CMS Price Transparency Data

Blood test, calcium

Facility: Carlsbad Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $14
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 2.71x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Carlsbad Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.71x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $4 (78%)
Insurance Median: $14 (271%)
Cash: $4 (78% of Medicare)
Ins. Median: $14 (271% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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 271% of the Medicare baseline (a markup of 171%). 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
Self Pay $3 - $6 58%
Blue Cross Blue Shield $5 - $25 97%
Department Of Veterans Affairs $5 97%
Medicaid / KanCare $5 - $6 97%
Medicare (plans) $5 97%
Node Choice Care Mcr Adv $5 97%
Node Devoted Health Mcr Adv $5 97%
Node Molina Mcr Adv $5 97%
Node Va $5 97%
Presbyterian $5 - $20 97%
Tricare $5 97%
Triwest $5 97%
UnitedHealthcare $5 - $19 97%
Veterans Eval Services $5 97%
Us Department Of Labor $6 116%
Wexford Health $6 116%
Work Comp Nm $6 - $10 116%
Eddy County Detention $14 271%
Node Molina Health Exchange $14 271%
Aetna $15 - $24 291%
Capstar $18 349%
Omni Network $18 349%
Zelis $18 - $24 349%
Cigna $19 - $23 368%
Choice Care $20 388%
Nm Health Connection $21 407%
Ccn First Health $22 426%
Healthsmart $23 - $24 446%
Multiplan $24 465%
Medical Control Inc $26 504%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2430 West Pierce Street, Carlsbad, NM 88220
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals