Emergency visit, high (level 4) at New Ulm Medical Center. CPT 99284.
What New Ulm Medical Center publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$685cash price (self-pay)
$1,223list price
$246–$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) | $246 |
| Blue Cross Blue Shield of Minnesota | BC PMAP (N) | $337 |
| Allina Aetna Medicare (N) | Allina Aetna Medicare (N) | $409 |
| Medicare | Medicare (N) | $430 |
| Medica Health System | Medica PMAP (N) | $499 |
| Medicaid | Medicaid MA (N) | $536 |
| Medicare Other | All Other Medicare (N) | $542 |
| Medica | Medica Medicare (R) | $544 |
| Medica Health System | Medica Dual Solutions (R) | $551 |
| BCBS | BC Medicare (N) | $569 |
| All Other Medicaid | All Other Medicaid (N) | $587 |
| South Country Health Alliance | SCHA MSHO (N) | $606 |
| South Country Health Alliance | SCHA PMAP (N) | $634 |
| Aetna | Aetna Elevate (N R) | $757 |
| Aetna | Aetna Performance (N R) | $818 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $944 |
| Medica UBH PMAP | Medica UBH PMAP (N) | $979 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (N) | $989 |
| Hpi-Cigna | Hpi Cigna (N) | $1,000 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,028 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,028 |
| Medica UBH (N) | Medica UBH (N) | $1,028 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $1,045 |
| BC AWARE/Blue Plus (NR) | BC AWARE/Blue Plus (NR) | $1,110 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $1,223 |
| 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
$685cash price (self-pay)
$1,223list price
$750–$1,223range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (N R) | $750 |
| Aetna | Aetna Performance (N R) | $810 |
| Medica UBH (N) | Medica UBH (N) | $856 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $944 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,028 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,028 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $1,035 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $1,223 |
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