Hospital Albuquerque, NM

University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital

University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital in Albuquerque, NM publishes cash prices for 363 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 297 of 322 procedures and above it for 25. Click a procedure to compare it with other hospitals nearby.

2211 Lomas Blvd Ne,Albuquerque,NM,87106 Collected Sep 29, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES	$191.95	$349.00	$79.01–$321.10	54% below	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$223.85	$407.00	$66.40–$423.34	56% below	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$230.57	$419.21	$66.40–$423.34	55% below	45%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$643.50	$1,170.00	$198.64–$964.86	41% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$1,569.98	$2,854.50	$155.51–$1,257.00	31% below	45%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$450.31	$818.75	$309.31–$1,257.00	76% below	45%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$463.82	$843.31	$309.31–$1,257.00	76% below	45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$41.25	$75.00	$38.43–$1,257.00	80% below	45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM	$41.91	$76.20	$38.43–$1,257.00	80% below	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$811.80	$1,476.00	$179.28–$1,257.00	71% below	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$893.20	$1,624.00	$179.28–$1,257.00	68% below	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$963.05	$1,751.00	$276.37–$1,257.00	74% below	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$1,218.80	$2,216.00	$309.31–$1,257.00	70% below	45%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$963.05	$1,751.00	$155.51–$1,257.00	53% below	45%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$811.80	$1,476.00	$92.69–$1,257.00	54% below	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$687.50	$1,250.00	$92.69–$1,257.00	47% below	45%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$628.65	$1,143.00	$92.69–$1,257.00	58% below	45%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$868.45	$1,579.00	$144.17–$1,257.00	53% below	45%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$1,012.00	$1,840.00	$155.51–$1,257.00	51% below	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$934.45	$1,699.00	$92.69–$1,257.00	52% below	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$898.15	$1,633.00	$92.69–$1,257.00	57% below	45%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$947.65	$1,723.00	$155.51–$1,257.00	52% below	45%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$281.55	$511.91	$170.67–$575.87	—	45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$273.35	$497.00	$170.67–$575.87	60% below	45%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$102.47	$186.30	$27.48–$210.04	62% below	45%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$204.93	$372.60	$27.48–$210.04	23% below	45%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$85.39	$155.25	$18.05–$210.04	66% below	45%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$87.95	$159.91	$18.05–$210.04	65% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$293.70	$534.00	$92.69–$516.00	44% below	45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$149.60	$272.00	$36.61–$252.33	59% below	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT	$47.30	$86.00	$25.21–$210.04	69% below	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$48.72	$88.58	$25.21–$210.04	68% below	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS	$458.04	$832.80	$211.54–$575.87	2% above	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$811.25	$1,475.00	$92.69–$1,257.00	53% below	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$963.60	$1,752.00	$155.51–$1,257.00	53% below	45%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$141.40	$257.09	$41.27–$158.59	—	45%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$137.28	$249.60	$41.27–$158.59	64% below	45%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$320.10	$582.00	$169.58–$575.87	69% below	45%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$314.05	$571.00	$165.67–$575.87	67% below	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$747.45	$1,359.00	$202.81–$1,318.79	51% below	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$896.94	$1,630.80	$202.81–$1,318.79	42% below	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM	$583.55	$1,061.00	$291.05–$964.86	57% below	45%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$360.40	$655.27	$150.92–$521.14	10% above	45%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT	$456.50	$830.00	$150.92–$521.14	39% above	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER)	$1,976.70	$3,594.00	$581.16–$2,072.58	20% above	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$268.40	$488.00	$78.42–$516.00	42% below	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING	$139.05	$252.81	$92.69–$1,257.00	58% below	45%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$727.72	$1,323.12	$94.08–$1,626.00	—	45%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS	$706.52	$1,284.58	$94.08–$1,626.00	—	45%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$1,045.00	$1,900.00	$211.54–$1,626.00	57% below	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$1,632.40	$2,968.00	$309.31–$1,626.00	45% below	45%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$1,178.10	$2,142.00	$205.02–$1,626.00	38% below	45%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$1,632.40	$2,968.00	$309.31–$1,626.00	55% below	45%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$1,178.10	$2,142.00	$198.29–$1,626.00	42% below	45%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$1,632.40	$2,968.00	$309.31–$1,626.00	43% below	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$1,178.10	$2,142.00	$199.53–$1,626.00	47% below	45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$1,648.90	$2,998.00	$309.31–$1,626.00	41% below	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$1,178.10	$2,142.00	$199.22–$1,626.00	43% below	45%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$1,632.40	$2,968.00	$309.31–$1,626.00	47% below	45%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$1,397.00	$2,540.00	$211.54–$1,626.00	30% below	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT	$1,510.30	$2,746.00	$343.55–$3,124.68	40% below	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,555.61	$2,828.38	$343.55–$3,124.68	39% below	45%
OCT scan of the retina (optical coherence tomography) CPT 92134 IMAGING OF RETINA	$66.00	$120.00	$41.47–$142.37	—	45%
OCT scan of the retina (optical coherence tomography) CPT 92134 CPTRZ OPH DX IMG PST SGM RTA	$67.98	$123.60	$41.47–$142.37	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$139.70	$254.00	$43.16–$516.00	66% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$221.10	$402.00	$91.04–$516.00	58% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$227.04	$412.80	$92.69–$516.00	56% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS	$253.13	$460.24	$92.69–$516.00	50% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS	$246.18	$447.60	$92.69–$516.00	48% below	45%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$61.39	$111.61	$31.13–$127.61	—	45%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$113.52	$206.40	$31.13–$127.61	58% below	45%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$2,188.56	$3,979.20	$553.17–$2,072.58	41% above	45%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT	$1,035.38	$1,882.50	$228.48–$1,318.79	7% below	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$262.90	$478.00	$74.23–$423.34	48% below	45%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$229.68	$417.60	$91.04–$516.00	52% below	45%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS	$220.78	$401.42	$92.69–$516.00	48% below	45%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$337.15	$613.00	$92.69–$516.00	44% below	45%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$404.58	$735.60	$92.69–$516.00	32% below	45%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$258.50	$470.00	$61.27–$516.00	51% below	45%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$310.20	$564.00	$61.27–$516.00	41% below	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$287.76	$523.20	$79.85–$516.00	37% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$314.19	$571.25	$88.29–$423.34	53% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$242.00	$440.00	$92.69–$252.33	66% below	45%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$133.38	$242.50	$24.59–$210.04	46% below	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$166.65	$303.00	$31.10–$252.33	48% below	45%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$222.20	$404.00	$43.49–$252.33	50% below	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$138.05	$251.00	$30.16–$252.33	58% below	45%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$101.20	$184.00	$27.46–$210.04	65% below	45%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$104.24	$189.52	$27.46–$210.04	64% below	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$142.45	$259.00	$29.54–$210.04	49% below	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$125.95	$229.00	$26.36–$252.33	50% below	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$129.73	$235.87	$26.36–$252.33	49% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$180.81	$328.75	$25.08–$210.04	38% below	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$19.80	$36.00	$4.77–$12.98	76% below	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$19.25	$35.00	$4.66–$12.69	57% below	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$182.60	$332.00	$42.87–$116.69	45% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$9.90	$18.00	$4.70–$12.79	67% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$24.75	$45.00	$4.70–$12.79	16% below	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT	$48.95	$89.00	$11.65–$31.73	12% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$46.20	$84.00	$10.88–$29.62	56% below	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$79.75	$145.00	$35.33–$96.19	49% below	45%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$54.45	$99.00	$7.61–$20.73	67% below	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$69.96	$127.20	$46.21–$125.78	57% below	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$72.06	$131.02	$46.21–$125.78	56% below	45%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$82.50	$150.00	$9.29–$25.28	37% below	45%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$165.00	$300.00	$9.29–$25.28	26% above	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$19.25	$35.00	$2.82–$46.00	19% above	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$23.79	$43.26	$2.82–$46.00	47% above	45%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$14.85	$27.00	$3.54–$9.63	62% below	45%
Blood lead test CPT 83655 LEAD LEVEL	$46.20	$84.00	$10.90–$29.67	26% below	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$12.10	$22.00	$3.85–$321.10	89% below	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$17.60	$32.00	$4.66–$12.69	74% below	45%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$58.30	$106.00	$33.54–$91.31	58% below	45%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$79.75	$145.00	$18.73–$50.98	53% below	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$79.75	$145.00	$18.73–$50.98	31% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$98.34	$178.80	$31.58–$85.97	18% above	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$46.75	$85.00	$12.05–$32.81	66% below	45%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$39.60	$72.00	$7.77–$19.04	36% below	45%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$40.15	$73.00	$6.99–$19.04	35% below	45%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$25.30	$46.00	$6.47–$15.85	45% below	45%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$17.60	$32.00	$9.50–$25.87	92% below	45%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$39.60	$72.00	$9.16–$24.94	69% below	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL	$85.80	$156.00	$20.01–$54.46	28% below	45%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$128.70	$234.00	$25.15–$68.45	43% above	45%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$85.80	$156.00	$16.72–$45.52	8% below	45%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$37.81	$68.75	$17.67–$48.09	80% below	45%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$52.25	$95.00	$12.27–$33.39	53% below	45%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$56.65	$103.00	$13.23–$36.02	52% below	45%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$81.13	$147.50	$15.25–$41.50	30% below	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$40.92	$74.40	$8.12–$22.10	69% below	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$81.84	$148.80	$8.12–$22.10	38% below	45%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE	$97.90	$178.00	$22.92–$62.40	20% above	45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$56.10	$102.00	$49.28	75% below	45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE	$10.56	$19.20	$4.28–$11.64	78% below	45%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS	$41.58	$75.60	$11.58–$31.53	65% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$73.92	$134.40	$31.58–$85.97	11% below	45%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$79.75	$145.00	$12.36–$35.23	28% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION	$327.25	$595.00	$76.59–$208.50	20% above	45%
HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS	$52.25	$95.00	$12.34–$33.59	53% below	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$10.56	$19.20	$21.67–$59.00	87% below	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$11.42	$20.76	$21.67–$59.00	86% below	45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES	$98.34	$178.80	$31.58–$85.97	48% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$44.22	$80.40	$8.74–$23.79	37% below	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$41.80	$76.00	$9.67–$26.31	54% below	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$40.15	$73.00	$9.30–$25.31	32% below	45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$66.00	$120.00	$12.84–$34.96	39% below	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$164.45	$299.00	$38.56–$104.96	7% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1	$30.25	$55.00	$11.87–$32.32	61% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2	$45.10	$82.00	$17.42–$47.41	45% below	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY	$48.95	$89.00	$11.65–$31.73	12% below	45%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$64.35	$117.00	$16.13–$43.90	52% below	45%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$55.00	$100.00	$10.29–$28.00	26% below	45%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$25.30	$46.00	$5.82–$15.85	62% below	45%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$33.00	$60.00	$7.87–$21.41	53% below	45%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$13.20	$24.00	$7.81–$21.27	92% below	45%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$85.14	$154.80	$16.67–$45.37	14% below	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$26.40	$48.00	$6.20–$16.88	71% below	45%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$46.20	$84.00	$7.35–$20.02	69% below	45%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$81.13	$147.50	$15.33–$41.72	18% below	45%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$25.85	$47.00	$6.03–$16.42	68% below	45%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$29.70	$54.00	$11.59–$31.56	40% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$24.75	$45.00	$4.66–$12.69	78% below	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE	$70.95	$129.00	$16.55–$45.06	20% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$85.14	$154.80	$16.55–$45.06	4% below	45%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING	$40.26	$73.20	$23.74–$65.19	57% below	45%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$40.92	$74.40	$23.74–$65.19	57% below	45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING	$57.42	$104.40	$18.23–$49.64	31% below	45%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$158.95	$289.00	$37.15–$92.88	8% above	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$23.65	$43.00	$5.41–$14.72	71% below	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$1,419.69	$2,581.25	$683.14–$1,859.67	—	45%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$99.69	$181.25	$18.77–$51.11	32% below	45%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$92.81	$168.75	$17.44–$47.48	34% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$14.85	$27.00	$3.86–$10.51	62% below	45%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$8.25	$15.00	$11.34–$30.87	86% below	45%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION	$10.31	$18.75	$11.34–$30.87	83% below	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$10.20	$18.54	$14.90–$40.55	77% below	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP)	$22.14	$40.25	$14.88–$40.50	63% below	45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$11.00	$20.00	$5.67–$13.89	82% below	45%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$33.55	$61.00	$12.95–$35.26	54% below	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED	$10.45	$19.00	$2.43–$6.62	77% below	45%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$41.94	$76.25	$8.01–$21.80	73% below	45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS	$17.19	$31.25	$3.94–$10.73	12% below	45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$30.25	$55.00	$14.33–$39.00	49% below	45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY	$79.75	$145.00	$14.33–$39.00	35% above	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$15.95	$29.00	$3.84–$10.46	61% below	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$111.10	$202.00	$55.78–$151.85	46% below	45%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$99.00	$180.00	$23.23–$63.23	20% above	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$123.75	$225.00	$23.23–$63.23	50% above	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$69.44	$126.25	$13.10–$35.65	4% above	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$64.35	$117.00	$15.12–$41.16	45% below	45%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$67.65	$123.00	$31.58–$85.97	1% above	45%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$16.50	$30.00	$4.07–$11.07	68% below	45%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$4.36	$7.93	$2.85–$7.77	93% below	45%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$15.40	$28.00	$2.85–$7.77	76% below	45%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$15.40	$28.00	$3.62–$9.85	—	45%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$11.88	$21.60	$2.02–$5.51	49% below	45%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST	$7.84	$14.25	$3.13–$8.53	52% below	45%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$36.85	$67.00	$7.26–$19.77	59% below	45%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$29.70	$54.00	$7.75–$21.09	33% below	45%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$58.30	$106.00	$15.08–$36.95	53% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$136.62	$248.40	$26.64–$72.52	10% below	45%
Zinc blood test CPT 84630 ASSAY OF ZINC	$44.00	$80.00	$10.25–$27.91	40% below	45%
Zinc blood test CPT 84630 ZINC LEVEL	$55.00	$100.00	$10.25–$27.91	25% below	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$58.30	$106.00	$13.54–$36.87	61% below	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$2,389.05	$4,343.73	$186.34–$8,001.99	70% below	45%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC	$3,722.77	$6,768.67	$1,649.28–$30,986.62	45% below	45%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS	$7,704.91	$14,008.93	$1,853.95–$17,033.45	—	45%
Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE	$153.04	$278.25	$46.00–$740.83	—	45%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$157.63	$286.60	$133.22–$740.83	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE	$174.63	$317.50	$46.00–$595.33	64% below	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$179.87	$327.03	$218.69–$595.33	63% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT	$104.78	$190.50	$186.57–$595.33	63% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$107.92	$196.22	$186.57–$595.33	61% below	45%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$1,262.81	$2,296.02	$647.79–$7,897.08	79% below	45%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$1,262.81	$2,296.02	$558.88–$7,897.08	93% below	45%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$3,125.95	$5,683.54	$973.84–$7,824.52	81% below	45%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$3,034.90	$5,518.00	$973.84–$7,824.52	82% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$341.00	$620.00	$187.18–$1,595.19	47% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$351.23	$638.60	$187.18–$1,595.20	45% below	45%
Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$2,243.29	$4,078.70	$46.00–$4,712.97	62% below	45%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$2,310.58	$4,201.06	$374.61–$4,712.97	61% below	45%
Cataract surgery with lens implant CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,717.00	$4,940.00	$582.37–$5,570.03	—	45%
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION	$7,698.63	$13,997.50	$1,032.23–$63,084.66	66% below	45%
Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB	$8,326.07	$15,138.30	$1,032.23–$63,084.66	63% below	45%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$691.84	$1,257.89	$116.53–$2,222.98	24% below	45%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVERY	$1,505.27	$2,736.86	$8,509.00	—	45%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$966.45	$1,757.18	$180.08–$5,045.21	90% below	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$1,321.36	$2,402.48	$142.62–$5,045.21	4% above	45%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE	$1,282.88	$2,332.50	$205.26–$1,682.95	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$428.31	$778.75	$46.00–$595.33	7% below	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$441.16	$802.11	$218.69–$595.33	4% below	45%
Colonoscopy with endoscopic ultrasound CPT 45391 ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,646.15	$2,993.00	$257.15–$2,888.16	—	45%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,263.24	$2,296.80	$450.56–$2,888.16	44% below	45%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,301.14	$2,365.70	$450.56–$2,888.16	42% below	45%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,263.24	$2,296.80	$412.73–$2,888.16	42% below	45%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$1,301.14	$2,365.70	$412.73–$2,888.16	40% below	45%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,263.24	$2,296.80	$349.14–$2,244.49	22% below	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE	$1,192.81	$2,168.75	$258.17–$7,812.93	87% below	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$1,290.03	$2,345.50	$258.17–$7,812.93	86% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE	$224.40	$408.00	$142.96–$735.47	97% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$231.13	$420.24	$142.96–$735.47	97% below	45%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$5,135.57	$9,337.40	$568.59–$27,862.31	67% below	45%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$1,192.46	$2,168.10	$313.70–$8,507.67	86% below	45%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$2,065.46	$3,755.38	$313.70–$8,507.67	75% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$392.18	$713.06	$46.00–$1,682.95	97% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$859.84	$1,563.35	$187.92–$1,682.95	93% below	45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$927.30	$1,686.00	$218.77–$7,812.93	91% below	45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$1,002.88	$1,823.41	$218.77–$7,812.93	90% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH	$72.60	$132.00	$46.00–$484.24	52% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$78.52	$142.76	$57.40–$484.24	48% below	45%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA	$422.83	$768.78	$46.00–$1,301.68	—	45%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$435.51	$791.84	$169.29–$1,301.68	—	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$55.52	$100.95	$11.22–$142.37	74% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$85.83	$156.05	$11.22–$142.37	60% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$90.42	$164.40	$44.97–$142.37	49% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS	$78.79	$143.25	$46.00–$487.94	66% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$108.20	$196.73	$101.36–$487.94	53% below	45%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$8,966.64	$16,302.98	$305.51–$17,033.45	3% below	45%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$718.31	$1,306.01	$226.81–$1,703.68	14% below	45%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$871.73	$1,584.96	$226.81–$1,703.68	5% above	45%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG	$420.48	$764.50	$94.27–$797.21	—	45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$873.19	$1,587.62	$150.21–$2,134.71	18% above	45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$899.39	$1,635.25	$150.21–$2,134.71	22% above	45%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$5,996.47	$10,902.67	$5,739.72–$15,624.80	18% below	45%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE	$5,996.47	$10,902.67	$5,739.72–$15,624.80	46% below	45%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$2,790.41	$5,073.47	$3,174.40–$8,641.42	68% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$748.04	$1,360.08	$46.00–$2,244.49	52% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$770.48	$1,400.88	$117.88–$2,244.49	50% below	45%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$9,109.10	$16,562.00	$622.63–$14,591.10	5% above	45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$8,371.22	$15,220.40	$668.62–$14,591.10	21% below	45%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$965.40	$1,755.27	$363.90–$7,897.08	91% below	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$580.10	$1,054.72	$177.41–$2,244.49	66% below	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING	$704.00	$1,280.00	$177.41–$2,244.49	59% below	45%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL HYSTERECTOMY	$995.12	$1,809.30	$8,509.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$40.79	$74.16	$46.34–$126.15	84% below	45%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$2,389.05	$4,343.73	$1,480.90–$12,073.58	77% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$2,412.96	$4,387.20	$46.00–$7,812.93	79% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$2,485.35	$4,518.82	$277.28–$7,812.93	78% below	45%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$169.81	$308.75	$39.69–$46.00	93% below	45%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$183.65	$333.91	$39.69	92% below	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$142.40	$258.91	$8,509.00	—	45%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$132.66	$241.20	$46.00–$484.24	82% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$136.64	$248.44	$90.72–$484.24	82% below	45%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$3,306.88	$6,012.50	$456.93–$8,641.42	35% below	45%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$4,054.36	$7,371.56	$456.93–$8,641.42	21% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$217.80	$396.00	$46.00–$740.83	69% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$224.33	$407.88	$54.12–$740.83	68% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$188.10	$342.00	$56.37–$740.83	46% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$193.74	$352.26	$56.37–$740.83	45% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$175.45	$319.00	$117.95–$321.10	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE	$219.31	$398.75	$46.00–$321.10	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$135.08	$245.60	$46.77–$740.83	62% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$139.13	$252.97	$46.77–$740.83	61% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$161.15	$293.00	$44.46–$740.83	61% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$165.98	$301.79	$44.46–$740.83	60% below	45%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 BYPASS OF STOMACH USING AN ENDOSCOPE	$5,291.00	$9,620.00	$1,472.32–$4,007.98	60% above	45%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$5,419.70	$9,854.00	$514.83–$14,591.10	60% below	45%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE	$8,740.16	$15,891.20	$992.67–$25,655.49	299% above	45%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$13,227.50	$24,050.00	$694.72–$25,655.49	693% above	45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$14,285.70	$25,974.00	$759.91–$25,655.49	14% above	45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$11,444.43	$20,808.05	$383.31–$14,591.10	18% above	45%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$5,050.76	$9,183.20	$621.77–$14,591.10	44% below	45%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER	$507.10	$922.00	$234.88–$1,327.43	—	45%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY	$617.49	$1,122.70	$234.88–$1,327.43	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$323.13	$587.50	$167.26–$981.15	30% below	45%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$3,284.00	$5,970.91	$782.69–$7,824.52	62% below	45%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$696.85	$1,267.00	$46.00–$1,703.68	51% below	45%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$717.76	$1,305.01	$221.86–$1,703.68	49% below	45%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL	$403.15	$733.00	$46.00–$2,134.71	31% below	45%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$415.24	$754.99	$143.40–$2,134.71	29% below	45%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$421.22	$765.85	$201.16–$2,134.71	63% below	45%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$7,127.12	$12,958.40	$855.01–$17,513.14	62% below	45%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$6,678.10	$12,142.00	$1,014.37–$17,513.14	—	45%
Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK	$6,547.49	$11,904.53	$1,451.01–$42,318.51	—	45%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$932.68	$1,695.79	$338.89–$7,812.93	90% below	45%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$2,276.56	$4,139.20	$338.89–$7,812.93	76% below	45%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE	$886.05	$1,611.00	$8,509.00	—	45%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD; NECK; HANDS; FEET; OR GENITALS; 1-5 TISSUE BLOCKS	$372.90	$678.00	$46.00–$1,783.77	—	45%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G	$384.09	$698.34	$536.86–$1,783.77	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$697.13	$1,267.50	$103.35–$1,709.10	61% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$718.04	$1,305.53	$103.35–$1,709.10	60% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$697.13	$1,267.50	$46.00–$1,709.10	17% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$718.04	$1,305.53	$114.57–$1,709.10	14% below	45%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$158.81	$288.75	$83.72–$484.24	67% below	45%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$248.88	$452.50	$46.00–$740.83	39% below	45%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$256.34	$466.08	$93.56–$740.83	37% below	45%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE	$4,387.90	$7,978.00	$496.42–$25,226.28	71% below	45%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$4,745.52	$8,628.21	$496.42–$25,226.28	68% below	45%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$559.90	$1,018.00	$264.74–$2,189.05	38% below	45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$576.70	$1,048.54	$264.74–$2,189.05	36% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$243.38	$442.50	$153.70–$981.15	66% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$250.68	$455.78	$153.70–$981.15	65% below	45%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$660.64	$1,201.16	$46.00–$199.86	91% below	45%
Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$9,523.80	$17,316.00	$1,324.35–$25,655.49	—	45%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$1,435.51	$2,610.02	$46.00–$4,712.97	—	45%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$2,650.65	$4,819.37	$395.22–$9,450.04	18% below	45%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$302.50	$550.00	$46.00–$981.15	60% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$311.58	$566.50	$46.00–$981.15	59% below	45%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$6,157.58	$11,195.60	$686.45–$14,591.10	37% below	45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$1,052.70	$1,914.00	$329.06–$2,244.49	52% below	45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$1,084.28	$1,971.42	$329.06–$2,244.49	50% below	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$1,052.70	$1,914.00	$329.06–$2,244.49	57% below	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$1,084.28	$1,971.42	$329.06–$2,244.49	55% below	45%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE	$1,459.42	$2,653.49	$464.22–$8,001.99	75% below	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$1,192.46	$2,168.10	$671.10–$8,507.67	91% below	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$4,857.60	$8,832.00	$671.10–$8,507.67	62% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST	$169.95	$309.00	$46.00–$675.05	5% above	45%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$233.40	$424.36	$77.36–$675.05	44% above	45%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$88.55	$161.00	$57.71–$321.10	70% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$114.01	$207.29	$57.71–$321.10	61% below	45%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$205.15	$373.00	$76.61–$675.05	—	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$211.30	$384.19	$76.61–$675.05	—	45%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$135.44	$246.25	$61.07–$392.20	68% below	45%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$139.50	$253.64	$46.00–$392.20	67% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$206.25	$375.00	$81.18–$484.24	43% below	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$303.27	$551.40	$46.00–$981.15	37% below	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$312.37	$567.94	$113.26–$981.15	35% below	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$411.85	$748.81	$144.40–$1,709.10	93% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$165.73	$301.32	$46.00–$484.24	23% below	45%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$170.70	$310.36	$66.72–$484.24	21% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$720.50	$1,310.00	$143.13–$1,703.68	13% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$742.12	$1,349.30	$143.13–$1,703.68	11% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$206.25	$375.00	$99.35–$484.24	47% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$257.81	$468.75	$46.00–$484.24	33% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$198.00	$360.00	$46.00–$484.24	43% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$203.94	$370.80	$99.78–$484.24	42% below	45%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$1,899.72	$3,454.04	$681.71–$12,940.88	76% below	45%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$5,788.64	$10,524.80	$681.71–$12,940.88	27% below	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH	$291.14	$529.34	$46.00–$981.15	3% below	45%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$515.90	$938.00	$262.54–$1,514.03	46% below	45%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$531.38	$966.14	$262.54–$1,514.03	44% below	45%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$3,872.44	$7,040.80	$285.56–$8,001.99	58% below	45%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$3,872.44	$7,040.80	$263.25–$14,287.71	55% below	45%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$3,294.72	$5,990.40	$233.74–$8,001.99	77% below	45%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS)	$4,450.16	$8,091.20	$239.16–$14,287.71	53% below	45%
Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$8,265.91	$15,028.92	$1,377.06–$42,318.51	75% below	45%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$3,159.35	$5,744.27	$905.51–$14,591.10	74% below	45%
Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER	$2,257.30	$4,104.19	$46.00–$3,880.95	63% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$288.75	$525.00	$46.00–$740.83	58% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$297.41	$540.75	$49.79–$740.83	57% below	45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$998.25	$1,815.00	$160.96–$4,631.36	75% below	45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$1,028.20	$1,869.45	$160.96–$4,631.36	75% below	45%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,052.70	$1,914.00	$314.55–$2,189.05	49% below	45%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,084.28	$1,971.42	$314.55–$2,189.05	47% below	45%
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$890.45	$1,619.00	$326.17–$2,189.05	67% below	45%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$917.16	$1,667.57	$326.17–$2,189.05	66% below	45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,350.25	$2,455.00	$203.12–$4,631.36	53% below	45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$1,390.76	$2,528.65	$203.12–$4,631.36	52% below	45%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE	$1,052.70	$1,914.00	$174.38–$2,189.05	64% below	45%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$1,084.28	$1,971.42	$174.38–$2,189.05	62% below	45%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$966.90	$1,758.00	$265.12–$2,189.05	49% below	45%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$995.91	$1,810.74	$265.12–$2,189.05	48% below	45%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 DRAINAGE OF FLUID COLLECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$588.50	$1,070.00	$373.11–$14,652.32	—	45%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST	$636.47	$1,157.21	$373.11–$14,652.32	—	45%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$5,452.00	$9,912.72	$377.13–$12,940.88	12% below	45%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$4,409.64	$8,017.52	$400.13–$12,940.88	65% below	45%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$1,231.56	$2,239.20	$46.00–$5,045.21	—	45%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$1,268.51	$2,306.38	$529.36–$5,045.21	—	45%
Vein ablation, radiofrequency, first vein CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$3,894.99	$7,081.80	$46.00–$7,620.68	—	45%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$4,011.84	$7,294.25	$1,377.35–$7,620.68	—	45%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$127.46	$231.75	$46.00–$484.24	40% below	45%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$131.29	$238.70	$82.29–$484.24	39% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$378.13	$687.50	$80.93–$981.15	67% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$389.47	$708.13	$80.93–$981.15	66% below	45%

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 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$354.20	$644.00	$30.49–$1,064.79	40% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$364.83	$663.32	$30.49–$1,064.79	38% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$96.25	$175.00	$10.96–$528.51	4% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$123.92	$225.31	$10.96–$528.51	34% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$96.25	$175.00	$8,509.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$99.14	$180.25	$8,509.00	—	45%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$240.63	$437.50	$119.02–$797.21	55% below	45%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$247.85	$450.63	$119.02–$797.21	54% below	45%
Comprehensive eye exam, returning patient CPT 92014 ESTABLISHED PATIENT COMPLETE EXAM OF VISUAL SYSTEM	$83.05	$151.00	$46.00–$321.32	—	45%
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/>	$85.54	$155.53	$46.00–$321.32	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST	$156.75	$285.00	$34.69–$310.56	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST	$161.45	$293.55	$34.69–$310.56	—	45%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$671.55	$1,221.00	$239.61–$10,192.00	66% below	45%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$691.70	$1,257.63	$239.61–$10,192.00	65% below	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY	$259.05	$471.00	$174.57–$521.14	66% below	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$266.82	$485.13	$174.57–$521.14	65% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$77.00	$140.00	$7.51–$142.37	49% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$105.88	$192.50	$7.51–$142.37	31% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$75.08	$136.50	$16.51–$509.00	58% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$85.80	$156.00	$16.51–$509.00	52% below	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$106.84	$194.25	$27.41–$370.59	61% below	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$116.05	$211.00	$27.41–$509.00	58% below	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$202.40	$368.00	$59.13–$1,440.00	60% below	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$255.02	$463.68	$59.13–$1,440.00	50% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$327.25	$595.00	$96.19–$3,051.00	58% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$343.61	$624.75	$96.19–$3,051.00	56% below	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$572.22	$1,040.40	$150.71–$3,051.00	49% below	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$600.83	$1,092.42	$150.71–$3,051.00	46% below	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$397.12	$722.03	$34.13–$521.14	39% below	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$481.94	$876.25	$34.13–$521.14	26% below	45%
Eye exam, returning patient, intermediate CPT 92012 ESTABLISHED PATIENT PROBLEM FOCUSED EXAM OF VISUAL SYSTEM	$111.65	$203.00	$46.00–$321.32	—	45%
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT	$115.00	$209.09	$46.00–$321.32	—	45%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$91.21	$165.83	$46.00–$428.38	54% below	45%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$91.21	$165.83	$46.00–$428.38	48% below	45%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$117.27	$213.21	$29.10–$245.20	18% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$137.50	$250.00	$48.04–$513.37	50% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$141.63	$257.50	$48.04–$513.37	49% below	45%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$165.00	$300.00	$58.35–$513.37	51% below	45%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$169.95	$309.00	$58.35–$513.37	50% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$49.50	$90.00	$17.52–$173.78	50% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$50.99	$92.70	$17.52–$173.78	48% below	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$49.50	$90.00	$8,509.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$50.99	$92.70	$8,509.00	—	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$131.20	$238.55	$46.00–$428.38	48% below	45%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION; 7-8 STUDIES	$148.50	$270.00	$167.66–$900.62	58% below	45%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$152.96	$278.10	$167.66–$900.62	56% below	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$31.16	$56.65	$16.44–$63.11	49% below	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES	$60.50	$110.00	$16.44–$63.11	1% below	45%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS)	$63.75	$115.90	$139.83	—	45%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39	$66.94	$121.70	$139.83	—	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS)	$51.21	$93.10	$139.83	—	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64	$53.77	$97.76	$139.83	—	45%
Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER)	$51.21	$93.10	$139.83	—	45%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR	$52.74	$95.89	$139.83	—	45%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$122.36	$222.48	$46.00–$428.38	—	45%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$112.73	$204.97	$70.00–$428.38	58% below	45%
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES	$67.22	$122.21	$157.36–$428.38	40% below	45%
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES	$79.50	$144.55	$157.36–$428.38	50% below	45%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES	$112.73	$204.97	$46.00–$428.38	49% below	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES	$22.69	$41.25	$12.66–$90.43	31% below	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$23.37	$42.49	$12.66–$90.43	29% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES	$104.50	$190.00	$46.00–$306.05	58% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$109.73	$199.50	$46.00–$306.05	56% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$82.50	$150.00	$46.00–$139.99	44% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$86.63	$157.50	$46.00–$139.99	41% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$93.50	$170.00	$46.00–$206.14	51% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$98.18	$178.50	$46.00–$206.14	49% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$71.50	$130.00	$27.90–$75.95	33% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$75.08	$136.50	$27.90–$75.95	30% below	45%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$122.10	$222.00	$29.32–$521.14	50% below	45%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$125.76	$228.66	$29.32–$521.14	49% below	45%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$250.80	$456.00	$51.01–$900.62	37% below	45%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$258.32	$469.68	$51.01–$900.62	36% below	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$97.35	$177.00	$15.75–$321.10	40% below	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$100.27	$182.31	$15.75–$321.10	38% below	45%
Visual field test, extended CPT 92083 EXAM OF VISUAL FIELD WITH EXTENDED TESTING	$72.60	$132.00	$57.55–$321.10	—	45%
Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM	$74.78	$135.96	$57.55–$321.10	—	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM	$81.51	$148.20	—	53% below	45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty PFS 2024-2025 Age 12 and older	$85.75	$155.90	—	50% below	45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty 2025-2026 Age Over 65 / High Risk 12-64	$92.60	$168.37	—	47% below	45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty 2023-2024 Age 12 and older	$92.60	$168.37	—	47% below	45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax	$258.93	$470.78	$81.67	4% below	45%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9	$412.92	$750.76	$176.95	4% below	45%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix	$180.32	$327.85	$113.28	—	45%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT DOSAGE	$107.36	$195.20	$54.98	19% below	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Recombivax HB	$89.18	$162.14	$63.30	24% below	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B	$100.86	$183.38	$63.30	14% below	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$134.35	$244.28	$47.07	20% below	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$149.20	$271.28	$127.15	—	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra	$192.38	$349.78	$127.15	—	45%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero	$257.62	$468.40	$169.60	—	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20	$378.35	$687.90	—	30% below	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$160.04	$290.99	$98.85	18% below	45%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo	$396.28	$720.50	—	—	45%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Arexvy	$190.30	$346.00	—	—	45%
Rabies vaccine, one dose CPT 90675 RabAvert	$369.19	$671.25	$283.02–$783.39	50% below	45%
Rabies vaccine, one dose CPT 90675 Imovax Rabies	$499.40	$908.00	$283.02–$783.39	32% below	45%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix	$284.47	$517.22	$152.85	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Decavac	$37.69	$68.52	$21.54	62% below	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$58.71	$106.75	$21.54	41% below	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$69.84	$126.99	$30.10	37% below	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel	$72.43	$131.69	$30.10	35% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$11.44	$20.80	$20.80–$173.78	75% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$17.67	$32.12	$20.80–$173.78	62% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$11.97	$21.77	$20.80	61% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$22.88	$41.60	$20.80	25% below	45%

Dental

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE TEETH PER QUADRANT	$1,772.25	$3,222.27	$115.73–$1,560.31	—	45%
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 PROPHYLAXIS - ADULT	$886.12	$1,611.13	$44.78–$321.32	—	45%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION; ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL)	$3,872.44	$7,040.80	$64.42–$1,560.31	—	45%

Source file: https://unmhealth.org/patients-visitors/_files/856003005_university-of-new-mexico-hospital_standardcharges.csv