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 |
|---|---|---|---|---|
| Ring flange plastic/leather HCPCS L1100 | $300.50 | $536.60 | $135.93 – $438.83 | 10 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,173.95 | $3,882.05 | $10.62 – $889.05 | 10 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $7,187.33 | $12,834.52 | $71.03 – $2,658.98 | 11 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $4,846.67 | $8,654.77 | $28.64 – $1,640.81 | 11 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $4,051.48 | $7,234.78 | $12.61 – $1,387.45 | 11 |
| Rocker bottom, contact afo HCPCS L2232 | $153.72 | $274.50 | $69.53 – $224.48 | 10 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $6,014.15 | $10,739.55 | $29.36 – $7,977.29 | 10 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $4,929.39 | $8,802.48 | $10.50 – $7,198.58 | 11 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $4,210.20 | $7,518.22 | $11.50 – $6,148.32 | 11 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $57.93 | $103.44 | $0.06 – $42.02 | 8 |
| Rotation wrst with cable lock HCPCS L6625 | $838.38 | $1,497.10 | $379.23 – $1,224.31 | 10 |
| Round caliper and plate atta HCPCS L2240 | $150.70 | $269.10 | $68.16 – $220.07 | 10 |
| Rpl tun-cvad w subq port CPT 36582 | $2,282.95 | $4,076.70 | $1,784.53 – $8,715.22 | 10 |
| Rsv assay w/optic CPT 87807 | $48.94 | $87.40 | $12.20 – $71.47 | 10 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $15.57 | $27.80 | $11.03 – $137.21 | 9 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $46.82 | $83.60 | $33.16 – $68.37 | 9 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $46.82 | $83.60 | $33.16 – $68.37 | 9 |
| Rubella antibody igg CPT 86762 | $44.91 | $80.20 | $13.40 – $81.58 | 10 |
| Rubeola antibody igg CPT 86765 | $69.66 | $124.40 | $11.99 – $81.57 | 10 |
| Russell viper venom diluted CPT 85613 | $202.05 | $360.80 | $8.92 – $37.37 | 10 |
| Sach foot, replacement HCPCS L5971 | $344.34 | $614.90 | $155.78 – $502.86 | 10 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $171.81 | $306.80 | $90.73 – $310.64 | 10 |
| Sarscov coronavirus ag ia CPT 87426 | $214.03 | $382.20 | $32.89 – $312.56 | 10 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $559.66 | $999.40 | $166.81 – $817.30 | 10 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $559.66 | $999.40 | $102.36 – $817.30 | 10 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $497.34 | $888.10 | $102.36 – $726.28 | 10 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $932.40 | $1,665.00 | $102.36 – $769.27 | 10 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $745.98 | $1,332.10 | $102.36 – $817.30 | 10 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $559.55 | $999.20 | $102.36 – $817.14 | 10 |
| Scap thorac prosth tiss shap HCPCS L6570 | $7,739.31 | $13,820.20 | $3,621.41 – $11,302.02 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $91.50 | $163.40 | $24.66 – $90.43 | 10 |
| Screen cerv/vag thin layer HCPCS G0123 | $153.72 | $274.50 | $18.86 – $224.48 | 10 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $46.09 | $82.30 | $16.81 – $79.53 | 10 |
| Screening Mammogram CPT 77067 | $286.83 | $512.20 | $77.04 – $253.76 | 10 |
| Screening prostate cancer PSA HCPCS G0103 | $87.36 | $156.00 | $17.97 – $79.52 | 10 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $735.62 | $1,313.60 | $102.36 – $620.95 | 10 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $189.11 | $337.70 | $147.82 – $736.44 | 8 |
| Sedimentation rate erythrocyte automated CPT 85652 | $46.37 | $82.80 | $2.52 – $30.18 | 10 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $65.46 | $116.90 | $30.53 – $96.92 | 10 |
| Semen analysis presence/motility CPT 89321 | $45.25 | $80.80 | $11.22 – $195.83 | 10 |
| Sewhfo airplane without jnts cf HCPCS L3976 | $2,419.65 | $4,320.80 | $1,094.48 – $3,533.51 | 10 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | $2,856.67 | $5,101.20 | $1,292.19 – $4,171.71 | 10 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | $2,711.74 | $4,842.40 | $1,226.58 – $3,960.07 | 10 |
| Sewhfo cap design without jnt cf HCPCS L3975 | $2,419.65 | $4,320.80 | $1,094.48 – $3,533.51 | 10 |
| Sewho airplane without jnts cf HCPCS L3967 | $2,856.67 | $5,101.20 | $1,292.19 – $4,171.71 | 10 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | $2,856.67 | $5,101.20 | $1,292.19 – $4,171.71 | 10 |
| Sewho cap design without jnts cf HCPCS L3961 | $2,419.65 | $4,320.80 | $1,094.48 – $3,533.51 | 10 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | $2,711.74 | $4,842.40 | $1,226.58 – $3,960.07 | 10 |
| Sewho erbs palsey design abd HCPCS L3962 | $1,038.86 | $1,855.10 | $88.47 – $1,302.58 | 10 |
| Sheath above knee HCPCS L8410 | $32.65 | $58.30 | $14.77 – $47.68 | 10 |
| Sheath below knee HCPCS L8400 | $24.86 | $44.40 | $11.22 – $36.31 | 10 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $5,054.11 | $9,025.20 | $2,799.45 – $5,772.12 | 7 |
| Sheath upper limb HCPCS L8415 | $33.82 | $60.40 | $15.29 – $49.39 | 10 |
| Shlder disart int lock elbow HCPCS L6300 | $6,803.16 | $12,148.50 | $3,183.35 – $9,934.92 | 10 |
| Shldr disar prosth tiss shap HCPCS L6550 | $6,932.58 | $12,379.60 | $3,243.93 – $10,123.91 | 10 |
| Shoe clubfoot wedge HCPCS L3380 | $78.51 | $140.20 | $35.51 – $114.65 | 10 |
| Shoe dennis browne splint bo HCPCS L3640 | $68.43 | $122.20 | $30.97 – $99.93 | 10 |
| Shoe heel new leather standa HCPCS L3455 | $64.46 | $115.10 | $29.15 – $94.13 | 10 |
| Shoe heel new rubber standar HCPCS L3460 | $54.38 | $97.10 | $24.59 – $79.41 | 10 |
| Shoe heel pad & depress for HCPCS L3480 | $170.30 | $304.10 | $3.55 – $123.60 | 10 |
| Shoe heel sach cushion type HCPCS L3450 | $166.99 | $298.20 | $75.54 – $243.86 | 10 |
| Shoe heel thomas extend to b HCPCS L3470 | $98.56 | $176.00 | $44.59 – $143.93 | 10 |
| Shoe heel thomas with wedge HCPCS L3465 | $92.62 | $165.40 | $41.90 – $135.26 | 10 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $128.80 | $230.00 | $58.27 – $188.09 | 10 |
| Shoe metatarsal bar between HCPCS L3410 | $146.83 | $262.20 | $66.44 – $214.42 | 10 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $64.46 | $115.10 | $29.15 – $94.13 | 10 |
| Shoe outflare wedge HCPCS L3390 | $78.51 | $140.20 | $35.51 – $114.65 | 10 |
| Shoe post-op mens m HCPCS L3260 | $25.20 | $45.00 | $17.46 – $52.79 | 8 |
| Shoe sole wedge between sole HCPCS L3370 | $78.51 | $140.20 | $35.51 – $114.65 | 10 |
| Shoe sole wedge outside sole HCPCS L3360 | $56.28 | $100.50 | $25.48 – $82.19 | 10 |
| Shoe wedge sach HCPCS L3340 | $134.90 | $240.90 | $61.01 – $197.01 | 10 |
| Sho heel count plast reinfor HCPCS L3430 | $253.57 | $452.80 | $114.71 – $370.30 | 10 |
| Sho insert w arch toe filler HCPCS L5000 | $908.71 | $1,622.70 | $411.02 – $1,327.03 | 10 |
| Sho lift taper to metatarsal HCPCS L3300 | $82.49 | $147.30 | $37.33 – $120.46 | 10 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $58.63 | $104.70 | $35.02 – $124.69 | 11 |
| Shoulder abduction joint pai HCPCS L6640 | $533.79 | $953.20 | $241.46 – $779.52 | 10 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $171.81 | $306.80 | $85.21 – $310.64 | 10 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $171.81 | $306.80 | $90.73 – $310.64 | 10 |
| Shoulder flexion-abduction j HCPCS L6645 | $577.30 | $1,030.90 | $261.13 – $843.06 | 10 |
| Shoulder lock actuator HCPCS L6647 | $823.37 | $1,470.30 | $372.39 – $1,202.40 | 10 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,825.93 | $5,046.30 | $341.56 – $4,126.81 | 10 |
| Shoulder MRI (with contrast) CPT 73222 | $2,825.93 | $5,046.30 | $556.02 – $4,126.81 | 10 |
| Shoulder MRI (without contrast) CPT 73221 | $2,018.46 | $3,604.40 | $233.60 – $2,947.64 | 10 |
| Shoulder universal joint HCPCS L6650 | $626.14 | $1,118.10 | $283.22 – $914.37 | 10 |
| Shoulder X-ray CPT 73030 | $245.45 | $438.30 | $85.21 – $310.64 | 10 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $245.45 | $438.30 | $85.21 – $310.64 | 10 |
| Shrinker prosth above knee HCPCS L8460 | $105.11 | $187.70 | $47.53 – $153.50 | 10 |
| Shrinker prosth below knee HCPCS L8440 | $73.86 | $131.90 | $33.43 – $107.87 | 10 |
| Shrinker upper limb HCPCS L8465 | $97.10 | $173.40 | $43.93 – $141.80 | 10 |
| Sickling rbc CPT 85660 | $170.58 | $304.60 | $4.51 – $14.95 | 10 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $268.84 | $480.07 | $117.40 – $371.44 | 9 |
| Single pivot hinge pair HCPCS L6605 | $370.16 | $661.00 | $167.44 – $540.56 | 10 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,589.34 | $2,838.10 | $171.73 – $2,320.97 | 10 |
| Sinus CT scan (with contrast) CPT 70487 | $1,192.13 | $2,128.80 | $171.73 – $1,740.91 | 10 |
| Sinus CT scan (without contrast) CPT 70486 | $1,589.34 | $2,838.10 | $102.36 – $1,988.87 | 10 |
| Sinus X-ray (complete) CPT 70220 | $171.81 | $306.80 | $85.21 – $310.64 | 10 |
| Sinus X-ray (limited) CPT 70210 | $171.81 | $306.80 | $85.21 – $310.64 | 10 |
| Sio flex pelvisacral custom HCPCS L0622 | $422.91 | $755.20 | $191.31 – $617.59 | 10 |
| Skin Biopsy CPT 11102 | $353.19 | $630.70 | $100.03 – $515.78 | 10 |
| Skull X-ray (1 to 3 views) CPT 70250 | $257.66 | $460.10 | $90.73 – $310.64 | 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.