CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: New Ulm Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $90
Cash Discount Price: $66
vs. Medicare Baseline: 2.75x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at New Ulm Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 2.75x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $66 (202%)

Insurance Median: $90 (275%)

Cash: $66 (202% of Medicare)

Ins. Median: $90 (275% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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 275% of the Medicare baseline (a markup of 175%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$21 - $129	64%
Ucare Pmap (A B C D E G N O S U R H)	$24 - $32	73%
Medicaid / KanCare	$26 - $56	79%
Hennepin Health	$30	92%
Aetna	$31 - $264	95%
Medica Health System	$31 - $244	95%
Medicare (plans)	$32 - $52	98%
UnitedHealthcare	$33 - $313	101%
Medica	$34 - $223	104%
South Country Health Alliance	$58 - $61	177%
Health Partners	$60 - $102	183%
Cigna	$76 - $111	232%
Medica Ubh (N)	$82 - $98	251%
Americas Ppo (Araz)(B D N O R S V)	$90	275%
Bc Aware/Blue Plus (Nr)	$90	275%
Americas Ppo (Araz)(A M U)	$93 - $108	284%
Medica Ubh Pmap	$94 - $129	287%
Medica Ubh (A)	$97 - $136	296%
Americas Ppo (Araz) (B D N H O R S)	$98	299%
First Health (A C E G H U B D N O R S)	$98 - $136	299%
All Other Contracted Care (A B C D E G H N O R S U)	$117	357%
Medica Dual Solutions (A U)	$152	464%
Medica Mhps	$232	709%

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 $66.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

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 97112.
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.