CMS Price Transparency Data

X-ray, chest (single view)

Facility: Carlsbad Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $438
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 4.93x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Carlsbad Medical Center is $438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.93x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$438

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: $128 (144%)
Insurance Median: $438 (493%)
Cash: $128 (144% of Medicare)
Ins. Median: $438 (493% 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 493% of the Medicare baseline (a markup of 393%). 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 $22 - $79 25%
Work Comp Nm $55 - $306 62%
Blue Cross Blue Shield $75 - $767 84%
Veterans Eval Services $80 90%
UnitedHealthcare $83 - $563 93%
Self Pay $85 - $170 96%
Department Of Veterans Affairs $86 97%
Tricare $86 97%
Medicare (plans) $91 102%
Node Molina Mcr Adv $91 102%
Presbyterian $91 - $614 102%
Node Va $92 103%
Triwest $92 103%
Node Choice Care Mcr Adv $95 107%
Node Devoted Health Mcr Adv $95 107%
Us Department Of Labor $115 129%
Wexford Health $115 129%
Node Molina Health Exchange $252 283%
Nm Health Connection $369 415%
Eddy County Detention $425 478%
Zelis $536 - $714 603%
Omni Network $552 621%
Capstar $561 631%
Cigna $590 - $712 664%
Choice Care $595 669%
Ccn First Health $680 765%
Healthsmart $688 - $731 774%
Aetna $714 803%
Multiplan $714 803%
Medical Control Inc $790 889%

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