CMS Price Transparency Data

CT scan, sinuses

Facility: New Ulm Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,152
Cash Discount Price: $1,113
vs. Medicare Baseline: 10.79x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at New Ulm Medical Center is $1,152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,113. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.79x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$1,113

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,152

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,113 (1042%)

Insurance Median: $1,152 (1079%)

Cash: $1,113 (1042% of Medicare)

Ins. Median: $1,152 (1079% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1079% of the Medicare baseline (a markup of 979%). 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
Blue Cross Blue Shield	$96 - $1,320	90%
Health Partners	$97 - $244	91%
Medicaid / KanCare	$100 - $1,362	94%
Aetna	$102 - $2,425	95%
Medicare (plans)	$108 - $1,257	101%
Medica	$113 - $1,261	106%
Hennepin Health	$114	107%
UnitedHealthcare	$125 - $1,366	117%
Ucare Pmap (A B C D E G N O S U R H)	$181 - $571	169%
Medica Health System	$200 - $1,277	187%
Cigna	$266 - $2,321	249%
Bc Aware/Blue Plus (Nr)	$401	375%
Americas Ppo (Araz)(A M U)	$602 - $1,204	564%
Medica Ubh (A)	$630 - $1,512	590%
Medica Dual Solutions (A U)	$654	612%
Medica Ubh Pmap	$720 - $2,270	674%
First Health (A C E G H U B D N O R S)	$756 - $2,384	708%
Medica Mhps	$984	921%
South Country Health Alliance	$1,204 - $1,471	1127%
Medica Ubh (N)	$1,702 - $2,384	1593%
Americas Ppo (Araz)(B D N O R S V)	$1,876 - $2,189	1756%
Americas Ppo (Araz) (B D N H O R S)	$2,043 - $2,384	1913%
All Other Contracted Care (A B C D E G H N O R S U)	$2,432 - $2,838	2277%

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 $1,113.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.