CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: New Ulm Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,028
  • Cash Discount Price: $888
  • vs. Medicare Baseline: 4.22x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at New Ulm Medical Center is $1,028. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $888. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.22x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.
Cash / Self-Pay
$888

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,028

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $888 (364%)
Insurance Median: $1,028 (422%)
Cash: $888 (364% of Medicare)
Ins. Median: $1,028 (422% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 422% of the Medicare baseline (a markup of 322%). 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 $140 - $1,239 57%
Health Partners $220 - $555 90%
Medicaid / KanCare $227 - $1,279 93%
Aetna $234 - $2,276 96%
Medicare (plans) $246 - $1,180 101%
Ucare Pmap (A B C D E G N O S U R H) $248 - $536 102%
Medica $258 - $1,432 106%
Hennepin Health $259 106%
Medica Health System $274 - $1,509 112%
UnitedHealthcare $284 - $932 117%
Medica Dual Solutions (A U) $548 - $821 225%
Cigna $605 - $2,179 248%
South Country Health Alliance $659 - $1,381 270%
Bc Aware/Blue Plus (Nr) $769 315%
Americas Ppo (Araz)(A M U) $825 - $1,238 338%
Medica Ubh (A) $863 - $1,554 354%
Medica Ubh (N) $932 - $2,238 382%
Medica Mhps $956 - $1,434 392%
Medica Ubh Pmap $987 - $2,131 405%
Americas Ppo (Araz)(B D N O R S V) $1,028 - $2,055 422%
First Health (A C E G H U B D N O R S) $1,036 - $2,238 425%
Americas Ppo (Araz) (B D N H O R S) $1,119 - $2,238 459%
All Other Contracted Care (A B C D E G H N O R S U) $1,332 - $2,664 546%

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