CMS Price Transparency Data

Blood test, vitamin B12

Facility: New Ulm Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $33
Cash Discount Price: $25
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at New Ulm Medical Center is $33. 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 $15.08, this hospital’s rate is 2.19x 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

$33

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)

Cash / Self-Pay: $25 (166%)

Insurance Median: $33 (219%)

Cash: $25 (166% of Medicare)

Ins. Median: $33 (219% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 219% of the Medicare baseline (a markup of 119%). 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)	$7 - $16	46%
Medica Health System	$8 - $64	53%
Aetna	$13 - $63	86%
Blue Cross Blue Shield	$14 - $114	93%
Medicaid / KanCare	$15 - $35	99%
Medicare (plans)	$15 - $33	99%
Medica	$16 - $61	106%
Hennepin Health	$17	113%
Medica Dual Solutions (A U)	$17 - $35	113%
UnitedHealthcare	$19 - $48	126%
South Country Health Alliance	$20 - $38	133%
Americas Ppo (Araz)(A M U)	$25 - $53	166%
Medica Ubh (A)	$26 - $66	172%
Health Partners	$27 - $46	179%
Medica Ubh (N)	$28 - $62	186%
Medica Mhps	$29 - $61	192%
Medica Ubh Pmap	$30 - $63	199%
Americas Ppo (Araz)(B D N O R S V)	$31 - $57	206%
First Health (A C E G H U B D N O R S)	$31 - $66	206%
Cigna	$33 - $60	219%
Americas Ppo (Araz) (B D N H O R S)	$34 - $62	225%
All Other Contracted Care (A B C D E G H N O R S U)	$40 - $74	265%
Bc Aware/Blue Plus (Nr)	$78	517%

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 $25.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

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 82607.
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.