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 |
|---|---|---|---|---|
| Observation per hour HCPCS G0378 | $58.80 | $105.00 | $41.89 – $137.97 | 8 |
| Obstetrics panel CPT 80055 | $151.93 | $271.30 | $21.05 – $221.87 | 10 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $192.92 | $344.50 | $95.09 – $565.98 | 10 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $192.92 | $344.50 | $95.09 – $565.98 | 10 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $192.92 | $344.50 | $95.09 – $565.98 | 10 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $29,829.98 | $53,267.83 | $56.36 – $43,561.90 | 11 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $72.67 | $129.76 | $0.60 – $36.37 | 9 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $9,548.58 | $17,051.03 | $189.21 – $9,322.70 | 11 |
| Offset knee joint each HCPCS L2390 | $162.01 | $289.30 | $73.27 – $236.59 | 10 |
| Offset knee joint heavy duty HCPCS L2395 | $231.50 | $413.40 | $104.72 – $338.07 | 10 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $95.14 | $169.90 | $0.95 – $67.19 | 8 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,643.97 | $4,721.37 | $40.84 – $2,162.18 | 11 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $2.53 | $4.52 | $0.01 – $2.96 | 8 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $22.67 | $40.49 | $0.09 – $32.11 | 8 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $237.94 | $424.90 | $102.36 – $571.11 | 10 |
| Oral aprepitant HCPCS J8501 | $139.43 | $248.99 | $3.09 – $173.65 | 8 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $415.91 | $742.70 | $10.51 – $521.44 | 10 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $720.27 | $1,286.20 | $35.02 – $903.08 | 10 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $1,846.66 | $3,297.60 | $54.72 – $2,315.43 | 10 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $1,077.66 | $1,924.40 | $63.95 – $1,351.33 | 10 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $389.98 | $696.40 | $15.19 – $489.05 | 10 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $462.62 | $826.10 | $209.25 – $675.58 | 10 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $152.04 | $271.50 | $68.80 – $222.03 | 10 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $389.98 | $696.40 | $45.22 – $489.04 | 10 |
| Orthopantogram CPT 70355 | $257.66 | $460.10 | $85.21 – $376.27 | 10 |
| Orthopedic shoe add rub insl HCPCS L3510 | $62.72 | $112.00 | $10.51 – $58.02 | 10 |
| Ortho shoe add full sole HCPCS L3540 | $80.47 | $143.70 | $36.41 – $117.52 | 10 |
| Ortho shoe add half sole HCPCS L3530 | $50.34 | $89.90 | $22.75 – $73.52 | 10 |
| Ortho shoe add leather insol HCPCS L3500 | $46.26 | $82.60 | $20.93 – $67.55 | 10 |
| Ortho shoe add march bar HCPCS L3595 | $66.36 | $118.50 | $30.03 – $96.91 | 10 |
| Ortho sidebar disconnect HCPCS L2768 | $206.19 | $368.20 | $93.25 – $301.11 | 10 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $640.64 | $1,144.00 | $289.79 – $935.55 | 10 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $513.02 | $916.10 | $21.10 – $643.23 | 10 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,428.22 | $2,550.40 | $646.00 – $2,085.69 | 10 |
| Oscillation chest wall mechanical per session CPT 94669 | $117.21 | $209.30 | $53.83 – $225.67 | 10 |
| O shoe add felt w leath insl HCPCS L3520 | $50.34 | $89.90 | $22.75 – $73.52 | 10 |
| O shoe add horseshoe toe tap HCPCS L3560 | $36.18 | $64.60 | $16.37 – $52.83 | 10 |
| O shoe add instep extension HCPCS L3570 | $134.90 | $240.90 | $61.01 – $197.01 | 10 |
| O shoe add instep velcro clo HCPCS L3580 | $102.65 | $183.30 | $46.42 – $149.90 | 10 |
| O shoe add standard toe tap HCPCS L3550 | $14.11 | $25.20 | $6.39 – $20.61 | 10 |
| O shoe convert to sof counte HCPCS L3590 | $84.56 | $151.00 | $38.25 – $123.49 | 10 |
| Osmolality blood CPT 83930 | $66.75 | $119.20 | $6.16 – $56.67 | 10 |
| Osmolality urine CPT 83935 | $69.66 | $124.40 | $6.35 – $46.55 | 10 |
| Oth resp proc, group HCPCS G0239 | $39.65 | $70.80 | $30.99 – $184.30 | 10 |
| Oth resp proc, indiv HCPCS G0238 | $48.72 | $87.00 | $24.56 – $74.29 | 10 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $65.46 | $116.90 | $47.53 – $306.18 | 10 |
| Ot re-evaluation patient/family CPT 97168 | $117.77 | $210.30 | $63.80 – $176.86 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $65.46 | $116.90 | $19.81 – $166.46 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $65.46 | $116.90 | $20.84 – $174.26 | 10 |
| Outrigger HCPCS L1080 | $82.82 | $147.90 | $37.45 – $120.95 | 10 |
| Outrigger bil with vert extens HCPCS L1085 | $277.20 | $495.00 | $125.37 – $404.81 | 10 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $119.53 | $213.45 | $0.05 – $105.66 | 9 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $61.94 | $110.60 | $1.56 – $34.52 | 8 |
| P-32 chromic phos ther per mci HCPCS A9564 | $447.05 | $798.30 | $349.45 – $1,074.94 | 8 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $542.42 | $968.60 | $264.33 – $1,128.27 | 10 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $172.39 | $307.84 | $0.13 – $142.85 | 9 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,672.40 | $2,986.42 | $7.77 – $1,478.28 | 11 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $5,973.14 | $10,666.32 | $14.36 – $4,377.29 | 10 |
| Palonosetron hcl HCPCS J2469 | $55.26 | $98.67 | $0.51 – $36.87 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $48.55 | $86.70 | $14.13 – $56.86 | 8 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $3,323.36 | $5,934.58 | $164.99 – $2,937.62 | 11 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $31.12 | $55.57 | $5.27 – $34.52 | 8 |
| Papaverin hcl injection HCPCS J2440 | $51.30 | $91.61 | $29.13 – $99.17 | 8 |
| Parathormone (pth) intact CPT 83970 | $64.29 | $114.80 | $35.37 – $121.08 | 10 |
| Parathyroid planar imaging CPT 78070 | $2,306.30 | $4,118.40 | $391.40 – $3,367.99 | 10 |
| Passy muir valve metal trach HCPCS L8501 | $116.54 | $208.10 | $86.13 – $238.77 | 10 |
| Patten bottom HCPCS L2370 | $506.46 | $904.40 | $229.07 – $739.61 | 10 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $62.72 | $112.00 | $10.51 – $45.39 | 10 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,864.91 | $12,258.77 | $20.34 – $10,025.10 | 11 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,124.06 | $5,578.68 | $110.29 – $4,562.19 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,338.99 | $4,176.77 | $93.93 – $3,415.72 | 11 |
| Pelv band/spread bar thigh c HCPCS L1640 | $749.11 | $1,337.70 | $338.84 – $1,093.96 | 10 |
| Pelvic band & belt thigh fla HCPCS L2192 | $527.58 | $942.10 | $238.63 – $770.44 | 10 |
| Pelvic control band & belt b HCPCS L2640 | $497.22 | $887.90 | $224.92 – $726.12 | 10 |
| Pelvic control band & belt u HCPCS L2630 | $366.41 | $654.30 | $165.73 – $535.08 | 10 |
| Pelvic control hip heavy dut HCPCS L2620 | $395.64 | $706.50 | $178.95 – $577.77 | 10 |
| Pelvic control pelvic sling HCPCS L2580 | $686.67 | $1,226.20 | $310.61 – $1,002.77 | 10 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,589.34 | $2,838.10 | $171.73 – $2,320.97 | 10 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,192.13 | $2,128.80 | $171.73 – $1,740.91 | 10 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,192.13 | $2,128.80 | $102.36 – $1,740.91 | 10 |
| Pelvic & hip control thigh c HCPCS L1680 | $1,802.86 | $3,219.40 | $815.46 – $2,632.79 | 10 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,825.93 | $5,046.30 | $341.56 – $4,126.81 | 10 |
| Pelvic MRI (with contrast) CPT 72196 | $2,329.04 | $4,159.00 | $341.56 – $3,401.19 | 10 |
| Pelvic MRI (without contrast) CPT 72195 | $2,018.46 | $3,604.40 | $233.60 – $2,947.64 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $472.53 | $843.80 | $102.36 – $571.11 | 10 |
| Pelvic Ultrasound (limited) CPT 76857 | $470.57 | $840.30 | $102.36 – $571.11 | 10 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $257.66 | $460.10 | $90.73 – $310.64 | 10 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $171.81 | $306.80 | $90.73 – $310.64 | 10 |
| Pelv & thor control gluteal HCPCS L2650 | $218.96 | $391.00 | $99.04 – $319.76 | 10 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $8,655.61 | $15,456.44 | $56.74 – $12,640.12 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $238.07 | $425.13 | $3.41 – $109.76 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $706.77 | $1,262.09 | $27.47 – $320.64 | 10 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $116.19 | $207.48 | $0.79 – $70.96 | 8 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $4,429.02 | $7,908.97 | $2,410.24 – $7,278.21 | 11 |
| Perc cryo ablate renal tum CPT 50593 | $1,603.00 | $2,862.50 | $1,253.03 – $10,945.15 | 10 |
| Perc rf ablate renal tumor CPT 50592 | $1,018.14 | $1,818.10 | $439.46 – $6,230.44 | 10 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $185.47 | $331.20 | $42.63 – $128.88 | 9 |
| Peripheral vascular rehab CPT 93668 | $231.78 | $413.90 | $44.61 – $338.48 | 10 |
| Peroneal straps pair pre ots HCPCS L0980 | $27.05 | $48.30 | $12.23 – $39.50 | 10 |
| Perp bk ptb thermopls direct HCPCS L5520 | $2,502.75 | $4,469.20 | $1,132.07 – $3,654.87 | 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.