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 |
|---|---|---|---|---|
| Symes type ptb brim design s HCPCS L5632 | $426.89 | $762.30 | $193.09 – $623.40 | 10 |
| Syme typ expandabl wall sckt HCPCS L5630 | $870.46 | $1,554.40 | $393.72 – $1,271.17 | 10 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $42.34 | $75.60 | $4.09 – $81.58 | 10 |
| System cardiomems hosp electronics HCPCS C2624 | $36,331.62 | $64,877.90 | $702.97 – $53,056.49 | 8 |
| System pacing micra av HCPCS C1786 | $17,200.96 | $30,716.00 | $2,808.33 – $5,790.44 | 7 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,297.89 | $20,174.80 | $1,333.09 – $2,748.67 | 7 |
| T3 (triiodothyronine) free CPT 84481 | $31.58 | $56.40 | $15.77 – $78.49 | 10 |
| T3 (triiodothyronine) total CPT 84480 | $29.74 | $53.10 | $13.21 – $78.50 | 10 |
| T4 (thyroxine) free CPT 84439 | $31.58 | $56.40 | $8.40 – $78.49 | 10 |
| T4 (thyroxine) total CPT 84436 | $33.04 | $59.00 | $6.39 – $78.49 | 10 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $15.42 | $27.53 | $0.19 – $3.50 | 8 |
| Tacrolimus therapeutic drug level CPT 80197 | $106.18 | $189.60 | $12.79 – $122.91 | 10 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $171.81 | $306.80 | $85.21 – $310.64 | 10 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,649.74 | $8,303.10 | $116.76 – $5,156.74 | 10 |
| Target gsa panel organ neop CPT 81445 | $872.09 | $1,557.30 | $116.76 – $1,273.54 | 10 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $903.46 | $1,613.33 | $0.24 – $594.46 | 10 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $247.80 | $442.50 | $32.67 – $154.73 | 10 |
| Tc-99m bicisate HCPCS A9557 | $1,747.76 | $3,121.00 | $736.74 – $3,951.86 | 10 |
| Tc-99m depreotide HCPCS A9536 | $1,934.86 | $3,455.10 | $1,512.44 – $7,057.17 | 8 |
| Tc-99m disofenin HCPCS A9510 | $71.40 | $127.50 | $55.81 – $231.87 | 8 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,303.16 | $5,898.50 | $887.42 – $4,823.73 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $1,611.90 | $2,878.40 | $406.14 – $2,353.93 | 10 |
| Tc-99m gluceptate HCPCS A9550 | $45.70 | $81.60 | $32.36 – $66.73 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $161.56 | $288.50 | $77.79 – $370.07 | 8 |
| Tc-99m maa HCPCS A9540 | $235.09 | $419.80 | $31.59 – $343.31 | 8 |
| Tc-99m mebrofenin HCPCS A9537 | $58.46 | $104.40 | $45.70 – $281.76 | 8 |
| Tc-99m medronate HCPCS A9503 | $25.87 | $46.20 | $0.82 – $37.78 | 8 |
| Tc-99m mertiatide HCPCS A9562 | $523.38 | $934.60 | $373.35 – $2,129.98 | 8 |
| Tc-99m oxidronate HCPCS A9561 | $46.03 | $82.20 | $31.17 – $103.36 | 8 |
| Tc-99m pentetate dtpa HCPCS A9539 | $172.14 | $307.40 | $23.86 – $107.13 | 8 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $26.43 | $47.20 | $20.66 – $144.14 | 8 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $11.93 | $21.30 | $0.79 – $17.42 | 8 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $58.97 | $105.30 | $30.84 – $93.23 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $128.07 | $228.70 | $75.77 – $645.76 | 8 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $470.23 | $839.70 | $367.57 – $1,887.36 | 10 |
| Tc-99m sulfur colloid HCPCS A9541 | $121.41 | $216.80 | $25.48 – $265.31 | 8 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.01 | $214.30 | $93.81 – $387.88 | 8 |
| Tc-99m tilmanocept diag HCPCS A9520 | $569.91 | $1,017.70 | $397.33 – $1,201.42 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $222.15 | $396.70 | $32.67 – $111.84 | 10 |
| T cells total count CPT 86359 | $222.15 | $396.70 | $32.67 – $111.84 | 10 |
| Team conf w/pat by hc prof CPT 99366 | $117.77 | $210.30 | $92.06 – $315.72 | 8 |
| Teflon or equal cable lining HCPCS L6665 | $72.63 | $129.70 | $32.84 – $106.07 | 10 |
| Telehealth original site facility fee HCPCS Q3014 | $35.34 | $63.10 | $21.09 – $72.21 | 10 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,425.28 | $6,116.58 | $19.30 – $1,099.20 | 11 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $12,222.29 | $21,825.52 | $165.38 – $17,848.69 | 10 |
| Tension based scoliosis orth HCPCS L1005 | $4,895.91 | $8,742.70 | $2,290.94 – $7,149.69 | 10 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $22.57 | $40.31 | $1.44 – $32.74 | 8 |
| Test socket above knee HCPCS L5624 | $633.02 | $1,130.40 | $286.32 – $924.43 | 10 |
| Test socket below knee HCPCS L5620 | $470.01 | $839.30 | $212.60 – $686.37 | 10 |
| Test socket hemipelvectomy HCPCS L5628 | $1,014.78 | $1,812.10 | $459.02 – $1,481.92 | 10 |
| Test socket hip disarticulat HCPCS L5626 | $1,002.12 | $1,789.50 | $453.28 – $1,463.44 | 10 |
| Test socket knee disarticula HCPCS L5622 | $633.25 | $1,130.80 | $286.43 – $924.76 | 10 |
| Test socket symes HCPCS L5618 | $529.76 | $946.00 | $239.63 – $773.63 | 10 |
| Test stress cardiovascular tracing only CPT 93017 | $1,052.18 | $1,878.90 | $211.40 – $1,348.07 | 10 |
| Test urine urobilinogen CPT 84578 | $34.72 | $62.00 | $3.94 – $50.70 | 10 |
| Tetanus immune globulin inj HCPCS J1670 | $1,092.20 | $1,950.35 | $559.11 – $1,594.98 | 10 |
| Theophylline therapeutic drug level CPT 80198 | $47.88 | $85.50 | $13.17 – $97.99 | 10 |
| Therapeutic procd strg endur HCPCS G0237 | $48.72 | $87.00 | $23.69 – $71.63 | 10 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $192.75 | $344.20 | $136.52 – $281.48 | 7 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $65.46 | $116.90 | $33.11 – $241.94 | 10 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $65.46 | $116.90 | $23.88 – $95.60 | 10 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $56.11 | $100.20 | $29.32 – $276.39 | 10 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $24.99 | $44.63 | $1.79 – $35.79 | 8 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $286.33 | $511.30 | $85.21 – $310.64 | 10 |
| Thigh/wght bear high roll cu HCPCS L2550 | $538.44 | $961.50 | $243.55 – $786.31 | 10 |
| Thigh/wght bear lacer molded HCPCS L2540 | $718.14 | $1,282.40 | $324.81 – $1,048.73 | 10 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $379.51 | $677.70 | $171.67 – $554.22 | 10 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $495.21 | $884.30 | $223.99 – $723.17 | 10 |
| Thorac cont lat support upri HCPCS L2680 | $231.56 | $413.50 | $104.73 – $338.16 | 10 |
| Thorac cont paraspinal uprig HCPCS L2670 | $252.39 | $450.70 | $114.16 – $368.58 | 10 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,345.90 | $2,403.40 | $445.12 – $1,814.19 | 10 |
| Thoracic control thoracic ba HCPCS L2660 | $283.53 | $506.30 | $128.25 – $414.05 | 10 |
| Thoracic intern lock elbow HCPCS L6350 | $7,454.16 | $13,311.00 | $3,487.96 – $10,885.60 | 10 |
| Thoracic pad HCPCS L1060 | $171.42 | $306.10 | $77.52 – $250.33 | 10 |
| Thor rib belt custom fabrica HCPCS L0220 | $204.46 | $365.10 | $92.46 – $298.58 | 10 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $960.96 | $1,716.00 | $391.40 – $2,647.77 | 10 |
| Thrombin time CPT 85670 | $64.90 | $115.90 | $5.37 – $60.53 | 10 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $96.54 | $172.40 | $6.02 – $60.53 | 10 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $1,013.43 | $1,809.70 | $458.42 – $1,479.95 | 10 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $1,803.59 | $3,220.70 | $815.84 – $2,633.86 | 10 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $850.58 | $1,518.90 | $384.73 – $1,242.14 | 10 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $1,276.24 | $2,279.00 | $577.28 – $1,863.74 | 10 |
| Thyroglobulin antibody CPT 86800 | $47.71 | $85.20 | $14.81 – $121.07 | 10 |
| Thyroid (TSH) Test CPT 84443 | $65.46 | $116.90 | $15.64 – $78.49 | 10 |
| Thyroid Ultrasound CPT 76536 | $425.21 | $759.30 | $102.36 – $571.11 | 10 |
| Thyroxine binding globulin (tbg) CPT 84442 | $69.66 | $124.40 | $13.76 – $78.50 | 10 |
| Tibial length sock fx or equ HCPCS L2840 | $68.26 | $121.90 | $10.51 – $85.57 | 10 |
| Tibial tubercle hgt with toe f HCPCS L5020 | $3,977.74 | $7,103.10 | $1,799.22 – $5,808.84 | 10 |
| Tilt table locking hip sing HCPCS L5270 | $9,548.06 | $17,050.10 | $4,467.77 – $13,943.40 | 10 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $26.88 | $48.00 | $21.01 – $66.12 | 9 |
| Tissue culture skin/biopsy CPT 88233 | $399.28 | $713.00 | $127.78 – $381.91 | 10 |
| Tissue culture tumor CPT 88239 | $310.91 | $555.20 | $137.34 – $454.04 | 10 |
| Tissue exam koh skin/hair/nails CPT 87220 | $51.52 | $92.00 | $3.97 – $59.90 | 10 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $44.80 | $80.00 | $35.02 – $2,765.54 | 11 |
| Tissue transglutaminase iga CPT 86364 | $91.56 | $163.50 | $10.73 – $42.36 | 9 |
| Tixagev and cilgav inj HCPCS M0220 | $187.94 | $335.60 | $115.26 – $274.45 | 8 |
| Tl-201 thallium diag per mci HCPCS A9505 | $39.54 | $70.60 | $30.90 – $159.19 | 8 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $1,411.31 | $2,520.20 | $638.37 – $2,060.99 | 10 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,215.31 | $2,170.20 | $549.72 – $1,774.77 | 10 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $1,588.50 | $2,836.60 | $718.52 – $2,319.74 | 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.