CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: New Ulm Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $36
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at New Ulm Medical Center is $36. 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 $18.39, this hospital’s rate is 1.96x 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
$36

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$18.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $18.39 (100%)
Cash / Self-Pay: $27 (147%)
Insurance Median: $36 (196%)
Cash: $27 (147% of Medicare)
Ins. Median: $36 (196% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $18.39 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.

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
Ucare Pmap (A B C D E G N O S U R H) $7 - $31 38%
Medica Health System $8 - $70 44%
Aetna $13 - $133 71%
Blue Cross Blue Shield $14 - $115 76%
Medica Dual Solutions (A U) $16 - $29 87%
Medicaid / KanCare $18 - $75 98%
Medicare (plans) $18 - $69 98%
Medica $19 - $69 103%
Hennepin Health $21 114%
South Country Health Alliance $21 - $81 114%
UnitedHealthcare $22 - $40 120%
Americas Ppo (Araz)(A M U) $24 - $44 131%
Medica Ubh (A) $25 - $56 136%
Medica Mhps $28 - $51 152%
Medica Ubh Pmap $29 - $125 158%
First Health (A C E G H U B D N O R S) $30 - $131 163%
Medica Ubh (N) $30 - $131 163%
Americas Ppo (Araz)(B D N O R S V) $33 - $120 179%
Health Partners $33 - $57 179%
Cigna $35 - $128 190%
Americas Ppo (Araz) (B D N H O R S) $36 - $131 196%
All Other Contracted Care (A B C D E G H N O R S U) $43 - $156 234%
Bc Aware/Blue Plus (Nr) $80 435%

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