CMS Price Transparency Data

Psychological testing by technician

Facility: New Ulm Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $107
Cash Discount Price: $57
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at New Ulm Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.23x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$456.4

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $456.4 (100%)

Cash / Self-Pay: $57 (12%)

Insurance Median: $107 (23%)

Cash: $57 (12% of Medicare)

Ins. Median: $107 (23% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $456.4 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
Ucare Pmap (A B C D E G N O S U R H)	$16 - $31	4%
Aetna	$29 - $401	6%
Medica Dual Solutions (A U)	$36 - $69	8%
Blue Cross Blue Shield	$48 - $443	11%
Americas Ppo (Araz)(A M U)	$54 - $105	12%
Medica Ubh (A)	$57 - $109	12%
First Health (A C E G H U B D N O R S)	$68 - $131	15%
Health Partners	$363 - $917	80%
Medicare (plans)	$422	92%
Medicaid / KanCare	$426	93%
Medica	$443	97%
Hennepin Health	$485	106%
UnitedHealthcare	$612	134%
Cigna	$999	219%

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 $57.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96138.

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 96138.
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.