CMS Price Transparency Data

X-ray, ankle

Facility: Carlsbad Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $751
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 8.45x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Carlsbad Medical Center is $751. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.45x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$751

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $179 (201%)
Insurance Median: $751 (845%)
Cash: $179 (201% of Medicare)
Ins. Median: $751 (845% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 845% of the Medicare baseline (a markup of 745%). 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 $23 - $181 26%
Work Comp Nm $76 - $551 85%
Veterans Eval Services $80 90%
Department Of Veterans Affairs $86 97%
Tricare $86 97%
Blue Cross Blue Shield $91 - $1,381 102%
Medicare (plans) $91 102%
Node Molina Mcr Adv $91 102%
Presbyterian $91 - $1,106 102%
Node Va $92 103%
Triwest $92 103%
UnitedHealthcare $94 - $1,013 106%
Node Choice Care Mcr Adv $95 107%
Node Devoted Health Mcr Adv $95 107%
Self Pay $102 - $306 115%
Us Department Of Labor $115 129%
Wexford Health $115 129%
Node Molina Health Exchange $252 283%
Nm Health Connection $369 415%
Eddy County Detention $510 - $765 574%
Zelis $643 - $1,285 723%
Omni Network $663 - $994 746%
Capstar $673 - $1,010 757%
Cigna $707 - $1,282 795%
Choice Care $714 - $1,071 803%
Ccn First Health $816 - $1,224 918%
Healthsmart $826 - $1,316 929%
Aetna $857 - $1,285 964%
Multiplan $857 - $1,285 964%
Medical Control Inc $949 - $1,423 1067%

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