Visits & medical services prices at New Ulm Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $96.82 $172.90 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $65.46 $116.90 4.6×
Application Modality 1/> Areas Infrared (97026) $117.77 $210.30 17.6×
Application on-body injector (96377) $62.05 $110.80 1.3×
Assessment of aphasia per hr (96105) $192.92 $344.50 2.0×
Bedside Swallowing Eval (92610) $192.92 $344.50 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $192.92 $344.50 1.8×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $65.46 $116.90 0.8×
Bfb training ea addl 15 min (90913) $65.46 $116.90 2.0×
Biofeedback training any modality (90901) $117.77 $210.30 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $314.10 $560.90 0.8×
Canalith Repositioning Procedure (95992) $65.46 $116.90 1.6×
Car seat/bed test 60 min (94780) $1,006.43 $1,797.20 26.1×
Cardiac Stress Tst,Tracing Only (93017) $920.66 $1,644.05 4.1×
Cardiopulmonary resuscitation (92950) $439.82 $785.40 2.0×
Cardioversion (92960) $1,738.18 $3,103.90 2.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $47.04 $84 1.8×
Cbt 1st hour (94644) $96.32 $172 0.7×
Chemo Admin Peritoneal Cavity (96446) $1,314.26 $2,346.90 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $84.73 $151.30 1.1×
Chemo IV push addl drug (96411) $99.18 $177.10 1.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $185.64 $331.50 0.5×
Chemother, IV infusion, 1 hr (96413) $306.66 $547.60 0.9×
Chemother, IV infusion, ea add hr (96415) $126.17 $225.30 1.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $84.73 $151.30 1.1×
Chemotherapy into cns (96450) $84.73 $151.30 0.2×
Chemotherapy, unspecified procedure (96549) $163.69 $292.30 3.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $126.17 $225.30 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $132.22 $236.10 0.4×
Color/duplex Doppler, complete (93975) $1,118.88 $1,998 4.5×
Color/duplex Doppler, limited (93976) $466.34 $832.75 4.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $60.59 $108.20 1.0×
Cpap/bipap (94660) $246.90 $440.90 1.1×
Cpt initial (94667) $104.05 $185.80 0.8×
Critical care (99291) $1,485.57 $2,652.80 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $117.77 $210.30 0.6×
Developmental tst admin phys/qhp 1st hour (96112) $192.92 $344.50 1.5×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $161.50 $288.40 0.7×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $221.87 $396.20 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $559.66 $999.40 2.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $559.66 $999.40 5.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $932.52 $1,665.20 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $652.82 $1,165.75 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $745.98 $1,332.10 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $559.55 $999.20 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $870.30 $1,554.10 3.5×
Dup-scan xtr veins unilateral/limited study (93971) $497.28 $888 4.6×
Duplex scan extracranial art compl bi study (93880) $683.79 $1,221.05 2.8×
Duplex Scan Hemodialysis Access (93990) $1,118.88 $1,998 10.4×
Echo Heart Xthoracic,Limited (93308) $565.04 $1,009 2.3×
Echo Transthoracic - Congenital Tte Complete (93303) $1,038.02 $1,853.60 1.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,525.88 $4,510.50 4.5×
EKG rhythm strip (93041) $103.04 $184 1.7×
Electrocardiogram Tracing (93005) $140.95 $251.70 2.3×
Electroconvulsive Therapy (90870) $689.19 $1,230.70 0.8×
Er level 1 (99281) $135.18 $241.40 1.6×
Er level ii (99282) $230.33 $411.30 1.5×
Er level iii (99283) $417.31 $745.20 1.5×
Er level IV (99284) $685.10 $1,223.40 1.6×
Er level v (99285) $946.68 $1,690.50 1.5×
Eval speech sound production (92522) $192.92 $344.50 1.7×
Evaluate Pt Use Of Inhaler (94664) $83.05 $148.30 0.4×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $192.92 $344.50 1.6×
Evaluation of speech fluency (92521) $192.92 $344.50 1.4×
External Ecg Scanning Analysis Report (93226) $499.24 $891.50 8.2×
Imm admn sarscov2 vaccine single dose (90480) $14.34 $25.60 0.3×
Immunization Admin (90471) $19.21 $34.30 0.3×
Iontophoresis 15 min (97033) $65.46 $116.90 3.4×
Irrig drug delivery device (96523) $29.62 $52.90 0.5×
IV infusion hydration each additional hour (96361) $66.08 $118 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $165.09 $294.80 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $101.53 $181.30 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $247.68 $442.30 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $99.04 $176.85 2.0×
IV push ea addl new drug (96375) $91.95 $164.20 1.9×
IV push initial (96374) $127.18 $227.10 0.6×
Manual therapy 15 min (97140) $65.46 $116.90 2.4×
Massage 15 min (97124) $65.46 $116.90 2.2×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $92.85 $165.80 0.7×
Mechanical chest wall oscillation (94669) $117.21 $209.30 0.5×
Mechanical traction (97012) $65.46 $116.90 4.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $56.11 $100.20 1.5×
Methacholine challenge (94070) $444.42 $793.60 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $259.95 $464.20 2.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $149.63 $267.20 0.7×
Newborn resuscitation (99465) $958.38 $1,711.40 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $652.82 $1,165.75 4.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $293.22 $523.60 2.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $23.02 $41.10 0.2×
Ophth medical xm&eval intermediate estab pt (92012) $23.02 $41.10 0.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $65.46 $116.90 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $65.46 $116.90 2.0×
Ot Contrast Bath Ea 15 Min (97034) $65.46 $116.90 4.7×
Ot eval high complex 60 min (97167) $192.92 $344.50 1.9×
Ot eval low complex 30 min (97165) $192.92 $344.50 1.9×
Ot eval mod complex 45 min (97166) $192.92 $344.50 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $65.46 $116.90 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $65.46 $116.90 1.6×
Ot Range Motion Measure,Each Extrem (95851) $117.77 $210.30 4.5×
Ot re-evaluation (97168) $117.77 $210.30 1.7×
Ot therapeutic activity 15 min (97530) $65.46 $116.90 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $208.66 $372.60 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $220.86 $394.40 1.7×
Paraffin bath pt (97018) $65.46 $116.90 10.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $131.15 $234.20 0.6×
Peripheral arterial disease rehab per session (93668) $231.78 $413.90 3.8×
Phlebotomy therapeutic (99195) $113.62 $202.90 0.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $267.96 $478.50 4.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $267.96 $478.50 4.4×
Pm device progr eval dual (93280) $436.41 $779.30 11.3×
Pm/Icd Remote Tech Serv (93296) $156.86 $280.10 4.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,404.80 $6,080 3.8×
Polysom <6 yrs 4/> paramtrs (95782) $4,258.69 $7,604.80 4.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,790.47 $6,768.70 4.3×
Pt Aquatic Therapy/Exercises (97113) $65.46 $116.90 1.8×
Pt Electrical Stimulation (97032) $65.46 $116.90 4.5×
Pt eval high complex 45 min (97163) $192.92 $344.50 2.0×
Pt eval low complex 20 min (97161) $192.92 $344.50 2.0×
Pt eval mod complex 30 min (97162) $192.92 $344.50 2.0×
Pt gait training 15 min (97116) $65.46 $116.90 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $65.46 $116.90 2.0×
Pt Physical Performance Test (97750) $65.46 $116.90 1.9×
Pt re-evaluation (97164) $117.77 $210.30 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $65.46 $116.90 2.0×
Pt ultraviolet (97028) $65.46 $116.90 7.8×
Pt Whirlpool Therapy (97022) $192.92 $344.50 12.3×
Pulmonary stress test simple (94618) $377.61 $674.30 2.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $15.57 $27.80 0.1×
Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily)… (98976) $46.82 $83.60 1.2×
Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily)… (98977) $46.82 $83.60 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $117.77 $210.30 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $77.22 $137.90 0.6×
Sensory Integration Ea 15 Min (97533) $65.46 $116.90 1.1×
Sleep study attended (95807) $1,579.76 $2,821 4.1×
Sleep study unattended (95806) $834.12 $1,489.50 3.7×
Slp caregiver training 1st 30 min (97550) $97.83 $174.70 1.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $843.98 $1,507.10 3.8×
Speech sound lang comprehen (92523) $192.92 $344.50 0.9×
Spirometry (94010) $84.56 $151 0.4×
Standardized Cognitive Performance Testing (96125) $192.92 $344.50 1.9×
Stress echo (93350) $3,114.16 $5,561 5.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $65.46 $116.90 2.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $65.46 $116.90 3.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $192.92 $344.50 1.9×
Therapeutic prophylactic/dx injection subq/im (96372) $56.14 $100.25 0.8×
Trans Care Mgmt 14 Day Disch (99495) $20.78 $37.10 0.2×
Trans Care Mgmt 7 Day Disch (99496) $23.02 $41.10 0.2×
Tte w/doppler, complete (93306) $1,038.02 $1,853.60 1.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $778.51 $1,390.20 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $192.92 $344.50 2.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $192.92 $344.50 2.3×
Upr/lxtr art stdy 3+ lvls (93923) $745.98 $1,332.10 3.3×
Vasc Duplex Scan Extracranial,Limited (93882) $497.34 $888.10 4.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $849.86 $1,517.60 3.8×
Vasopneumatic device (97016) $65.46 $116.90 5.4×
Vent mgmt inpat init day (94002) $827.96 $1,478.50 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $707.84 $1,264 1.1×
Vital capacity, total (94150) $275.46 $491.90 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $65.46 $116.90 2.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $507.36 $906 8.3×