CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: New Ulm Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,652
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at New Ulm Medical Center is $6,652. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.17x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,652

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $6,652 (117%)
Ins. Median: $6,652 (117% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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
Medica Health System $2,604 - $14,310 46%
Medica $3,130 - $13,358 55%
Aetna $3,949 - $12,679 70%
Blue Cross Blue Shield $4,157 - $6,764 73%
Medicare (plans) $4,157 - $6,540 73%
South Country Health Alliance $4,207 - $7,086 74%
Health Partners $4,754 - $14,706 84%
Medica Mhps $13,595 240%
Cigna $16,030 282%
UnitedHealthcare $19,227 339%

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