CMS Price Transparency Data

Blood test, lipase

Facility: New Ulm Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $28
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 4.06x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at New Ulm Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 4.06x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Cash / Self-Pay: $25 (363%)
Insurance Median: $28 (406%)
Cash: $25 (363% of Medicare)
Ins. Median: $28 (406% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 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 406% of the Medicare baseline (a markup of 306%). 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 $6 - $45 87%
Blue Cross Blue Shield $7 - $67 102%
Medica $7 - $43 102%
Medicaid / KanCare $7 - $25 102%
Medicare (plans) $7 - $23 102%
Ucare Pmap (A B C D E G N O S U R H) $7 - $11 102%
Hennepin Health $8 116%
Medica Health System $8 - $46 116%
UnitedHealthcare $9 - $34 131%
Health Partners $12 - $21 174%
Medica Dual Solutions (A U) $17 - $25 247%
South Country Health Alliance $20 - $27 290%
Cigna $23 - $43 334%
Americas Ppo (Araz)(A M U) $25 - $37 363%
Medica Ubh (A) $26 - $47 377%
Medica Ubh (N) $28 - $44 406%
Medica Mhps $29 - $43 421%
Medica Ubh Pmap $30 - $45 435%
Americas Ppo (Araz)(B D N O R S V) $31 - $40 450%
First Health (A C E G H U B D N O R S) $31 - $47 450%
Americas Ppo (Araz) (B D N H O R S) $34 - $44 493%
All Other Contracted Care (A B C D E G H N O R S U) $40 - $52 581%
Bc Aware/Blue Plus (Nr) $47 682%

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