Theophylline therapeutic drug level 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

$47.88

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.

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

$85.50

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.

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

$11.73 with ucare pmap (a b c d e g n o s u r h) vs $141.69 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) $11.73 ↓ -76%
allina aetna medicare (n) allina aetna medicare (n) $13.17 ↓ -72%
medicare medicare (n) $13.86 ↓ -71%
medica health system medica pmap (n) $18.54 ↓ -61%
medicaid medicaid ma (n) $25.52 ↓ -47%
medicare other all other medicare (n) $25.72 ↓ -46%
medica medica medicare (r) $25.80 ↓ -46%
medica health system medica dual solutions (r) $26.23 ↓ -45%
bcbs bc medicare (n) $27.01 ↓ -44%
all other medicaid all other medicaid (n) $27.98 ↓ -42%
blue cross blue shield of minnesota bc pmap (n) $28.63 ↓ -40%
south country health alliance scha msho (n) $28.86 ↓ -40%
south country health alliance scha pmap (n) $30.22 ↓ -37%
aetna aetna elevate (n r) $35.72 ↓ -25%
aetna aetna performance (n r) $38.59 ↓ -19%
medica ubh (n) medica ubh (n) $40.81 ↓ -15%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $44.97 ↓ -6%
medica ubh pmap medica ubh pmap (n) $46.64 ↓ -3%
hpi-cigna hpi cigna (n) $47.68 ↓ -0%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $48.97 ↑ +2%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $48.97 ↑ +2%
aetna direct/indirect network aetna direct/indirect network (n r) $49.31 ↑ +3%
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) $58.30 ↑ +22%
blue cross blue shield of minnesota bc state health plan (n) $87.32 ↑ +82%
bc aware/blue plus (nr) bc aware/blue plus (nr) $97.99 ↑ +105%
blue cross blue shield of minnesota bc premier(n) $112.20 ↑ +134%
bcbs bc aehp (n) $131.99 ↑ +176%
blue cross blue shield of minnesota bc high value/performance network (n) $141.69 ↑ +196%

Visitor-reported prices

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Theophylline therapeutic drug level at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $121.60 $36.80 – $136.80
Sanford Westbrook Hospital Westbrook $162.40 $49.15 – $182.70
Sanford Wheaton Wheaton $108.80 $32.93 – $122.40
Sanford Luverne Medical Center Luverne $50.40 $15.25 – $56.70
Sanford Tracy Hospital Tracy $162.40 $49.15 – $182.70
Sanford Thief River Falls Medical Center Thief River Falls $112.80 $48.43 – $126.90
Sanford Behavioral Health Thief River Falls Thief River Falls $112.80 $48.43 – $126.90
United Hospital MN | 1175 Nininger Road. Hastings $38.02 $13.17 – $50.54

All Minnesota hospitals for this procedure →