CMS Price Transparency Data

Mental health services (assessment)

Facility: New Ulm Medical Center

Billing Code: H0031 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$170
modeled fair price · typically $59–$291
modeled estimate · not a bill or quote
Fair price $170 Cash price $25 Hospital's list price $53

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $32 —
Blue Cross Blue Shieldmajor $31 - $689 —
Aetnamajor $19 - $29 —
Cignamajor $36 —
HealthPartners $12 - $33 —
Medica $12 - $44 —
UCare $11 —
+ 1 smaller / regional plan $21
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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