CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: New Ulm Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $31
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 6.05x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at New Ulm Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 6.05x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $27 (527%)
Insurance Median: $31 (605%)
Cash: $27 (527% of Medicare)
Ins. Median: $31 (605% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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 605% of the Medicare baseline (a markup of 505%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $5 - $147 98%
Blue Cross Blue Shield $5 - $108 98%
Medica $5 - $143 98%
Medicaid / KanCare $5 - $83 98%
Medicare (plans) $5 - $76 98%
Hennepin Health $6 117%
Medica Health System $6 - $150 117%
Ucare Pmap (A B C D E G N O S U R H) $6 - $37 117%
UnitedHealthcare $6 - $112 117%
Health Partners $9 - $16 176%
Medica Dual Solutions (A U) $13 - $82 254%
South Country Health Alliance $15 - $89 293%
Cigna $18 - $141 352%
Americas Ppo (Araz)(A M U) $19 - $123 371%
Medica Ubh (A) $20 - $155 391%
Medica Mhps $22 - $143 430%
Medica Ubh (N) $22 - $145 430%
Medica Ubh Pmap $23 - $148 449%
Americas Ppo (Araz)(B D N O R S V) $24 - $133 469%
First Health (A C E G H U B D N O R S) $24 - $155 469%
Americas Ppo (Araz) (B D N H O R S) $26 - $145 508%
All Other Contracted Care (A B C D E G H N O R S U) $31 - $173 605%
Bc Aware/Blue Plus (Nr) $47 918%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1324 Fifth North Street, New Ulm, MN 56073
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals