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 |
|---|---|---|---|---|
| Tlso 3mod sacro-scap pre HCPCS L0462 | $1,975.85 | $3,528.30 | $893.71 – $2,885.41 | 10 |
| Tlso 3 piece rigid shell HCPCS L0492 | $791.34 | $1,413.10 | $357.96 – $1,155.62 | 10 |
| Tlso corset front HCPCS L0970 | $169.12 | $302.00 | $76.49 – $246.97 | 10 |
| Tlso full corset HCPCS L0974 | $276.53 | $493.80 | $125.08 – $403.82 | 10 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $600.43 | $1,072.20 | $271.57 – $876.83 | 10 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $752.42 | $1,343.60 | $340.34 – $1,098.78 | 10 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,041.15 | $1,859.20 | $470.95 – $1,520.44 | 10 |
| Tlso rigid lined custom fab HCPCS L0482 | $2,669.86 | $4,767.60 | $1,207.64 – $3,898.90 | 10 |
| Tlso rigid lined pre one pie HCPCS L0488 | $1,588.50 | $2,836.60 | $718.52 – $2,319.74 | 10 |
| Tlso rigid plastic cust fab HCPCS L0484 | $2,883.33 | $5,148.80 | $1,304.21 – $4,210.64 | 10 |
| Tlso rigid plastic custom fa HCPCS L0480 | $2,390.14 | $4,268.10 | $1,081.14 – $3,490.41 | 10 |
| Tlso rigid plastic pre one HCPCS L0490 | $447.66 | $799.40 | $202.47 – $653.74 | 10 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $548.80 | $980.00 | $248.24 – $801.43 | 10 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $141.25 | $252.24 | $1.63 – $34.14 | 8 |
| Tobramycin peak therapeutic drug level CPT 80200 | $81.42 | $145.40 | $15.02 – $98.00 | 10 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $7,141.75 | $12,753.12 | $5.33 – $10,429.30 | 11 |
| Toe X-ray (both feet) CPT 73660 | $257.66 | $460.10 | $85.21 – $310.64 | 10 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $25.37 | $45.30 | $18.43 – $190.16 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $25.37 | $45.30 | $16.85 – $55.50 | 10 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $360.04 | $642.93 | $1.36 – $167.81 | 9 |
| Torsion ank & half solid sti HCPCS L2375 | $194.71 | $347.70 | $88.07 – $284.35 | 10 |
| Torsion straight knee joint HCPCS L2380 | $204.18 | $364.60 | $92.37 – $298.17 | 10 |
| Total tau CPT 84394 | $609.62 | $1,088.60 | $120.02 – $890.25 | 9 |
| Tot contact ak/knee disart s HCPCS L5650 | $769.55 | $1,374.20 | $348.08 – $1,123.81 | 10 |
| Toxoplasma antibody igg CPT 86777 | $54.43 | $97.20 | $13.40 – $111.84 | 10 |
| Toxoplasma antibody igm CPT 86778 | $42.45 | $75.80 | $13.41 – $111.84 | 10 |
| Tp53 gene full gene sequence CPT 81351 | $358.34 | $639.90 | $280.11 – $1,278.89 | 10 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,331.18 | $2,377.10 | $90.78 – $1,576.54 | 10 |
| Tpmt gene com vrnts CPT 81335 | $265.66 | $474.40 | $154.02 – $426.97 | 10 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $27.83 | $49.69 | $18.37 – $37.87 | 7 |
| Transferrin CPT 84466 | $45.08 | $80.50 | $11.88 – $79.53 | 10 |
| Trans shoe caliper plate new HCPCS L3610 | $158.98 | $283.90 | $71.92 – $232.17 | 10 |
| Trans shoe calip plate exist HCPCS L3600 | $120.74 | $215.60 | $54.62 – $176.32 | 10 |
| Trans shoe solid stirrup exi HCPCS L3620 | $120.74 | $215.60 | $54.62 – $176.32 | 10 |
| Trans shoe solid stirrup new HCPCS L3630 | $158.98 | $283.90 | $71.92 – $232.17 | 10 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $614.26 | $1,096.90 | $102.36 – $571.11 | 10 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $283.53 | $506.30 | $102.36 – $648.70 | 10 |
| Trapezius sling HCPCS L1070 | $177.46 | $316.90 | $80.30 – $259.16 | 10 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,899.00 | $5,176.79 | $69.81 – $4,233.53 | 11 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $4,505.69 | $8,045.87 | $7.79 – $2,367.80 | 11 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $336.73 | $601.30 | $263.21 – $1,942.69 | 8 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $277.87 | $496.20 | $44.42 – $91.59 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $96.32 | $172.00 | $75.29 – $533.03 | 10 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $47.99 | $85.70 | $19.37 – $70.08 | 8 |
| Treponema pallidum antibody CPT 86780 | $177.07 | $316.20 | $12.33 – $111.84 | 10 |
| Trg gene rearrangement anal CPT 81342 | $177.35 | $316.70 | $138.63 – $546.82 | 10 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $44.28 | $79.07 | $0.89 – $37.04 | 8 |
| Triamcinolone a inj prs-free HCPCS J3300 | $29.32 | $52.36 | $22.92 – $64.87 | 10 |
| Triglycerides CPT 84478 | $28.06 | $50.10 | $5.35 – $46.55 | 10 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $853.27 | $1,523.70 | $604.33 – $13,212.31 | 9 |
| Trml dstrj ios bvn ea addl CPT 64629 | $70.00 | $125.00 | $49.58 – $102.22 | 7 |
| Troponin quantitative CPT 84484 | $87.81 | $156.80 | $11.61 – $79.53 | 10 |
| Truss double with standard pad HCPCS L8310 | $235.59 | $420.70 | $106.56 – $344.04 | 10 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,816.64 | $3,244.00 | $312.98 – $2,652.91 | 10 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,816.64 | $3,244.00 | $536.00 – $2,652.91 | 10 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,579.48 | $2,820.50 | $536.00 – $2,306.58 | 10 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $508.14 | $907.40 | $397.21 – $1,620.70 | 10 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $15,853.47 | $28,309.76 | $66.67 – $23,151.44 | 11 |
| Ultrasound breast complete CPT 76641 | $409.36 | $731.00 | $102.36 – $597.80 | 10 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $322.39 | $575.70 | $85.21 – $571.11 | 10 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $141.68 | $253.00 | $102.36 – $648.70 | 10 |
| Ultrasound elastography ea l target les CPT 76983 | $240.24 | $429.00 | $73.91 – $350.83 | 8 |
| Ultrasound elastography parenchyma CPT 76981 | $283.53 | $506.30 | $102.36 – $806.54 | 10 |
| Ultrasound encephalogram CPT 76506 | $283.53 | $506.30 | $102.36 – $571.12 | 10 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $637.90 | $1,139.10 | $102.36 – $648.70 | 10 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $286.61 | $511.80 | $224.04 – $2,292.53 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | $822.42 | $1,468.60 | $175.27 – $1,608.15 | 8 |
| Ultrasound guide intraoperative CPT 76998 | $986.38 | $1,761.40 | $669.62 – $2,292.54 | 8 |
| Ultrasound infant hips ltd without stress CPT 76886 | $425.21 | $759.30 | $85.21 – $620.95 | 10 |
| Ultrasound joint complete left CPT 76881 | $425.21 | $759.30 | $102.36 – $620.95 | 10 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $283.53 | $506.30 | $209.01 – $579.39 | 8 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $425.26 | $759.40 | $311.37 – $863.14 | 8 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $425.21 | $759.30 | $189.48 – $648.70 | 10 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $637.90 | $1,139.10 | $102.36 – $648.70 | 10 |
| Ultrasound spinal canal and contents CPT 76800 | $425.21 | $759.30 | $102.36 – $620.95 | 10 |
| Ultrasound transabd ea addl gest CPT 76812 | $283.53 | $506.30 | $209.16 – $579.81 | 8 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $310.30 | $554.10 | $242.55 – $2,435.52 | 10 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $162.85 | $290.80 | $127.29 – $764.29 | 8 |
| Ultraviolet therapy CPT 97028 | $65.46 | $116.90 | $6.31 – $95.60 | 10 |
| Unlisted chemotherapy px CPT 96549 | $163.69 | $292.30 | $45.85 – $239.04 | 9 |
| Unlisted cytogenetic study CPT 88299 | $234.98 | $419.60 | $51.02 – $220.89 | 9 |
| Unlisted mr procedure CPT 76498 | $2,422.17 | $4,325.30 | $85.21 – $3,537.19 | 9 |
| Unlisted procedure liver CPT 47399 | $1,087.46 | $1,941.90 | $693.30 – $1,588.07 | 9 |
| Unlisted procedure microbiology CPT 87999 | $3,729.32 | $6,659.50 | $2,641.31 – $5,446.07 | 7 |
| Unlisted procedure pancreas CPT 48999 | $801.47 | $1,431.20 | $567.65 – $1,170.42 | 9 |
| Unlisted px small intestine CPT 44799 | $700.17 | $1,250.30 | $495.90 – $1,022.48 | 9 |
| Unlisted px tongue flr mouth CPT 41599 | $953.40 | $1,702.50 | $231.89 – $1,392.29 | 9 |
| Unlisted reprod med lab proc CPT 89398 | $92.68 | $165.50 | $51.02 – $135.34 | 9 |
| Unlisted transfusion med px CPT 86999 | $426.72 | $762.00 | $28.32 – $324.58 | 9 |
| Unlisted ultrasound procedure CPT 76999 | $425.21 | $759.30 | $85.21 – $620.95 | 9 |
| Unlisted urinalysis px CPT 81099 | $57.62 | $102.90 | $40.81 – $84.15 | 7 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $257.66 | $460.10 | $16.77 – $310.64 | 10 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,192.13 | $2,128.80 | $171.73 – $1,740.91 | 10 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $794.70 | $1,419.10 | $102.36 – $1,160.53 | 10 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,018.46 | $3,604.40 | $341.56 – $2,210.81 | 10 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,614.76 | $2,883.50 | $341.56 – $2,358.10 | 10 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,211.06 | $2,162.60 | $233.60 – $1,326.46 | 10 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $257.66 | $460.10 | $90.73 – $310.64 | 10 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $171.81 | $306.80 | $90.73 – $310.64 | 10 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $565.66 | $1,010.10 | $255.88 – $826.05 | 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.