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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $14.34 $25.60 0.3×
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×
Behavral qualit analys voice (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 proc (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)
range across 2 matching MRF lines
$789.15–$1,052.18 $1,409.20–$1,878.90 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$426.10–$453.54 $760.90–$809.90 varies
Cardioversion (92960)
range across 2 matching MRF lines
$1,675.74–$1,800.62 $2,992.40–$3,215.40 varies
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 Anti-Neopl Sq/Im (96401) $84.73 $151.30 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $84.73 $151.30 1.1×
Chemo IV infusion addl hr (96415) $126.17 $225.30 1.7×
Chemo IV push addl drug (96411) $99.18 $177.10 1.3×
Chemother Prolong Infuse W/Pump (96416) $185.64 $331.50 0.5×
Chemotherapy Into Cns (96450) $84.73 $151.30 0.2×
Chemotherapy Unspecified (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 nfs tq up 1 hr 1/1st sbst/drug (96413) $306.66 $547.60 0.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $132.22 $236.10 0.4×
Chest Wall Manipulation (94668) $77.22 $137.90 0.6×
Color/duplex Doppler, complete (93975) $1,118.88 $1,998 4.5×
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$81.70–$805.78 $145.90–$1,438.90 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $65.46 $116.90 2.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $60.59 $108.20 1.0×
Continuous Pulse Ox (94762) $293.22 $523.60 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $246.90 $440.90 1.1×
Cpt initial (94667) $104.05 $185.80 0.8×
Critical care first hour (99291) $1,485.57 $2,652.80 1.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 20 matching MRF lines
$117.77–$139.05 $210.30–$248.30 varies
Developmental tst admin phys/qhp 1st hour (96112) $192.92 $344.50 1.5×
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)
range across 2 matching MRF lines
$745.98–$1,119.05 $1,332.10–$1,998.30 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$559.66–$745.98 $999.40–$1,332.10 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$745.98–$1,491.95 $1,332.10–$2,664.20 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$373.02–$932.40 $666.10–$1,665 varies
Duplex Scan Hemodialysis Access (93990) $1,118.88 $1,998 10.4×
Duplex up extrem art bilat (93930) $745.98 $1,332.10 3.0×
Duplex up extrem art unilat/ltd (93931) $559.55 $999.20 5.2×
Echo Congenital Complete (93303) $1,038.02 $1,853.60 1.8×
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$565.04–$753.48 $1,009–$1,345.50 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,525.88 $4,510.50 4.5×
Electrical Stimulation Ea 15 Min (97032) $65.46 $116.90 4.5×
Electrocardiogram Tracing (93005) $140.95 $251.70 2.3×
Electroconvulsive Therapy (90870) $689.19 $1,230.70 0.8×
Emergency Dept Visit Level 2 (99282) $230.33 $411.30 1.5×
Emergency Dept Visit Level 3 (99283) $417.31 $745.20 1.5×
Emergency Dept Visit Level 4 (99284) $685.10 $1,223.40 1.6×
Er level 1 (99281) $135.18 $241.40 1.6×
Er level v (99285) $946.68 $1,690.50 1.5×
Evaluate pt use of inhaler (94664) $83.05 $148.30 0.4×
Evaluate Speech Production (92522) $192.92 $344.50 1.7×
Evaluate Swallowing Function (92610) $192.92 $344.50 2.3×
Evaluation of speech fluency (92521) $192.92 $344.50 1.4×
Evoked Auditory Test,Limited (92587) $161.50 $288.40 0.7×
External Ecg Scanning Analysis Report (93226) $499.24 $891.50 8.2×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$621.60–$745.98 $1,110–$1,332.10 varies
Extracranial Uni/Ltd Study (93882) $497.34 $888.10 4.6×
Immunization administration (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)
range across 2 matching MRF lines
$79.41–$123.65 $141.80–$220.80 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$85.79–$112.28 $153.20–$200.50 varies
IV push initial (96374)
range across 3 matching MRF lines
$111.10–$127.34 $198.40–$227.40 varies
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$767.31–$932.40 $1,370.20–$1,665 varies
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 per session (94669) $117.21 $209.30 0.5×
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 Fluoroscopy/Swallow (92611) $259.95 $464.20 2.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $149.63 $267.20 0.7×
Neuromuscular Reeducation (97112) $65.46 $116.90 2.0×
Newborn resuscitation (99465) $958.38 $1,711.40 1.4×
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×
Oral Function Therapy (92526) $192.92 $344.50 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $65.46 $116.90 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $65.46 $116.90 1.4×
Ot Contrast Bath Ea 15 Min (97034) $65.46 $116.90 4.7×
Ot eval high complexity (97167) $192.92 $344.50 1.9×
Ot Eval Low Complex (97165) $192.92 $344.50 1.9×
Ot Eval Moderate Complexity (97166) $192.92 $344.50 1.9×
Ot manual therapy 15 min (97140) $65.46 $116.90 2.4×
Ot paraffin bath (97018) $65.46 $116.90 10.9×
Ot Prosthetic Training, Each 15 Min (97761) $65.46 $116.90 1.6×
Ot Re-Eval Est Plan Care (97168) $117.77 $210.30 1.7×
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×
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)
range across 2 matching MRF lines
$86.97–$140.28 $155.30–$250.50 varies
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×
Physical Performance Test (97750) $65.46 $116.90 1.9×
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 Eval High Complex (97163) $192.92 $344.50 2.0×
Pt eval low complex 20 min (97161) $192.92 $344.50 2.0×
Pt Eval Mod Complex (97162) $192.92 $344.50 2.0×
Pt gait training 15 min (97116) $65.46 $116.90 2.3×
Pt mechanical traction (97012) $65.46 $116.90 4.6×
Pt Re-Eval Est Plan Care (97164) $117.77 $210.30 1.7×
Pt ultraviolet (97028) $65.46 $116.90 7.8×
Pulmonary Stress Testing (94618) $377.61 $674.30 2.7×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $46.82 $83.60 1.2×
Rem ther mntr dev sply resp (98976) $46.82 $83.60 1.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $15.57 $27.80 0.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $103.04 $184 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $117.77 $210.30 0.6×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $117.77 $210.30 4.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $192.92 $344.50 1.6×
Self Care Mngment Training (97535) $65.46 $116.90 2.0×
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)
range across 2 matching MRF lines
$824.26–$843.98 $1,471.90–$1,507.10 varies
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines
$94.08–$101.58 $168–$181.40 varies
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 Tte Only (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 Ea Addl 15 Min (97130) $65.46 $116.90 3.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $65.46 $116.90 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $65.46 $116.90 2.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $192.92 $344.50 1.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$53.65–$58.63 $95.80–$104.70 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$214.70–$280.67 $383.40–$501.20 varies
Therapeutic Activities (97530) $65.46 $116.90 1.9×
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)
range across 3 matching MRF lines
$1,038.02–$1,211 $1,853.60–$2,162.50 varies
Tte W/O Doppler Complete (93307) $778.51 $1,390.20 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $192.92 $344.50 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$80.30–$92.12 $143.40–$164.50 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$559.66–$745.98 $999.40–$1,332.10 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $745.98 $1,332.10 3.3×
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×
Whirlpool Therapy (97022) $192.92 $344.50 12.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $507.36 $906 8.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.