CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: New Ulm Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,094
  • Cash Discount Price: $1,227
  • vs. Medicare Baseline: 3.07x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at New Ulm Medical Center is $1,094. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,227. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.07x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$1,227

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,094

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,227 (344%)
Insurance Median: $1,094 (307%)
Cash: $1,227 (344% of Medicare)
Ins. Median: $1,094 (307% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 307% of the Medicare baseline (a markup of 207%). 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
Blue Cross Blue Shield $221 - $1,329 62%
Health Partners $325 - $820 91%
Medicaid / KanCare $332 - $1,362 93%
Aetna $342 - $2,425 96%
Medicare (plans) $360 - $1,257 101%
Ucare Pmap (A B C D E G N O S U R H) $362 - $571 102%
Medica $378 - $1,261 106%
Hennepin Health $379 106%
Medica Health System $399 - $1,277 112%
UnitedHealthcare $415 - $1,366 116%
Medica Dual Solutions (A U) $654 183%
Cigna $894 - $2,321 251%
Bc Aware/Blue Plus (Nr) $919 258%
Medica Mhps $984 276%
Americas Ppo (Araz)(A M U) $1,204 338%
Medica Ubh (A) $1,260 - $1,512 354%
South Country Health Alliance $1,405 - $1,471 394%
Medica Ubh Pmap $1,440 - $2,270 404%
First Health (A C E G H U B D N O R S) $1,512 - $2,384 424%
Medica Ubh (N) $1,987 - $2,384 557%
Americas Ppo (Araz)(B D N O R S V) $2,189 614%
Americas Ppo (Araz) (B D N H O R S) $2,384 669%
All Other Contracted Care (A B C D E G H N O R S U) $2,838 796%

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