CMS Price Transparency Data

Blood test, vitamin D

Facility: Carlsbad Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $81
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 2.74x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Carlsbad Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.74x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $23 (78%)
Insurance Median: $81 (274%)
Cash: $23 (78% of Medicare)
Ins. Median: $81 (274% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 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 274% of the Medicare baseline (a markup of 174%). 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 $16 - $31 54%
Medicaid / KanCare $26 - $37 88%
Department Of Veterans Affairs $27 91%
Tricare $27 91%
Blue Cross Blue Shield $29 - $141 98%
Medicare (plans) $29 98%
Node Molina Mcr Adv $29 98%
Presbyterian $29 - $113 98%
Node Choice Care Mcr Adv $30 101%
Node Devoted Health Mcr Adv $30 101%
Node Va $30 101%
Triwest $30 101%
UnitedHealthcare $30 - $103 101%
Veterans Eval Services $30 101%
Work Comp Nm $33 - $56 111%
Us Department Of Labor $37 125%
Wexford Health $37 125%
Eddy County Detention $78 264%
Node Molina Health Exchange $81 274%
Aetna $89 - $131 301%
Zelis $98 - $131 331%
Omni Network $101 341%
Capstar $103 348%
Cigna $108 - $131 365%
Choice Care $109 368%
Nm Health Connection $118 399%
Ccn First Health $125 422%
Healthsmart $126 - $134 426%
Multiplan $131 443%
Medical Control Inc $145 490%

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