CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Carlsbad Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,440
about 1.2× the $1,223 Medicare rate · typically $1,290–$1,527
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,448
About the fair price
about $8 over the fair price · 1.2× Medicare
Medicare pays $1,223 Fair price $1,440 This hospital $1,448 Cash price $1,711 Hospital's list price $17,111

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

On the higher side — 6 of 8 other NM hospitals charge less.

Cheapest $1,024 Priciest $4,030

Black dot = this hospital, among the 9 NM hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $1,440 (about 1.2× the $1,223 Medicare rate). Carlsbad Medical Center charges insurers about $1,448, or about $1,711 in cash — about the fair price. Located in Carlsbad, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $820 - $11,327 67%
Blue Cross Blue Shieldmajor $744 - $15,447 61%
Aetnamajor $14,373 1176%
Cignamajor $8,555 - $14,339 700%
Devoted Health $1,311 107%
Molina $1,248 - $3,464 102%
Presbyterian $1,248 - $12,366 102%
+ 9 smaller / regional plans $1,311 - $15,913
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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