CMS Price Transparency Data

X-ray, lower back

Facility: New Ulm Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $193
Cash Discount Price: $151
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at New Ulm Medical Center is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.81x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$193

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $151 (141%)

Insurance Median: $193 (181%)

Cash: $151 (141% of Medicare)

Ins. Median: $193 (181% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
Blue Cross Blue Shield	$56 - $449	52%
Ucare Pmap (A B C D E G N O S U R H)	$58 - $59	54%
Medica Health System	$64 - $262	60%
Health Partners	$97 - $244	91%
Medicaid / KanCare	$100 - $140	94%
Aetna	$102 - $331	95%
Medicare (plans)	$108 - $129	101%
Medica	$113 - $240	106%
Hennepin Health	$114	107%
UnitedHealthcare	$125 - $325	117%
South Country Health Alliance	$145 - $152	136%
Medica Dual Solutions (A U)	$180	169%
Americas Ppo (Araz)(A M U)	$193	181%
Medica Ubh (A)	$202 - $242	189%
Medica Ubh (N)	$205 - $246	192%
Americas Ppo (Araz)(B D N O R S V)	$225	211%
Medica Ubh Pmap	$231 - $234	216%
Cigna	$239 - $266	224%
First Health (A C E G H U B D N O R S)	$242 - $246	227%
Americas Ppo (Araz) (B D N H O R S)	$246	230%
Medica Mhps	$249	233%
All Other Contracted Care (A B C D E G H N O R S U)	$292	273%
Bc Aware/Blue Plus (Nr)	$311	291%

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 $151.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.