How many shoppable procedure prices are published for New Ulm Medical Center?

New Ulm Medical Center in New Ulm, MN currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do New Ulm Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, New Ulm Medical Center's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is New Ulm Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns New Ulm Medical Center an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 24 Beds · rural Updated: 2026-06-16

New Ulm Medical Center

1324 Fifth North Street, New Ulm, MN 56073 · 120 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

1.61×vs. Fair Market Price

Typical commercial prices here are +61% above the fair benchmark (1.61×) even after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 62% of the Time

File Completeness100

Price Logic73

Peer Alignment77

Clean Billing88

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.61× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 7,658), New Ulm Medical Center commands a 1.61× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#62 of 76 in MN · 80th State Percentile#2,781 of 3,385 in U.S. · 82nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.10× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 62% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 77% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (48.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.61× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.61× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.91×) jump +19% above the median procedure ratio (Q50 1.61×)
Consolidated metro market (HHI 7,658) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+19% Upper Tail

Q25 1.10× · Q50 1.61× · Q75 1.91×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

62% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 74/100Fair

Procedure Prices at New Ulm Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,586	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$23,421	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,012	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,466	$8,223	1.2×
Breast lump removal CPT Code: `19120`	$3,255	$3,822	$3,875	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,487	$1,891	$1,021	1.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,264	$1,421	$855	unverified
Trauma team activation HCPCS Code: `G0390`	$1,897	$1,395	$1,453	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$912	$862	$511	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$864	$661	$448	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$479	$613	$338	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$547	$620	$343	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$718	$630	$369	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$746	$587	$583	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$648	$487	$303	1.6×
Blood transfusion CPT Code: `36430`	$620	$435	$498	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$864	$405	$258	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$648	$376	$242	1.6×
Rabies immune globulin HCPCS Code: `90375`	$987	$362	$322	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$432	$332	$169	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$432	$324	$168	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$740	$316	$272	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$228	$266	$126	2.1×
Ultrasound, pelvis CPT Code: `76856`	$304	$266	$130	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$299	$266	$132	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$379	$266	$134	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$324	$288	$167	1.7×
CT scan, pelvis CPT Code: `72192`	$648	$275	$163	1.7×
Behavioral health assessment HCPCS Code: `H0001`	$347	$255	$157	1.6×
CT scan, sinuses CPT Code: `70486`	$648	$269	$166	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$432	$243	$160	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$641	$215	$151	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$161	$208	$201	1.0×
X-ray, shoulder CPT Code: `73030`	$173	$180	$92	2.0×
X-ray, foot CPT Code: `73630`	$173	$180	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$173	$180	$93	1.9×
X-ray, hip CPT Code: `73502`	$277	$180	$93	1.9×
X-ray, pelvis CPT Code: `72170`	$173	$180	$110	1.6×
X-ray, lower back CPT Code: `72110`	$138	$180	$112	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$153	$174	$185	0.9×
Neurobehavioral status check CPT Code: `96116`	$209	$190	$231	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$517	$160	$148	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$173	$180	$93	unverified
X-ray, hand CPT Code: `73130`	$138	$180	$93	unverified
X-ray, ankle CPT Code: `73610`	$173	$180	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$229	$146	$86	1.7×
X-ray, chest (single view) CPT Code: `71045`	$173	$143	$92	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$203	$165	$123	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$311	$146	$123	1.2×
Family therapy session CPT Code: `90847`	$119	$153	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$173	$173	$181	unverified
Orthotic fitting and training CPT Code: `97760`	$77	$99	$51	1.9×
Residential substance abuse treatment HCPCS Code: `H2035`	$88	$123	$88	1.4×
Psychological testing evaluation CPT Code: `96136`	$57	$113	$128	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$128	$128	$166	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$170	$140	$87	unverified
Prosthetic fitting and training CPT Code: `97761`	$77	$87	$45	1.9×
Behavioral health day program HCPCS Code: `H2012`	$134	$100	$100	1.0×
Typhoid vaccine HCPCS Code: `90675`	$520	$373	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$343	$214	$203	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$176	$121	$111	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$93	$93	$27	3.4×
Drug screening test HCPCS Code: `G0480`	$64	$106	$116	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$141	$118	$140	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$119	$119	$11	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$91	$79	$86	0.9×
Speech therapy (group session) CPT Code: `92508`	$229	$52	$27	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$76	$40	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$77	$57	$38	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$72	$55	$38	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$77	$49	$35	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$124	$70	$64	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$72	$70	$38	unverified
Blood test, amylase CPT Code: `82150`	$24	$24	$7	3.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$23	$38	$19	2.0×
Blood test, calcium CPT Code: `82310`	$20	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$26	$10	$5	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$10	$5	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$47	$12	$6	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$23	$35	$18	1.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$26	$8	$4	2.0×
Hepatitis C antibody test CPT Code: `86803`	$29	$29	$15	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$25	$19	$10	1.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$77	$25	$14	1.8×
Physical therapy (gait training) CPT Code: `97116`	$77	$43	$33	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$72	$44	$34	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$57	$43	$37	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$68	$17	$9	1.9×
Blood test, lipase CPT Code: `83690`	$22	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$18	$13	$7	1.9×
Blood test, liver function panel CPT Code: `80076`	$66	$16	$9	1.8×
Blood test, vitamin D CPT Code: `82306`	$36	$36	$31	1.2×
Psychological testing by technician CPT Code: `96138`	$57	$57	$395	0.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$50	$28	$25	1.1×
Blood antibody screen CPT Code: `86850`	$109	$49	$46	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$87	$49	$56	0.9×
Group therapy session CPT Code: `90853`	$162	$54	$100	0.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$16	$8	$4	2.0×
Blood test, potassium CPT Code: `84132`	$21	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$21	$10	$5	2.0×
Culture, bacterial CPT Code: `87070`	$35	$17	$9	1.9×
Culture, blood CPT Code: `87040`	$67	$20	$11	1.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$49	$5	$3	1.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$23	$23	$14	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$23	$23	$16	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$25	$25	$20	1.3×
Behavioral health outpatient services HCPCS Code: `H2015`	$14	$16	$16	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$61	$37	$39	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$32	$11	$8	1.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$54	$28	$33	0.8×
Behavioral health living support HCPCS Code: `H2019`	$49	$23	$34	0.7×
Mental health services (therapy) HCPCS Code: `H0032`	$25	$25	$65	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$12	$12	$48	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$10	$10	$49	0.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$35	$35	$35	unverified
Blood test, hemoglobin CPT Code: `85018`	$37	$4	$3	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$9	$9	$49	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	$25	$25	$140	0.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$18	$18	$14	unverified
Community mental health services HCPCS Code: `H0038`	$30	$35	$16	unverified

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 48.5%

Audit a Bill or Quote at New Ulm Medical Center (Zero PHI Required)

CMS CCN: 241378

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $23,586

1. Amount on Your Bill or Quote ($) Pre-filled with New Ulm Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $27,448 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $27,448

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (48.5% of gross = $27,448).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask New Ulm Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$37,519 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($56,606) is $37,519 above the denoised Fair BaseRate ($19,087) and 4.0× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 363261413

Filing Period: 198403

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (48.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait92 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (365 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for New Ulm Medical Center.

Price Index: 1.00× regional baseline

Quality: 71/100 CMS composite

Median Household Income$68,690U.S. Census ACS

Local Uninsured Share3.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 87/100 · Verified CMS CCN 241378 EIN 363261413

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 241378) ↗ Verify IRS Form 990 (EIN 363261413) ↗ CMS HCRIS Cost Reports ↗

Published MRF File363261413_new-ulm-medical-center_standardcharges.csv

Publication / Vintage2026-06-16 · 95.77 MB

Validated Rate Rows6,872 (CMS v3.0.0)

File Integrity Digeste418b86d9d83477a8854…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy