CMS Price Transparency Data

Group therapy session

Facility: New Ulm Medical Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $109
Cash Discount Price: $162
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Group therapy session at New Ulm Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.05x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)

Cash / Self-Pay: $162 (156%)

Insurance Median: $109 (105%)

Cash: $162 (156% of Medicare)

Ins. Median: $109 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 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.

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	$23 - $302	22%
Ucare Pmap (A B C D E G N O S U R H)	$33 - $103	32%
Aetna	$57 - $281	55%
Medica Dual Solutions (A U)	$72 - $228	69%
Health Partners	$84 - $212	81%
Medicaid / KanCare	$97	93%
Medicare (plans)	$105	101%
Americas Ppo (Araz)(A M U)	$109 - $344	105%
Hennepin Health	$110	106%
Medica	$110	106%
Medica Ubh (A)	$114 - $360	110%
First Health (A C E G H U B D N O R S)	$137 - $432	132%
Cigna	$232	224%

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 $162.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

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 90853.
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.