CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: New Ulm Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $31
Cash Discount Price: $25
vs. Medicare Baseline: 9.78x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at New Ulm Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 9.78x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)

Cash / Self-Pay: $25 (789%)

Insurance Median: $31 (978%)

Cash: $25 (789% of Medicare)

Ins. Median: $31 (978% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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 978% of the Medicare baseline (a markup of 878%). 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	$2 - $98	63%
Aetna	$3 - $127	95%
Medica	$3 - $129	95%
Medicaid / KanCare	$3 - $71	95%
Medicare (plans)	$3 - $65	95%
Hennepin Health	$4	126%
UnitedHealthcare	$4 - $101	126%
Health Partners	$6 - $10	189%
Medica Health System	$8 - $136	252%
Ucare Pmap (A B C D E G N O S U R H)	$8 - $33	252%
Bc Aware/Blue Plus (Nr)	$9	284%
Cigna	$11 - $121	347%
Medica Dual Solutions (A U)	$17 - $74	536%
South Country Health Alliance	$19 - $77	599%
Americas Ppo (Araz)(A M U)	$26 - $111	820%
Medica Ubh (A)	$27 - $140	852%
Medica Ubh (N)	$27 - $125	852%
Americas Ppo (Araz)(B D N O R S V)	$30 - $114	946%
Medica Mhps	$30 - $129	946%
Medica Ubh Pmap	$30 - $133	946%
First Health (A C E G H U B D N O R S)	$32 - $140	1009%
Americas Ppo (Araz) (B D N H O R S)	$33 - $125	1041%
All Other Contracted Care (A B C D E G H N O R S U)	$39 - $148	1230%

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 $25.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

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 81001.
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.