CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Carlsbad Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $913
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 8.55x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Carlsbad Medical Center is $913. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.55x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$913

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $266 (249%)
Insurance Median: $913 (855%)
Cash: $266 (249% of Medicare)
Ins. Median: $913 (855% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 855% of the Medicare baseline (a markup of 755%). 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
Medicaid / KanCare $72 - $124 67%
Veterans Eval Services $97 91%
Department Of Veterans Affairs $104 97%
Tricare $104 97%
Blue Cross Blue Shield $109 - $1,600 102%
Medicare (plans) $109 102%
Node Molina Mcr Adv $109 102%
Presbyterian $109 - $1,281 102%
Node Va $111 104%
Triwest $111 104%
UnitedHealthcare $113 - $982 106%
Node Choice Care Mcr Adv $115 108%
Node Devoted Health Mcr Adv $115 108%
Us Department Of Labor $139 130%
Wexford Health $139 130%
Self Pay $177 - $354 166%
Work Comp Nm $183 - $638 171%
Node Molina Health Exchange $303 284%
Nm Health Connection $443 415%
Eddy County Detention $886 830%
Zelis $1,116 - $1,488 1045%
Omni Network $1,152 1079%
Capstar $1,170 1095%
Cigna $1,229 - $1,485 1151%
Choice Care $1,240 1161%
Ccn First Health $1,418 1328%
Healthsmart $1,435 - $1,524 1344%
Aetna $1,488 1393%
Multiplan $1,488 1393%
Medical Control Inc $1,648 1543%

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