.22 – $96.99 | 9 |
| Acetylcholinesterase assay CPT 82013 | $67.98 | $121.40 | $11.44 – $99.28 | 10 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $429.35 | $766.70 | $0.46 – $88.16 | 8 |
| Acute hepatitis panel CPT 80074 | $102.70 | $183.40 | $21.05 – $79.82 | 10 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $42.97 | $76.73 | $0.04 – $37.52 | 8 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,258.65 | $4,033.30 | $3.17 – $6.54 | 7 |
| Additional switch, ext power HCPCS L6611 | $652.79 | $1,165.70 | $295.26 – $953.30 | 10 |
| Add le poly knee custom kafo HCPCS L2387 | $302.06 | $539.40 | $136.65 – $441.12 | 10 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $634.38 | $1,132.82 | $0.40 – $36.97 | 8 |
| Adh-sendout CPT 84588 | $252.22 | $450.40 | $31.60 – $368.33 | 10 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $217.38 | $388.18 | $0.92 – $65.92 | 8 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $126.17 | $225.30 | $64.34 – $228.16 | 11 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $126.17 | $225.30 | $70.49 – $409.68 | 11 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $306.66 | $547.60 | $0.01 – $824.38 | 11 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $132.22 | $236.10 | $103.35 – $809.19 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $84.73 | $151.30 | $66.23 – $230.82 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $84.73 | $151.30 | $66.23 – $594.29 | 11 |
| Administration immunization each additional vaccine CPT 90472 | $15.40 | $27.50 | $8.67 – $24.06 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $14.34 | $25.60 | $11.21 – $160.84 | 10 |
| Administration vaccine pneumococcal HCPCS G0009 | $11.31 | $20.20 | $8.84 – $160.84 | 10 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $214.98 | $383.90 | $26.98 – $213.28 | 10 |
| Afo molded ankle gauntlet HCPCS L1904 | $714.28 | $1,275.50 | $323.08 – $1,043.09 | 10 |
| Afo molded plas rig ant tib HCPCS L1945 | $1,776.21 | $3,171.80 | $803.44 – $2,593.87 | 10 |
| Afo molded to patient plasti HCPCS L1940 | $770.62 | $1,376.10 | $348.56 – $1,125.36 | 10 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $1,412.10 | $2,521.60 | $638.71 – $2,062.14 | 10 |
| Afo sing bar clasp attach sh HCPCS L1910 | $443.74 | $792.40 | $200.73 – $648.02 | 10 |
| Afo sing solid stirrup calf HCPCS L1980 | $638.96 | $1,141.00 | $289.00 – $933.10 | 10 |
| Afo sing upright with adjust s HCPCS L1920 | $650.10 | $1,160.90 | $294.04 – $949.37 | 10 |
| Afo spiral molded to pt plas HCPCS L1950 | $1,217.05 | $2,173.30 | $550.47 – $1,777.30 | 10 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $451.47 | $806.20 | $204.21 – $659.30 | 10 |
| Afo supramalleolar custom HCPCS L1907 | $890.46 | $1,590.10 | $402.77 – $1,300.37 | 10 |
| Afo tib fx cast molded to pt HCPCS L2108 | $1,819.22 | $3,248.60 | $822.88 – $2,656.67 | 10 |
| Afo tib fx cast plaster mold HCPCS L2106 | $1,247.34 | $2,227.40 | $564.19 – $1,821.55 | 10 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $999.94 | $1,785.60 | $203.16 – $1,253.80 | 10 |
| Afo tibial fracture rigid HCPCS L2116 | $1,219.62 | $2,177.90 | $551.67 – $1,781.06 | 10 |
| Afo tibial fracture soft HCPCS L2112 | $798.34 | $1,425.60 | $361.10 – $1,165.84 | 10 |
| Afo w/ankle joint, prefab HCPCS L1971 | $741.72 | $1,324.50 | $335.52 – $1,083.16 | 10 |
| After cataract laser surgery CPT 66821 | $891.86 | $1,592.60 | $538.48 – $3,119.12 | 10 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | $3,863.16 | $6,898.50 | $1,747.42 – $5,641.52 | 10 |
| Ak 4 bar link w/fric swing HCPCS L5611 | $2,539.82 | $4,535.40 | $1,148.80 – $3,709.00 | 10 |
| Ak/bk self-aligning unit ea HCPCS L5617 | $887.15 | $1,584.20 | $401.27 – $1,295.54 | 10 |
| Ak flex inner socket ext fra HCPCS L5651 | $2,254.73 | $4,026.30 | $1,019.87 – $3,292.67 | 10 |
| Ak/knee disartic acrylic soc HCPCS L5631 | $692.61 | $1,236.80 | $313.29 – $1,011.44 | 10 |
| Ak/knee disartic pelvic band HCPCS L5697 | $147.50 | $263.40 | $66.71 – $215.41 | 10 |
| Ak/knee disartic pelvic join HCPCS L5696 | $310.58 | $554.60 | $140.47 – $453.55 | 10 |
| Ak/knee disartic silesian ba HCPCS L5698 | $189.22 | $337.90 | $85.57 – $276.33 | 10 |
| Ak open end sach HCPCS L5321 | $5,475.57 | $9,777.80 | $2,562.14 – $7,996.19 | 10 |
| Ak pelvic control belt light HCPCS L5692 | $209.44 | $374.00 | $94.76 – $305.85 | 10 |
| Ak pelvic control belt pad/l HCPCS L5694 | $285.99 | $510.70 | $129.36 – $417.65 | 10 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $257.10 | $459.10 | $116.28 – $375.45 | 10 |
| Ak univ multiplex sys frict HCPCS L5616 | $2,329.38 | $4,159.60 | $1,053.64 – $3,401.68 | 10 |
| Albumin body fluid quantitative each specimen CPT 82042 | $185.81 | $331.80 | $7.24 – $46.56 | 10 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $172.73 | $308.44 | $50.42 – $178.03 | 10 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $330.29 | $589.80 | $50.42 – $137.63 | 10 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $41.05 | $73.30 | $5.38 – $15.87 | 10 |
| Albumin serum plasma or whole blood CPT 82040 | $121.07 | $216.20 | $4.61 – $46.55 | 10 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $30.07 | $53.70 | $16.07 – $68.52 | 10 |
| Alginate dressing <=16 sq in HCPCS A6196 | $13.44 | $24.00 | $3.41 – $16.91 | 8 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $28.56 | $51.00 | $13.65 – $41.71 | 8 |
| Alkaline phosphatase CPT 84075 | $60.59 | $108.20 | $4.83 – $46.56 | 10 |
| Allergen alpha lactalbumin ige CPT 86008 | $117.21 | $209.30 | $13.35 – $81.57 | 10 |
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.