Observation direct referral from physician office for admission at New Ulm Medical Center
1324 5th St N. New Ulm, MN 56073, MN · Allinahealth · · NPI 1558328435
$110.71
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$197.70
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$39.78 with ucare pmap (a b c d e g n o s u r h) vs $1,441.89 with blue cross blue shield of minnesota — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $39.78 | ↓ -64% |
| medica health system | medica pmap (n) | $62.87 | ↓ -43% |
| medicaid | medicaid ma (n) | $86.54 | ↓ -22% |
| medicare other | all other medicare (n) | $87.55 | ↓ -21% |
| medica | medica medicare (r) | $87.83 | ↓ -21% |
| medica health system | medica dual solutions (r) | $88.97 | ↓ -20% |
| bcbs | bc medicare (n) | $91.93 | ↓ -17% |
| all other medicaid | all other medicaid (n) | $94.90 | ↓ -14% |
| south country health alliance | scha msho (n) | $97.87 | ↓ -12% |
| south country health alliance | scha pmap (n) | $102.49 | ↓ -7% |
| aetna | aetna elevate (n r) | $121.13 | ↑ +9% |
| aetna | aetna performance (n r) | $130.86 | ↑ +18% |
| medica ubh (n) | medica ubh (n) | $138.39 | ↑ +25% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $152.51 | ↑ +38% |
| medica ubh pmap | medica ubh pmap (n) | $158.16 | ↑ +43% |
| hpi-cigna | hpi cigna (n) | $161.68 | ↑ +46% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $166.07 | ↑ +50% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $166.07 | ↑ +50% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $167.21 | ↑ +51% |
| all other contracted care (a b c d e g h n o r s u) | all other contracted care (a b c d m h n o r s u v) | $197.70 | ↑ +79% |
| blue cross blue shield of minnesota | bc pmap (n) | $329.82 | ↑ +198% |
| blue cross blue shield of minnesota | bc state health plan (n) | $888.82 | ↑ +703% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $997.29 | ↑ +801% |
| blue cross blue shield of minnesota | bc premier(n) | $1,141.80 | ↑ +931% |
| bcbs | bc aehp (n) | $1,343.23 | ↑ +1113% |
| blue cross blue shield of minnesota | bc high value/performance network (n) | $1,441.89 | ↑ +1202% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $194.40 | $58.83 – $218.70 |
| Sanford Bagley Medical Center | Bagley | $200.00 | $60.53 – $225.00 |
| Sanford Wheaton | Wheaton | $212.00 | $64.16 – $238.50 |
| Sanford Luverne Medical Center | Luverne | $196.80 | $59.56 – $221.40 |
| Sanford Bemidji Medical Center | Bemidji | $200.00 | $113.93 – $631.78 |
| Sanford Worthington Medical Center | Worthington | $76.00 | $36.83 – $631.78 |
| Sanford Tracy Hospital | Tracy | $194.40 | $58.83 – $218.70 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $225.60 | $96.87 – $253.80 |