Hospital Hobbs, NM

Covenant Hospital Hobbs

Covenant Hospital Hobbs in Hobbs, NM publishes cash prices for 280 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Mexico median for 165 of 274 procedures and below it for 92. By typical cash price it ranks #14 of 20 New Mexico hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

4900 N Lovington Hwy, Hobbs, NM 88240 Collected Nov 4, 2026 Source price file Check a bill from this hospital (575) 492-5000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 320065 · CMS hospital register NPI 1215534466

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Covenant Hospital Hobbs is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$2,887.92	$6,876.00	—	20% above	58%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$2,887.92	$6,876.00	—	—	58%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$294.00	$700.00	—	56% above	58%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$294.00	$700.00	—	—	58%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$330.96	$788.00	—	25% above	58%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$330.96	$788.00	—	—	58%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$403.62	$961.00	—	2% below	58%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$403.62	$961.00	—	—	58%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,719.06	$4,093.00	—	22% above	58%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,719.06	$4,093.00	—	—	58%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS W CONTRAST	$502.32	$1,196.00	—	3% above	58%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS W CONTRAST	$502.32	$1,196.00	—	—	58%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE	$293.16	$698.00	—	40% below	58%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE	$293.16	$698.00	—	—	58%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US ED BREAST UNI LIMITED CDM	$293.16	$698.00	—	10% above	58%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED	$293.16	$698.00	—	10% above	58%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US ED BREAST UNI LIMITED CDM	$293.16	$698.00	—	—	58%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED	$293.16	$698.00	—	—	58%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS	$1,273.02	$3,031.00	—	48% below	58%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS	$1,273.02	$3,031.00	—	—	58%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$614.46	$1,463.00	—	64% below	58%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$614.46	$1,463.00	—	—	58%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$614.46	$1,463.00	—	61% below	58%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$614.46	$1,463.00	—	—	58%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST	$742.14	$1,767.00	—	67% below	58%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST	$742.14	$1,767.00	—	—	58%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$2,982.84	$7,102.00	—	11% above	58%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$2,982.84	$7,102.00	—	—	58%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$3,589.74	$8,547.00	—	7% above	58%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$3,589.74	$8,547.00	—	—	58%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$4,115.16	$9,798.00	—	2% above	58%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$4,115.16	$9,798.00	—	—	58%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$2,594.34	$6,177.00	—	26% above	58%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$2,594.34	$6,177.00	—	—	58%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$2,296.56	$5,468.00	—	29% above	58%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$2,296.56	$5,468.00	—	—	58%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$1,797.18	$4,279.00	—	38% above	58%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$1,797.18	$4,279.00	—	—	58%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,556.10	$3,705.00	—	3% above	58%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,556.10	$3,705.00	—	—	58%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,947.12	$4,636.00	—	9% above	58%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,947.12	$4,636.00	—	—	58%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$2,391.06	$5,693.00	—	19% above	58%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$2,391.06	$5,693.00	—	—	58%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$2,094.12	$4,986.00	—	17% above	58%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$2,094.12	$4,986.00	—	—	58%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE WO CONTRAST	$2,137.80	$5,090.00	—	3% above	58%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT NECK SPINE WO CONTRAST	$2,137.80	$5,090.00	—	—	58%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$2,567.04	$6,112.00	—	31% above	58%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$2,567.04	$6,112.00	—	—	58%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,031.10	$2,455.00	—	—	58%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,031.10	$2,455.00	—	—	58%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W & W/O CONTRAST	$2,887.08	$6,874.00	—	37% above	58%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W & W/O CONTRAST	$2,887.08	$6,874.00	—	—	58%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$331.80	$790.00	—	37% above	58%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$331.80	$790.00	—	—	58%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$259.14	$617.00	—	21% above	58%
Chest X-ray, single view CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$259.14	$617.00	—	21% above	58%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$259.14	$617.00	—	—	58%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$259.14	$617.00	—	—	58%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$237.72	$566.00	—	5% below	58%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$237.72	$566.00	—	—	58%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$687.96	$1,638.00	—	30% above	58%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$687.96	$1,638.00	—	—	58%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$477.12	$1,136.00	—	89% above	58%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$477.12	$1,136.00	—	—	58%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$116.34	$277.00	—	47% below	58%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$116.34	$277.00	—	—	58%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB DETAILED SINGLE FETUS CDM	$296.10	$705.00	—	35% below	58%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB DETAILED SINGLE FETUS CDM	$296.10	$705.00	—	—	58%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST	$2,276.82	$5,421.00	—	40% above	58%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST	$2,276.82	$5,421.00	—	—	58%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$2,725.38	$6,489.00	—	44% above	58%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$2,725.38	$6,489.00	—	—	58%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD	$338.94	$807.00	—	28% above	58%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD	$338.94	$807.00	—	—	58%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD	$129.78	$309.00	—	30% below	58%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD	$129.78	$309.00	—	—	58%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$1,236.06	$2,943.00	—	—	58%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$1,236.06	$2,943.00	—	—	58%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,267.56	$3,018.00	—	—	58%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,267.56	$3,018.00	—	—	58%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$2,306.22	$5,491.00	—	74% above	58%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$2,306.22	$5,491.00	—	—	58%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW LIMITED	$225.54	$537.00	—	at median	58%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$225.54	$537.00	—	at median	58%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$225.54	$537.00	—	—	58%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW LIMITED	$225.54	$537.00	—	—	58%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$322.14	$767.00	—	33% above	58%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$322.14	$767.00	—	—	58%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,749.72	$4,166.00	—	30% above	58%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,749.72	$4,166.00	—	—	58%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$336.42	$801.00	—	10% above	58%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$336.42	$801.00	—	—	58%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 1 VIEW	$253.68	$604.00	—	3% above	58%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$253.68	$604.00	—	3% above	58%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 1 VIEW	$253.68	$604.00	—	—	58%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$253.68	$604.00	—	—	58%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$253.68	$604.00	—	8% above	58%
Hand X-ray, 2 views CPT 73120 HC XR HAND 1 VIEW	$253.68	$604.00	—	8% above	58%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$253.68	$604.00	—	—	58%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 1 VIEW	$253.68	$604.00	—	—	58%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL MIN 2 VIEWS	$253.68	$604.00	—	8% above	58%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL MIN 2 VIEWS	$253.68	$604.00	—	—	58%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$362.88	$864.00	—	22% above	58%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$362.88	$864.00	—	—	58%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4/PLUS VIEWS	$432.18	$1,029.00	—	23% above	58%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4/PLUS VIEWS	$432.18	$1,029.00	—	—	58%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,696.80	$4,040.00	—	3% above	58%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,696.80	$4,040.00	—	—	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ED ABDOMEN LIMITED CDM	$355.74	$847.00	—	26% below	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$355.74	$847.00	—	26% below	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ED ABDOMEN LIMITED CDM	$355.74	$847.00	—	—	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$355.74	$847.00	—	—	58%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$374.64	$892.00	—	17% above	58%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$374.64	$892.00	—	17% above	58%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$374.64	$892.00	—	—	58%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$374.64	$892.00	—	—	58%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG 2 VIEWS	$294.00	$700.00	—	7% above	58%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG LIMITED	$294.00	$700.00	—	7% above	58%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG LIMITED	$294.00	$700.00	—	—	58%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG 2 VIEWS	$294.00	$700.00	—	—	58%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$2,192.82	$5,221.00	—	20% above	58%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$2,192.82	$5,221.00	—	—	58%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED	$801.78	$1,909.00	—	46% below	58%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,602.72	$3,816.00	—	9% above	58%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED	$801.78	$1,909.00	—	—	58%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,602.72	$3,816.00	—	—	58%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$2,278.92	$5,426.00	—	8% below	58%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$2,278.92	$5,426.00	—	—	58%
MRI of the abdomen without contrast CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$2,420.88	$5,764.00	—	12% above	58%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$2,420.88	$5,764.00	—	12% above	58%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$2,420.88	$5,764.00	—	—	58%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$2,420.88	$5,764.00	—	—	58%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,960.16	$7,048.00	—	7% above	58%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,960.16	$7,048.00	—	—	58%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE	$2,192.82	$5,221.00	—	19% above	58%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE	$2,192.82	$5,221.00	—	—	58%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE	$2,623.74	$6,247.00	—	5% below	58%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE	$2,623.74	$6,247.00	—	—	58%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED	$1,283.94	$3,057.00	—	37% below	58%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$2,567.04	$6,112.00	—	26% above	58%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED	$1,283.94	$3,057.00	—	—	58%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$2,567.04	$6,112.00	—	—	58%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE LIMITED	$1,548.96	$3,688.00	—	46% below	58%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$3,097.92	$7,376.00	—	8% above	58%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE LIMITED	$1,548.96	$3,688.00	—	—	58%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$3,097.92	$7,376.00	—	—	58%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE LIMITED	$910.98	$2,169.00	—	59% below	58%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,821.12	$4,336.00	—	18% below	58%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE LIMITED	$910.98	$2,169.00	—	—	58%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,821.12	$4,336.00	—	—	58%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,623.74	$6,247.00	—	6% below	58%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,623.74	$6,247.00	—	—	58%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$2,192.82	$5,221.00	—	5% above	58%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$2,192.82	$5,221.00	—	—	58%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & W CONTRAST	$3,107.16	$7,398.00	—	at median	58%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & W CONTRAST	$3,107.16	$7,398.00	—	—	58%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$2,588.88	$6,164.00	—	30% above	58%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$2,588.88	$6,164.00	—	—	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE LIMITED	$910.98	$2,169.00	—	41% below	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,821.12	$4,336.00	—	17% above	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE LIMITED	$910.98	$2,169.00	—	—	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,821.12	$4,336.00	—	—	58%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$391.44	$932.00	—	at median	58%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$391.44	$932.00	—	—	58%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,934.52	$4,606.00	—	16% above	58%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,934.52	$4,606.00	—	—	58%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,749.72	$4,166.00	—	19% above	58%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,749.72	$4,166.00	—	—	58%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$338.94	$807.00	—	44% above	58%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$338.94	$807.00	—	—	58%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$2,276.82	$5,421.00	—	36% above	58%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$2,276.82	$5,421.00	—	—	58%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED	$191.94	$457.00	—	54% below	58%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$191.94	$457.00	—	54% below	58%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LIMITED	$191.94	$457.00	—	—	58%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$191.94	$457.00	—	—	58%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON-OB COMPLETE	$704.76	$1,678.00	—	35% above	58%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON-OB COMPLETE	$704.76	$1,678.00	—	—	58%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$355.74	$847.00	—	30% below	58%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$355.74	$847.00	—	—	58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$496.44	$1,182.00	—	at median	58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$496.44	$1,182.00	—	—	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$406.98	$969.00	—	7% below	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED FETUS(S) CDM	$406.98	$969.00	—	7% below	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED FETUS(S) CDM	$406.98	$969.00	—	—	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$406.98	$969.00	—	—	58%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS UNI 2 VIEWS	$322.14	$767.00	—	20% above	58%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS UNI 2 VIEWS	$322.14	$767.00	—	—	58%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$487.62	$1,161.00	—	62% above	58%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$487.62	$1,161.00	—	—	58%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$177.66	$423.00	—	38% below	58%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD	$177.66	$423.00	—	38% below	58%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD	$177.66	$423.00	—	—	58%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$177.66	$423.00	—	—	58%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$293.58	$699.00	—	24% above	58%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$293.58	$699.00	—	—	58%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$343.98	$819.00	—	12% above	58%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$343.98	$819.00	—	—	58%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3 VIEWS	$351.54	$837.00	—	11% above	58%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3 VIEWS	$351.54	$837.00	—	—	58%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$997.92	$2,376.00	—	88% above	58%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$997.92	$2,376.00	—	—	58%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$304.08	$724.00	—	30% above	58%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$304.08	$724.00	—	—	58%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE WO CONTRAST	$2,099.58	$4,999.00	—	23% above	58%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT CHEST SPINE WO CONTRAST	$2,099.58	$4,999.00	—	—	58%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$253.68	$604.00	—	34% above	58%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$253.68	$604.00	—	—	58%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$744.24	$1,772.00	—	53% above	58%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$744.24	$1,772.00	—	—	58%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL CDM	$814.80	$1,940.00	—	136% above	58%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL CDM	$814.80	$1,940.00	—	—	58%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE	$708.96	$1,688.00	—	18% above	58%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE	$708.96	$1,688.00	—	—	58%
Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM & CONTENTS	$573.30	$1,365.00	—	10% above	58%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US EXAM SCROTUM & CONTENTS	$573.30	$1,365.00	—	—	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$458.64	$1,092.00	—	at median	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$458.64	$1,092.00	—	at median	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$458.64	$1,092.00	—	—	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$458.64	$1,092.00	—	—	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$264.60	$630.00	—	50% below	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$264.60	$630.00	—	—	58%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$253.68	$604.00	—	2% above	58%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 1 VIEW	$253.68	$604.00	—	2% above	58%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 1 VIEW	$253.68	$604.00	—	—	58%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$253.68	$604.00	—	—	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$997.08	$2,374.00	—	69% above	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$997.08	$2,374.00	—	—	58%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 1 VIEW	$225.54	$537.00	—	at median	58%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$225.54	$537.00	—	at median	58%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 1 VIEW	$225.54	$537.00	—	—	58%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$225.54	$537.00	—	—	58%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$293.58	$699.00	—	11% above	58%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$293.58	$699.00	—	—	58%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$262.92	$626.00	—	12% above	58%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$262.92	$626.00	—	—	58%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$246.96	$588.00	—	6% above	58%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$246.96	$588.00	—	6% above	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$246.96	$588.00	—	—	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$246.96	$588.00	—	—	58%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$204.54	$487.00	—	3% above	58%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 1 VIEW	$204.54	$487.00	—	3% above	58%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$204.54	$487.00	—	—	58%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 1 VIEW	$204.54	$487.00	—	—	58%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$225.54	$537.00	—	25% above	58%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$225.54	$537.00	—	—	58%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 1 VIEW	$251.16	$598.00	—	16% above	58%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$251.16	$598.00	—	16% above	58%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$251.16	$598.00	—	—	58%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 1 VIEW	$251.16	$598.00	—	—	58%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$293.58	$699.00	—	10% above	58%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$293.58	$699.00	—	—	58%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VIEWS	$293.58	$699.00	—	20% above	58%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VIEWS	$293.58	$699.00	—	—	58%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2 VIEWS	$253.68	$604.00	—	8% above	58%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2 VIEWS	$253.68	$604.00	—	—	58%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$288.12	$686.00	—	7% below	58%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$288.12	$686.00	—	—	58%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$483.00	$1,150.00	—	23% above	58%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$483.00	$1,150.00	—	—	58%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$156.66	$373.00	—	47% below	58%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$156.66	$373.00	—	—	58%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$285.60	$680.00	—	22% above	58%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$285.60	$680.00	—	—	58%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$285.60	$680.00	—	5% above	58%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$285.60	$680.00	—	—	58%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$247.38	$589.00	—	2% below	58%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$247.38	$589.00	—	—	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$253.68	$604.00	—	at median	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$253.68	$604.00	—	—	58%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT)	$103.32	$246.00	—	42% above	58%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT)	$103.32	$246.00	—	—	58%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST)	$104.16	$248.00	—	70% above	58%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST)	$104.16	$248.00	—	—	58%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN	$73.50	$175.00	—	68% above	58%
Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB	$73.50	$175.00	—	68% above	58%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN	$73.50	$175.00	—	—	58%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB	$73.50	$175.00	—	—	58%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE LAB	$112.98	$269.00	—	62% above	58%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS	$112.98	$269.00	—	62% above	58%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE LAB	$112.98	$269.00	—	—	58%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS	$112.98	$269.00	—	—	58%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA LAB	$208.32	$496.00	—	81% above	58%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA LAB	$208.32	$496.00	—	—	58%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE LAB	$184.38	$439.00	—	86% above	58%
Amylase blood test CPT 82150 HC AMYLASE	$184.38	$439.00	—	86% above	58%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE	$184.38	$439.00	—	86% above	58%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$184.38	$439.00	—	—	58%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE LAB	$184.38	$439.00	—	—	58%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE	$184.38	$439.00	—	—	58%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$145.74	$347.00	—	15% below	58%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE LAB	$145.74	$347.00	—	15% below	58%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$145.74	$347.00	—	—	58%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE LAB	$145.74	$347.00	—	—	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL LAB	$144.06	$343.00	—	70% above	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIA OTHER	$144.06	$343.00	—	70% above	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIA OTHER	$144.06	$343.00	—	—	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL LAB	$144.06	$343.00	—	—	58%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$86.94	$207.00	—	43% below	58%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$86.94	$207.00	—	—	58%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL LAB	$65.10	$155.00	—	at median	58%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$65.10	$155.00	—	at median	58%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL LAB	$65.10	$155.00	—	—	58%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$65.10	$155.00	—	—	58%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$99.12	$236.00	—	52% below	58%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$99.12	$236.00	—	—	58%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$183.12	$436.00	—	40% above	58%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$183.12	$436.00	—	—	58%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$15.12	$36.00	—	34% below	58%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ED ROUTINE VENIPUNCTURE OR LEGAL DRAW CDM	$15.12	$36.00	—	34% below	58%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$15.12	$36.00	—	34% below	58%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$15.12	$36.00	—	—	58%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ED ROUTINE VENIPUNCTURE OR LEGAL DRAW CDM	$15.12	$36.00	—	—	58%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$15.12	$36.00	—	—	58%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP LAB	$55.44	$132.00	—	42% above	58%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$55.44	$132.00	—	42% above	58%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$55.44	$132.00	—	—	58%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP LAB	$55.44	$132.00	—	—	58%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$107.52	$256.00	—	at median	58%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$107.52	$256.00	—	—	58%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$82.32	$196.00	—	7% below	58%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$82.32	$196.00	—	—	58%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$86.52	$206.00	—	20% above	58%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE LAB	$86.52	$206.00	—	20% above	58%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE LAB	$86.52	$206.00	—	—	58%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$86.52	$206.00	—	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN LAB	$214.62	$511.00	—	254% above	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$214.62	$511.00	—	254% above	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN LAB	$214.62	$511.00	—	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$214.62	$511.00	—	—	58%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL LAB	$94.08	$224.00	—	88% above	58%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$94.08	$224.00	—	88% above	58%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL LAB	$94.08	$224.00	—	—	58%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$94.08	$224.00	—	—	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB	$181.02	$431.00	—	36% above	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$181.02	$431.00	—	36% above	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$181.02	$431.00	—	36% above	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB	$181.02	$431.00	—	—	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$181.02	$431.00	—	—	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$181.02	$431.00	—	—	58%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$57.54	$137.00	—	37% below	58%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO	$57.54	$137.00	—	37% below	58%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$57.54	$137.00	—	—	58%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO	$57.54	$137.00	—	—	58%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED	$29.82	$71.00	—	37% below	58%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$29.82	$71.00	—	37% below	58%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$29.82	$71.00	—	—	58%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED	$29.82	$71.00	—	—	58%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL	$120.96	$288.00	—	38% below	58%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL	$120.96	$288.00	—	—	58%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL LAB	$99.96	$238.00	—	33% above	58%
Creatine kinase (CK) blood test, total CPT 82550 HC CK TOTAL	$99.96	$238.00	—	33% above	58%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOTAL	$99.96	$238.00	—	—	58%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL LAB	$99.96	$238.00	—	—	58%
Creatinine blood test CPT 82565 HC ASSAY CREATININE	$72.66	$173.00	—	at median	58%
Creatinine blood test inpatient CPT 82565 HC ASSAY CREATININE	$72.66	$173.00	—	—	58%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY	$341.04	$812.00	—	351% above	58%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY	$341.04	$812.00	—	—	58%
D-dimer blood test (blood clot marker) CPT 85379 HC DDIMER QUANT	$140.28	$334.00	—	12% above	58%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DDIMER QUANT	$140.28	$334.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$395.22	$941.00	—	132% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$395.22	$941.00	—	132% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$395.22	$941.00	—	132% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$395.22	$941.00	—	132% above	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$395.22	$941.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$395.22	$941.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$395.22	$941.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$395.22	$941.00	—	—	58%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$228.06	$543.00	—	111% above	58%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$228.06	$543.00	—	—	58%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$125.58	$299.00	—	19% above	58%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$125.58	$299.00	—	—	58%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$134.40	$320.00	—	9% above	58%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$134.40	$320.00	—	9% above	58%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$134.40	$320.00	—	—	58%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$134.40	$320.00	—	—	58%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$55.44	$132.00	—	56% above	58%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE LAB	$55.44	$132.00	—	56% above	58%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$55.44	$132.00	—	56% above	58%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$55.44	$132.00	—	—	58%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$55.44	$132.00	—	—	58%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE LAB	$55.44	$132.00	—	—	58%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$111.72	$266.00	—	at median	58%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$111.72	$266.00	—	—	58%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY	$117.60	$280.00	—	16% above	58%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY	$117.60	$280.00	—	—	58%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$114.66	$273.00	—	54% above	58%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$114.66	$273.00	—	—	58%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$63.00	$150.00	—	57% above	58%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$63.00	$150.00	—	57% above	58%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN	$63.00	$150.00	—	57% above	58%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$63.00	$150.00	—	57% above	58%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$63.00	$150.00	—	—	58%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$63.00	$150.00	—	—	58%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN	$63.00	$150.00	—	—	58%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$63.00	$150.00	—	—	58%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON CDM	$106.68	$254.00	—	37% above	58%
Iron blood test (serum iron) CPT 83540 HC IRON	$106.68	$254.00	—	37% above	58%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON CDM	$106.68	$254.00	—	—	58%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$106.68	$254.00	—	—	58%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY CDM	$106.68	$254.00	—	36% above	58%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY CDM	$106.68	$254.00	—	—	58%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM	$267.54	$637.00	—	74% above	58%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM	$267.54	$637.00	—	—	58%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE	$122.64	$292.00	—	at median	58%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE LAB	$122.64	$292.00	—	at median	58%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE	$122.64	$292.00	—	—	58%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE LAB	$122.64	$292.00	—	—	58%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE CDM	$114.66	$273.00	—	14% above	58%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE LAB	$114.66	$273.00	—	14% above	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE LAB	$114.66	$273.00	—	—	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE CDM	$114.66	$273.00	—	—	58%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$257.04	$612.00	—	72% above	58%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$257.04	$612.00	—	—	58%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM CDM	$117.60	$280.00	—	55% above	58%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM CDM	$117.60	$280.00	—	—	58%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES	$284.76	$678.00	—	253% above	58%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES	$284.76	$678.00	—	—	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$108.36	$258.00	—	47% above	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$108.36	$258.00	—	47% above	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$108.36	$258.00	—	—	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$108.36	$258.00	—	—	58%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY PHOSPHORUS	$85.68	$204.00	—	14% above	58%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY PHOSPHORUS	$85.68	$204.00	—	—	58%
Potassium blood test CPT 84132 HC POTASSIUM	$77.28	$184.00	—	34% above	58%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$77.28	$184.00	—	—	58%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB	$39.06	$93.00	—	25% below	58%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$39.06	$93.00	—	25% below	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$39.06	$93.00	—	—	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB	$39.06	$93.00	—	—	58%
Rapid flu test (influenza antigen) CPT 87804 HC IAADIADOO INFLUENZA CDM	$12.18	$29.00	—	76% below	58%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC IAADIADOO INFLUENZA CDM	$12.18	$29.00	—	—	58%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$129.78	$309.00	—	97% above	58%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$129.78	$309.00	—	—	58%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$82.32	$196.00	—	34% above	58%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$82.32	$196.00	—	—	58%
Sodium blood test CPT 84295 HC SODIUM	$49.14	$117.00	—	12% above	58%
Sodium blood test inpatient CPT 84295 HC SODIUM	$49.14	$117.00	—	—	58%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$103.32	$246.00	—	320% above	58%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$103.32	$246.00	—	—	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$227.64	$542.00	—	89% above	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4	$227.64	$542.00	—	89% above	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$227.64	$542.00	—	89% above	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$227.64	$542.00	—	—	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4	$227.64	$542.00	—	—	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$227.64	$542.00	—	—	58%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$78.12	$186.00	—	40% above	58%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$78.12	$186.00	—	—	58%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF THYROXINE TOTAL LAB	$96.60	$230.00	—	46% above	58%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4	$96.60	$230.00	—	46% above	58%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4	$96.60	$230.00	—	—	58%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF THYROXINE TOTAL LAB	$96.60	$230.00	—	—	58%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$110.88	$264.00	—	69% above	58%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES LAB	$110.88	$264.00	—	69% above	58%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES LAB	$110.88	$264.00	—	—	58%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$110.88	$264.00	—	—	58%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE LAB	$194.88	$464.00	—	46% above	58%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE	$194.88	$464.00	—	46% above	58%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE	$194.88	$464.00	—	—	58%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE LAB	$194.88	$464.00	—	—	58%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID LAB	$94.08	$224.00	—	54% above	58%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$94.08	$224.00	—	54% above	58%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID LAB	$94.08	$224.00	—	—	58%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$94.08	$224.00	—	—	58%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$52.92	$126.00	—	10% below	58%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$52.92	$126.00	—	10% below	58%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$52.92	$126.00	—	—	58%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$52.92	$126.00	—	—	58%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$35.70	$85.00	—	51% above	58%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$35.70	$85.00	—	51% above	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$35.70	$85.00	—	—	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$35.70	$85.00	—	—	58%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE LAB	$161.28	$384.00	—	79% above	58%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT	$161.28	$384.00	—	79% above	58%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT	$161.28	$384.00	—	—	58%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE LAB	$161.28	$384.00	—	—	58%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$14.70	$35.00	—	59% below	58%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$14.70	$35.00	—	—	58%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$194.88	$464.00	—	35% above	58%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$194.88	$464.00	—	—	58%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$7,173.18	$17,079.00	—	at median	58%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$7,173.18	$17,079.00	—	—	58%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$353.22	$841.00	—	59% below	58%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$353.22	$841.00	—	—	58%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$267.12	$636.00	—	12% below	58%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$267.12	$636.00	—	—	58%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC ED CORRECTION OF BUNION CDM	$3,842.58	$9,149.00	—	35% below	58%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC ED CORRECTION OF BUNION CDM	$3,842.58	$9,149.00	—	—	58%
Carpal tunnel release, open surgery CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$2,320.50	$5,525.00	—	60% below	58%
Carpal tunnel release, open surgery inpatient CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$2,320.50	$5,525.00	—	—	58%
Cervical biopsy CPT 57500 HC ED BIOPSY OF CERVIX CDM	$908.04	$2,162.00	—	31% above	58%
Cervical biopsy inpatient CPT 57500 HC ED BIOPSY OF CERVIX CDM	$908.04	$2,162.00	—	—	58%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK CDM	$253.26	$603.00	—	81% below	58%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK CDM	$253.26	$603.00	—	—	58%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$662.34	$1,577.00	—	56% above	58%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$662.34	$1,577.00	—	—	58%
Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$963.48	$2,294.00	—	30% below	58%
Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$963.48	$2,294.00	—	—	58%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,917.30	$4,565.00	—	9% below	58%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,917.30	$4,565.00	—	—	58%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC ED DILATION AND CURETTAGE CDM	$3,649.80	$8,690.00	—	63% below	58%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC ED DILATION AND CURETTAGE CDM	$3,649.80	$8,690.00	—	—	58%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$232.68	$554.00	—	81% above	58%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$232.68	$554.00	—	—	58%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$95.34	$227.00	—	28% below	58%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$95.34	$227.00	—	—	58%
Earwax removal with instruments, one ear one side CPT 69210 HC ED REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$177.66	$423.00	—	19% above	58%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC ED REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$177.66	$423.00	—	—	58%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$230.16	$548.00	—	at median	58%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$230.16	$548.00	—	—	58%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$832.02	$1,981.00	—	at median	58%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$832.02	$1,981.00	—	—	58%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$512.82	$1,221.00	—	—	58%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$512.82	$1,221.00	—	—	58%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$963.48	$2,294.00	—	at median	58%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$963.48	$2,294.00	—	—	58%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$7,509.60	$17,880.00	—	29% below	58%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$7,509.60	$17,880.00	—	—	58%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,072.68	$2,554.00	—	29% above	58%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,072.68	$2,554.00	—	—	58%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$3,316.74	$7,897.00	—	at median	58%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$3,316.74	$7,897.00	—	—	58%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER FOR HYSTEROGRAPHY	$195.72	$466.00	—	37% below	58%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATHETER FOR HYSTEROGRAPHY	$195.72	$466.00	—	—	58%
IUD insertion (the device itself billed separately) CPT 58300 HC ED INSERTION INTRAUTERINE DEVICE IUD CDM	$116.76	$278.00	—	54% below	58%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC ED INSERTION INTRAUTERINE DEVICE IUD CDM	$116.76	$278.00	—	—	58%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$307.86	$733.00	—	18% below	58%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$307.86	$733.00	—	—	58%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$4,571.70	$10,885.00	—	11% below	58%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$4,571.70	$10,885.00	—	—	58%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$351.12	$836.00	—	23% below	58%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$351.12	$836.00	—	—	58%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$351.12	$836.00	—	18% below	58%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$649.74	$1,547.00	—	52% above	58%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$351.12	$836.00	—	—	58%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$649.74	$1,547.00	—	—	58%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$351.12	$836.00	—	3% below	58%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$351.12	$836.00	—	—	58%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$351.12	$836.00	—	7% below	58%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$351.12	$836.00	—	—	58%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$481.74	$1,147.00	—	23% below	58%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$481.74	$1,147.00	—	—	58%
Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,088.22	$2,591.00	—	32% below	58%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,088.22	$2,591.00	—	—	58%
Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,099.98	$2,619.00	—	at median	58%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,099.98	$2,619.00	—	—	58%
Miscarriage treatment with D&C, first trimester CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$3,649.80	$8,690.00	—	57% below	58%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$3,649.80	$8,690.00	—	—	58%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LESS CDM	$837.48	$1,994.00	—	20% above	58%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LESS CDM	$837.48	$1,994.00	—	—	58%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LESS CDM	$837.48	$1,994.00	—	15% above	58%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LESS CDM	$837.48	$1,994.00	—	—	58%
Nail removal (partial or complete), one nail CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$307.86	$733.00	—	16% below	58%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$307.86	$733.00	—	—	58%
Occipital nerve block (injection for headaches) CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$609.84	$1,452.00	—	52% above	58%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$609.84	$1,452.00	—	—	58%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$1,559.88	$3,714.00	—	25% above	58%
Paracentesis with imaging guidance CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$1,559.88	$3,714.00	—	25% above	58%
Paracentesis with imaging guidance inpatient CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$1,559.88	$3,714.00	—	—	58%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$1,559.88	$3,714.00	—	—	58%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$592.62	$1,411.00	—	29% above	58%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$592.62	$1,411.00	—	—	58%
Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$592.62	$1,411.00	—	at median	58%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$592.62	$1,411.00	—	—	58%
Septoplasty to straighten the nasal septum CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$3,672.06	$8,743.00	—	37% below	58%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$3,672.06	$8,743.00	—	—	58%
Short arm cast (elbow to hand) CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$162.54	$387.00	—	28% below	58%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$162.54	$387.00	—	—	58%
Short arm splint (forearm and hand) CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$193.20	$460.00	—	27% below	58%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$193.20	$460.00	—	—	58%
Short leg cast (below the knee) CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$394.80	$940.00	—	85% above	58%
Short leg cast (below the knee) inpatient CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$394.80	$940.00	—	—	58%
Short leg splint (calf to foot) CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$242.34	$577.00	—	14% below	58%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$242.34	$577.00	—	—	58%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$280.14	$667.00	—	22% below	58%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$280.14	$667.00	—	—	58%
Skin biopsy, punch, one lesion CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$481.74	$1,147.00	—	at median	58%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$481.74	$1,147.00	—	—	58%
Skin tag removal, up to 15 tags CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$215.04	$512.00	—	43% below	58%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$215.04	$512.00	—	—	58%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$832.02	$1,981.00	—	2% below	58%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$832.02	$1,981.00	—	—	58%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$346.92	$826.00	—	12% below	58%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$346.92	$826.00	—	—	58%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$280.14	$667.00	—	17% below	58%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$280.14	$667.00	—	—	58%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$232.68	$554.00	—	67% below	58%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$232.68	$554.00	—	—	58%
Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$1,627.50	$3,875.00	—	32% above	58%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,627.50	$3,875.00	—	32% above	58%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,627.50	$3,875.00	—	—	58%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$1,627.50	$3,875.00	—	—	58%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$448.14	$1,067.00	—	23% below	58%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$448.14	$1,067.00	—	—	58%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$3,569.16	$8,498.00	—	53% above	58%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$3,569.16	$8,498.00	—	—	58%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$1,761.90	$4,195.00	—	18% below	58%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$1,761.90	$4,195.00	—	—	58%
Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$957.18	$2,279.00	—	50% below	58%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$957.18	$2,279.00	—	—	58%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$957.18	$2,279.00	—	46% below	58%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$957.18	$2,279.00	—	—	58%
Wart removal, up to 14 warts CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$232.68	$554.00	—	9% above	58%
Wart removal, up to 14 warts inpatient CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$232.68	$554.00	—	—	58%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$1,026.06	$2,443.00	—	11% below	58%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$1,026.06	$2,443.00	—	—	58%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$8,538.18	$20,329.00	—	at median	58%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$8,538.18	$20,329.00	—	—	58%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$614.88	$1,464.00	—	11% below	58%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$614.88	$1,464.00	—	—	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED INHALATION TREATMENT CDM	$199.08	$474.00	—	65% above	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT DAILY	$199.08	$474.00	—	65% above	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT DAILY	$199.08	$474.00	—	—	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED INHALATION TREATMENT CDM	$199.08	$474.00	—	—	58%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$565.32	$1,346.00	—	9% above	58%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$565.32	$1,346.00	—	—	58%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$1,961.82	$4,671.00	—	7% below	58%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$1,961.82	$4,671.00	—	—	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY	$323.40	$770.00	—	78% above	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY	$323.40	$770.00	—	—	58%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$205.80	$490.00	—	2% above	58%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$205.80	$490.00	—	—	58%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$372.96	$888.00	—	27% above	58%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$372.96	$888.00	—	—	58%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$656.04	$1,562.00	—	23% above	58%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$656.04	$1,562.00	—	—	58%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$1,030.26	$2,453.00	—	20% above	58%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$1,030.26	$2,453.00	—	—	58%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$1,517.88	$3,614.00	—	6% above	58%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$1,517.88	$3,614.00	—	—	58%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$215.46	$513.00	—	36% below	58%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL HR CDM	$215.46	$513.00	—	36% below	58%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL HR CDM	$215.46	$513.00	—	—	58%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$215.46	$513.00	—	—	58%
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$601.86	$1,433.00	—	40% above	58%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL HR CDM	$601.86	$1,433.00	—	40% above	58%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$601.86	$1,433.00	—	—	58%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL HR CDM	$601.86	$1,433.00	—	—	58%
IV push of a medicine, first drug CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$229.74	$547.00	—	24% above	58%
IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$229.74	$547.00	—	24% above	58%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$229.74	$547.00	—	—	58%
IV push of a medicine, first drug inpatient CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$229.74	$547.00	—	—	58%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$164.22	$391.00	—	44% above	58%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SQ OR IM CDM	$164.22	$391.00	—	44% above	58%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SQ OR IM CDM	$164.22	$391.00	—	—	58%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$164.22	$391.00	—	—	58%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAG EVAL IOP CDM	$224.70	$535.00	—	at median	58%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAG EVAL IOP CDM	$224.70	$535.00	—	—	58%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$114.66	$273.00	—	11% above	58%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$114.66	$273.00	—	—	58%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEX	$160.02	$381.00	—	31% below	58%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEX	$160.02	$381.00	—	—	58%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEX	$162.12	$386.00	—	56% below	58%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEX	$162.12	$386.00	—	—	58%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$162.12	$386.00	—	33% below	58%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$162.12	$386.00	—	—	58%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$162.12	$386.00	—	39% below	58%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$162.12	$386.00	—	—	58%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$98.28	$234.00	—	9% below	58%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$98.28	$234.00	—	—	58%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$97.44	$232.00	—	at median	58%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$97.44	$232.00	—	—	58%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$66.36	$158.00	—	100% above	58%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$66.36	$158.00	—	—	58%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$217.14	$517.00	—	33% below	58%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$217.14	$517.00	—	—	58%
Speech therapy session, individual CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$102.90	$245.00	—	52% below	58%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$102.90	$245.00	—	—	58%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$631.26	$1,503.00	—	67% above	58%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$631.26	$1,503.00	—	—	58%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$75.60	$180.00	—	33% below	58%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$75.60	$180.00	—	—	58%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY	$149.94	$357.00	—	17% below	58%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$149.94	$357.00	—	17% below	58%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$149.94	$357.00	—	17% below	58%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY	$149.94	$357.00	—	—	58%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$149.94	$357.00	—	—	58%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$149.94	$357.00	—	—	58%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML	$508.57	$1,210.89	—	441% above	58%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML	$508.57	$1,210.89	—	—	58%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$122.57	$291.84	—	—	58%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$122.57	$291.84	—	—	58%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$110.12	$262.20	—	36% below	58%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$110.12	$262.20	—	—	58%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VAC LIVE FOR INJ 1350 PFU/0.5ML	$366.61	$872.87	—	39% above	58%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VAC LIVE FOR INJ 1350 PFU/0.5ML	$366.61	$872.87	—	—	58%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$445.58	$1,060.91	—	376% above	58%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$445.58	$1,060.91	—	—	58%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE RECOMB ADJUVANTED PREF SYR 20 MCG/0.5ML	$831.56	$1,979.90	—	—	58%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE RECOMB ADJUVANTED PREF SYR 20 MCG/0.5ML	$831.56	$1,979.90	—	—	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP 5 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 5 MCG/0.5ML	$110.03	$261.97	—	75% above	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP 10 MCG/0.5ML	$113.51	$270.25	—	80% above	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP 5 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 5 MCG/0.5ML	$110.03	$261.97	—	—	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP 10 MCG/0.5ML	$113.51	$270.25	—	—	58%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINES FOR INJ SOLN	$685.24	$1,631.53	—	471% above	58%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINES FOR INJ SOLN	$685.24	$1,631.53	—	—	58%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE POLYVALENT SOLN PREF SYR 25 MCG/0.5ML	$858.60	$2,044.29	—	409% above	58%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE POLYVALENT SOLN PREF SYR 25 MCG/0.5ML	$858.60	$2,044.29	—	—	58%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC FOR INJ	$2,153.16	$5,126.57	—	424% above	58%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC FOR INJ	$2,153.16	$5,126.57	—	—	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML	$310.84	$740.09	—	423% above	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML	$310.84	$740.09	—	—	58%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$321.30	$764.99	—	292% above	58%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$321.30	$764.99	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$33.18	$79.00	—	29% below	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN CDM	$33.18	$79.00	—	29% below	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$33.18	$79.00	—	29% below	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$33.18	$79.00	—	29% below	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$33.18	$79.00	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN CDM	$33.18	$79.00	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$33.18	$79.00	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$33.18	$79.00	—	—	58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$33.18	$79.00	—	33% above	58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$33.18	$79.00	—	—	58%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://pricetransparency.providence.org/txnm/live/844273963_covenant-health-hobbs-hospital_standardcharges.json