CMS Price Transparency Data

X-ray, hip

Facility: Carlsbad Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $525
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 5.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Carlsbad Medical Center is $525. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.90x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$525

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: $153 (172%)
Insurance Median: $525 (590%)
Cash: $153 (172% of Medicare)
Ins. Median: $525 (590% 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 590% of the Medicare baseline (a markup of 490%). 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 $30 - $77 34%
Blue Cross Blue Shield $74 - $921 83%
Veterans Eval Services $80 90%
UnitedHealthcare $81 - $675 91%
Department Of Veterans Affairs $86 97%
Tricare $86 97%
Medicare (plans) $91 102%
Node Molina Mcr Adv $91 102%
Presbyterian $91 - $737 102%
Node Va $92 103%
Triwest $92 103%
Node Choice Care Mcr Adv $95 107%
Node Devoted Health Mcr Adv $95 107%
Work Comp Nm $99 - $367 111%
Self Pay $102 - $204 115%
Us Department Of Labor $115 129%
Wexford Health $115 129%
Node Molina Health Exchange $252 283%
Nm Health Connection $369 415%
Eddy County Detention $510 574%
Zelis $643 - $857 723%
Omni Network $663 746%
Capstar $673 757%
Cigna $707 - $855 795%
Choice Care $714 803%
Ccn First Health $816 918%
Healthsmart $826 - $877 929%
Aetna $857 964%
Multiplan $857 964%
Medical Control Inc $949 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