New Ulm Medical Center — price list

← Hospital overviewVerified from New Ulm Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

273 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
acetaminophen 160 mg/5 mL (32 mg/mL) 10.15 mL CUP Inpatient	1000024 CDM	$4.39	$2.46	$2.69 – $4.39	—
acetaminophen 160 mg/5 mL (32 mg/mL) 10.15 mL CUP Outpatient	1000024 CDM	$4.39	$2.46	$0.88 – $4.39	—
acetaminophen 325 mg/10.15 mL (32 mg/mL) Soln 10.1 Inpatient	1000022 CDM	$5.81	$3.25	$3.56 – $5.81	—
acetaminophen 325 mg/10.15 mL (32 mg/mL) Soln 10.1 Outpatient	1000022 CDM	$5.81	$3.25	$1.17 – $5.81	—
acetaminophen 325 mg/10.15 mL (32 mg/mL) Soln 10.1 Inpatient	1000023 CDM	$5.81	$3.25	$3.56 – $5.81	—
acetaminophen 325 mg/10.15 mL (32 mg/mL) Soln 10.1 Outpatient	1000023 CDM	$5.81	$3.25	$1.17 – $5.81	—
Acyclovir 200 mg cap 100 each bottle Inpatient	1000141 CDM	$3.25	$1.82	$1.99 – $3.25	—
Acyclovir 200 mg cap 100 each bottle Outpatient	1000141 CDM	$3.25	$1.82	$0.65 – $3.25	—
Albuterol 0.083 (2.5 mg/3 ml) nebu 3 ml vial Inpatient	1000077 CDM	$4.00	$2.24	$2.45 – $4.00	—
Albuterol 0.083 (2.5 mg/3 ml) nebu 3 ml vial Outpatient	1000077 CDM	$4.00	$2.24	$0.80 – $4.00	—
albuterol-ipratropium (2.5 mg-0.5 mg)/3 mL Nebu 3 Inpatient	1000075 CDM	$4.32	$2.42	$2.65 – $4.32	—
albuterol-ipratropium (2.5 mg-0.5 mg)/3 mL Nebu 3 Outpatient	1000075 CDM	$4.32	$2.42	$0.87 – $4.32	—
Ampicillin 2 gram solr 1 each vial Inpatient	J0290 HCPCS	$47.78	$26.76	$29.27 – $47.78	—
Ampicillin 2 gram solr 1 each vial Outpatient	J0290 HCPCS	$47.78	$26.76	$0.61 – $47.78	—
Ampicillin-sulbactam 3 gram solr 1 each vial Inpatient	J0295 HCPCS	$49.36	$27.64	$30.24 – $49.36	—
Ampicillin-sulbactam 3 gram solr 1 each vial Outpatient	J0295 HCPCS	$49.36	$27.64	$1.60 – $49.36	—
Aspirin chewable 81 mg chew 1 each blist pack Inpatient	1000053 CDM	$3.38	$1.89	$2.07 – $3.38	—
Aspirin chewable 81 mg chew 1 each blist pack Outpatient	1000053 CDM	$3.38	$1.89	$0.68 – $3.38	—
Aspirin chewable 81 mg chew 150 each blist pack Inpatient	1000054 CDM	$3.38	$1.89	$2.07 – $3.38	—
Aspirin chewable 81 mg chew 150 each blist pack Outpatient	1000054 CDM	$3.38	$1.89	$0.68 – $3.38	—
Atropine 0.1 mg/ml 10 ml syringe Inpatient	J0461 HCPCS	$73.45	$41.13	$45.00 – $73.45	—
Atropine 0.1 mg/ml 10 ml syringe Outpatient	J0461 HCPCS	$73.45	$41.13	$0.11 – $73.45	—
Atropine 0.1 mg/ml syrg 10 ml syringe Inpatient	J0461 HCPCS	$56.23	$31.49	$34.45 – $56.23	—
Atropine 0.1 mg/ml syrg 10 ml syringe Outpatient	J0461 HCPCS	$56.23	$31.49	$0.11 – $56.23	—
Atropine 1 drop 5 ml drop btl Inpatient	1000127 CDM	$130	$72.83	$79.68 – $130	—
Atropine 1 drop 5 ml drop btl Outpatient	1000127 CDM	$130	$72.83	$26.17 – $130	—
Azacitidine 100 mg solr 1 each vial Inpatient	J9025 HCPCS	$247	$138	$151 – $247	—
Betamethasone acetsod phos 6 mg/ml susp 5 ml vial Inpatient	J0702 HCPCS	$67.91	$38.03	$41.61 – $67.91	—
Betamethasone acetsod phos 6 mg/ml susp 5 ml vial Outpatient	J0702 HCPCS	$67.91	$38.03	$6.97 – $67.91	—
Bevacizumab-adcd 25 mg/ml soln 16 ml vial Inpatient	Q5129 HCPCS	$4,726	$2,646	$2,896 – $4,726	—