Rehoboth McKinley Christian Health Care Services
Rehoboth McKinley Christian Health Care Services in Gallup, NM publishes cash prices for 210 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New Mexico median for 177 of 203 procedures and above it for 22. By typical cash price it ranks #2 of 12 New Mexico hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1901 Red Rock Drive, Gallup, NM 87301 Collected Sep 27, 2026 Source price file (505) 863-7000
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 321313 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3 Plus Views Left | $117.00 | $389.00 | $93.00–$370.00 | 60% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3 Plus Views Right | $117.00 | $389.00 | $93.00–$370.00 | 60% below | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 78306 Add-on | $668.00 | $2,226.00 | $534.00–$2,115.00 | 39% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 Add-on | $1,061.00 | $3,536.00 | $849.00–$3,359.00 | 53% below | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 Add-on | $1,175.00 | $3,918.00 | $940.00–$3,722.00 | 58% below | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $818.00 | $2,728.00 | $655.00–$2,592.00 | 78% below | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 Add-on | $863.00 | $2,878.00 | $691.00–$2,734.00 | 79% below | 70% |
| CT scan of the abdomen with contrast CPT 74160 74160 Add-on | $765.00 | $2,549.00 | $612.00–$2,422.00 | 63% below | 70% |
| Chest X-ray, single view CPT 71045 71045 Add-on | $925.00 | $3,082.00 | $740.00–$2,928.00 | 270% above | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770us Retroperitoneal Complete W/image | $137.00 | $456.00 | $100.00–$433.00 | 74% below | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 Add-on | $155.00 | $516.00 | $124.00–$490.00 | 71% below | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811 Ultrasound; Pregnant Uterus, Real Time W/ Image Doc | $215.00 | $718.00 | $172.00–$682.00 | 52% below | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 Add-on | $436.00 | $1,452.00 | $348.00–$1,379.00 | 79% below | 70% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 Add-on | $228.00 | $759.00 | $182.00–$721.00 | 78% below | 70% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 Sleep Study, Unattended, Simultaneous Recording Of, Heart Rate, Oxygen Saturation | $330.00 | $1,100.00 | $264.00–$1,045.00 | at median | 70% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Polysomnography; 6 Yrs Or Older, W/ C-pap Therapy Or Bilevel Ventilation, Attended By Tech | $380.00 | $1,265.00 | $304.00–$1,202.00 | 77% below | 70% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Polysomnography W/cpap Charge | $1,205.00 | $4,017.00 | $964.00–$3,816.00 | 27% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $1,122.00 | $3,741.00 | $898.00–$3,554.00 | 28% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 73723 Mri Ankle W/ + W/o Contrast Bilat | $1,100.00 | $3,667.00 | $880.00–$3,484.00 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 73723 Mri Knee W/ + W/o Contrast Bilat | $1,122.00 | $3,741.00 | $898.00–$3,554.00 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 73723 Mri Hip W/ + W/o Contrast Bilat | $1,122.00 | $3,741.00 | $898.00–$3,554.00 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 73221 Mri Shoulder W/o Contrast Bilat | $823.00 | $2,743.00 | $658.00–$2,606.00 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 73221 Mri Wrist W/o Contrast Bilat | $823.00 | $2,743.00 | $658.00–$2,606.00 | — | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 Add-on | $236.00 | $787.00 | $189.00–$748.00 | 55% below | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 Ultrasound, Pelvic, B-scan; Complete | $352.00 | $1,173.00 | $282.00–$1,114.00 | 33% below | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $236.00 | $787.00 | $189.00–$748.00 | 54% below | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 Ultrasound, Pregnant Uterus, 1st Trimester | $314.00 | $1,047.00 | $251.00–$995.00 | 38% below | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 Add-on | $352.00 | $1,173.00 | $282.00–$1,114.00 | 31% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2 Plus Views Left | $107.00 | $358.00 | $86.00–$340.00 | 60% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2 Plus Views Right | $117.00 | $389.00 | $93.00–$370.00 | 56% below | 70% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $813.00 | $2,709.00 | $650.00–$2,574.00 | 48% below | 70% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $236.00 | $787.00 | $189.00–$748.00 | 51% below | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 Add-on | $236.00 | $787.00 | $189.00–$748.00 | 44% below | 70% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $366.00 | $1,219.00 | $293.00–$1,158.00 | 39% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr Upper Gi W/ Small Bowel | $219.00 | $729.00 | $175.00–$693.00 | 67% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3 Plus Views Right | $107.00 | $358.00 | $86.00–$340.00 | 62% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 74018 Add-on | $472.00 | $1,574.00 | $378.00–$1,495.00 | 91% above | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2 Plus Views Right | $107.00 | $358.00 | $86.00–$340.00 | 51% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2 Plus Views Left | $107.00 | $358.00 | $86.00–$340.00 | 51% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3 Plus Views Left | $107.00 | $358.00 | $86.00–$340.00 | 62% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3 Plus Views Right | $107.00 | $358.00 | $86.00–$340.00 | 62% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3 Plus Views Right | $117.00 | $389.00 | $93.00–$370.00 | 57% below | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $117.00 | $389.00 | $93.00–$370.00 | 74% below | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 Add-on | $836.00 | $2,787.00 | $669.00–$2,648.00 | 231% above | 70% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Acute Pnl | $37.00 | $124.00 | $30.00–$118.00 | 89% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (16) Inhalants Lc | $19.00 | $62.00 | $15.00–$59.00 | 36% below | 69% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Allergen(s) Tc | $27.00 | $89.00 | $21.00–$85.00 | 9% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 Add-on | $35.00 | $115.00 | $28.00–$109.00 | 18% above | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibodies Igg/iga Lc | $27.00 | $90.00 | $22.00–$86.00 | 51% below | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 Ra Profile Reflex To Seroneg4 Lc | $48.00 | $159.00 | $38.00–$151.00 | 14% below | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cortisol Tc | $56.00 | $185.00 | $44.00–$176.00 | 1% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-nuclear Ab By Ifa (Rdl) Lc | $17.00 | $55.00 | $13.00–$52.00 | 84% below | 69% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana (Nuclear Antibodies) Screen Tc | $73.00 | $242.00 | $58.00–$230.00 | 30% below | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-pro Bnp Ii | $69.00 | $229.00 | $55.00–$218.00 | 55% below | 70% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $168.00 | $559.00 | $134.00–$531.00 | 2% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Ap Bill Surgical Pathology Level Iv Complexity | $77.00 | $256.00 | $61.00–$243.00 | 53% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Ap Bill Non-gyn Cytology Cell Block | $77.00 | $256.00 | $61.00–$243.00 | 53% below | 70% |
| Blood culture for bacteria CPT 87040 Fungal Blood Culture | $48.00 | $160.00 | $38.00–$152.00 | 63% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Peripheral Iv Insertion | $8.00 | $28.00 | $7.00–$27.00 | 51% below | 71% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only Legal Blood Draw | $10.00 | $32.00 | $8.00–$30.00 | 38% below | 69% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipuncture: Routine Charge | $34.00 | $112.00 | $27.00–$106.00 | 110% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture-charge Only | $39.00 | $129.00 | $31.00–$123.00 | 141% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Collection Of Venous Blood By Venipuncture (W/o Exam, Contract Only) | $288.00 | $959.00 | $230.00–$911.00 | 1678% above | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hour | $27.00 | $90.00 | $22.00–$86.00 | 31% below | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose 30 Minutes | $56.00 | $188.00 | $45.00–$179.00 | 43% above | 70% |
| Blood lead test CPT 83655 Lead Screen | $37.00 | $123.00 | $30.00–$117.00 | 41% below | 70% |
| Blood lead test CPT 83655 Lead, Blood (Venous) Tc | $37.00 | $123.00 | $30.00–$117.00 | 41% below | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Pregnancy Test Qualitative | $69.00 | $229.00 | $55.00–$218.00 | 9% below | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonatal Aborh | $131.00 | $437.00 | $105.00–$415.00 | 24% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo/rh. Retype | $131.00 | $437.00 | $105.00–$415.00 | 24% above | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $62.00 | $205.00 | $49.00–$195.00 | 9% below | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile (Genexpert) | $137.00 | $458.00 | $110.00–$435.00 | 1% below | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (Ca) 125 Lc | $67.00 | $224.00 | $54.00–$213.00 | 42% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 (Covid-19) Pcr (Genexpert) | $128.00 | $425.00 | $102.00–$404.00 | 23% above | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Rapid Poc | $486.00 | $1,621.00 | $389.00–$1,540.00 | 368% above | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis, Naa Lc | $59.00 | $195.00 | $47.00–$185.00 | 29% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Vaginitis Plus (Vg+), Nuswab Lc | $59.00 | $195.00 | $47.00–$185.00 | 29% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/gc Naa, Confirmation Lc | $59.00 | $195.00 | $47.00–$185.00 | 29% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $56.00 | $186.00 | $45.00–$177.00 | 59% below | 70% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $39.00 | $130.00 | $31.00–$124.00 | 37% below | 70% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $27.00 | $90.00 | $22.00–$86.00 | 41% below | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $63.00 | $209.00 | $50.00–$199.00 | 71% below | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $152.00 | $508.00 | $122.00–$483.00 | 21% above | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-sulfate Lc | $66.00 | $221.00 | $53.00–$210.00 | 44% below | 70% |
| Estradiol blood test CPT 82670 Estradiol Lc | $61.00 | $204.00 | $49.00–$194.00 | 32% below | 70% |
| Estradiol blood test CPT 82670 Estradiol Tc | $84.00 | $280.00 | $67.00–$266.00 | 7% below | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Lc | $58.00 | $193.00 | $46.00–$183.00 | 38% below | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal Lc | $49.00 | $164.00 | $39.00–$156.00 | 74% below | 70% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $171.00 | $571.00 | $137.00–$542.00 | 46% above | 70% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $48.00 | $159.00 | $38.00–$151.00 | 59% below | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 Add-on | $60.00 | $201.00 | $48.00–$191.00 | 54% below | 70% |
| Free testosterone test CPT 84402 Testosterone, Free+total, Lc/ms Lc | $77.00 | $258.00 | $62.00–$245.00 | 6% below | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour | $56.00 | $186.00 | $45.00–$177.00 | 17% above | 70% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 3 Hour 100gm | $56.00 | $188.00 | $45.00–$179.00 | 53% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Vaginitis Plus (Vg+), Nuswab Lc | $59.00 | $195.00 | $47.00–$185.00 | 29% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae, Naa Lc | $81.00 | $269.00 | $65.00–$256.00 | 3% below | 70% |
| H. pylori stool antigen test CPT 87338 H. Pylori Stool Ag, Eia Lc | $21.00 | $71.00 | $17.00–$67.00 | 81% below | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 2019 Novel Coronavirus (Covid-19), Naa Lc | $69.00 | $231.00 | $55.00–$219.00 | 75% below | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Antibody Screen | $174.00 | $580.00 | $139.00–$551.00 | 112% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Ap Bill Hpv High Risk Detection | $47.00 | $158.00 | $38.00–$150.00 | 75% below | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv (Human Papillomavirus) High Risk Tc | $77.00 | $257.00 | $62.00–$244.00 | 59% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (Glycated Hemoglobin) Tc | $35.00 | $118.00 | $28.00–$112.00 | 50% below | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B S Ab | $89.00 | $298.00 | $72.00–$283.00 | 2% below | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $47.00 | $158.00 | $38.00–$150.00 | 20% below | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Abs Tc | $155.00 | $517.00 | $124.00–$491.00 | 43% above | 70% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Quant By Rt Pcr Tc | $48.00 | $161.00 | $39.00–$153.00 | 73% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 Add-on | $49.00 | $164.00 | $39.00–$156.00 | 37% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Add-on | $40.00 | $133.00 | $32.00–$126.00 | 51% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv-2 Type Spec Ab, Igg W/rflx Lc | $96.00 | $319.00 | $77.00–$303.00 | 17% above | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein, Cardiac Lc | $39.00 | $130.00 | $31.00–$124.00 | 30% below | 70% |
| Homocysteine blood test CPT 83090 83090 Venous Thrombosis Profile Lc | $13.00 | $42.00 | $10.00–$40.00 | 90% below | 69% |
| Homocysteine blood test CPT 83090 Homocysteine Tc | $65.00 | $216.00 | $52.00–$205.00 | 52% below | 70% |
| Insulin blood test CPT 83525 Insulin Tc | $63.00 | $209.00 | $50.00–$199.00 | 15% below | 70% |
| Iron blood test (serum iron) CPT 83540 83540 Iron Level | $47.00 | $156.00 | $37.00–$148.00 | 29% below | 70% |
| LH (luteinizing hormone) test CPT 83002 Lh-luteinizing Hormone Tc | $25.00 | $83.00 | $20.00–$79.00 | 75% below | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $42.00 | $140.00 | $34.00–$133.00 | 54% below | 70% |
| Liver function blood test panel CPT 80076 Liver function blood test | $97.00 | $323.00 | $78.00–$307.00 | 35% below | 70% |
| Lyme disease antibody test CPT 86618 86618 .Lyme Igg/igm Lc | $27.00 | $89.00 | $21.00–$85.00 | 73% below | 70% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi Abs Total Elisa Tc | $39.00 | $130.00 | $31.00–$124.00 | 61% below | 70% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody W/reflex To Immunoassay Lc | $57.00 | $189.00 | $45.00–$180.00 | 42% below | 70% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, Igg Lc | $41.00 | $136.00 | $33.00–$129.00 | 17% below | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $31.00 | $103.00 | $25.00–$98.00 | 48% below | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $61.00 | $203.00 | $49.00–$193.00 | 31% below | 70% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 Ap Bill Gyn Cytology Automatic & Manual Screen | $99.00 | $331.00 | $79.00–$314.00 | 5% above | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intraop | $119.00 | $395.00 | $95.00–$375.00 | 19% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $119.00 | $395.00 | $95.00–$375.00 | 46% above | 70% |
| Progesterone blood test CPT 84144 Progesterone Tc | $58.00 | $193.00 | $46.00–$183.00 | 61% below | 70% |
| Prolactin blood test CPT 84146 Prolactin Tc | $68.00 | $225.00 | $54.00–$214.00 | 52% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $90.00 | $301.00 | $72.00–$286.00 | 130% above | 70% |
| Rheumatoid factor (RF) test CPT 86431 86431 Add-on | $45.00 | $151.00 | $36.00–$143.00 | 27% below | 70% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor Lc | $81.00 | $270.00 | $65.00–$257.00 | 31% above | 70% |
| Rheumatoid factor (RF) test CPT 86431 Ra Profile Reflex To Seroneg4 Lc | $115.00 | $383.00 | $92.00–$364.00 | 86% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Abs Igg Tc | $27.00 | $89.00 | $21.00–$85.00 | 63% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Antibody | $36.00 | $121.00 | $29.00–$115.00 | 51% below | 70% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate | $168.00 | $559.00 | $134.00–$531.00 | 268% above | 70% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Sample Analysis | $25.00 | $83.00 | $20.00–$79.00 | 69% below | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hemoccult Poc. | $5.00 | $16.00 | $4.00–$15.00 | 74% below | 69% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Clinic Poc (Re) | $6.00 | $20.00 | $5.00–$19.00 | 69% below | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Ii | $17.00 | $55.00 | $13.00–$52.00 | 13% below | 69% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 82274 Add-on | $59.00 | $196.00 | $47.00–$186.00 | at median | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl, Csf Lc | $17.00 | $58.00 | $14.00–$55.00 | 58% below | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin | $43.00 | $143.00 | $34.00–$136.00 | 5% above | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold+ Tc | $115.00 | $383.00 | $92.00–$364.00 | 44% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Women/child Lc | $75.00 | $249.00 | $60.00–$237.00 | 9% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 Testosterone Total | $77.00 | $258.00 | $62.00–$245.00 | 7% below | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Ab Lc | $42.00 | $140.00 | $34.00–$133.00 | 37% below | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-kidney Microsome 1 Ab Igg Tc | $45.00 | $151.00 | $36.00–$143.00 | 32% below | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $118.00 | $393.00 | $94.00–$373.00 | at median | 70% |
| Trichomonas test (NAAT) CPT 87661 Trich Vag By Naa Lc | $35.00 | $118.00 | $28.00–$112.00 | 48% below | 70% |
| Trichomonas test (NAAT) CPT 87661 87661 Vaginitis Plus (Vg+), Nuswab Lc | $500.00 | $1,668.00 | $400.00–$1,585.00 | 646% above | 70% |
| Uric acid blood test CPT 84550 Uric Acid Tc | $28.00 | $93.00 | $22.00–$88.00 | 46% below | 70% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $63.00 | $209.00 | $50.00–$199.00 | at median | 70% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $38.00 | $125.00 | $30.00–$119.00 | 62% above | 70% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $47.00 | $156.00 | $37.00–$148.00 | 48% below | 70% |
| Urine pregnancy test, read by color change CPT 81025 81025 Urine Pregnancy Test Poc | $9.00 | $31.00 | $7.00–$29.00 | 80% below | 71% |
| Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative Clinic Poc (Re) | $9.00 | $31.00 | $7.00–$29.00 | 80% below | 71% |
| Urine pregnancy test, read by color change CPT 81025 Beta Hcg Urine Poct | $64.00 | $214.00 | $51.00–$203.00 | 44% above | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $60.00 | $199.00 | $48.00–$189.00 | 52% below | 70% |
| Zinc blood test CPT 84630 Zinc, Plasma Or Serum Lc | $121.00 | $404.00 | $97.00–$384.00 | 64% above | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 Afp Tetra Lc | $38.00 | $128.00 | $31.00–$122.00 | 75% below | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 Integrated 2 Lc | $64.00 | $214.00 | $51.00–$203.00 | 57% below | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Elec Cardioversion/defibrilation Op Tech Fee | $139.00 | $464.00 | $111.00–$596.00 | 78% below | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion, Elective, Electrical Conversion Of Arrhythmia; External | $170.00 | $567.00 | $94.00–$539.00 | 73% below | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion: Elective Ext Charge | $341.00 | $1,135.00 | $272.00–$1,078.00 | 47% below | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960cardioversion; Elective | $341.00 | $1,135.00 | $272.00–$1,078.00 | 47% below | 70% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery | $1,288.00 | $4,292.00 | $1,030.00–$4,077.00 | 60% below | 70% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 Excision Procedures On The Penis | $150.00 | $501.00 | $85.00–$476.00 | 88% below | 70% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Newborn | $656.00 | $2,188.00 | $525.00–$2,079.00 | 48% below | 70% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed Treatment Of Distal Radial Fracture; Without Manipulation | $316.00 | $1,053.00 | $253.00–$1,000.00 | 31% below | 70% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-distal Radial W/o Manipulation | $865.00 | $2,883.00 | $596.00–$2,739.00 | 88% above | 70% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $460.00 | $1,533.00 | $368.00–$1,456.00 | 80% below | 70% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $447.00 | $1,490.00 | $358.00–$1,416.00 | 79% below | 70% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $375.00 | $1,251.00 | $300.00–$1,188.00 | 77% below | 70% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209-cerumen Irrigation/lavage | $162.00 | $540.00 | $130.00–$596.00 | 25% below | 70% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 Unilateral Earwash | $13.00 | $43.00 | $10.00–$41.00 | 94% below | 70% |
| Earwax removal with instruments, one ear CPT 69210 69210 Removal Of Ear Wax Instrumentation | $52.00 | $174.00 | $27.00–$165.00 | 71% below | 70% |
| Earwax removal with instruments, one ear CPT 69210 69210-cerumen W/ Instrumentation | $126.00 | $419.00 | $101.00–$596.00 | 29% below | 70% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $608.00 | $2,027.00 | $486.00–$1,926.00 | 93% below | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 Catheterization And Introduction Of Saline Or Contrast Material For Infusion | $113.00 | $376.00 | $51.00–$357.00 | 56% below | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 Add-on | $1,018.00 | $3,392.00 | $814.00–$3,222.00 | 298% above | 70% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Introduction Procedures On The Corpus Uteri | $43.00 | $143.00 | $34.00–$136.00 | 98% below | 70% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Insertion Of Intrauterine Device Charge | $162.00 | $540.00 | $130.00–$1,345.00 | 93% below | 70% |
| IUD insertion (the device itself billed separately) CPT 58300 58300: Iud Insertionadmin Other Charge | $225.00 | $751.00 | $180.00–$1,345.00 | 90% below | 70% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D Abcess Simple/single Fac | $112.00 | $374.00 | $90.00–$355.00 | 85% below | 70% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060-i&d Abscess/cyst/hematoma Simple | $348.00 | $1,159.00 | $278.00–$1,101.00 | 54% below | 70% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $479.00 | $1,597.00 | $383.00–$1,517.00 | 91% below | 70% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550: Injection(s); Tendon Sheathadmin Other Charge | $63.00 | $209.00 | $50.00–$199.00 | 91% below | 70% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis (Eg, Plantarfascia) | $63.00 | $209.00 | $34.00–$199.00 | 91% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Drain/inject: Major Joint/burs Charge | $348.00 | $1,159.00 | $278.00–$1,101.00 | at median | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610: Large Jointadmin Other Charge | $350.00 | $1,167.00 | $280.00–$1,109.00 | at median | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa | $53.00 | $176.00 | $32.00–$167.00 | 85% below | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605: Medium Jointadmin Other Charge | $350.00 | $1,167.00 | $280.00–$1,109.00 | 1% below | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa (Eg, Fingers, Toes); Without | $51.00 | $169.00 | $31.00–$161.00 | 88% below | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600: Small Jointadmin Other Charge | $352.00 | $1,172.00 | $281.00–$1,113.00 | 14% below | 70% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $490.00 | $1,634.00 | $392.00–$1,552.00 | 95% below | 70% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 Arthroscopy, Knee, Surgical; Debridement/shaving Of Articular Cartilage (Chondroplasty) | $1,204.00 | $4,014.00 | $963.00–$3,813.00 | 79% below | 70% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Layered Wound Repair < 2.5 Cm | $226.00 | $752.00 | $130.00–$714.00 | 51% below | 70% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-scalp/trunk/extremity Less Than/equal To 2.5 Cm | $623.00 | $2,078.00 | $499.00–$1,974.00 | 36% above | 70% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance | $165.00 | $549.00 | $132.00–$522.00 | 72% below | 70% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Benign Lesion Face Under 0.5 Cm | $128.00 | $426.00 | $94.00–$405.00 | 85% below | 70% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440-excise Lesion Benign Face Less Than/equal To 0.5 Cm | $862.00 | $2,874.00 | $690.00–$2,730.00 | 3% above | 70% |
| Paracentesis with imaging guidance CPT 49083 49083 Abd Paracentesis W/ Imaging | $255.00 | $851.00 | $93.00–$808.00 | 72% below | 70% |
| Paracentesis with imaging guidance CPT 49083 49083-abdominal Paracentesis W/ Imaging Guide | $820.00 | $2,733.00 | $596.00–$2,596.00 | 9% below | 70% |
| Paracentesis with imaging guidance CPT 49083 49083 Paracentesis With Us Charge | $820.00 | $2,733.00 | $596.00–$2,596.00 | 9% below | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-excision Nail & Matrix | $66.00 | $221.00 | $53.00–$210.00 | 91% below | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Nail Matrix Partial Or Complete | $214.00 | $714.00 | $92.00–$678.00 | 70% below | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision Nail Matrix Permanent Charge | $642.00 | $2,139.00 | $513.00–$2,032.00 | 11% below | 70% |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $224.00 | $746.00 | $179.00–$709.00 | 97% below | 70% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $486.00 | $1,620.00 | $389.00–$1,539.00 | 85% below | 70% |
| Short arm splint (forearm and hand) CPT 29125 29125-short Arm | $172.00 | $573.00 | $138.00–$596.00 | 42% below | 70% |
| Short leg splint (calf to foot) CPT 29515 29515-short Leg | $172.00 | $573.00 | $138.00–$596.00 | 59% below | 70% |
| Short leg splint (calf to foot) CPT 29515 29515application Lower Leg Splint | $264.00 | $880.00 | $49.00–$836.00 | 37% below | 70% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Of Skin, Single | $224.00 | $746.00 | $179.00–$709.00 | 54% below | 70% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Remove Skin Tags Up To 15 Lesions | $92.00 | $306.00 | $66.00–$291.00 | 57% below | 70% |
| Skin tag removal, up to 15 tags CPT 11200 11200-removal Skin Tag Up To 15 | $217.00 | $722.00 | $173.00–$686.00 | 1% above | 70% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal Puncture, Lumbar, Diagnostic | $154.00 | $514.00 | $60.00–$488.00 | 81% below | 70% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal Puncture: Diagnostic Charge | $666.00 | $2,221.00 | $533.00–$2,110.00 | 20% below | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Laceration Repair 2.6 To 7.5 Cm | $105.00 | $351.00 | $58.00–$333.00 | 73% below | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-scalp/neck/trunk/genital/extremity 2.6-7.5 Cm | $208.00 | $693.00 | $166.00–$658.00 | 46% below | 70% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Laceration Repair Face < 2.5 Cm | $105.00 | $351.00 | $55.00–$333.00 | 70% below | 70% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-face/ear/eyelid/nose/lip Less Than/equal To 2.5 Cm | $208.00 | $693.00 | $166.00–$658.00 | 41% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guida | $275.00 | $918.00 | $94.00–$872.00 | 71% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 32555-thoracentesis W/ Imaging Guidance | $792.00 | $2,640.00 | $596.00–$2,508.00 | 16% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis Needle/cath Pleura W/imaging | $792.00 | $2,640.00 | $596.00–$2,508.00 | 16% below | 70% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection(s); Single Or Multiple Trigger Point(s), 1 Or 2 Muscle(s) | $58.00 | $193.00 | $35.00–$183.00 | 92% below | 70% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552: Inj Trigger Points One Or Two Musclesadmin Other Charge | $350.00 | $1,167.00 | $280.00–$1,109.00 | 49% below | 70% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $1,204.00 | $4,014.00 | $963.00–$3,813.00 | 41% below | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $1,411.00 | $4,703.00 | $1,129.00–$4,468.00 | 26% below | 70% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Obstetric care, planned vaginal delivery (post delivery by cesarean section) | $1,222.00 | $4,072.00 | $977.00–$3,868.00 | — | 70% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery | $1,165.00 | $3,882.00 | $932.00–$3,688.00 | — | 70% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin & Subcutaneous Tissue | $112.00 | $372.00 | $55.00–$353.00 | 90% below | 70% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Deb Sq Tissue-1st 20sqcm/< Charge | $415.00 | $1,384.00 | $332.00–$1,315.00 | 63% below | 70% |
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 Blood Product Administration | $486.00 | $1,621.00 | $389.00–$1,540.00 | 17% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Nebulizer Treatment | $19.00 | $62.00 | $8.00–$59.00 | 79% below | 69% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Aerosol Treatment Initial Charge | $50.00 | $166.00 | $40.00–$596.00 | 46% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640: Inhalation/aerosoladmin Other Charge | $97.00 | $322.00 | $77.00–$596.00 | 5% above | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Airway Inhalation Treatment Tech Fee | $651.00 | $2,170.00 | $521.00–$2,062.00 | 604% above | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care, First 30-74 Min | $269.00 | $897.00 | $199.00–$852.00 | 87% below | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/injured Patient Init 30-74 Min 99291 | $656.00 | $2,188.00 | $525.00–$2,079.00 | 67% below | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 Electroencephalogram (Eeg); Including Recording Awake And Drowsy | $209.00 | $697.00 | $167.00–$662.00 | 73% below | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 Eeg Awake/drowsy Recording Charge | $317.00 | $1,058.00 | $254.00–$1,005.00 | 58% below | 70% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $115.00 | $384.00 | $92.00–$365.00 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005electrocardiogram- Tracing | $97.00 | $322.00 | $77.00–$596.00 | 36% below | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 12 Lead Ekg Tracing Only Charge | $115.00 | $384.00 | $92.00–$596.00 | 25% below | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-ed Ekg | $553.00 | $1,843.00 | $442.00–$1,751.00 | 263% above | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Emergency Department Visit, Level 1 | $23.00 | $75.00 | $11.00–$71.00 | 87% below | 69% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Emergency Department Visit. Level 1 | $80.00 | $266.00 | $64.00–$596.00 | 55% below | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Er Level 1 Visit Techfee | $97.00 | $324.00 | $78.00–$596.00 | 46% below | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 Emergency Department Visit, Level 2 | $45.00 | $149.00 | $36.00–$142.00 | 84% below | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282level 2 | $166.00 | $552.00 | $132.00–$596.00 | 39% below | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 Emergency Department Visit, Level 3 | $68.00 | $225.00 | $54.00–$214.00 | 87% below | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283level 3 | $248.00 | $828.00 | $199.00–$787.00 | 51% below | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 Emergency Department Visit, Level 4 | $118.00 | $392.00 | $94.00–$372.00 | 85% below | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284level 4 | $331.00 | $1,104.00 | $265.00–$1,049.00 | 58% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 Emergency Department Visit, Level 5 | $175.00 | $582.00 | $140.00–$553.00 | 84% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285level 5 | $497.00 | $1,656.00 | $397.00–$1,573.00 | 56% below | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Nuclear Stress Test Charge | $97.00 | $322.00 | $77.00–$306.00 | 85% below | 70% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $105.00 | $351.00 | $84.00–$333.00 | 47% below | 70% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $101.00 | $336.00 | $81.00–$319.00 | 43% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Infusion, Hydration; Initial, 31 Minutes To 1 Hour | $58.00 | $194.00 | $31.00–$184.00 | 79% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-iv Hydration Initial 31 Min1 Hr | $230.00 | $765.00 | $184.00–$727.00 | 17% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360hydration, First Hour | $341.00 | $1,135.00 | $272.00–$1,078.00 | 23% above | 70% |
| IV infusion of a medicine, first hour CPT 96365 96365- Iv Tx, First Hour | $50.00 | $166.00 | $40.00–$596.00 | 85% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 96365 Iv Inf Tx/proph/dx Init To 1hr Charge | $50.00 | $166.00 | $40.00–$596.00 | 85% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 96365-59 Infusion Initial Addl Site W/ Modification | $50.00 | $166.00 | $40.00–$596.00 | 85% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 96365 Intravenous Infusion, For Therapy, Prophylaxis, Or Diagnosis; Initial, Up To 1 Hour | $71.00 | $235.00 | $56.00–$223.00 | 79% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 96365 Iv Infuse: Initial, <=1 Hr Charge | $230.00 | $765.00 | $184.00–$727.00 | 32% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 96365-infusion Drug Initial Up To 1 Hr Greater Than 15 Mins | $230.00 | $765.00 | $184.00–$727.00 | 32% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, Prophylactic, Or Diagnostic Injection Subcutaneous Or Intramuscular | $26.00 | $86.00 | $15.00–$82.00 | 74% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/im Injection | $38.00 | $128.00 | $31.00–$596.00 | 62% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-59 Sq/im Injection W/ Modification | $38.00 | $128.00 | $31.00–$596.00 | 62% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Inj: Ther/proph/dx Subq/im Charge | $38.00 | $128.00 | $31.00–$596.00 | 62% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372: Subq/imadmin Other Charge | $66.00 | $220.00 | $53.00–$596.00 | 33% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-injection/sq/im | $66.00 | $220.00 | $53.00–$596.00 | 33% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Reeducation Units | $70.00 | $234.00 | $56.00–$222.00 | 40% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Charges | $70.00 | $234.00 | $56.00–$222.00 | 40% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Reeducation Assistant Units | $180.00 | $599.00 | $120.00–$569.00 | 54% above | 70% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $122.00 | $408.00 | $98.00–$388.00 | 25% below | 70% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $160.00 | $533.00 | $128.00–$506.00 | 41% below | 70% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $201.00 | $671.00 | $161.00–$637.00 | 44% below | 70% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office Visit Level 2 New | $29.00 | $98.00 | $24.00–$93.00 | 73% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Medical Nutrition Therapy Initial Assessment And Intervention, Each 15 Minutes | $30.00 | $101.00 | $24.00–$96.00 | 51% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Initial Consultation Ea 15 Min Charge | $38.00 | $127.00 | $30.00–$121.00 | 38% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Dietary Teaching Each 15 Min Charge | $428.00 | $1,425.00 | $342.00–$1,354.00 | 600% above | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation Low Complexity Units | $186.00 | $619.00 | $120.00–$588.00 | 11% below | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Low Complex Units | $186.00 | $619.00 | $120.00–$588.00 | 11% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt High Complex Units | $215.00 | $715.00 | $120.00–$679.00 | 33% below | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Low Complex Units | $191.00 | $637.00 | $120.00–$605.00 | 22% below | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Low Complexity Units | $191.00 | $637.00 | $120.00–$605.00 | 22% below | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Moderate Complex Units | $191.00 | $637.00 | $120.00–$605.00 | 20% below | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Moderate Complexity Units | $191.00 | $637.00 | $120.00–$605.00 | 20% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Units | $63.00 | $211.00 | $51.00–$200.00 | 43% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Charge Units | $63.00 | $211.00 | $51.00–$200.00 | 43% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $77.00 | $255.00 | $61.00–$242.00 | 29% below | 70% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $149.00 | $497.00 | $119.00–$472.00 | — | 70% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $149.00 | $497.00 | $119.00–$472.00 | — | 70% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $69.00 | $229.00 | $55.00–$218.00 | 38% below | 70% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $91.00 | $303.00 | $73.00–$288.00 | 43% below | 70% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $125.00 | $418.00 | $100.00–$397.00 | 43% below | 70% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $117.00 | $391.00 | $94.00–$371.00 | 19% below | 70% |
| Speech and language evaluation CPT 92523 Speech Sound Prod W/ Language Charge | $179.00 | $598.00 | $144.00–$568.00 | 46% below | 70% |
| Speech and language evaluation CPT 92523 92523 Speech Sound Language Comprehens Charge | $179.00 | $598.00 | $144.00–$568.00 | 46% below | 70% |
| Speech and language evaluation CPT 92523 Speech Sound Production Eval Charge | $331.00 | $1,103.00 | $265.00–$1,048.00 | at median | 70% |
| Speech therapy session, individual CPT 92507 Tx Of Speech/lang/voice/comm/auditory Chg Medicaid | $121.00 | $404.00 | $97.00–$384.00 | 43% below | 70% |
| Speech therapy session, individual CPT 92507 Slp Outpatient Pediatric Development Eval | $121.00 | $404.00 | $97.00–$384.00 | 43% below | 70% |
| Speech therapy session, individual CPT 92507 Slp Auditory Processing Tx Units | $134.00 | $446.00 | $107.00–$424.00 | 37% below | 70% |
| Speech therapy session, individual CPT 92507 Tx Of Speech/lang/voice/comm/auditory Charge | $161.00 | $537.00 | $129.00–$510.00 | 24% below | 70% |
| Spirometry (breathing test) CPT 94010 94010 Spirometry Tech | $37.00 | $123.00 | $28.00–$117.00 | 85% below | 70% |
| Spirometry (breathing test) CPT 94010 94010 Spmtry W/vc Expiratory Flo W/wo Mxml Vol Vntj Charge | $737.00 | $2,455.00 | $589.00–$2,332.00 | 200% above | 70% |
| Spirometry before and after a bronchodilator CPT 94060 94060 Spirometry With Bronchodilator Tech | $62.00 | $207.00 | $41.00–$197.00 | 85% below | 70% |
| Spirometry before and after a bronchodilator CPT 94060 94060 Brncdilat Rspse Spmtry Pre/post Brncdilat Admin Charge | $198.00 | $661.00 | $159.00–$628.00 | 51% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Assistant Units | $67.00 | $223.00 | $54.00–$212.00 | 37% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charges | $67.00 | $223.00 | $54.00–$212.00 | 37% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Charges | $70.00 | $233.00 | $56.00–$221.00 | 34% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity Units | $70.00 | $233.00 | $56.00–$221.00 | 34% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Rehab Units | $70.00 | $233.00 | $56.00–$221.00 | 34% below | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 Therapeutic Phlebotomy Charge | $66.00 | $220.00 | $53.00–$209.00 | 59% below | 70% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 91320 Pfizer (12y+)amb Sars-cov-2 (Covid-19) Mrna (Cvx 309) | $174.00 | $580.00 | $139.00–$551.00 | at median | 70% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2392-10sars-cov-2 (Covid-19) Mrna-lnp Vaccine (Cvx 309) Pf (12+) 30 Mcg Inj [Reho] | $230.00 | $768.00 | $184.00–$730.00 | 33% above | 70% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00varicella Virus Vaccinepow Inj [Reho] | $271.00 | $902.00 | $216.00–$857.00 | at median | 70% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 0.5 Ml Varicellaamb Varicella Charge | $271.00 | $902.00 | $216.00–$857.00 | at median | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 No Prsv 3+>amb Influenza Vacc Charge | $39.00 | $130.00 | $31.00–$124.00 | 1% below | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine 3+ Yrs, Imamb Influenza Charge | $39.00 | $130.00 | $31.00–$124.00 | 1% below | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine, Pf 3+ Yrsamb Influenza Charge | $39.00 | $130.00 | $31.00–$124.00 | 1% below | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine 6+ Mnths, Imamb Influenza Charge | $39.00 | $130.00 | $31.00–$124.00 | 1% below | 70% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv9 (Gardasil 9) 90651amb Hpv Charge | $410.00 | $1,367.00 | $328.00–$1,299.00 | 4% below | 70% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv (Quadrivalentgardasil) 90649amb Hpv Charge | $410.00 | $1,367.00 | $328.00–$1,299.00 | 4% below | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 1440 Elu 1 Ml Hepatitis A Vaccineamb Hepatitis A Vaccine Charge | $138.00 | $460.00 | $110.00–$437.00 | 4% above | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52hepatitis B Adult Vaccine 20 Mcg/ml Sus [Reho] | $35.00 | $118.00 | $28.00–$112.00 | 70% below | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 1ml Hepatitis B Vaccineamb Hepatitis B Vaccine Charge | $112.00 | $372.00 | $89.00–$353.00 | 5% below | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Q2038 Fluzone 3 Yrs+>iamb Influenza Vacc Charge | $132.00 | $440.00 | $106.00–$418.00 | 43% above | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vaccine, Hd 65+ Yrsamb Influenza Charge | $132.00 | $440.00 | $106.00–$418.00 | 43% above | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Prsv Free Inc Antigamb Influenza Vacc Charge | $132.00 | $440.00 | $106.00–$418.00 | 43% above | 70% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Medication Charge | $141.00 | $470.00 | $113.00–$447.00 | 16% below | 70% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 0.5 Ml Mmramb Measles-mumps-rubella Vaccine Charge | $172.00 | $572.00 | $137.00–$543.00 | 3% above | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-valent Conjugateamb Pneumococcal 20-valent Vac Charge | $456.00 | $1,520.00 | $365.00–$1,444.00 | 16% below | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 0.5 Ml Pneumococcal 23-valent Conjugateamb Pneumococcal 23-valent Vaccine Charge | $211.00 | $703.00 | $169.00–$668.00 | 9% above | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 0.5 Ml Tdapamb Tdap Charge | $80.00 | $267.00 | $64.00–$254.00 | 28% below | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52tetanus/diphtheria/pertussis, Acel (Tdap) 5 Units-2.5 Units-18.5 Mcg/0.5 Ml Im Susp [Reho] | $80.00 | $267.00 | $64.00–$254.00 | 28% below | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43xtetanus/diphth/pertuss (Tdap) Adult/adol 5 Units-2 Units-15.5 Mcg/0.5 Ml Sus [City] | $80.00 | $267.00 | $64.00–$254.00 | 28% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471admin Immunization Charge | $26.00 | $86.00 | $21.00–$82.00 | 44% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471: Im/subq First Doseadmin Immunization Charge | $66.00 | $220.00 | $53.00–$209.00 | 42% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Of Vaccine Charge | $584.00 | $1,946.00 | $467.00–$1,849.00 | 1153% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Additional Immunization Administration | $13.00 | $44.00 | $11.00–$42.00 | 57% below | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472admin Immunization Charge | $13.00 | $44.00 | $11.00–$42.00 | 57% below | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472: Im/subq Each Additionaladmin Immunization Charge | $60.00 | $199.00 | $48.00–$189.00 | 97% above | 70% |