CMS Price Transparency Data

Culture, bacterial

Facility: New Ulm Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $46
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 5.34x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at New Ulm Medical Center is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 5.34x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $38 (441%)
Insurance Median: $46 (534%)
Cash: $38 (441% of Medicare)
Ins. Median: $46 (534% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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 534% of the Medicare baseline (a markup of 434%). 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
Ucare Pmap (A B C D E G N O S U R H) $6 - $24 70%
Medica Health System $7 - $99 81%
Aetna $8 - $97 93%
Medicare (plans) $8 - $50 93%
Blue Cross Blue Shield $9 - $87 104%
Medica $9 - $94 104%
Medicaid / KanCare $9 - $54 104%
Hennepin Health $10 116%
UnitedHealthcare $11 - $73 128%
Medica Dual Solutions (A U) $14 - $54 162%
Health Partners $15 - $26 174%
South Country Health Alliance $17 - $59 197%
Americas Ppo (Araz)(A M U) $21 - $81 244%
Medica Ubh (A) $22 - $102 255%
Medica Mhps $24 - $94 278%
Medica Ubh (N) $24 - $95 278%
Medica Ubh Pmap $25 - $97 290%
Americas Ppo (Araz)(B D N O R S V) $26 - $88 302%
First Health (A C E G H U B D N O R S) $26 - $102 302%
Americas Ppo (Araz) (B D N H O R S) $28 - $95 325%
Cigna $28 - $93 325%
All Other Contracted Care (A B C D E G H N O R S U) $34 - $114 394%
Bc Aware/Blue Plus (Nr) $60 696%

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