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Hospital

Sierra Vista Hospital

Sierra Vista Hospital in Truth Or Consequences, NM publishes cash prices for 287 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 above the New Mexico median for 145 of 280 procedures and below it for 119. By typical cash price it ranks #14 of 20 New Mexico hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

800 E 9TH ST, TRUTH OR CONSEQUENCES, NM 87901 Collected Sep 27, 2026 Source price file (575) 894-2111

Critical access hospital (rural, 25 beds or fewer) No emergency department CCN 321300 · CMS hospital register NPI 1760446009

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Sierra Vista Hospital in Truth Or Consequences, NM:

  • Mar 17, 2023 Met requirements
  • Aug 21, 2024 Warning notice
  • Nov 22, 2024 Corrective action plan requested
  • Dec 6, 2024 Case closed

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash price List priceInsurers payvs New MexicoOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W + W O CONTRAST $2,697.38 $3,596.50 $400.22–$3,524.57 32% above 25%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS $141.00 $188.00 $71.44–$184.24 25% below 25%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ABI COMPLETE BILATERAL $349.27 $465.69 $79.66–$456.38 — 25%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN AND PELVIS $4,395.38 $5,860.50 $670.68–$5,743.29 121% above 25%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD NECK $1,588.13 $2,117.50 $408.56–$2,075.15 7% below 25%
CT angiography (CTA) of the head CPT 70496 CT ANGIO BRAIN HEAD $1,588.13 $2,117.50 $408.56–$2,075.15 7% below 25%
CT angiography (CTA) of the head CPT 70496 CT ANGIO BRAIN AND NECK $1,588.13 $2,117.50 $408.56–$2,075.15 7% below 25%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK $1,910.63 $2,547.50 $408.56–$2,496.55 21% above 25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST PE + ABD PELVIS W CONT $2,516.76 $3,355.68 $408.56–$3,568.67 61% above 25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST ABD PELVIS $2,731.13 $3,641.50 $408.56–$3,568.67 75% above 25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CT ANGIO CHEST ABD PELVIS $2,731.13 $3,641.50 $408.56–$3,568.67 75% above 25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST $2,731.13 $3,641.50 $408.56–$3,568.67 75% above 25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST PE PROTOCOL $2,731.13 $3,641.50 $408.56–$3,568.67 75% above 25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT CHEST ABD PELVIS W O CONTRAST $4,215.38 $5,620.50 $227.65–$5,508.09 81% above 25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS W O CONTRAST $4,215.38 $5,620.50 $227.65–$5,508.09 81% above 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT CHEST ABD PELVIS W CONTRAST $4,839.38 $6,452.50 $352.09–$6,323.45 75% above 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST $4,839.38 $6,452.50 $352.09–$6,323.45 75% above 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT CHEST ABD PELVIS W + W O CONTRAST $5,422.13 $7,229.50 $392.53–$7,084.91 53% above 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN W + W O + PELVIS W CONTRAST $5,422.13 $7,229.50 $392.53–$7,084.91 53% above 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS W + W O CONTRAST $5,422.13 $7,229.50 $392.53–$7,084.91 53% above 25%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST $2,224.50 $2,966.00 $356.44–$2,906.68 16% above 25%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W O CONTRAST $2,118.75 $2,825.00 $234.08–$2,768.50 37% above 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W O CONTRAST $1,381.50 $1,842.00 $234.08–$1,805.16 11% above 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W O CONTRAST $1,381.50 $1,842.00 $234.08–$1,805.16 11% above 25%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN HEAD W O CONTRAST $2,268.00 $3,024.00 $234.08–$2,963.52 53% above 25%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W O CONTRAST $2,268.00 $3,024.00 $234.08–$2,963.52 53% above 25%
CT scan of the head with contrast CPT 70460 CT BRAIN HEAD W CONTRAST $1,678.95 $2,238.60 $356.44–$3,111.50 at median 25%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST $2,381.25 $3,175.00 $356.44–$3,111.50 42% above 25%
CT scan of the head without and with contrast CPT 70470 CT BRAIN HEAD W + W O CONTRAST $2,500.50 $3,334.00 $400.22–$3,267.32 33% above 25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W O CONTRAST $2,272.88 $3,030.50 $234.08–$2,969.89 49% above 25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W CONTRAST $2,137.66 $2,850.21 $234.08–$3,013.99 20% above 25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W O CONTRAST $2,306.63 $3,075.50 $234.08–$3,013.99 29% above 25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SINUS W + W O CONTRAST $2,306.63 $3,075.50 $234.08–$3,013.99 29% above 25%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST $2,077.13 $2,769.50 $356.44–$2,714.11 11% above 25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL $892.13 $1,189.50 $186.08–$1,165.71 — 25%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS $73.50 $98.00 $37.24–$96.04 69% below 25%
Chest X-ray, single view CPT 71045 XR BABYGRAM $64.50 $86.00 $32.68–$91.14 67% below 25%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW $69.75 $93.00 $32.68–$91.14 65% below 25%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW PORTABLE $69.75 $93.00 $32.68–$91.14 65% below 25%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW FRONTAL $69.75 $93.00 $32.68–$91.14 65% below 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA $594.30 $792.40 $116.75–$837.90 15% above 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL $641.25 $855.00 $116.75–$837.90 24% above 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEY BLADDER $641.25 $855.00 $116.75–$837.90 24% above 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE $641.25 $855.00 $116.75–$837.90 24% above 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE $641.25 $855.00 $116.75–$837.90 24% above 25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA AXIAL SKELETON $178.88 $238.50 $87.00–$233.73 29% below 25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA G $178.88 $238.50 $87.00–$233.73 29% below 25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD BONE DENSITY DEXA APP SKELETON $217.50 $290.00 $34.93–$284.20 2% below 25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W O CONTRAST $1,897.50 $2,530.00 $234.08–$2,479.40 26% above 25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOLUTION $1,897.50 $2,530.00 $234.08–$2,479.40 26% above 25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT CHEST ABD PELVIS W CONTRAST $1,897.50 $2,530.00 $356.44–$2,901.78 12% above 25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST $2,220.75 $2,961.00 $356.44–$2,901.78 31% above 25%
Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIGITAL DIAGNOSTIC BILAT $353.25 $471.00 $178.98–$480.20 — 25%
Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIAGNOSTIC BILATERAL W TOMO $353.25 $471.00 $178.98–$480.20 — 25%
Diagnostic mammogram, both breasts both sides CPT 77066 MG BREAST TOMO 3D DIGITAL DIAG BILATERAL $367.50 $490.00 $178.98–$480.20 — 25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXT ARTERIAL DUPLEX BILATERAL $506.25 $675.00 $186.08–$661.50 — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXT VENOUS REFLUX BILATERAL $952.10 $1,269.46 $186.08–$1,244.07 — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UPPER EXT VENOUS DUPLEX BILATERAL $1,027.13 $1,369.50 $186.08–$1,342.11 — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXT VENOUS DUPLEX BILATERAL $1,027.13 $1,369.50 $186.08–$1,342.11 — 25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE $1,316.25 $1,755.00 $541.16–$1,719.90 15% above 25%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS SELLA W O CONTRAST $1,471.13 $1,961.50 $234.08–$1,922.27 41% above 25%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3+ VIEWS $230.63 $307.50 $113.98–$301.35 16% below 25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING $1,125.00 $1,500.00 $338.90–$1,470.00 33% above 25%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY $595.88 $794.50 $194.47–$778.61 81% above 25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 PRO POLYSOMNOGRAPHY W CPAP CHARGE $2,925.00 $3,900.00 $924.66–$4,123.84 62% above 25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 POLYSOMNOGRAPHY W CPAP CHARGE $3,156.00 $4,208.00 $924.66–$4,123.84 74% above 25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY AGE 6 YEARS OR OLDER SLEEP STAGING 4 OR MORE $3,156.00 $4,208.00 $924.66–$4,123.84 74% above 25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIBIA FIBULA W O CONTRAST LEFT $1,854.75 $2,473.00 $234.08–$2,423.54 22% above 25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT W O CONTRAST RIGHT $1,854.75 $2,473.00 $234.08–$2,423.54 22% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ART VEIN ABD PELVIS SCROTAL LIMITED $658.95 $878.60 $116.75–$929.04 67% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORIS $658.95 $878.60 $116.75–$929.04 67% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED $711.00 $948.00 $116.75–$929.04 80% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX $711.00 $948.00 $116.75–$929.04 80% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US BLADDER W POST VOID $711.00 $948.00 $116.75–$929.04 80% above 25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING $1,721.63 $2,295.50 $97.08–$2,295.55 305% above 25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCAN $1,721.63 $2,295.50 $97.08–$2,295.55 305% above 25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREENING $1,756.80 $2,342.40 $97.08–$2,295.55 313% above 25%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN HEAD W O CONTRAST $1,829.25 $2,439.00 $419.44–$2,390.22 12% above 25%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIP W O CONTRAST BILAT $2,365.30 $3,153.73 $419.44–$3,090.66 — 25%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W O CONTRAST $2,599.50 $3,466.00 $419.44–$3,396.68 43% above 25%
MRI of the abdomen without contrast CPT 74181 MRI MRCP $2,599.50 $3,466.00 $419.44–$3,396.68 43% above 25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W + W O CONTRAST $2,737.13 $3,649.50 $642.50–$3,576.51 3% above 25%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W O CONTRAST $2,142.00 $2,856.00 $419.44–$2,798.88 18% above 25%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY W + W O CONTRAST $3,307.50 $4,410.00 $642.50–$4,321.80 26% above 25%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W + W O CONTRAST $3,307.50 $4,410.00 $642.50–$4,321.80 26% above 25%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W O CONTRAST $2,580.00 $3,440.00 $419.44–$3,371.20 36% above 25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W + W O CONTRAST $3,653.63 $4,871.50 $642.50–$4,774.07 32% above 25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W O CONTRAST $2,939.25 $3,919.00 $419.44–$3,840.62 57% above 25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W O CONTRAST $2,637.00 $3,516.00 $419.44–$3,445.68 40% above 25%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W + W O CONTRAST $4,050.00 $5,400.00 $642.50–$5,292.00 63% above 25%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W O CONTRAST $2,701.88 $3,602.50 $419.44–$3,530.45 54% above 25%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS $526.50 $702.00 $113.98–$687.96 45% above 25%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W CONTRAST $2,127.75 $2,837.00 $356.44–$2,780.26 65% above 25%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W O CONTRAST $2,026.88 $2,702.50 $234.08–$2,648.45 83% above 25%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE $286.88 $382.50 $71.21–$374.85 26% above 25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT REST AND STRESS $3,070.71 $4,094.28 $930.11–$4,012.39 35% above 25%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL BASE TO MIDTHIGH $3,573.00 $4,764.00 $1,244.81–$4,668.72 65% above 25%
Pelvic CT scan without contrast CPT 72192 CT ANGIO PELVIS $1,833.22 $2,444.29 $234.08–$2,584.75 14% above 25%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W O CONTRAST $1,978.13 $2,637.50 $234.08–$2,584.75 23% above 25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER SCAN $489.38 $652.50 $74.96–$639.45 52% above 25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB $725.63 $967.50 $116.75–$948.15 50% above 25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS LTD W TRANSVAG IF INDICATED $725.63 $967.50 $116.75–$948.15 50% above 25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMP W TRANSVAG IF INDICATED $725.63 $967.50 $116.75–$948.15 50% above 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WEEKS $727.88 $970.50 $116.75–$951.09 58% above 25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WEEKS $576.00 $768.00 $116.75–$752.64 31% above 25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED $1,158.00 $1,544.00 $74.96–$1,513.12 185% above 25%
Screening mammogram, both breasts both sides CPT 77067 MG MAMMO SCREENING BILATERAL W TOMO $336.00 $448.00 $83.71–$588.00 — 25%
Screening mammogram, both breasts both sides CPT 77067 MG MAMMO DIGITAL SCREENING BILATERAL $336.00 $448.00 $83.71–$588.00 — 25%
Screening mammogram, both breasts CPT 77067 MG BREAST TOMO 3D DIGITAL SCREENING $450.00 $600.00 $83.71–$588.00 62% above 25%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMPLETE $441.75 $589.00 $113.98–$577.22 49% above 25%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS $311.63 $415.50 $113.98–$407.19 4% above 25%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY AGE 6 YEARS OR OLDER SLEEP STAGING 4 OR MORE $2,630.25 $3,507.00 $924.66–$3,436.86 42% above 25%
Sleep study in a lab (polysomnography) CPT 95810 95810 PRO POLYSOMNOGRAPHY CHARGE $2,630.25 $3,507.00 $924.66–$3,436.86 42% above 25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION W SPEECH $523.50 $698.00 $105.04–$737.94 1% below 25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR MODIFIED BARIUM SWALLOW $564.75 $753.00 $105.04–$737.94 7% above 25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W + W O CONTRAST $2,429.07 $3,238.76 $234.08–$3,424.61 79% above 25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W O CONTRAST $2,620.88 $3,494.50 $234.08–$3,424.61 93% above 25%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB $639.75 $853.00 $116.75–$835.94 50% above 25%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $778.50 $1,038.00 $116.75–$1,017.24 46% above 25%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS W DOPPLER IF IND $621.00 $828.00 $116.75–$811.44 22% above 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK $583.13 $777.50 $116.75–$761.95 33% above 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE $583.13 $777.50 $116.75–$761.95 33% above 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $583.13 $777.50 $116.75–$761.95 33% above 25%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW $134.25 $179.00 $68.02–$175.42 40% below 25%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN KUB 1 VIEW $134.25 $179.00 $68.02–$175.42 40% below 25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS $375.00 $500.00 $113.98–$490.00 36% above 25%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS $393.75 $525.00 $113.98–$514.50 1% above 25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS $400.25 $533.66 $113.98–$522.99 46% above 25%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS $164.63 $219.50 $71.21–$215.11 21% below 25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS $355.88 $474.50 $113.98–$465.01 33% above 25%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS $337.88 $450.50 $113.98–$441.49 75% above 25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VIEWS $337.88 $450.50 $71.21–$441.49 37% above 25%

Lab tests

ProcedureCash price List priceInsurers payvs New MexicoOff list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE ACTH TC $221.25 $295.00 $55.61–$289.10 5% above 25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE $56.63 $75.50 $7.63–$73.99 41% below 25%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE $60.38 $80.50 $7.46–$78.89 3% below 25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE TC $231.38 $308.50 $68.59–$302.33 15% below 25%
Albumin blood test CPT 82040 ALBUMIN TC $28.31 $37.75 $7.13–$39.69 61% below 25%
Albumin blood test CPT 82040 ALBUMIN LEVEL $30.38 $40.50 $7.13–$39.69 59% below 25%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE ISOENZYMES TC $63.38 $84.50 $7.46–$90.65 17% below 25%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE $69.38 $92.50 $7.46–$90.65 9% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENMOUSE EPITHELIUM IMMUNOCAP IGE TC $24.08 $32.10 $7.51–$1,781.64 28% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG MOLDA FUMIGTS TC $46.23 $61.64 $7.51–$1,781.64 38% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE WILLOW TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE ELM TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE ASH TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG ANML DOG TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG ANML CAT TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS HYMENOPTERA BEE VENOM PROFILE TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN AMOXICILLIN IMMUNOCAP IGE TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DRUGS PENICILLIN G MAJOR TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD WHEY IGG TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG MITE D FARINAE TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ACH RECMUSCLEMOD AB TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGMOLDA ALTERNRA TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGMITED PTRNYSNS TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG WEEDSHP SOREL TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG WEEDMRSH ELDR TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE SYCAMORE TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE MULBERRY TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE CTTNWOOD TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG MOLDC HERBARM TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD EGG YOLK TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG WEED PIGWEED TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE JUNIPER TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG MOLD P NOTAT TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG INSC COCKRCH TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG GRSS TIMOTHY TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG GRSS BERMUDA TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD LOBSTER TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE OAK TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD BEEF TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD MANGO TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE ALDER TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE BIRCH TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE MAPLE TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG TREE PECAN TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD OYSTER TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD PEANUT TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG WEED NETTLE TC $50.01 $66.68 $7.51–$1,781.64 49% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD WALNUT TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG PNL ADLT FOOD TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD EGG WHT TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD GLUTEN IGG TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD OVOMCOID TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD HAZELNUT TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD COD TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD CORN TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGPNLADLT FOOD R TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD MILK TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD SOYBEAN TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGPNLERLY CHLD R TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD SCALLOP TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD TUNA TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD OVALBMN TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD WHEAT TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD ALMOND TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD CASHEW TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOODSESAME SD TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD SALMON TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG FOOD SHRIMP TC $54.00 $72.00 $7.51–$1,781.64 61% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG WEED C RAGWD TC $242.25 $323.00 $7.51–$1,781.64 621% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGPNLEARLY CHILD TC $873.38 $1,164.50 $7.51–$1,781.64 2499% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGPNLRSPTRY RG11 TC $1,341.35 $1,788.47 $7.51–$1,781.64 3892% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGPNLRSPTRY RG10 TC $1,363.50 $1,818.00 $7.51–$1,781.64 3958% above 25%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER TC $114.29 $152.39 $24.14–$149.34 18% below 25%
Ammonia blood test CPT 82140 AMMONIA TC $89.25 $119.00 $20.98–$125.93 23% below 25%
Ammonia blood test CPT 82140 AMMONIA LEVEL $96.38 $128.50 $20.98–$125.93 16% below 25%
Amylase blood test CPT 82150 AMYLASE TC $74.60 $99.46 $9.34–$105.35 28% below 25%
Amylase blood test CPT 82150 AMYLASE LEVEL $80.63 $107.50 $9.34–$105.35 22% below 25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODIES IGG TC $95.25 $127.00 $18.65–$124.46 at median 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA NUCLEAR ANTIBODIES SCREEN TC $108.00 $144.00 $17.41–$216.58 9% above 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE SCREEN WITH REFLEX IDENTIFICATION TC $165.75 $221.00 $17.41–$216.58 68% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N TERMINAL PRO B TYPE NATRIURETIC PEPTIDE $177.38 $236.50 $56.53–$231.77 7% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTIDE $177.38 $236.50 $56.53–$231.77 7% above 25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP MB TC $107.03 $142.70 $12.41–$150.92 26% above 25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE SEMIQUANTITATIVE ADDON $107.03 $142.70 $12.41–$150.92 26% above 25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 SPUTUM CULTURE TC ADDON $107.03 $142.70 $12.41–$150.92 26% above 25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTHER SOURCE MB TC $108.63 $144.84 $12.41–$150.92 28% above 25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE SEMIQUANTITATIVE TC $115.50 $154.00 $12.41–$150.92 36% above 25%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $49.13 $65.50 $12.18–$64.19 60% below 25%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL $57.38 $76.50 $7.22–$74.97 23% below 25%
Bilirubin blood test, total CPT 82247 NEO BILI $57.38 $76.50 $7.22–$74.97 23% below 25%
Blood culture for bacteria CPT 87040 CULTURE BLOOD MB TC $119.60 $159.46 $14.86–$168.56 9% below 25%
Blood culture for bacteria CPT 87040 BLOOD CULTURE BACTERIA AND YEAST 2ND SET TC $129.00 $172.00 $14.86–$168.56 2% below 25%
Blood culture for bacteria CPT 87040 BLOOD CULTURE BACTERIA AND YEAST TC $129.00 $172.00 $14.86–$168.56 2% below 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 COLLECTION BLOOD BY VENIPUNCTURE $23.29 $31.05 $11.80–$32.83 1% above 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS DRAW $23.29 $31.05 $11.80–$32.83 1% above 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 COLLECTION OF BLOOD BY VENIPUNCTURE $23.29 $31.05 $11.80–$32.83 1% above 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ONLY $23.29 $31.05 $11.80–$32.83 1% above 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VIST VENIPUNCTURE $23.29 $31.05 $11.80–$32.83 1% above 25%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE MONITORING POC RE $21.38 $28.50 $5.66–$27.93 51% below 25%
Blood glucose (sugar) test CPT 82947 GLUCOSE 1 HOUR POST PRANDIAL $41.42 $55.23 $5.66–$58.31 5% below 25%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HOUR POST PRANDIAL $41.42 $55.23 $5.66–$58.31 5% below 25%
Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL $44.63 $59.50 $5.66–$58.31 3% above 25%
Blood lead test CPT 83655 LEAD BLOOD TC $84.00 $112.00 $17.44–$109.76 22% above 25%
Blood lead test CPT 83655 LEAD BLOOD VENOUS TC $84.00 $112.00 $17.44–$109.76 22% above 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF ABO RH $82.50 $110.00 $4.31–$178.85 at median 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD ABO RH $82.50 $110.00 $4.31–$178.85 at median 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO RH $136.88 $182.50 $4.31–$178.85 66% above 25%
Blood urea nitrogen (BUN) test CPT 84520 BUN BLOOD UREA NITROGEN TC $58.01 $77.35 $5.69–$81.83 30% below 25%
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN $62.63 $83.50 $5.69–$81.83 24% below 25%
C-peptide blood test CPT 84681 C PEPTIDE SERUM TC $130.13 $173.50 $29.96–$170.03 17% above 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP C REACTIVE PROTEIN TC $23.51 $31.34 $7.46–$33.32 61% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN $25.50 $34.00 $7.46–$33.32 58% below 25%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE BY PCR TC $156.00 $208.00 $53.66–$203.84 4% above 25%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN $156.00 $208.00 $53.66–$203.84 4% above 25%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE ANTIGEN $156.00 $208.00 $53.66–$203.84 4% above 25%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN 19 9 CA 19 9 SERUM TC $129.38 $172.50 $29.96–$169.05 9% below 25%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 TC $159.75 $213.00 $29.96–$208.74 20% above 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 COVID 19 AG $75.00 $100.00 $38.00–$105.84 28% below 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2COVID 19 AG $81.00 $108.00 $38.00–$105.84 22% below 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 NAA LC $81.00 $108.00 $38.00–$105.84 22% below 25%
Calcium blood test, total CPT 82310 CALCIUM LEVEL $49.63 $66.17 $7.43–$70.07 1% below 25%
Calcium blood test, total CPT 82310 CALCIUM TC $49.63 $66.17 $7.43–$70.07 1% below 25%
Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL $53.63 $71.50 $7.43–$70.07 7% above 25%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN TC $124.02 $165.36 $27.30–$174.93 13% below 25%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN $133.88 $178.50 $27.30–$174.93 6% below 25%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS ANTIBODIES IGM TC $125.63 $167.50 $18.55–$164.15 87% above 25%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS ANTIBODIES IGG TC $125.63 $167.50 $18.55–$164.15 87% above 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA ANTIBODY PANELIGG IGM BY IFA TC $156.00 $208.00 $50.53–$204.33 28% above 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA GC AMP TC $156.38 $208.50 $50.53–$204.33 28% above 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL TC $142.85 $190.47 $19.28–$201.39 5% above 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $154.13 $205.50 $19.28–$201.39 13% above 25%
Complete blood count (CBC) with differential CPT 85025 AUTO DIFF $69.38 $92.50 $0.01–$90.65 24% below 25%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL $65.27 $87.02 $9.31–$85.28 38% above 25%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $189.75 $253.00 $15.20–$247.94 3% below 25%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL A.M. SF $93.26 $124.35 $23.47–$131.32 12% below 25%
Cortisol blood test, total CPT 82533 CORTISOL TC $100.50 $134.00 $23.47–$131.32 5% below 25%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE $75.00 $100.00 $9.37–$98.00 7% below 25%
Creatine kinase (CK) blood test, total CPT 82550 CPK CREATINE KINASE TOTAL TC $75.00 $100.00 $9.37–$98.00 7% below 25%
Creatinine blood test CPT 82565 CREATININE TC $49.50 $66.00 $7.37–$64.68 32% below 25%
Creatinine blood test CPT 82565 CREATININE $49.50 $66.00 $7.37–$64.68 32% below 25%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV CYTOMEGALOVIRUS ANTIBODIES IGG TC $70.50 $94.00 $20.72–$92.12 7% below 25%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER $157.13 $209.50 $14.66–$205.31 51% above 25%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $104.89 $139.85 $10.09–$137.05 4% below 25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS DNA QUANTITATIVE BY RAPID PCR TC $81.83 $109.11 $26.12–$115.15 28% below 25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV EPSTEIN BARR VIRUS ANTIBODY PANEL TC $88.13 $117.50 $26.12–$115.15 22% below 25%
Estradiol blood test CPT 82670 ESTRADIOL BY TMS TC $193.38 $257.84 $40.24–$272.44 10% above 25%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL $208.50 $278.00 $40.24–$272.44 18% above 25%
FSH (follicle-stimulating hormone) test CPT 83001 FSH FOLLICLE STIMULATING HORMONE TC $135.71 $180.95 $26.76–$191.10 4% below 25%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE LEVEL $146.25 $195.00 $26.76–$191.10 4% above 25%
Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN BY ELISA IGG TC $298.13 $397.50 $28.27–$389.55 98% above 25%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $118.88 $158.50 $19.63–$155.33 6% above 25%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY TC $85.13 $113.50 $13.99–$111.23 24% below 25%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL $110.25 $147.00 $21.17–$144.06 18% above 25%
Free T3 thyroid hormone test CPT 84481 T3 TRIIODOTHYRONINE FREE TC $112.26 $149.68 $24.40–$158.27 10% below 25%
Free T3 thyroid hormone test CPT 84481 T3 FREE $121.13 $161.50 $24.40–$158.27 3% below 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 THYROXINE FREE TC $111.90 $149.20 $12.98–$157.78 15% below 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 FREE THYROXINE AEL $111.90 $149.20 $12.98–$157.78 15% below 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 LEVEL $120.75 $161.00 $12.98–$157.78 8% below 25%
Free testosterone test CPT 84402 TESTOSTERONE FREE AND TOTAL ADULT MALES ONLY TC $121.13 $161.50 $36.67–$158.27 8% below 25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT GAMMA GLUTAMYL TRANSPEPTIDASE TC $58.13 $77.50 $10.37–$75.95 3% above 25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $456.38 $608.50 $231.23–$596.33 7% above 25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE FASTING $94.50 $126.00 $6.84–$126.10 137% above 25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 4 HOUR $96.50 $128.67 $6.84–$126.10 142% above 25%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR $38.32 $51.09 $18.53–$50.07 68% below 25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA GC AMP TC ADDON $156.38 $208.50 $50.53–$204.33 16% above 25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLOR TOTAL ANTIBODY $82.50 $110.00 $24.26–$179.34 21% below 25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY IGG $82.60 $110.13 $24.26–$179.34 21% below 25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIGEN DETECTION TC $137.25 $183.00 $24.26–$179.34 32% above 25%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 HUMAN IMMUNODEFICIENCY VIRUS BY RT PCR QUANTITATIVE VIRAL LOAD TC $390.75 $521.00 $122.54–$510.58 18% above 25%
HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN TC $95.63 $127.50 $19.74–$124.95 6% below 25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPVHR PCRSUREPATH TC $112.50 $150.00 $57.00–$158.76 9% below 25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TC $121.50 $162.00 $57.00–$158.76 2% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C GLYCATED HEMOGLOBIN TC $74.63 $99.50 $13.98–$97.51 at median 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C $74.63 $99.50 $13.98–$97.51 at median 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $74.63 $99.50 $13.98–$97.51 at median 25%
Hemoglobin blood test CPT 85018 HEMOGLOBIN $34.13 $45.50 $3.41–$44.59 15% below 25%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B VIRUS CORE ANTIBODIES TOTAL TC $70.50 $94.00 $17.35–$92.12 3% above 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIRUS SURFACE ANTIBODIES TITER TC $105.00 $140.00 $15.47–$137.20 at median 25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B VIRUS SURFACE ANTIGEN TC $61.50 $82.00 $14.88–$80.36 13% below 25%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODIES TC $235.88 $314.50 $20.54–$308.21 139% above 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTITATIVE BY REAL TIME PCR TC $342.75 $457.00 $61.69–$447.86 at median 25%
Herpes blood test, HSV-1 antibody CPT 86695 HERPESVIRUS 6 ANTIBODY IGG TC $66.29 $88.38 $19.00–$86.61 3% below 25%
Herpes blood test, HSV-2 antibody CPT 86696 HSV AB IGG I AND II TC $85.88 $114.50 $27.86–$112.21 1% below 25%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP C REACTIVE PROTEIN HIGH SENSITIVITY TC $90.75 $121.00 $18.65–$118.58 35% above 25%
Homocysteine blood test CPT 83090 HOMOCYSTEINE TC $155.25 $207.00 $25.80–$202.86 8% above 25%
Insulin blood test CPT 83525 INSULIN TC $108.00 $144.00 $16.46–$141.12 42% above 25%
Iron blood test (serum iron) CPT 83540 IRON LC $63.99 $85.32 $9.31–$90.16 18% below 25%
Iron blood test (serum iron) CPT 83540 IRON LEVEL $69.00 $92.00 $9.31–$90.16 12% below 25%
Iron-binding capacity (TIBC) test CPT 83550 IRON BIND.CAP.TIBC LC $78.30 $104.40 $12.59–$110.25 at median 25%
Iron-binding capacity (TIBC) test CPT 83550 IRON AND TIBC IRON BINDING CAPACITY TC $84.38 $112.50 $12.59–$110.25 8% above 25%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY $84.38 $112.50 $12.59–$110.25 8% above 25%
Kidney function blood test panel CPT 80069 RENAL PANEL 10 LC $123.75 $165.00 $12.50–$174.44 19% below 25%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $133.50 $178.00 $12.50–$174.44 13% below 25%
LH (luteinizing hormone) test CPT 83002 LH LUTEINIZING HORMONE TC $135.42 $180.56 $26.66–$191.10 at median 25%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $146.25 $195.00 $26.66–$191.10 8% above 25%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL $109.50 $146.00 $16.66–$143.08 15% below 25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH LACTATE DEHYDROGENASE FLUID TC $70.13 $93.50 $8.70–$120.54 17% below 25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE $92.25 $123.00 $8.70–$120.54 9% above 25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE TC $89.26 $119.01 $9.92–$125.93 11% below 25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL $96.38 $128.50 $9.92–$125.93 4% below 25%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $126.38 $168.50 $11.76–$165.13 16% below 25%
Lyme disease antibody test CPT 86618 CD57 FOR CHRONIC LYME DISEASE LYCD57 TC $126.77 $169.03 $24.53–$177.87 7% above 25%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI AB TC $136.13 $181.50 $24.53–$177.87 15% above 25%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI BY PCR LYME DISEASE TC $136.13 $181.50 $24.53–$177.87 15% above 25%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL $63.38 $84.50 $9.65–$82.81 21% below 25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA MEASLES ANTIBODIES IGM TC $65.44 $87.25 $18.55–$95.55 22% below 25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA MEASLES ANTIBODIES IGG TC $73.13 $97.50 $18.55–$95.55 13% below 25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG TC $73.13 $97.50 $18.55–$95.55 13% below 25%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN $80.63 $107.50 $7.46–$105.35 5% above 25%
Mumps immunity blood test CPT 86735 MUMPS IGG AB TC $79.50 $106.00 $18.79–$103.88 10% above 25%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODIES IGG TC $79.50 $106.00 $18.79–$103.88 10% above 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA PROSTATE SPECIFIC ANTIGEN TC $144.38 $192.50 $26.48–$188.65 64% above 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $133.88 $178.50 $26.48–$188.65 36% above 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC ANTIGEN PERCENT FREE INCLUDES TOTAL TC $144.38 $192.50 $26.48–$188.65 46% above 25%
Pap test (liquid-based, automated screening with review) CPT 88175 HYDROXYPROGESTERONE 17 HYDROXYPROGESTERONE TC $84.00 $112.00 $38.32–$109.76 10% below 25%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR TC $84.00 $112.00 $38.32–$109.76 10% below 25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT TC $204.04 $272.05 $59.45–$287.63 at median 25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT $220.13 $293.50 $59.45–$287.63 8% above 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLASTIN TIME FROZEN TC $60.75 $81.00 $8.65–$163.17 19% below 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME $124.88 $166.50 $8.65–$163.17 67% above 25%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS TC $51.56 $68.74 $6.83–$72.52 31% below 25%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL $55.50 $74.00 $6.83–$72.52 26% below 25%
Potassium blood test CPT 84132 POTASSIUM LEVEL $45.00 $60.00 $6.85–$58.80 29% below 25%
Progesterone blood test CPT 84144 PROGESTERONE TC $131.43 $175.24 $30.04–$185.22 7% above 25%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL $141.75 $189.00 $30.04–$185.22 16% above 25%
Prolactin blood test CPT 84146 PROLACTIN LEVEL $150.00 $200.00 $27.91–$196.00 at median 25%
Prothrombin time (PT/INR) clotting test CPT 85610 PT INR CLINIC POC RE $19.50 $26.00 $6.18–$25.48 62% below 25%
Prothrombin time (PT/INR) clotting test CPT 85610 INR POC RE $19.50 $26.00 $6.18–$25.48 62% below 25%
Prothrombin time (PT/INR) clotting test CPT 85610 INR $43.70 $58.26 $6.18–$61.74 16% below 25%
Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME FROZEN TC $46.88 $62.50 $6.18–$61.74 10% below 25%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME AND INR $47.25 $63.00 $6.18–$61.74 9% below 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BILL ONLY EMP DRG SCRN COLLECTION $20.25 $27.00 $10.26–$182.77 13% above 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN CLINIC POC RE $30.00 $40.00 $15.20–$42.14 67% above 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN CLINIC POC RE $32.25 $43.00 $15.20–$42.14 80% above 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE $139.88 $186.50 $10.26–$182.77 680% above 25%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AND B $85.13 $113.50 $23.83–$111.23 82% above 25%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B CLINIC POC RE $85.13 $113.50 $23.83–$111.23 82% above 25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP CLINIC POC RE $20.25 $27.00 $10.26–$26.46 69% below 25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A RAPID $63.75 $85.00 $23.81–$83.30 3% below 25%
Renin blood test CPT 84244 RENIN ACTIVITY TC $114.75 $153.00 $31.67–$149.94 at median 25%
Rh blood typing CPT 86901 REF RH $64.92 $86.56 $4.31–$96.53 16% above 25%
Rh blood typing CPT 86901 RH RETYPE $68.31 $91.08 $4.31–$96.53 22% above 25%
Rh blood typing CPT 86901 RH TYPING $73.88 $98.50 $4.31–$96.53 32% above 25%
Rheumatoid factor (RF) test CPT 86431 RF IGA IGG AND IGM TC $68.99 $91.98 $8.16–$97.02 8% above 25%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR $74.25 $99.00 $8.16–$97.02 17% above 25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ABIGM TC $63.38 $84.50 $20.72–$82.81 13% below 25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN IGG TC $63.38 $84.50 $20.72–$82.81 13% below 25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG TC $63.38 $84.50 $20.72–$82.81 13% below 25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR WESTERGREN $42.00 $56.00 $3.89–$54.88 3% below 25%
Sodium blood test CPT 84295 SODIUM TC $43.58 $58.10 $6.92–$56.94 1% below 25%
Sodium blood test CPT 84295 SODIUM LEVEL $43.58 $58.10 $6.92–$56.94 1% below 25%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE MB TC $100.23 $133.64 $12.82–$141.12 22% below 25%
Stool ova and parasites exam CPT 87177 OVA AND PARASITESTOOL MICROSCOPIC EXAM TC $108.00 $144.00 $12.82–$141.12 16% below 25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD IMMUNOASSAY TC $29.63 $39.50 $6.31–$38.71 20% above 25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD STOOL SCREEN $77.25 $103.00 $22.92–$100.94 14% above 25%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODIES TC $74.25 $99.00 $19.07–$97.02 at median 25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD+ TC $282.38 $376.50 $89.24–$368.97 31% above 25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL ADULT MALES ONLY TC $175.52 $234.02 $37.16–$247.45 33% above 25%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTO F PEDS TC $175.52 $234.02 $37.16–$247.45 33% above 25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL TOTAL $189.38 $252.50 $37.16–$247.45 43% above 25%
Testosterone blood test, total (not free testosterone) CPT 84403 FREE TESTO F PEDS TC $189.38 $252.50 $37.16–$247.45 43% above 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME 1 ANTIBODYIGG TC $132.00 $176.00 $20.95–$221.97 55% above 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE TPO ANTIBODIES TC $169.88 $226.50 $20.95–$221.97 99% above 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $112.50 $150.00 $24.19–$147.00 7% below 25%
Total IgE blood test CPT 82785 IGE TOTAL TC $98.25 $131.00 $23.70–$128.38 7% below 25%
Total cholesterol blood test CPT 82465 LIPOPROTEIN $53.14 $70.85 $6.26–$69.43 2% below 25%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE TC $78.20 $104.27 $9.89–$110.25 18% above 25%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL $84.38 $112.50 $9.89–$110.25 28% above 25%
Total triiodothyronine (T3) blood test CPT 84480 T3 TRIIODOTHYRONINE TOTAL TC $114.50 $152.66 $20.42–$161.21 17% above 25%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $123.38 $164.50 $20.42–$161.21 26% above 25%
Transferrin blood test CPT 84466 TRANSFERRIN TC $89.63 $119.50 $18.37–$117.11 at median 25%
Triglycerides blood test CPT 84478 TRIGLYCERIDES $57.08 $76.11 $8.27–$74.59 23% below 25%
Troponin test, quantitative CPT 84484 TROPONIN I $130.50 $174.00 $17.95–$170.52 at median 25%
Uric acid blood test CPT 84550 URIC ACID $50.25 $67.00 $6.50–$65.66 18% below 25%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPIC $51.91 $69.21 $4.56–$73.01 12% below 25%
Urinalysis with microscope exam, automated CPT 81001 .URINALYSIS MICROSCOPIC TC $55.88 $74.50 $4.56–$73.01 5% below 25%
Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC $55.88 $74.50 $4.56–$73.01 5% below 25%
Urinalysis without microscope exam, automated CPT 81003 URINE DIPSTICK CLINIC POC RE $10.50 $14.00 $3.24–$13.72 56% below 25%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITH MICRO IF INDICATED AND CULTURE IF INDICATED $30.38 $40.50 $3.24–$40.46 28% above 25%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITH MICROSCOPIC IF INDICATED $30.38 $40.50 $3.24–$40.46 28% above 25%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY $30.97 $41.29 $3.24–$40.46 31% above 25%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE TC $64.37 $85.83 $11.62–$90.65 28% below 25%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE CHARGE TC > COL COUNT $64.37 $85.83 $11.62–$90.65 28% below 25%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE MB TC $64.37 $85.83 $11.62–$90.65 28% below 25%
Urine culture for bacteria, with colony count CPT 87086 87086 URINE CULTURE COLONY COUNT $69.38 $92.50 $11.62–$90.65 23% below 25%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN CREATININE RATIO URINE $97.13 $129.50 $8.33–$126.91 8% above 25%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN LEVEL URINE $97.13 $129.50 $8.33–$126.91 8% above 25%
Urine pregnancy test, read by color change CPT 81025 BETA HCG QUALITATIVE URINE $51.38 $68.50 $12.40–$67.13 73% above 25%
Urine pregnancy test, read by color change CPT 81025 BETA HCG QUALITATIVE $51.38 $68.50 $12.40–$67.13 73% above 25%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST CLINIC POC RE $109.50 $146.00 $12.40–$146.02 269% above 25%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST POC RE $111.75 $149.00 $12.40–$146.02 276% above 25%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 TC $103.00 $137.33 $21.72–$145.04 16% below 25%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL $111.00 $148.00 $21.72–$145.04 9% below 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY LEVEL $189.00 $252.00 $42.62–$254.31 8% above 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH BY IMMUNOASSAY TC $189.00 $252.00 $42.62–$254.31 8% above 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT. DD2D3 25 OH TC $194.63 $259.50 $42.62–$254.31 11% above 25%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL TC $122.14 $162.85 $55.44–$159.59 46% below 25%
Zinc blood test CPT 84630 ZINC QUANTITATIVE WHOLE BLOOD TC $81.06 $108.08 $16.40–$114.17 4% above 25%
Zinc blood test CPT 84630 ZINC TRANS. 8 AB TC $87.38 $116.50 $16.40–$114.17 12% above 25%
Zinc blood test CPT 84630 ZINC SERUM PLASMA TC $87.38 $116.50 $16.40–$114.17 12% above 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE $138.38 $184.50 $21.67–$180.81 5% below 25%

Surgery and procedures

ProcedureCash price List priceInsurers payvs New MexicoOff list
Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY FLEXIBLE REMOVAL OF TUMORS POLYPS $579.00 $772.00 $326.40–$756.56 53% below 25%
Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY FLEXIBLE DIAGNOSTIC INCLUDING COLLECTION OF SPEC $415.50 $554.00 $234.23–$736.49 62% below 25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTRUCTION EG LASER SURGERY ELECTROSURGERY CRYOSURGERY $90.75 $121.00 $51.16–$118.58 30% below 25%
Earwax removal with instruments, one ear one side CPT 69210 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL $96.38 $128.50 $48.83–$125.93 35% below 25%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 REPAIR ANTERIOR ABD HERNIA LESS THAN 3 CM $2,656.50 $3,542.00 $1,497.56–$4,250.32 24% below 25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 SIGMOIDOSCOPY FLEXIBLE DIAGNOSTIC INCLUDING COLLECTION OF SPECIMENS $118.50 $158.00 $66.80–$467.10 88% below 25%
IUD insertion (the device itself billed separately) CPT 58300 58300 INSERTION OF INTRAUTERINE DEVICE IUD $168.75 $225.00 $85.50–$311.41 34% below 25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION AND DRAINAGE OF ABSCESS EG CARBUNCLE SUPPURATIVE HIDRADENITIS $175.50 $234.00 $98.94–$229.32 59% below 25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION AND DRAINAGE OF ABSCESS SIMPLE OR SINGLE $223.50 $298.00 $113.24–$292.04 47% below 25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I AND D ABSCESS SIMPLE SINGLE $365.10 $486.80 $117.74–$477.06 14% below 25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 IANDD ABSCESS CYST HEMATOMA SIMPLE $365.10 $486.80 $117.74–$477.06 14% below 25%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HERNIORRHAPHY INGUINAL W MESH $972.00 $1,296.00 $547.95–$2,585.82 79% below 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 MAJOR JOINT ASPIRATE INJECT W O US $108.38 $144.50 $54.91–$415.03 73% below 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIRATION AND OR INJECTION MAJOR JOINT OR BURSA $317.63 $423.50 $54.91–$415.03 22% below 25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXCISION BENIGN LESION INCLUDING MARGINS EXCEPT SKIN TAG $153.75 $205.00 $86.67–$352.87 77% below 25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXCISION OTHER BENIGN LESION INCLUDING MARGINS EXCEPT SKIN TAG $215.25 $287.00 $121.34–$352.87 68% below 25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXC OTHER BENIGN LESION FACE EARS EYELIDS NOSE LIPS MUCOUS MEM 0.5CM OR L $215.25 $287.00 $121.34–$352.87 68% below 25%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION NAIL PLATE SINGLE $96.96 $129.28 $54.54–$126.69 72% below 25%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION NAIL PLATE PARTIAL COMPLETE SIMPLE 1 TECHFEE $253.43 $337.90 $71.09–$331.14 27% below 25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION OF NAIL AND NAIL MATRIX PARTIAL OR COMPLETE $321.00 $428.00 $180.96–$419.44 30% below 25%
Removal of a breast lump, open surgery CPT 19120 19120 EXCISION OF CYST FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR $972.75 $1,297.00 $548.37–$2,002.09 46% below 25%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE $427.50 $570.00 $216.60–$558.60 36% below 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SCALP NECK TRUNK GENITAL EXTREMITY <= 2.5 CM $312.64 $416.85 $118.15–$408.51 15% below 25%
Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED SINGLE $182.25 $243.00 $102.74–$238.14 58% below 25%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA $156.75 $209.00 $88.37–$204.82 49% below 25%
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 $337.20 $449.60 $118.15–$440.61 16% below 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE EARS EYELIDS NOSE LIPS $306.75 $409.00 $118.15–$400.82 9% below 25%
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 $333.73 $444.97 $118.15–$436.07 1% below 25%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTIONS SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2 MUSCLES $317.63 $423.50 $160.93–$415.03 46% below 25%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL REMOVAL $396.75 $529.00 $223.66–$707.46 79% below 25%
Upper endoscopy (EGD), diagnostic CPT 43235 43235 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC $249.75 $333.00 $140.79–$707.46 80% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE INCLUDES EPIDERMIS AND DERMIS $115.50 $154.00 $65.11–$226.34 90% below 25%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs New MexicoOff list
Blood transfusion (giving blood or blood components) CPT 36430 36430 BLOOD TRANSFUSION $768.00 $1,024.00 $273.47–$1,003.52 17% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AEROSOL SUBSEQUENT CHARGE $236.63 $315.50 $119.89–$309.19 92% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AEROSOL INITIAL CHARGE $236.63 $315.50 $119.89–$309.19 92% above 25%
Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE 30 74 $2,187.00 $2,916.00 $594.46–$2,857.68 7% above 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG W AT LEAST 12 LEADS IANDR CHARGE $29.96 $39.95 $15.18–$39.20 63% below 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG W 12+ LEADS TRACING INTERP REPORT $29.96 $39.95 $15.18–$39.20 63% below 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG W 12+ LEADS $30.00 $40.00 $15.18–$39.20 63% below 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG CHARGES RT > ROUTINE ECG 12 LEAD 15 LEAD TRACING ONLY $276.26 $368.35 $94.13–$360.98 52% above 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG RT $276.26 $368.35 $94.13–$360.98 52% above 25%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST EO $682.22 $909.63 $285.54–$891.44 18% above 25%
Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY WITH PATIENT 50 MINUTES $185.33 $247.11 $93.90–$242.17 at median 25%
Family therapy without the patient, 50 minutes CPT 90846 90840 PSYCHOTHERAPY FOR CRISIS EACH ADDITIONAL 30 MINUTES $177.90 $237.20 $90.14–$232.46 at median 25%
Group psychotherapy session CPT 90853 90853 GROUP PSYCHOTHERAPY OTHER THAN FAMILY GROUP $44.63 $59.51 $22.61–$72.04 55% below 25%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 HOLTER ECG MONITOR UP TO 48 HR W SCAN INTERP AND REPORT $249.95 $333.27 $140.91–$326.60 — 25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION INIT UP TO 1HR $388.50 $518.00 $90.83–$507.64 7% above 25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 HYDRATION FIRST HOUR $388.50 $518.00 $90.83–$507.64 7% above 25%
IV infusion of a medicine, first hour CPT 96365 96365 IV INF INIT ^2 1HR $462.75 $617.00 $152.14–$604.66 3% above 25%
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION 1ST HOUR CHARGE $462.75 $617.00 $152.14–$604.66 3% above 25%
IV infusion of a medicine, first hour CPT 96365 96365 IV TX FIRST HOUR $462.75 $617.00 $152.14–$604.66 3% above 25%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH SING INITIAL $243.38 $324.50 $44.93–$318.01 32% above 25%
IV push of a medicine, first drug CPT 96374 96374 IV INJECTION SINGLE INITIAL $243.38 $324.50 $44.93–$318.01 32% above 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 SUBQ IM INJECTION $124.50 $166.00 $30.80–$162.68 5% above 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ IM SUB THERAPUTIC DIAGNOS $124.50 $166.00 $30.80–$162.68 5% above 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION $246.00 $328.00 $124.64–$321.44 4% above 25%
New patient office visit, about 30 minutes CPT 99203 99203 OFFICE VISIT NEW PT. LEVEL 3 $185.25 $247.00 $93.86–$242.06 at median 25%
New patient office visit, about 30 minutes CPT 99203 99203 OFFICE VISIT NEW PT. LEVEL 3 30 44 MIN $185.25 $247.00 $93.86–$242.06 at median 25%
New patient office visit, about 45 minutes CPT 99204 99204 OFFICE VISIT NEW PT. LEVEL 4 45 59 MIN $289.88 $386.50 $146.87–$378.77 at median 25%
New patient office visit, about 45 minutes CPT 99204 99204 OFFICE VISIT NEW PT. LEVEL 4 $289.88 $386.50 $146.87–$378.77 at median 25%
New patient office visit, about 60 minutes CPT 99205 99205 OFFICE VISIT NEW PT. LEVEL 5 $138.38 $184.50 $70.11–$471.87 61% below 25%
New patient office visit, about 60 minutes CPT 99205 99205 OFFICE VISIT NEW PT. LEVEL 5 60 74 MIN $361.13 $481.50 $70.11–$471.87 1% above 25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE VISIT NEW PT. LEVEL 2 15 29 MIN $109.50 $146.00 $55.48–$143.08 at median 25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE VISIT NEW PT. LEVEL 2 $109.50 $146.00 $55.48–$143.08 at median 25%
Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREVENTIVE EVALUATION NEW PT 18 39 YRS $255.00 $340.00 $129.20–$333.20 46% above 25%
Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREVENTIVE EVALUATION NEW PT 40 64 YRS $272.25 $363.00 $137.94–$355.74 49% above 25%
Preventive checkup, new patient aged 65 or older CPT 99387 99387 PREVENTIVE EVALUATION NEW PT 65+ YRS $295.88 $394.50 $149.91–$386.61 133% above 25%
Preventive checkup, returning patient aged 18–39 CPT 99395 99395 PREVENTIVE EVALUATION ESTABLISHED PT 18 39 YRS $211.50 $282.00 $107.16–$276.36 45% above 25%
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 PREVENTIVE EVALUATION ESTABLISHED PT 40 64 YRS $225.75 $301.00 $114.38–$294.98 47% above 25%
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PREVENTIVE EVALUATION ESTABLISHED PT 65+ YRS $238.13 $317.50 $120.65–$311.15 43% above 25%
Psychiatric evaluation with medical services CPT 90792 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION $255.38 $340.50 $124.96–$333.69 2% below 25%
Psychotherapy for crisis, first 60 minutes CPT 90839 90839 PSYCHOTHERAPY FOR CRISIS FIRST 60 MINUTES $248.63 $331.50 $124.96–$324.87 at median 25%
Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTHERAPY 16 37 MINUTES WITH PATIENT AND OR FAMILY MEMBER $171.00 $228.00 $86.64–$223.44 23% above 25%
Psychotherapy session, 45 minutes CPT 90834 90834 PSYCHOTHERAPY 38 52 MINUTES WITH PATIENT AND OR FAMILY MEMBER $171.00 $228.00 $86.64–$223.44 at median 25%
Psychotherapy session, 60 minutes CPT 90837 90837 PSYCHOTHERAPY 53 67 MINUTES WITH PATIENT AND OR FAMILY MEMBER $238.13 $317.50 $120.65–$311.15 4% above 25%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 SMOKING AND TOBACCO USE CESSATION VISIT NTERMEDIATE GREATER THAN 3 10 $39.75 $53.00 $20.14–$51.94 25% above 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE VISIT ESTABLISHED PT. LEVEL 5 40 54 MIN $251.63 $335.50 $127.49–$328.79 at median 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE VISIT ESTABLISHED PT. LEVEL 5 $251.63 $335.50 $127.49–$328.79 at median 25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE VISIT ESTABLISHED PT. LEVEL 3 $127.50 $170.00 $64.60–$166.60 11% below 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE VISIT ESTABLISHED PT. LEVEL 2 $76.13 $101.50 $38.57–$99.47 5% below 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE VISIT ESTABLISHED PT. LEVEL 2 10 19 MIN $76.13 $101.50 $38.57–$99.47 5% below 25%
Spirometry (breathing test) CPT 94010 RT INCENTIVE SPIROMETRY INITIAL CHARGE $167.25 $223.00 $84.74–$427.28 8% below 25%
Spirometry (breathing test) CPT 94010 RT CHARGE PFT > SPIROMETRY $327.00 $436.00 $84.74–$427.28 79% above 25%
Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT > SPIROMETRY BEFORE AND AFTER $790.04 $1,053.38 $114.40–$1,032.31 112% above 25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $195.38 $260.50 $94.55–$255.29 9% above 25%

Vaccines

ProcedureCash price List priceInsurers payvs New MexicoOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 90653 INFLUENZAVAC INACTIVATED IIV SUBUNIT ADJUVANTED FOR INTRAMUSCULAR USE $104.21 $138.95 $52.80–$136.17 11% above 25%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 90653 INFLUENZAVAC INACTIVATED IIV SUBUNIT ADJUVANTED FOR INTRAMUSCULAR USE $104.21 $138.95 $52.80–$136.17 — 25%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 GARDASIL 9 HPV VACCINE $114.75 $153.00 $58.14–$260.24 73% below 25%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 AMB HUMAN PAPILLOMAVIRUS CHARGE > HPV9 GARDASIL 9 90651 $114.75 $153.00 $58.14–$260.24 73% below 25%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 AMB HUMAN PAPILLOMAVIRUS CHARGE > HPV9 GARDASIL 9 90651 $114.75 $153.00 $58.14–$260.24 — 25%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 90651 GARDASIL 9 HPV VACCINE $114.75 $153.00 $58.14–$260.24 — 25%
Hepatitis A vaccine, adult dose CPT 90632 90632 HEPATITIS A VACCINE ADULT DOSAGE FOR INTRAMUSCULAR USE $96.75 $129.00 $49.02–$126.42 24% below 25%
Hepatitis A vaccine, adult dose inpatient CPT 90632 90632 HEPATITIS A VACCINE ADULT DOSAGE FOR INTRAMUSCULAR USE $96.75 $129.00 $49.02–$126.42 — 25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 AMB HEPATITIS B VACCINE CHARGE > 20MCG ML HEPATITIS B VACCINE $128.18 $170.91 $64.95–$180.81 36% above 25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 HEPATITIS BVAC HEPB ADULT DOSAGE 3 DOSE SCHEDULE FOR INTRAMUSCULAR USE $138.38 $184.50 $64.95–$180.81 46% above 25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 AMB HEPATITIS B VACCINE CHARGE > 20MCG ML HEPATITIS B VACCINE $128.18 $170.91 $64.95–$180.81 — 25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 90746 HEPATITIS BVAC HEPB ADULT DOSAGE 3 DOSE SCHEDULE FOR INTRAMUSCULAR USE $138.38 $184.50 $64.95–$180.81 — 25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 AMB INFLUENZA CHARGE > FLUZONE HIGH DOSE $37.50 $50.00 $19.00–$58.84 59% below 25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 FLUZONE HIGH DOSE SYR > = 65 YEARS $37.50 $50.00 $19.00–$58.84 59% below 25%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 FLUZONE HIGH DOSE SYR > = 65 YEARS $37.50 $50.00 $19.00–$58.84 — 25%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 AMB INFLUENZA CHARGE > FLUZONE HIGH DOSE $37.50 $50.00 $19.00–$58.84 — 25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 90670 DO NOT USE PREVNAR 13 PNEUMOCOCCAL CONJUGATEVAC 13 VALENT PCV13 $445.04 $593.39 $225.49–$581.52 41% above 25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 90670 DO NOT USE PREVNAR 13 PNEUMOCOCCAL CONJUGATEVAC 13 VALENT PCV13 $445.04 $593.39 $225.49–$581.52 — 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 AMB PNEUMOCOCCAL 20 VALENT VACCINE CHARGE > VACCINE PNEUMOCOCCAL 20 V $235.88 $314.50 $119.51–$308.21 43% below 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 AMB PNEUMOCOCCAL 20 VALENT VACCINE CHARGE > VACCINE PNEUMOCOCCAL 20 V $235.88 $314.50 $119.51–$308.21 — 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 AMB PNEUMOCOCCAL 23 VALENTVAC CHARGE >VAC PNEUMOCOCCAL 23 VALENT CONJUGATE $118.35 $157.80 $59.96–$154.64 30% below 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 PNEUMOVAX 23 PNEUMOCOCCAL POLY VAC 23 VALENT PPSV23 ADULT OR IMMUNOSUP $118.35 $157.80 $59.96–$154.64 30% below 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 PNEUMOVAX 23 PNEUMOCOCCAL POLY VAC 23 VALENT PPSV23 ADULT OR IMMUNOSUP $118.35 $157.80 $59.96–$154.64 — 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 AMB PNEUMOCOCCAL 23 VALENTVAC CHARGE >VAC PNEUMOCOCCAL 23 VALENT CONJUGATE $118.35 $157.80 $59.96–$154.64 — 25%
Rabies vaccine, one dose CPT 90675 AMB RABIES VACCINE CHARGE > 1 ML RABIES $929.84 $1,239.79 $284.86–$1,214.99 85% above 25%
Rabies vaccine, one dose inpatient CPT 90675 AMB RABIES VACCINE CHARGE > 1 ML RABIES $929.84 $1,239.79 $284.86–$1,214.99 — 25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 TETANUS AND DIPHTHERIA TOXOIDS ADSORBED TD PRESERVATIVE FREE $59.81 $79.74 $30.30–$78.15 at median 25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 TETANUS AND DIPHTHERIA TOXOIDS ADSORBED TD PRESERVATIVE FREE $59.81 $79.74 $30.30–$78.15 — 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 AMB TDAP CHARGE > DTAP 90700 AGE UNDER 7 $102.53 $136.71 $51.95–$144.55 22% above 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 BOOSTRIX TETANUS DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VAC $110.63 $147.50 $51.95–$144.55 32% above 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 AMB TDAP CHARGE > DTAP 90700 AGE UNDER 7 $102.53 $136.71 $51.95–$144.55 — 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 BOOSTRIX TETANUS DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VAC $110.63 $147.50 $51.95–$144.55 — 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION CHARGE > FIRST VACCINE 90471 $84.50 $112.66 $30.80–$119.07 86% above 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 MANUAL CHARGE FIRST VACCINE AMB ADMIN CHARGE 19 AND < $91.13 $121.50 $30.80–$119.07 100% above 25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUNIZATION CHARGE > EACH ADDITIONAL 90472 $22.13 $29.50 $11.21–$30.80 11% below 25%

Source file: https://www.svhnm.org/wp-content/uploads/2026/03/850422820_sierra-vista-hospital_standardcharges.csv