CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: New Ulm Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,638
Cash Discount Price: $2,758
vs. Medicare Baseline: 3.01x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at New Ulm Medical Center is $2,638. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,758. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.01x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$2,758

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,638

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)

Cash / Self-Pay: $2,758 (314%)

Insurance Median: $2,638 (301%)

Cash: $2,758 (314% of Medicare)

Ins. Median: $2,638 (301% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 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 301% of the Medicare baseline (a markup of 201%). 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	$812 - $3,117	93%
Medicaid / KanCare	$818 - $2,597	93%
Aetna	$841 - $4,623	96%
Medicare (plans)	$885 - $2,396	101%
Health Partners	$926 - $2,337	106%
Medica	$929 - $3,239	106%
Hennepin Health	$933	106%
UnitedHealthcare	$1,023 - $4,065	117%
Ucare Pmap (A B C D E G N O S U R H)	$1,042 - $1,089	119%
Medica Health System	$1,150 - $3,545	131%
Medica Dual Solutions (A U)	$1,915	218%
Cigna	$2,547 - $4,425	290%
South Country Health Alliance	$2,679 - $2,805	305%
Bc Aware/Blue Plus (Nr)	$3,158	360%
Medica Mhps	$3,368	384%
Americas Ppo (Araz)(A M U)	$3,467	395%
Medica Ubh (A)	$3,626 - $4,351	413%
Medica Ubh (N)	$3,788 - $4,545	432%
Medica Ubh Pmap	$4,144 - $4,329	472%
Americas Ppo (Araz)(B D N O R S V)	$4,174	476%
First Health (A C E G H U B D N O R S)	$4,351 - $4,545	496%
Americas Ppo (Araz) (B D N H O R S)	$4,545	518%
All Other Contracted Care (A B C D E G H N O R S U)	$5,411	617%

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 $2,758.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

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 95810.
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.