CMS Price Transparency Data

MRI, brain (no contrast)

Facility: New Ulm Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $983
  • Cash Discount Price: $728
  • vs. Medicare Baseline: 4.03x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at New Ulm Medical Center is $983. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $728. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.03x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$728

Average discount available for prompt cash payment at this facility.

Insurance Median
$983

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $728 (299%)
Insurance Median: $983 (403%)
Cash: $728 (299% of Medicare)
Ins. Median: $983 (403% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 403% of the Medicare baseline (a markup of 303%). 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) $172 - $468 71%
Medica Health System $190 - $1,046 78%
Health Partners $220 - $555 90%
Blue Cross Blue Shield $226 - $1,358 93%
Medicaid / KanCare $227 - $1,116 93%
Aetna $234 - $1,986 96%
Medicare (plans) $246 - $1,029 101%
Medica $258 - $1,033 106%
Hennepin Health $259 106%
UnitedHealthcare $284 - $1,869 117%
Americas Ppo (Araz)(A M U) $572 - $764 235%
Medica Ubh (A) $599 - $960 246%
Cigna $605 - $1,901 248%
Medica Ubh Pmap $684 - $1,860 281%
First Health (A C E G H U B D N O R S) $718 - $1,953 295%
South Country Health Alliance $803 - $1,205 329%
Medica Dual Solutions (A U) $855 351%
Medica Mhps $898 368%
Bc Aware/Blue Plus (Nr) $939 385%
Medica Ubh (N) $1,135 - $1,953 466%
Americas Ppo (Araz)(B D N O R S V) $1,251 - $1,793 513%
Americas Ppo (Araz) (B D N H O R S) $1,362 - $1,953 559%
All Other Contracted Care (A B C D E G H N O R S U) $1,622 - $2,325 665%

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