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 |
|---|---|---|---|---|
| Perphenazine 4mg oral HCPCS Q0175 | $4.55 | $8.12 | $1.46 – $3.70 | 8 |
| Perq clsr tcat l atr apndge CPT 33340 | $15,042.38 | $26,861.40 | $2,018.93 – $21,966.98 | 8 |
| Perq dev breast 1st mr guide CPT 19287 | $2,316.61 | $4,136.80 | $164.63 – $3,383.03 | 10 |
| Perq dev breast 1st strtctc CPT 19283 | $1,059.07 | $1,891.20 | $129.67 – $1,546.60 | 10 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $9,953.06 | $17,773.32 | $16.16 – $8,797.79 | 11 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $394.35 | $704.20 | $42.27 – $117.16 | 8 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,813.33 | $5,023.80 | $1,400.01 – $7,682.77 | 10 |
| Pet CT whole body initial CPT 78816 | $2,813.33 | $5,023.80 | $1,400.01 – $7,682.77 | 10 |
| Ph body fluid CPT 83986 | $46.37 | $82.80 | $3.33 – $46.55 | 10 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $80.86 | $144.39 | $29.97 – $107.43 | 8 |
| Phenobarbital therapeutic drug level CPT 80184 | $38.98 | $69.60 | $14.24 – $98.00 | 10 |
| Phentolaine mesylate inj HCPCS J2760 | $885.82 | $1,581.82 | $175.08 – $1,164.94 | 10 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $32.18 | $57.47 | $0.01 – $34.47 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $24.81 | $44.31 | $0.53 – $33.63 | 8 |
| Phenytoin total therapeutic drug level CPT 80185 | $39.20 | $70.00 | $12.33 – $98.00 | 10 |
| Phlebotomy therapeutic CPT 99195 | $140.28 | $250.50 | $67.98 – $836.85 | 10 |
| Phosphorus CPT 84100 | $28.06 | $50.10 | $4.42 – $46.56 | 10 |
| Phosphorus 24 hour urine CPT 84105 | $39.59 | $70.70 | $5.38 – $46.56 | 10 |
| Phys blood bank serv reactj CPT 86078 | $402.98 | $719.60 | $57.20 – $588.48 | 10 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $192.92 | $344.50 | $65.87 – $281.73 | 10 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $192.92 | $344.50 | $65.87 – $281.73 | 10 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $192.92 | $344.50 | $65.87 – $281.73 | 10 |
| Physical Therapy Re-Evaluation CPT 97164 | $117.77 | $210.30 | $44.74 – $171.98 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $66.15 | $118.12 | $2.49 – $53.85 | 8 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,148.62 | $2,051.10 | $519.56 – $1,677.37 | 10 |
| Pinworm exam CPT 87172 | $38.81 | $69.30 | $3.97 – $59.90 | 10 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $46.33 | $82.74 | $1.14 – $36.35 | 8 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $714.90 | $1,276.60 | $198.36 – $1,702.11 | 10 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,024.58 | $1,829.60 | $301.67 – $1,496.23 | 8 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $730.41 | $1,304.30 | $499.00 – $1,383.25 | 10 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $278.60 | $497.50 | $75.04 – $406.85 | 10 |
| Plas shoe insert w ank joint HCPCS L2180 | $209.83 | $374.70 | $94.89 – $306.43 | 10 |
| Plastic mod low ext pad/line HCPCS L2275 | $206.25 | $368.30 | $93.31 – $301.19 | 10 |
| Plastic mold recipro hip & c HCPCS L2627 | $3,382.06 | $6,039.40 | $1,529.78 – $4,938.96 | 10 |
| Plast socket jts/thgh lacer HCPCS L5105 | $5,901.17 | $10,537.80 | $2,761.31 – $8,617.71 | 10 |
| Platelet aggregation each agent teg CPT 85576 | $176.90 | $315.90 | $23.19 – $207.31 | 10 |
| Platelet automated CPT 85049 | $51.35 | $91.70 | $4.17 – $23.88 | 10 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,700.21 | $4,821.80 | $246.29 – $3,943.22 | 10 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $2,815.68 | $5,028.00 | $234.16 – $4,111.85 | 10 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,700.21 | $4,821.80 | $478.23 – $3,943.22 | 10 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,851.24 | $5,091.50 | $636.23 – $2,550.93 | 10 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,935.02 | $5,241.10 | $246.29 – $4,286.12 | 10 |
| Plating chrome/nickel pr bar HCPCS L2750 | $123.70 | $220.90 | $55.94 – $180.65 | 10 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,611.96 | $2,878.50 | $452.13 – $2,354.01 | 10 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,737.51 | $3,102.70 | $82.75 – $2,537.36 | 8 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $794.25 | $1,418.30 | $66.38 – $1,159.87 | 8 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $310.46 | $554.40 | $242.68 – $1,259.18 | 8 |
| Pm device progr eval dual CPT 93280 | $436.41 | $779.30 | $36.54 – $637.30 | 10 |
| Pneum full leg splnt pre ots HCPCS L4370 | $372.40 | $665.00 | $168.47 – $543.83 | 10 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $99.01 | $176.80 | $23.23 – $137.72 | 10 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $27,405.39 | $48,938.19 | $129.93 – $40,021.16 | 10 |
| Polycentric hinge pair HCPCS L6600 | $359.63 | $642.20 | $162.67 – $525.18 | 10 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,790.47 | $6,768.70 | $840.76 – $5,535.37 | 10 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,404.80 | $6,080.00 | $840.76 – $4,972.16 | 10 |
| Positioner proc acufex leg acs HCPCS E0190 | $44.80 | $80.00 | $35.02 – $186.14 | 8 |
| Postop applicat rigid dsg on HCPCS L6388 | $816.31 | $1,457.70 | $369.26 – $1,192.09 | 10 |
| Postop app non-wgt bear dsg HCPCS L5450 | $749.84 | $1,339.00 | $339.18 – $1,095.02 | 10 |
| Postop app non-wgt bear dsg HCPCS L5460 | $983.47 | $1,756.20 | $444.87 – $1,436.20 | 10 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $2,529.63 | $4,517.20 | $1,144.20 – $3,694.12 | 10 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $3,194.80 | $5,705.00 | $1,445.09 – $4,665.49 | 10 |
| Postop dsg ak ea add cast ch HCPCS L5430 | $867.22 | $1,548.60 | $392.26 – $1,266.43 | 10 |
| Postop dsg bk ea add cast ch HCPCS L5410 | $698.82 | $1,247.90 | $316.11 – $1,020.52 | 10 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | $2,673.16 | $4,773.50 | $1,209.14 – $3,903.72 | 10 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | $2,245.43 | $4,009.70 | $1,015.70 – $3,279.09 | 10 |
| Postop ea cast chg & realign HCPCS L6386 | $741.27 | $1,323.70 | $335.30 – $1,082.51 | 10 |
| Post-operative body jacket HCPCS L1310 | $2,840.66 | $5,072.60 | $1,284.90 – $4,148.32 | 10 |
| Post-op hip abduct custom fa HCPCS L1685 | $1,760.02 | $3,142.90 | $796.09 – $2,570.23 | 10 |
| Potassium 24 hour urine CPT 84133 | $38.70 | $69.10 | $4.41 – $46.55 | 10 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $49.44 | $88.28 | $0.21 – $33.69 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $23.13 | $41.30 | $4.43 – $46.55 | 10 |
| Pq dr cath chg w cont s&i CPT 75984 | $343.56 | $613.50 | $268.55 – $1,360.90 | 8 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $182.74 | $326.33 | $90.02 – $266.87 | 8 |
| Pr application of long arm splint CPT 29105 | $159.49 | $284.80 | $124.67 – $981.02 | 10 |
| Pr application splint static short arm CPT 29125 | $159.49 | $284.80 | $124.67 – $981.02 | 10 |
| Pr biopsy skin punch single lesion CPT 11104 | $353.19 | $630.70 | $125.47 – $515.78 | 10 |
| Prealbumin CPT 84134 | $34.83 | $62.20 | $13.59 – $79.53 | 10 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $98.20 | $175.35 | $0.49 – $143.40 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.31 | $4.13 | $0.01 – $2.64 | 8 |
| Pregnancy associated plasma protein-a CPT 84163 | $39.98 | $71.40 | $14.01 – $79.53 | 10 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $614.21 | $1,096.80 | $102.36 – $648.70 | 10 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $425.21 | $759.30 | $102.36 – $648.70 | 10 |
| Pregnancy Ultrasound (limited) CPT 76815 | $635.26 | $1,134.40 | $102.36 – $648.70 | 10 |
| Prep ak ischial direct form HCPCS L5570 | $3,592.34 | $6,414.90 | $1,624.91 – $5,246.04 | 10 |
| Prep ak ischial laminated HCPCS L5590 | $4,648.56 | $8,301.00 | $2,102.67 – $6,788.47 | 10 |
| Prep ak ischial plast molded HCPCS L5560 | $3,701.43 | $6,609.70 | $1,674.24 – $5,405.35 | 10 |
| Prep ak ischial thermo mold HCPCS L5580 | $4,458.61 | $7,961.80 | $2,016.75 – $6,511.08 | 10 |
| Prep bk ptb laminated socket HCPCS L5540 | $3,248.39 | $5,800.70 | $1,469.35 – $4,743.75 | 10 |
| Prep bk ptb open end socket HCPCS L5535 | $3,067.06 | $5,476.90 | $1,387.30 – $4,478.95 | 10 |
| Prep bk ptb plaster molded HCPCS L5510 | $2,792.10 | $4,985.90 | $1,262.93 – $4,077.42 | 10 |
| Prep bk ptb thermopls molded HCPCS L5530 | $3,290.06 | $5,875.10 | $1,488.17 – $4,804.60 | 10 |
| Pre-tibial shell molded to p HCPCS L2340 | $661.30 | $1,180.90 | $299.13 – $965.73 | 10 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $304.81 | $544.30 | $80.06 – $445.12 | 10 |
| Pretreat rbc absorption reference CPT 86978 | $286.66 | $511.90 | $52.75 – $227.26 | 10 |
| Pretreat rbc density gradient separation reference CPT 86972 | $341.10 | $609.10 | $80.06 – $498.12 | 10 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $430.14 | $768.10 | $22.28 – $274.08 | 10 |
| Pretreat rbc w enzyme reference CPT 86971 | $232.23 | $414.70 | $37.82 – $274.08 | 10 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $23.02 | $41.10 | $17.99 – $949.80 | 10 |
| Pr incision & drainage abscess simple/single CPT 10060 | $464.02 | $828.60 | $181.65 – $677.62 | 10 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $528.75 | $944.20 | $186.56 – $772.16 | 10 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $23.02 | $41.10 | $17.99 – $1,196.53 | 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.