Supplies, drugs & other prices at New Ulm Medical Center

New Ulm, MN · every code in this section with a posted price and a Medicare benchmark.

42 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $753.48 $1,345.50 2.1×
Admin influenza virus vac (G0008) $14.34 $25.60 0.3×
Admin pneumococcal vaccine (G0009) $11.31 $20.20 0.2×
Catheterize for urine spec (P9612) $75.60 $135 8.1×
Cbc without platelet (G0307) $34.78 $62.10 5.4×
Cbc/diffwbc w/o platelet (G0306) $59.70 $106.60 7.7×
Chemo extend iv infus w/pump (G0498) $544.77 $972.80 1.6×
Covid-19 lab test non-cdc (U0002) $134.34 $239.90 2.6×
Direct refer hospital observ (G0379) $110.71 $197.70 0.2×
Drug test def 1-7 classes (G0480) $69.66 $124.40 0.6×
Ekg tracing for initial prev (G0404) $137.20 $245 4.6×
Elec stim other than wound (G0283) $65.46 $116.90 5.2×
Fecal blood scrn immunoassay (G0328) $46.09 $82.30 2.6×
Fern test (Q0114) $101.47 $181.20 10.4×
Initial preventive exam (G0402) $23.02 $41.10 0.2×
Inj for sacroiliac jt anesth (G0260) $1,001.17 $1,787.80 1.4×
Mra w/cont, abd (C8900) $1,816.64 $3,244 5.0×
Mra w/cont, lwr ext (C8912) $2,018.46 $3,604.40 5.6×
Mra w/cont, pelvis (C8918) $3,027.75 $5,406.70 8.4×
Mra w/o cont, chest (C8910) $1,816.70 $3,244.10 7.4×
Mra w/o cont, pelvis (C8919) $2,573.59 $4,595.70 10.5×
Mra w/o fol w/cont, abd (C8902) $2,825.93 $5,046.30 7.8×
Mra w/o fol w/cont, chest (C8911) $3,027.75 $5,406.70 8.4×
Mra w/o fol w/cont, lwr ext (C8914) $3,633.28 $6,488 10.1×
Mra w/o fol w/cont, pelvis (C8920) $3,633.28 $6,488 10.1×
Mra, w/o&w/dye, upper extr (C8936) $3,633.28 $6,488 10.1×
Mri w/o fol w/cont, breast, (C8908) $1,211.06 $2,162.60 3.4×
Njx pltlt plasma w/img harvest/preparation (0232T) $511.67 $913.70 1.1×
Onc Merkel Cll Carc Srm Quan (0058U) $669.48 $1,195.50 2.1×
Oth resp proc, group (G0239) $39.65 $70.80 1.0×
Oth resp proc, indiv (G0238) $48.72 $87 1.6×
Psa screening (G0103) $31.58 $56.40 1.6×
Scr c/v cyto,thinlayer,rescr (G0145) $71.70 $128.05 2.7×
Screen cerv/vag thin layer (G0123) $153.72 $274.50 7.6×
Therapeutic procd strg endur (G0237) $48.72 $87 1.6×
Tomosynthesis, mammo (G0279) $24.48 $43.70 1.9×
Trauma respons w/hosp criti (G0390) $336.73 $601.30 0.2×
Tte w or w/o contr, cont ecg (C8930) $1,816.64 $3,244 2.2×
Tte w or w/o fol w/con,stres (C8928) $1,816.64 $3,244 2.2×
Tte w or w/o fol w/cont, com (C8921) $1,579.48 $2,820.50 2.0×
Tte w or w/o fol w/cont, f/u (C8922) $508.14 $907.40 0.6×
Tte w or wo fol wcon,doppler (C8929) $1,211 $2,162.50 1.5×