CMS Price Transparency Data

CT scan, head (with contrast)

Facility: New Ulm Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $917
  • Cash Discount Price: $920
  • vs. Medicare Baseline: 5.12x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at New Ulm Medical Center is $917. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.12x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$920

Average discount available for prompt cash payment at this facility.

Insurance Median
$917

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $920 (513%)
Insurance Median: $917 (512%)
Cash: $920 (513% of Medicare)
Ins. Median: $917 (512% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 512% of the Medicare baseline (a markup of 412%). 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 $113 - $990 63%
Health Partners $162 - $409 90%
Medicaid / KanCare $167 - $1,022 93%
Aetna $172 - $1,819 96%
Medicare (plans) $181 - $943 101%
Medica $190 - $947 106%
Hennepin Health $191 107%
UnitedHealthcare $209 - $1,366 117%
Ucare Pmap (A B C D E G N O S U R H) $272 - $428 152%
Medica Health System $300 - $1,036 167%
Cigna $446 - $1,741 249%
Bc Aware/Blue Plus (Nr) $471 263%
Medica Dual Solutions (A U) $654 365%
Americas Ppo (Araz)(A M U) $903 504%
Medica Ubh (A) $945 - $1,134 527%
Medica Mhps $984 549%
South Country Health Alliance $1,054 - $1,104 588%
Medica Ubh Pmap $1,080 - $1,703 603%
First Health (A C E G H U B D N O R S) $1,134 - $1,788 633%
Medica Ubh (N) $1,490 - $1,788 831%
Americas Ppo (Araz)(B D N O R S V) $1,642 916%
Americas Ppo (Araz) (B D N H O R S) $1,788 998%
All Other Contracted Care (A B C D E G H N O R S U) $2,129 1188%

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