Emergency visit, moderate (level 3) at New Ulm Medical Center. CPT 99283.
What New Ulm Medical Center publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$417cash price (self-pay)
$745list price
$150–$1,605range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $150 |
| Allina Aetna Medicare (N) | Allina Aetna Medicare (N) | $267 |
| Medicare | Medicare (N) | $281 |
| Medicaid | Medicaid MA (N) | $326 |
| Medicare Other | All Other Medicare (N) | $330 |
| Medica | Medica Medicare (R) | $331 |
| Medica Health System | Medica Dual Solutions (R) | $335 |
| Blue Cross Blue Shield of Minnesota | BC PMAP (N) | $337 |
| BCBS | BC Medicare (N) | $346 |
| All Other Medicaid | All Other Medicaid (N) | $358 |
| South Country Health Alliance | SCHA MSHO (N) | $369 |
| South Country Health Alliance | SCHA PMAP (N) | $386 |
| Medica Health System | Medica PMAP (N) | $425 |
| Aetna | Aetna Elevate (N R) | $461 |
| Aetna | Aetna Performance (N R) | $498 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $575 |
| Medica UBH PMAP | Medica UBH PMAP (N) | $596 |
| Hpi-Cigna | Hpi Cigna (N) | $609 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $626 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $626 |
| Medica UBH (N) | Medica UBH (N) | $626 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $637 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $745 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (N) | $989 |
| BC AWARE/Blue Plus (NR) | BC AWARE/Blue Plus (NR) | $1,110 |
| Blue Cross Blue Shield of Minnesota | BC Premier(N) | $1,271 |
| BCBS | Bc Aehp (N) | $1,495 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $1,605 |
Inpatient
$417cash price (self-pay)
$745list price
$457–$745range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (N R) | $457 |
| Aetna | Aetna Performance (N R) | $493 |
| Medica UBH (N) | Medica UBH (N) | $522 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $575 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $626 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $626 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $630 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $745 |
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