CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: New Ulm Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$169

about 1.2× the $136 Medicare rate · typically $121–$204

modeled estimate · not a bill or quote

What this hospital charges insurers

$152

Below the fair price — a good deal

about $17 under the fair price · 1.1× Medicare

Medicare pays $136 Fair price $169 This hospital $152 Cash price $200 Hospital's list price $417

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $82 Priciest $152

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $169 (about 1.2× the $136 Medicare rate). New Ulm Medical Center charges insurers about $152, or about $200 in cash — below the fair price — a good deal. Located in New Ulm, MN.

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	$123 - $271	91%
Blue Cross Blue Shieldmajor	$59 - $852	44%
Aetnamajor	$77 - $234	57%
Cignamajor	$103 - $324	76%
HealthPartners	$118 - $297	87%
Medica	$40 - $349	29%
UCare	$25 - $86	18%
+ 4 smaller / regional plans	$63 - $589

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 200), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm New Ulm Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at New Ulm Medical Center

Compare: Office visit, established patient (30-39 min) at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.