CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: New Ulm Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $258
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at New Ulm Medical Center is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.04x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$258

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $259 (205%)
Insurance Median: $258 (204%)
Cash: $259 (205% of Medicare)
Ins. Median: $258 (204% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 204% of the Medicare baseline (a markup of 104%). 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
Blue Cross Blue Shield $60 - $507 48%
Ucare Pmap (A B C D E G N O S U R H) $61 - $174 48%
Aetna $87 - $472 69%
Medica $90 - $317 71%
Medicare (plans) $92 73%
Medica Health System $97 - $347 77%
Medicaid / KanCare $103 - $246 82%
South Country Health Alliance $103 - $266 82%
Hennepin Health $118 93%
UnitedHealthcare $129 - $234 102%
Medica Dual Solutions (A U) $153 121%
Medica Ubh (N) $213 - $430 169%
Health Partners $229 - $392 181%
Americas Ppo (Araz)(B D N O R S V) $234 - $395 185%
Medica Ubh Pmap $243 - $691 192%
Cigna $249 - $427 197%
Bc Aware/Blue Plus (Nr) $254 201%
Americas Ppo (Araz) (B D N H O R S) $255 - $430 202%
First Health (A C E G H U B D N O R S) $255 - $725 202%
All Other Contracted Care (A B C D E G H N O R S U) $304 - $512 241%
Medica Mhps $330 261%
Americas Ppo (Araz)(A M U) $361 - $578 286%
Medica Ubh (A) $378 - $725 299%

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