CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Carlsbad Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.2× the $34 Medicare rate · typically $36–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
About the fair price
about $4 under the fair price · 1.1× Medicare
Medicare pays $34 Fair price $41 This hospital $37 Cash price $90 Hospital's list price $601

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 $32 Priciest $91

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

A fair price for a Physical therapy (functional capacity test) is about $41 (about 1.2× the $34 Medicare rate). Carlsbad Medical Center charges insurers about $37, or about $90 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 $33 - $398 98%
Blue Cross Blue Shieldmajor $32 - $543 95%
Aetnamajor $505 1497%
Cignamajor $417 - $504 1236%
Devoted Health $33 98%
Molina $32 - $88 95%
Presbyterian $32 - $434 95%
+ 9 smaller / regional plans $33 - $559
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