CMS Price Transparency Data

Blood transfusion

Facility: New Ulm Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $564
  • Cash Discount Price: $623
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at New Ulm Medical Center is $564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.25x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$623

Average discount available for prompt cash payment at this facility.

Insurance Median
$564

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $623 (138%)
Insurance Median: $564 (125%)
Cash: $623 (138% of Medicare)
Ins. Median: $564 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 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
Blue Cross Blue Shield $79 - $759 18%
Ucare Pmap (A B C D E G N O S U R H) $225 - $260 50%
Bc Aware/Blue Plus (Nr) $263 58%
Medica Health System $287 - $1,055 64%
Health Partners $398 - $1,004 88%
Medicaid / KanCare $420 - $537 93%
Aetna $432 - $955 96%
Medicare (plans) $455 - $495 101%
Medica $477 - $1,000 106%
Hennepin Health $479 106%
UnitedHealthcare $525 - $782 116%
South Country Health Alliance $553 - $579 123%
Medica Dual Solutions (A U) $574 127%
Medica Ubh (N) $782 - $939 173%
Americas Ppo (Araz)(B D N O R S V) $862 191%
Americas Ppo (Araz)(A M U) $865 192%
Medica Ubh Pmap $894 - $1,034 198%
Medica Ubh (A) $905 - $1,086 201%
Cigna $914 - $1,094 203%
Americas Ppo (Araz) (B D N H O R S) $939 208%
First Health (A C E G H U B D N O R S) $939 - $1,086 208%
Medica Mhps $1,002 222%
All Other Contracted Care (A B C D E G H N O R S U) $1,118 248%

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