Tc-99m pentetate dtpa at New Ulm Medical Center

1324 5th St N. New Ulm, MN 56073, MN · Allinahealth · · NPI 1558328435

Source: hospital's published price file ↗ · Published Jun 16, 2026 · Ingested Sep 17, 2026

$172.14

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$307.40

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.97 with ucare pmap (a b c d e g n o s u r h) vs $154.89 with blue cross blue shield of minnesota — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $10.97 ↓ -94%
medica health system medica pmap (n) $17.33 ↓ -90%
medicaid medicaid ma (n) $23.86 ↓ -86%
medicare other all other medicare (n) $24.14 ↓ -86%
medica medica medicare (r) $24.21 ↓ -86%
medica health system medica dual solutions (r) $24.53 ↓ -86%
bcbs bc medicare (n) $25.35 ↓ -85%
all other medicaid all other medicaid (n) $26.16 ↓ -85%
south country health alliance scha msho (n) $26.98 ↓ -84%
united healthcare (n,r) united healthcare (nr) $27.25 ↓ -84%
south country health alliance scha pmap (n) $28.25 ↓ -84%
aetna aetna elevate (n r) $33.39 ↓ -81%
blue cross blue shield of minnesota bc pmap (n) $35.43 ↓ -79%
aetna aetna performance (n r) $36.07 ↓ -79%
medica ubh (n) medica ubh (n) $38.15 ↓ -78%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $42.04 ↓ -76%
medica ubh pmap medica ubh pmap (n) $43.60 ↓ -75%
hpi-cigna hpi cigna (n) $44.57 ↓ -74%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $45.78 ↓ -73%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $45.78 ↓ -73%
aetna direct/indirect network aetna direct/indirect network (n r) $46.10 ↓ -73%
all other contracted care (a b c d e g h n o r s u) all other contracted care (a b c d m h n o r s u v) $54.50 ↓ -68%
blue cross blue shield of minnesota bc state health plan (n) $95.48 ↓ -45%
bc aware/blue plus (nr) bc aware/blue plus (nr) $107.13 ↓ -38%
blue cross blue shield of minnesota bc premier(n) $122.66 ↓ -29%
bcbs bc aehp (n) $144.29 ↓ -16%
blue cross blue shield of minnesota bc high value/performance network (n) $154.89 ↓ -10%

Visitor-reported prices

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Tc-99m pentetate dtpa at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $388.80 $117.66 – $437.40
Sanford Bagley Medical Center Bagley $388.80 $117.66 – $437.40
Sanford Bemidji Medical Center Bemidji $388.80 $1.02 – $437.40
Sanford Worthington Medical Center Worthington $388.80 $1.00 – $437.40
Sanford Thief River Falls Medical Center Thief River Falls $388.80 $166.94 – $437.40
Sanford Behavioral Health Thief River Falls Thief River Falls $388.80 $166.94 – $437.40
United Hospital MN | 1175 Nininger Road. Hastings $160.08 $32.28 – $76.95
Owatonna Hospital Owatonna $186.76 $35.58 – $86.23

All Minnesota hospitals for this procedure →