CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: New Ulm Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $90
Cash Discount Price: $212
vs. Medicare Baseline: 8.52x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at New Ulm Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 8.52x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$212

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)

Cash / Self-Pay: $212 (2008%)

Insurance Median: $90 (852%)

Cash: $212 (2008% of Medicare)

Ins. Median: $90 (852% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 852% of the Medicare baseline (a markup of 752%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Ucare Pmap (A B C D E G N O S U R H)	$6 - $93	57%
Medica Health System	$7 - $378	66%
Aetna	$10 - $371	95%
Medicare (plans)	$10 - $191	95%
Blue Cross Blue Shield	$11 - $272	104%
Medica	$11 - $359	104%
Medicaid / KanCare	$11 - $208	104%
Hennepin Health	$12	114%
UnitedHealthcare	$13 - $280	123%
Medica Dual Solutions (A U)	$14 - $206	133%
South Country Health Alliance	$17 - $225	161%
Health Partners	$19 - $32	180%
Americas Ppo (Araz)(A M U)	$21 - $310	199%
Medica Ubh (A)	$22 - $389	208%
Medica Mhps	$24 - $359	227%
Medica Ubh (N)	$24 - $364	227%
Medica Ubh Pmap	$25 - $371	237%
Americas Ppo (Araz)(B D N O R S V)	$26 - $335	246%
First Health (A C E G H U B D N O R S)	$26 - $389	246%
Americas Ppo (Araz) (B D N H O R S)	$28 - $364	265%
Cigna	$28 - $355	265%
All Other Contracted Care (A B C D E G H N O R S U)	$34 - $434	322%
Bc Aware/Blue Plus (Nr)	$72	682%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $212.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80053.

Insurance In-Network Protection Plan

Contact your insurance company to confirm New Ulm Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80053.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.