CMS Price Transparency Data

Blood test, liver function panel

Facility: New Ulm Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $27
Cash Discount Price: $67
vs. Medicare Baseline: 3.30x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at New Ulm Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.30x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)

Cash / Self-Pay: $67 (820%)

Insurance Median: $27 (330%)

Cash: $67 (820% of Medicare)

Ins. Median: $27 (330% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 330% of the Medicare baseline (a markup of 230%). 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 - $49	73%
Medica Health System	$7 - $199	86%
Aetna	$8 - $195	98%
Blue Cross Blue Shield	$8 - $143	98%
Medica	$8 - $189	98%
Medicaid / KanCare	$8 - $110	98%
Medicare (plans)	$8 - $101	98%
Hennepin Health	$9	110%
UnitedHealthcare	$10 - $147	122%
Medica Dual Solutions (A U)	$13 - $108	159%
Health Partners	$15 - $25	184%
South Country Health Alliance	$16 - $118	196%
Americas Ppo (Araz)(A M U)	$20 - $163	245%
Medica Ubh (A)	$21 - $205	257%
Medica Ubh (N)	$22 - $192	269%
Medica Mhps	$23 - $189	282%
Medica Ubh Pmap	$24 - $195	294%
Americas Ppo (Araz)(B D N O R S V)	$25 - $176	306%
First Health (A C E G H U B D N O R S)	$25 - $205	306%
Cigna	$26 - $187	318%
Americas Ppo (Araz) (B D N H O R S)	$27 - $192	330%
All Other Contracted Care (A B C D E G H N O R S U)	$32 - $228	392%
Bc Aware/Blue Plus (Nr)	$72	881%

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 $67.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

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 80076.
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.