CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Carlsbad Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,542

about 1.2× the $14,044 Medicare rate · typically $16,000–$21,044

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,892

About the fair price

about $1,650 under the fair price · 1.1× Medicare

Medicare pays $14,044 Fair price $17,542 This hospital $15,892

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NM hospitals compared.

Cheapest $13,883 Priciest $19,627

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

A fair price for a Hip or knee replacement (inpatient stay) is about $17,542 (about 1.2× the $14,044 Medicare rate). Carlsbad Medical Center charges insurers about $15,892 — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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	$15,816 - $44,237	113%
Blue Cross Blue Shieldmajor	$11,750 - $22,441	84%
Cignamajor	$12,167	87%
Devoted Health	$15,968	114%
Molina	$15,209 - $42,272	108%
Presbyterian	$11,813 - $15,209	84%
+ 6 smaller / regional plans	$11,962 - $61,937

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Carlsbad Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Carlsbad Medical Center

Compare: Hip or knee replacement (inpatient stay) at other NM hospitals

Alta Vista Regional Hospital · Las Vegas $13,883
Christus St Vincent Regional Medical Center · Santa Fe $13,892
Holy Cross Hospital A Div of Taos Health Systems · Taos $14,747
Mountain View Regional Medical Center · Las Cruces $15,397
Eastern New Mexico Medical Center · Roswell $15,647
Covenant Health Hobbs Hospital · Hobbs $17,989
Presbyterian Hospital · Albuquerque $19,013
Artesia General Hospital · Artesia $19,627

Insurance negotiated median for the same procedure, sorted lowest first.