CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Carlsbad Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,168
about 1.3× the $927 Medicare rate · typically $1,005–$1,173
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,098
About the fair price
about $70 under the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,168 This hospital $1,098 Cash price $1,900 Hospital's list price $19,002

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

On the higher side — 6 of 7 other NM hospitals charge less.

Cheapest $526 Priciest $1,571

Black dot = this hospital, among the 8 NM hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $1,168 (about 1.3× the $927 Medicare rate). Carlsbad Medical Center charges insurers about $1,098, or about $1,900 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 $788 - $12,580 85%
Blue Cross Blue Shieldmajor $715 - $17,155 77%
Aetnamajor $15,962 1723%
Cignamajor $9,501 - $15,924 1025%
Devoted Health $994 107%
Molina $946 - $2,625 102%
Presbyterian $946 - $13,733 102%
+ 9 smaller / regional plans $994 - $17,672
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