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 |
|---|---|---|---|---|
| Dimenhydrinate injection HCPCS J1240 | $32.60 | $58.22 | $8.50 – $47.61 | 8 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $51.83 | $92.56 | $40.52 – $1,853.12 | 10 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $9.41 | $16.81 | $0.03 – $3.05 | 8 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $23.23 | $41.49 | $0.67 – $32.25 | 8 |
| Disaccharidases CPT 82657 | $197.12 | $352.00 | $20.64 – $287.86 | 10 |
| Disconnect insert locking wr HCPCS L6616 | $102.26 | $182.60 | $46.25 – $149.33 | 10 |
| Disconnect locking wrist uni HCPCS L6615 | $339.70 | $606.60 | $153.65 – $496.07 | 10 |
| Dna antibody native/double stranded CPT 86225 | $117.49 | $209.80 | $12.80 – $81.58 | 10 |
| Dna gardnerella CPT 87510 | $38.86 | $69.40 | $18.67 – $92.34 | 10 |
| Dna trichomonas CPT 87660 | $38.86 | $69.40 | $18.67 – $92.34 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $80.58 | $143.90 | $8.30 – $73.52 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $273.43 | $488.27 | $0.65 – $193.86 | 9 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $68.49 | $122.30 | $0.72 – $37.36 | 8 |
| Doppler echo complete CPT 93320 | $259.50 | $463.40 | $74.69 – $378.96 | 8 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $745.98 | $1,332.10 | $211.40 – $1,089.38 | 10 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $745.98 | $1,332.10 | $130.26 – $845.69 | 10 |
| Dornhoffer fixed part w/window HCPCS L8614 | $36,331.62 | $64,877.90 | $14,042.09 – $40,334.22 | 8 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $128.07 | $228.70 | $57.92 – $187.03 | 10 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $362.90 | $648.04 | $3.37 – $132.24 | 9 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $938.31 | $1,675.55 | $98.81 – $533.24 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $64.78 | $115.67 | $0.12 – $61.96 | 8 |
| Dpyd gene common variants CPT 81232 | $519.34 | $927.40 | $154.02 – $758.42 | 10 |
| Drainage of kidney lesion CPT 50390 | $580.50 | $1,036.60 | $437.06 – $1,211.53 | 10 |
| Drainage of pelvis lesion 26990 CPT 26990 | $801.47 | $1,431.20 | $626.49 – $11,637.35 | 10 |
| Drain cath image guided visceral pq CPT 49405 | $951.89 | $1,699.80 | $744.07 – $2,503.64 | 10 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $3,952.59 | $7,058.20 | $21.01 – $130.88 | 11 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $19.14 | $34.17 | $1.51 – $27.94 | 8 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $36.54 | $65.25 | $8.72 – $34.33 | 8 |
| Drop lock knee HCPCS L2182 | $180.82 | $322.90 | $81.79 – $264.06 | 10 |
| Drop lock retainer each HCPCS L2785 | $46.87 | $83.70 | $21.22 – $68.45 | 10 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $620.20 | $1,107.50 | $333.28 – $687.19 | 7 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $26.88 | $48.00 | $3.50 – $128.25 | 11 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $62.72 | $112.00 | $11.69 – $91.59 | 8 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $224.06 | $400.10 | $21.01 – $129.09 | 11 |
| Drug assay caffeine CPT 80155 | $48.05 | $85.80 | $28.63 – $98.00 | 10 |
| Drug assay posaconazole CPT 80187 | $607.32 | $1,084.50 | $23.97 – $886.89 | 10 |
| Drug assay rufinamide CPT 80210 | $78.74 | $140.60 | $23.97 – $109.75 | 10 |
| Drug assay vedolizumab CPT 80280 | $262.86 | $469.40 | $23.97 – $383.87 | 10 |
| Drug assay voriconazole CPT 80285 | $78.79 | $140.70 | $23.97 – $115.06 | 10 |
| Drug test def 1-7 classes HCPCS G0480 | $435.62 | $777.90 | $31.52 – $185.45 | 10 |
| Drug test prsmv instrmnt CPT 80306 | $88.37 | $157.80 | $15.96 – $129.05 | 10 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $236.82 | $422.90 | $27.36 – $185.45 | 10 |
| Drvvt confirm - quest CPT 85597 | $66.36 | $118.50 | $16.74 – $96.91 | 10 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $355.54 | $634.90 | $277.92 – $4,785.96 | 10 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,118.88 | $1,998.00 | $102.36 – $1,633.94 | 10 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $932.40 | $1,665.00 | $211.40 – $1,120.54 | 10 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $745.98 | $1,332.10 | $166.81 – $1,089.38 | 10 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $18,746.08 | $33,475.15 | $81.96 – $27,375.64 | 11 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $103.04 | $184.00 | $57.76 – $229.97 | 10 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $499.24 | $891.50 | $57.76 – $729.06 | 10 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,211.00 | $2,162.50 | $288.86 – $1,515.86 | 10 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $753.48 | $1,345.50 | $137.50 – $825.15 | 10 |
| Echocardiography doppler color flow mapping CPT 93325 | $254.97 | $455.30 | $35.12 – $290.72 | 8 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,211.00 | $2,162.50 | $333.09 – $1,768.47 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $753.48 | $1,345.50 | $341.56 – $1,620.70 | 10 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $172.98 | $308.90 | $37.59 – $252.62 | 8 |
| Echo exam of fetal heart CPT 76825 | $141.68 | $253.00 | $110.75 – $648.70 | 10 |
| Echo guide for amniocentesis CPT 76946 | $566.94 | $1,012.40 | $443.17 – $2,292.54 | 8 |
| Echo guide villus sampling CPT 76945 | $598.14 | $1,068.10 | $467.55 – $2,292.54 | 8 |
| Echo stress CPT 93350 | $3,114.16 | $5,561.00 | $262.64 – $4,547.73 | 10 |
| Echo transthoracic CPT 93303 | $1,038.02 | $1,853.60 | $328.93 – $1,515.86 | 10 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $778.51 | $1,390.20 | $196.36 – $1,136.89 | 10 |
| E equine encephalitis igg CPT 86652 | $68.21 | $121.80 | $12.28 – $111.83 | 10 |
| Egfr gene com variants CPT 81235 | $744.07 | $1,328.70 | $285.99 – $1,086.60 | 10 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $192.70 | $344.10 | $32.67 – $170.10 | 9 |
| EKG tracing for initial prev HCPCS G0404 | $137.20 | $245.00 | $28.20 – $229.96 | 10 |
| EKG (Tracing Only) CPT 93005 | $140.95 | $251.70 | $57.76 – $229.96 | 10 |
| Elb disart prosth tiss shap HCPCS L6450 | $5,450.70 | $9,733.40 | $2,550.52 – $7,959.88 | 10 |
| Elb mold sock flex hinge pad HCPCS L6100 | $3,988.32 | $7,122.00 | $1,804.03 – $5,824.30 | 10 |
| Elbow inter loc elbow forarm HCPCS L6250 | $4,932.31 | $8,807.70 | $2,307.98 – $7,202.85 | 10 |
| Elbow mold doub splt soc ste HCPCS L6120 | $4,613.11 | $8,237.70 | $2,158.58 – $6,736.71 | 10 |
| Elbow mold outsid lock hinge HCPCS L6200 | $5,013.46 | $8,952.60 | $2,345.93 – $7,321.35 | 10 |
| Elbow mold sock suspension t HCPCS L6110 | $4,219.43 | $7,534.70 | $1,908.55 – $6,161.80 | 10 |
| Elbow stump activated lock h HCPCS L6130 | $4,866.90 | $8,690.90 | $2,277.35 – $7,107.33 | 10 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $257.66 | $460.10 | $85.21 – $310.64 | 10 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $171.81 | $306.80 | $85.21 – $310.64 | 10 |
| Elec knee-shin swing/stance HCPCS L5856 | $34,255.42 | $61,170.40 | $17,216.28 – $50,024.54 | 10 |
| Electrd sq emblem s-icd HCPCS C1896 | $13,377.28 | $23,888.00 | $31.73 – $65.42 | 7 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $65.46 | $116.90 | $11.52 – $95.60 | 10 |
| Electroconvulsive therapy 90870 CPT 90870 | $689.19 | $1,230.70 | $538.73 – $1,874.30 | 10 |
| Electrolyte panel CPT 80051 | $60.42 | $107.90 | $6.53 – $72.07 | 10 |
| Electron microscopy diagnostic CPT 88348 | $1,047.20 | $1,870.00 | $82.94 – $1,427.37 | 10 |
| Encephalitis, california igg/igm CPT 86651 | $68.21 | $121.80 | $12.28 – $111.83 | 10 |
| Encephalitis, st louis igg/igm CPT 86653 | $68.21 | $121.80 | $12.28 – $111.84 | 10 |
| Encephalitis, western equine igg/igm CPT 86654 | $68.21 | $121.80 | $12.28 – $111.84 | 10 |
| Endo ak/hip alignable system HCPCS L5920 | $836.42 | $1,493.60 | $378.33 – $1,221.45 | 10 |
| Endo ak/hip knee extens assi HCPCS L5850 | $201.66 | $360.10 | $91.22 – $294.49 | 10 |
| Endo ak ultra-light material HCPCS L5950 | $1,226.46 | $2,190.10 | $554.74 – $1,791.04 | 10 |
| Endo below knee alignable sy HCPCS L5910 | $570.92 | $1,019.50 | $258.25 – $833.74 | 10 |
| Endo bk ultra-light material HCPCS L5940 | $790.72 | $1,412.00 | $357.66 – $1,154.72 | 10 |
| Endo hip ultra-light materia HCPCS L5960 | $1,833.83 | $3,274.70 | $829.48 – $2,678.02 | 10 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | $4,672.08 | $8,343.00 | $2,113.32 – $6,822.82 | 10 |
| Endo knee-shin fluid swing p HCPCS L5824 | $2,625.17 | $4,687.80 | $1,187.42 – $3,833.64 | 10 |
| Endo knee-shin frct swg & st HCPCS L5812 | $936.49 | $1,672.30 | $423.60 – $1,367.59 | 10 |
| Endo knee-shin frct swg & st HCPCS L5818 | $1,513.85 | $2,703.30 | $684.74 – $2,210.73 | 10 |
| Endo knee-shin hydral swg ph HCPCS L5814 | $5,692.12 | $10,164.50 | $2,663.49 – $8,312.43 | 10 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $1,244.43 | $2,222.20 | $562.89 – $1,817.29 | 10 |
| Endo knee-shin pneum swg frc HCPCS L5822 | $2,777.04 | $4,959.00 | $1,256.14 – $4,055.42 | 10 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | $3,150.22 | $5,625.40 | $1,424.94 – $4,600.40 | 10 |
| Endo knee-shin polyc mch sta HCPCS L5816 | $1,340.64 | $2,394.00 | $606.39 – $1,957.79 | 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.