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 |
|---|---|---|---|---|
| Knee-shin exo variable frict HCPCS L5714 | $691.15 | $1,234.20 | $312.63 – $1,009.32 | 10 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | $3,261.05 | $5,823.30 | $1,475.05 – $4,762.24 | 10 |
| Knee-shin fluid swg & stance HCPCS L5728 | $3,821.55 | $6,824.20 | $1,728.59 – $5,580.76 | 10 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | $2,104.09 | $3,757.30 | $951.72 – $3,072.68 | 10 |
| Knee-shin pneum swg frct exo HCPCS L5722 | $1,777.10 | $3,173.40 | $803.83 – $2,595.17 | 10 |
| Knee-shin sys hydraul stance HCPCS L5848 | $1,704.98 | $3,044.60 | $771.20 – $2,489.84 | 10 |
| Knee-shin sys stance flexion HCPCS L5845 | $2,841.83 | $5,074.70 | $1,285.42 – $4,150.04 | 10 |
| Knee X-ray CPT 73564 | $163.69 | $292.30 | $90.73 – $310.64 | 10 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $245.45 | $438.30 | $85.21 – $310.64 | 10 |
| Knee X-ray (3 views, both knees) CPT 73562 | $245.62 | $438.60 | $85.21 – $310.64 | 10 |
| Knee X-ray (standing, both knees) CPT 73565 | $171.81 | $306.80 | $85.21 – $310.64 | 10 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | $566.94 | $1,012.40 | $256.44 – $827.93 | 10 |
| Kne sing axis fric shin sach HCPCS L5200 | $5,571.22 | $9,948.60 | $2,606.91 – $8,135.86 | 10 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $910.22 | $1,625.40 | $411.69 – $1,329.24 | 10 |
| Ko derot ant cruciate custom HCPCS L1840 | $1,488.14 | $2,657.40 | $673.12 – $2,173.19 | 10 |
| Ko elastic w/joints pre ots HCPCS L1812 | $62.72 | $112.00 | $21.01 – $204.26 | 10 |
| Ko rigid without joints pre ots HCPCS L1836 | $211.12 | $377.00 | $92.11 – $308.31 | 10 |
| Ko single upright pre cst HCPCS L1843 | $1,419.82 | $2,535.40 | $642.24 – $2,073.42 | 10 |
| Ko supracondylar socket mold HCPCS L1860 | $1,973.27 | $3,523.70 | $892.56 – $2,881.65 | 10 |
| Ko swedish type pre ots HCPCS L1850 | $450.80 | $805.00 | $203.91 – $658.32 | 10 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $1,148.56 | $2,051.00 | $519.53 – $1,677.29 | 10 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $1,851.53 | $3,306.30 | $837.48 – $2,703.86 | 10 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | $2,409.74 | $4,303.10 | $1,090.00 – $3,519.03 | 10 |
| Kras gene addl variants CPT 81276 | $1,290.52 | $2,304.50 | $170.28 – $1,884.60 | 10 |
| Kras gene variants exon 2 CPT 81275 | $1,290.52 | $2,304.50 | $170.28 – $1,017.00 | 10 |
| Kyphosis pad HCPCS L1020 | $170.52 | $304.50 | $77.13 – $249.02 | 10 |
| Kyphosis pad floating HCPCS L1025 | $246.01 | $439.30 | $111.28 – $359.26 | 10 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $86.35 | $154.20 | $46.50 – $140.61 | 8 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $174.16 | $311.00 | $38.60 – $254.33 | 8 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $34.75 | $62.05 | $0.43 – $30.75 | 8 |
| Lacer molded to patient mode HCPCS L2330 | $581.00 | $1,037.50 | $262.81 – $848.46 | 10 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $99.74 | $178.10 | $4.53 – $145.65 | 8 |
| Lactate dehydrogenase (ldh) CPT 83615 | $28.06 | $50.10 | $5.62 – $46.56 | 10 |
| Lactated ringers intravenous solution HCPCS J7120 | $22.06 | $39.40 | $2.34 – $28.54 | 8 |
| Lactic acid CPT 83605 | $56.11 | $100.20 | $10.77 – $79.53 | 10 |
| Lamination collar with couplin HCPCS L6629 | $307.55 | $549.20 | $139.09 – $449.13 | 10 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $993.44 | $1,774.00 | $300.52 – $1,014.49 | 10 |
| Lateral thoracic extension HCPCS L1210 | $387.13 | $691.30 | $175.13 – $565.34 | 10 |
| Lateral trochanteric pad HCPCS L1290 | $122.98 | $219.60 | $55.62 – $179.59 | 10 |
| Latex suspension sleeve each HCPCS L6632 | $102.42 | $182.90 | $46.33 – $149.57 | 10 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $6,186.15 | $11,046.70 | $366.84 – $756.37 | 7 |
| Lead capillary CPT 83655 | $44.69 | $79.80 | $8.89 – $52.96 | 10 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,557.28 | $8,138.00 | $31.73 – $65.42 | 7 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,431.51 | $18,627.70 | $3,546.80 – $7,313.09 | 7 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,119.05 | $1,998.30 | $224.69 – $1,089.38 | 10 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,721.78 | $3,074.60 | $171.73 – $2,514.38 | 10 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,324.51 | $2,365.20 | $102.36 – $1,934.24 | 10 |
| Legg perthes orth newington HCPCS L1710 | $3,135.10 | $5,598.40 | $1,418.07 – $4,578.32 | 10 |
| Legg perthes orthosis trilat HCPCS L1720 | $2,334.30 | $4,168.40 | $1,055.89 – $3,408.88 | 10 |
| Legg perthes orth scottish r HCPCS L1730 | $1,970.75 | $3,519.20 | $891.40 – $2,877.97 | 10 |
| Legg perthes patten bottom t HCPCS L1755 | $2,833.32 | $5,059.50 | $1,281.59 – $4,137.61 | 10 |
| Leg perthes orth toronto typ HCPCS L1700 | $2,461.93 | $4,396.30 | $1,113.62 – $3,595.25 | 10 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,491.95 | $2,664.20 | $224.69 – $1,089.38 | 10 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $322.90 | $576.60 | $228.69 – $471.54 | 7 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $376.99 | $673.20 | $84.87 – $440.87 | 8 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $105.34 | $188.11 | $3.57 – $34.75 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,007.84 | $1,799.72 | $162.24 – $469.03 | 11 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $7,625.06 | $13,616.18 | $1,675.68 – $4,330.73 | 11 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $140.15 | $250.27 | $0.05 – $35.43 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $69.55 | $124.20 | $12.33 – $98.00 | 10 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $57.90 | $103.40 | $1.05 – $62.18 | 8 |
| Liberta rc ipg HCPCS C1820 | $43,752.80 | $78,130.00 | $14,934.21 – $30,792.57 | 7 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $42.58 | $76.04 | $0.01 – $31.91 | 8 |
| Lidocaine therapeutic drug level CPT 80176 | $55.16 | $98.50 | $13.68 – $98.00 | 10 |
| Lift assist for elbow HCPCS L6635 | $327.38 | $584.60 | $148.09 – $478.08 | 10 |
| Lift heel adj small gl60404sm HCPCS L3332 | $116.70 | $208.40 | $6.17 – $146.34 | 10 |
| Lift heel adjustable med HCPCS L3334 | $60.31 | $107.70 | $27.29 – $88.08 | 10 |
| Lifts elevation metal extens HCPCS L3330 | $895.55 | $1,599.20 | $405.08 – $1,307.81 | 10 |
| Limited ankle motion ea jnt HCPCS L2200 | $79.46 | $141.90 | $35.97 – $116.04 | 10 |
| Limited motion knee joint HCPCS L2184 | $183.34 | $327.40 | $82.91 – $267.74 | 10 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $111.35 | $198.84 | $3.53 – $52.21 | 8 |
| Lipase CPT 83690 | $29.34 | $52.40 | $6.41 – $46.55 | 10 |
| Lipoprotein blood quant CPT 83704 | $101.14 | $180.60 | $31.83 – $185.46 | 10 |
| Lipoprotein direct measurement hdl CPT 83718 | $35.73 | $63.80 | $7.63 – $79.53 | 10 |
| Lipoprotein direct measurement ldl CPT 83721 | $32.37 | $57.80 | $9.78 – $79.52 | 10 |
| Lithium therapeutic drug level CPT 80178 | $44.30 | $79.10 | $6.16 – $98.00 | 10 |
| Liver Function Test CPT 80076 | $127.79 | $228.20 | $7.61 – $72.07 | 10 |
| Liver/spleen imag static only CPT 78215 | $694.96 | $1,241.00 | $391.40 – $1,488.37 | 10 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.11 | $0.20 | $0.09 – $2.97 | 9 |
| Long tongue stirrup HCPCS L2265 | $212.69 | $379.80 | $96.21 – $310.60 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $55.03 | $98.27 | $1.60 – $79.15 | 8 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $123.31 | $220.20 | $55.79 – $180.08 | 10 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $794.70 | $1,419.10 | $101.94 – $1,160.53 | 10 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,589.34 | $2,838.10 | $171.73 – $2,320.97 | 10 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,192.13 | $2,128.80 | $236.40 – $1,740.91 | 10 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $794.70 | $1,419.10 | $102.36 – $1,160.53 | 10 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,018.46 | $3,604.40 | $341.56 – $2,947.64 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,614.76 | $2,883.50 | $341.56 – $2,358.10 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,211.06 | $2,162.60 | $233.60 – $1,326.46 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $245.45 | $438.30 | $90.73 – $310.64 | 10 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $163.69 | $292.30 | $90.73 – $310.64 | 10 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $171.81 | $306.80 | $90.73 – $310.64 | 10 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $257.66 | $460.10 | $85.21 – $310.64 | 10 |
| Lso corset front HCPCS L0972 | $153.94 | $274.90 | $69.62 – $224.81 | 10 |
| Lso flex no ri stays pre ots HCPCS L0628 | $132.72 | $237.00 | $49.03 – $166.41 | 10 |
| Lso full corset HCPCS L0976 | $236.60 | $422.50 | $107.02 – $345.52 | 10 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $256.31 | $457.70 | $115.94 – $374.30 | 10 |
| Lso sag-coronal panel custom HCPCS L0638 | $2,087.06 | $3,726.90 | $944.05 – $3,047.82 | 10 |
| Lso sagit rigid panel prefab HCPCS L0635 | $1,581.22 | $2,823.60 | $715.23 – $2,309.11 | 10 |
| Lso sagittal rigid panel cus HCPCS L0636 | $2,145.47 | $3,831.20 | $970.44 – $3,133.12 | 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.