Hospital Carlsbad-Artesia, NM

Carlsbad Medical Center

Carlsbad Medical Center in Carlsbad, NM publishes cash prices for 353 common procedures listed here, from its own machine-readable price file updated Dec 2, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the New Mexico median for 258 of 284 procedures and above it for 26. Select a procedure to compare it with other hospitals nearby.

2430 West Pierce St, Carlsbad, NM 88220 Collected Nov 12, 2026 Source price file Check a bill from this hospital

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 1 action for a hospital named Carlsbad Medical Center in Carlsbad, NM:

Jul 17, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO	$1,369.96	$13,699.61	$162.60–$12,740.64	43% below	90%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$2,739.92	$13,699.61	$433.04–$12,740.64	—	80%
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR	$139.35	$1,393.51	$21.64–$1,295.96	26% below	90%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR	$278.70	$1,393.51	$46.27–$1,295.96	—	80%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$90.75	$907.54	$23.58–$844.01	66% below	90%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$181.51	$907.54	$44.16–$844.01	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$144.75	$1,447.45	$80.49–$1,346.13	65% below	90%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$289.49	$1,447.45	$289.49–$1,346.13	—	80%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$517.02	$5,170.21	$97.30–$4,808.30	63% below	90%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$1,034.04	$5,170.21	$268.70–$4,808.30	—	80%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$307.70	$3,077.01	$57.74–$2,861.62	37% below	90%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$615.40	$3,077.01	$121.23–$2,861.62	—	80%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$197.16	$1,971.55	$197.16–$1,833.54	81% below	90%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$394.31	$1,971.55	$362.79–$1,833.54	—	80%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$157.73	$1,577.28	$87.89–$1,466.87	68% below	90%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$315.46	$1,577.28	$169.63–$1,466.87	—	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$85.60	$856.02	$73.00–$796.10	68% below	90%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$171.20	$856.02	$139.50–$796.10	—	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$1,312.88	$13,128.81	$332.27–$12,209.79	46% below	90%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$2,625.76	$13,128.81	$612.77–$12,209.79	—	80%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$1,312.88	$13,128.81	$162.60–$12,209.79	24% below	90%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$2,625.76	$13,128.81	$503.50–$12,209.79	—	80%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$1,312.88	$13,128.81	$162.60–$12,209.79	18% below	90%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$2,625.76	$13,128.81	$513.73–$12,209.79	—	80%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$1,312.88	$13,128.81	$162.60–$12,209.79	42% below	90%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$2,625.76	$13,128.81	$453.00–$12,209.79	—	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL	$80.33	$803.31	$35.56–$2,655.00	60% below	90%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL	$160.66	$803.31	$160.66–$747.08	—	80%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$1,049.35	$10,493.51	$161.99–$9,758.96	61% below	90%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$2,098.70	$10,493.51	$254.69–$9,758.96	—	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$1,141.63	$11,416.34	$265.29–$10,617.20	66% below	90%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$2,283.27	$11,416.34	$405.79–$10,617.20	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$1,369.96	$13,699.61	$297.54–$12,740.64	66% below	90%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$2,739.92	$13,699.61	$497.23–$12,740.64	—	80%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$1,141.63	$11,416.34	$146.26–$10,617.20	45% below	90%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$2,283.27	$11,416.34	$347.69–$10,617.20	—	80%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$517.02	$5,170.21	$97.30–$4,808.30	71% below	90%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$1,034.04	$5,170.21	$275.06–$4,808.30	—	80%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$517.02	$5,170.21	$97.30–$4,808.30	60% below	90%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$1,034.04	$5,170.21	$280.89–$4,808.30	—	80%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$517.02	$5,170.21	$93.30–$4,808.30	66% below	90%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$1,034.04	$5,170.21	$234.78–$4,808.30	—	80%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$1,141.63	$11,416.34	$130.30–$10,617.20	36% below	90%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$2,283.27	$11,416.34	$290.90–$10,617.20	—	80%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$1,369.96	$13,699.61	$152.39–$12,740.64	32% below	90%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$2,739.92	$13,699.61	$346.78–$12,740.64	—	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$517.02	$5,170.21	$87.53–$4,808.30	71% below	90%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$1,034.04	$5,170.21	$293.62–$4,808.30	—	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$517.02	$5,170.21	$97.30–$4,808.30	75% below	90%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$1,034.04	$5,170.21	$294.89–$4,808.30	—	80%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,141.63	$11,416.34	$146.26–$10,617.20	42% below	90%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$2,283.27	$11,416.34	$338.33–$10,617.20	—	80%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$320.12	$3,201.24	$188.02–$2,977.15	37% below	90%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$640.25	$3,201.24	$640.25–$2,977.15	—	80%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$1,369.96	$13,699.61	$162.60–$12,740.64	35% below	90%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$2,739.92	$13,699.61	$416.42–$12,740.64	—	80%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$90.75	$907.54	$28.75–$844.01	62% below	90%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$181.51	$907.54	$42.02–$844.01	—	80%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$75.63	$756.27	$21.95–$703.33	65% below	90%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$151.25	$756.27	$32.32–$703.33	—	80%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$75.63	$756.27	$20.53–$703.33	70% below	90%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$151.25	$756.27	$38.53–$703.33	—	80%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$157.73	$1,577.28	$92.65–$1,466.87	70% below	90%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$315.46	$1,577.28	$141.76–$1,466.87	—	80%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$139.35	$1,393.51	$87.53–$1,295.96	45% below	90%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$278.70	$1,393.51	$100.85–$1,295.96	—	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$57.08	$570.78	$18.58–$530.83	74% below	90%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$114.16	$570.78	$45.75–$530.83	—	80%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$517.02	$5,170.21	$97.30–$4,808.30	68% below	90%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$1,034.04	$5,170.21	$284.49–$4,808.30	—	80%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$1,141.63	$11,416.34	$146.26–$10,617.20	40% below	90%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$2,283.27	$11,416.34	$346.45–$10,617.20	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT	$116.64	$1,166.38	$100.10–$1,084.73	—	90%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT	$233.28	$1,166.38	$206.68–$1,084.73	—	80%
Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT	$91.33	$913.27	$78.01–$849.34	51% below	90%
Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT	$182.65	$913.27	$163.55–$849.34	—	80%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$320.12	$3,201.24	$188.02–$2,977.15	—	90%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$640.25	$3,201.24	$640.25–$2,977.15	—	80%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$320.12	$3,201.24	$157.95–$2,977.15	64% below	90%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$640.25	$3,201.24	$640.25–$2,977.15	—	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US-TTE 2D W DOPP WO	$670.66	$6,706.62	$168.33–$6,237.16	49% below	90%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US-TTE 2D W DOPP WO	$1,341.32	$6,706.62	$1,341.32–$6,237.16	—	80%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$75.63	$756.27	$17.75–$703.33	66% below	90%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$151.25	$756.27	$34.91–$703.33	—	80%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$90.75	$907.54	$20.53–$844.01	63% below	90%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$181.51	$907.54	$38.86–$844.01	—	80%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$517.02	$5,170.21	$97.30–$4,808.30	62% below	90%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$1,034.04	$5,170.21	$332.83–$4,808.30	—	80%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$139.35	$1,393.51	$29.13–$1,295.96	54% below	90%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$278.70	$1,393.51	$57.02–$1,295.96	—	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$75.63	$756.27	$18.03–$703.33	69% below	90%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$151.25	$756.27	$34.91–$703.33	—	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$197.16	$1,971.55	$197.16–$1,833.54	79% below	90%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$394.31	$1,971.55	$394.31–$1,833.54	—	80%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$139.35	$1,393.51	$19.69–$1,295.96	41% below	90%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$278.70	$1,393.51	$37.33–$1,295.96	—	80%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$75.63	$756.27	$17.47–$703.33	68% below	90%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$151.25	$756.27	$34.51–$703.33	—	80%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO	$594.85	$5,948.50	$594.85–$5,532.11	67% below	90%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO	$1,189.70	$5,948.50	$1,189.70–$5,532.11	—	80%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$90.75	$907.54	$26.63–$844.01	69% below	90%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$181.51	$907.54	$48.81–$844.01	—	80%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$517.02	$5,170.21	$97.30–$4,808.30	69% below	90%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$1,034.04	$5,170.21	$269.15–$4,808.30	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$157.73	$1,577.28	$74.39–$1,466.87	67% below	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$315.46	$1,577.28	$115.91–$1,466.87	—	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$157.73	$1,577.28	$54.99–$1,466.87	51% below	90%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$315.46	$1,577.28	$69.07–$1,466.87	—	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$39.50	$395.00	$39.50–$2,655.00	91% below	90%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$79.00	$395.00	$79.00–$367.35	—	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$75.63	$756.27	$19.97–$703.33	72% below	90%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$151.25	$756.27	$37.73–$703.33	—	80%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO	$506.16	$5,061.62	$188.53–$4,707.31	72% below	90%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO	$1,012.32	$5,061.62	$597.02–$4,707.31	—	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$506.16	$5,061.62	$177.93–$4,707.31	66% below	90%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$1,012.32	$5,061.62	$570.54–$4,707.31	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO	$994.28	$9,942.80	$337.43–$9,246.80	60% below	90%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$1,988.56	$9,942.80	$851.63–$9,246.80	—	80%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$506.16	$5,061.62	$172.45–$4,707.31	77% below	90%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$1,012.32	$5,061.62	$561.51–$4,707.31	—	80%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO	$994.28	$9,942.80	$296.78–$9,246.80	64% below	90%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$1,988.56	$9,942.80	$887.02–$9,246.80	—	80%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$506.16	$5,061.62	$172.79–$4,707.31	72% below	90%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$1,012.32	$5,061.62	$587.38–$4,707.31	—	80%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO	$994.28	$9,942.80	$280.12–$9,246.80	64% below	90%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$1,988.56	$9,942.80	$832.65–$9,246.80	—	80%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$506.16	$5,061.62	$168.63–$4,707.31	75% below	90%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$1,012.32	$5,061.62	$579.63–$4,707.31	—	80%
MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO	$994.28	$9,942.80	$280.95–$9,246.80	65% below	90%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$1,988.56	$9,942.80	$826.90–$9,246.80	—	80%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$506.16	$5,061.62	$167.80–$4,707.31	77% below	90%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$1,012.32	$5,061.62	$583.91–$4,707.31	—	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO	$994.28	$9,942.80	$281.51–$9,246.80	65% below	90%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$1,988.56	$9,942.80	$834.62–$9,246.80	—	80%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$506.16	$5,061.62	$168.07–$4,707.31	76% below	90%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$1,012.32	$5,061.62	$584.18–$4,707.31	—	80%
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO	$994.28	$9,942.80	$295.66–$9,246.80	68% below	90%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$1,988.56	$9,942.80	$886.54–$9,246.80	—	80%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$506.16	$5,061.62	$201.05–$4,707.31	74% below	90%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$1,012.32	$5,061.62	$581.38–$4,707.31	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$506.16	$5,061.62	$178.21–$4,707.31	67% below	90%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$1,012.32	$5,061.62	$581.44–$4,707.31	—	80%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$139.35	$1,393.51	$34.13–$1,295.96	64% below	90%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$278.70	$1,393.51	$63.70–$1,295.96	—	80%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$1,141.63	$11,416.34	$161.93–$10,617.20	31% below	90%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$2,283.27	$11,416.34	$347.65–$10,617.20	—	80%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$517.02	$5,170.21	$97.30–$4,808.30	65% below	90%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$1,034.04	$5,170.21	$288.06–$4,808.30	—	80%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$75.63	$756.27	$18.86–$703.33	68% below	90%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$151.25	$756.27	$37.73–$703.33	—	80%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$678.55	$6,785.53	$365.90–$6,310.54	71% below	90%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$1,357.11	$6,785.53	$634.00–$6,310.54	—	80%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI	$1,287.25	$12,872.51	$1,257.77–$11,971.43	64% below	90%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-IMG /CT SKL-THI	$2,574.50	$12,872.51	$2,231.89–$11,971.43	—	80%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$517.02	$5,170.21	$97.30–$4,808.30	69% below	90%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$1,034.04	$5,170.21	$284.57–$4,808.30	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$135.22	$1,352.22	$42.73–$1,257.56	67% below	90%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$270.44	$1,352.22	$95.14–$1,257.56	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$157.73	$1,577.28	$90.00–$1,466.87	70% below	90%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$315.46	$1,577.28	$133.09–$1,466.87	—	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$157.73	$1,577.28	$87.53–$1,466.87	69% below	90%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$315.46	$1,577.28	$168.55–$1,466.87	—	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$157.73	$1,577.28	$97.30–$1,466.87	68% below	90%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$315.46	$1,577.28	$146.14–$1,466.87	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$157.73	$1,577.28	$69.59–$1,466.87	64% below	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$315.46	$1,577.28	$101.15–$1,466.87	—	80%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR	$75.63	$756.27	$21.91–$703.33	72% below	90%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR	$151.25	$756.27	$44.16–$703.33	—	80%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR	$139.35	$1,393.51	$24.69–$1,295.96	54% below	90%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR	$278.70	$1,393.51	$50.60–$1,295.96	—	80%
Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI	$96.46	$964.58	$82.13–$897.06	—	90%
Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI	$192.92	$964.58	$166.54–$897.06	—	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$90.75	$907.54	$21.64–$844.01	62% below	90%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$181.51	$907.54	$41.33–$844.01	—	80%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$90.75	$907.54	$22.75–$844.01	70% below	90%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$181.51	$907.54	$45.88–$844.01	—	80%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$139.35	$1,393.51	$22.75–$1,295.96	56% below	90%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$278.70	$1,393.51	$44.50–$1,295.96	—	80%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO	$594.85	$5,948.50	$594.85–$5,532.11	62% below	90%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO	$1,189.70	$5,948.50	$1,189.70–$5,532.11	—	80%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$139.35	$1,393.51	$83.01–$1,295.96	74% below	90%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$278.70	$1,393.51	$160.17–$1,295.96	—	80%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$90.75	$907.54	$22.47–$844.01	61% below	90%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$181.51	$907.54	$50.78–$844.01	—	80%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$517.02	$5,170.21	$97.30–$4,808.30	70% below	90%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$1,034.04	$5,170.21	$294.10–$4,808.30	—	80%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$75.63	$756.27	$19.14–$703.33	60% below	90%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$151.25	$756.27	$34.91–$703.33	—	80%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$157.73	$1,577.28	$97.30–$1,466.87	68% below	90%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$315.46	$1,577.28	$149.11–$1,466.87	—	80%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$157.73	$1,577.28	$75.74–$1,466.87	54% below	90%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$315.46	$1,577.28	$115.50–$1,466.87	—	80%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$157.73	$1,577.28	$97.30–$1,466.87	74% below	90%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$315.46	$1,577.28	$150.22–$1,466.87	—	80%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$157.73	$1,577.28	$85.39–$1,466.87	70% below	90%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$315.46	$1,577.28	$126.15–$1,466.87	—	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$157.73	$1,577.28	$93.72–$1,466.87	66% below	90%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$315.46	$1,577.28	$140.08–$1,466.87	—	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$307.70	$3,077.01	$70.79–$2,861.62	41% below	90%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$615.40	$3,077.01	$151.42–$2,861.62	—	80%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$75.63	$756.27	$20.25–$703.33	70% below	90%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$151.25	$756.27	$38.48–$703.33	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$157.73	$1,577.28	$87.53–$1,466.87	73% below	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$315.46	$1,577.28	$315.46–$1,466.87	—	80%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$75.63	$756.27	$21.64–$703.33	66% below	90%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$151.25	$756.27	$40.54–$703.33	—	80%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$90.75	$907.54	$27.47–$844.01	66% below	90%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$181.51	$907.54	$48.81–$844.01	—	80%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$90.75	$907.54	$30.80–$844.01	61% below	90%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$181.51	$907.54	$64.73–$844.01	—	80%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$75.63	$756.27	$18.03–$703.33	68% below	90%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$151.25	$756.27	$37.34–$703.33	—	80%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$75.63	$756.27	$20.53–$703.33	62% below	90%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$151.25	$756.27	$38.89–$703.33	—	80%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$75.63	$756.27	$26.36–$703.33	58% below	90%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$151.25	$756.27	$44.96–$703.33	—	80%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$75.63	$756.27	$17.75–$703.33	65% below	90%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$151.25	$756.27	$33.97–$703.33	—	80%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$90.75	$907.54	$21.91–$844.01	66% below	90%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$181.51	$907.54	$41.33–$844.01	—	80%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$167.22	$1,672.22	$24.14–$1,555.16	31% below	90%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$334.44	$1,672.22	$43.76–$1,555.16	—	80%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$75.63	$756.27	$21.91–$703.33	68% below	90%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$151.25	$756.27	$40.94–$703.33	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$139.35	$1,393.51	$24.41–$1,295.96	55% below	90%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$278.70	$1,393.51	$47.78–$1,295.96	—	80%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$167.22	$1,672.22	$33.02–$1,555.16	58% below	90%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$334.44	$1,672.22	$61.24–$1,555.16	—	80%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR	$139.35	$1,393.51	$19.41–$1,295.96	53% below	90%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR	$278.70	$1,393.51	$39.92–$1,295.96	—	80%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$75.63	$756.27	$24.69–$703.33	68% below	90%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$151.25	$756.27	$45.77–$703.33	—	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$90.75	$907.54	$24.14–$844.01	67% below	90%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$181.51	$907.54	$47.38–$844.01	—	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$139.35	$1,393.51	$16.36–$1,295.96	45% below	90%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$278.70	$1,393.51	$38.67–$1,295.96	—	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$75.63	$756.27	$20.25–$703.33	70% below	90%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$151.25	$756.27	$38.86–$703.33	—	80%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
ACTH blood test CPT 82024 ADRENOCORT ACTH	$18.17	$181.68	$18.17–$168.96	90% below	90%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$36.34	$181.68	$36.34–$168.96	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$4.95	$24.77	$4.95–$23.04	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$4.95	$24.77	$4.95–$23.04	—	80%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$45.07	$225.33	$45.07–$209.56	—	80%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$4.72	$23.60	$4.72–$21.95	—	80%
Aldosterone blood test CPT 82088 ALDOSTERONE	$19.23	$192.31	$19.23–$178.85	90% below	90%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$38.46	$192.31	$38.46–$178.85	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE	$4.95	$24.77	$4.95–$23.04	—	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$2.48	$24.77	$2.48–$23.04	92% below	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$4.95	$24.77	$4.95–$23.04	—	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$7.90	$79.04	$7.90–$73.51	93% below	90%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$15.81	$79.04	$15.81–$73.51	—	80%
Ammonia blood test inpatient CPT 82140 AMMONIA	$13.68	$68.42	$13.68–$63.63	—	80%
Amylase blood test inpatient CPT 82150 AMYLASE	$6.14	$30.68	$6.14–$28.53	—	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$6.14	$61.35	$6.14–$57.06	93% below	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$12.27	$61.35	$12.27–$57.06	—	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$5.66	$56.63	$5.66–$52.67	94% below	90%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Q37491 ANA	$10.08	$50.40	$10.08–$46.87	—	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$11.33	$56.63	$11.33–$52.67	—	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$18.52	$185.22	$18.52–$172.25	89% below	90%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$37.04	$185.22	$37.04–$172.25	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$8.02	$40.11	$8.02–$37.30	—	80%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$4.72	$23.60	$4.72–$21.95	—	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$23.36	$233.59	$23.36–$217.24	89% below	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$46.72	$233.59	$46.72–$217.24	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE	$2.83	$14.16	$2.83–$13.17	—	80%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT	$3.78	$18.88	$3.78–$17.56	—	80%
Blood lead test CPT 83655 LEAD	$5.66	$56.63	$5.66–$52.67	92% below	90%
Blood lead test inpatient CPT 83655 LEAD	$11.33	$56.63	$11.33–$52.67	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL	$7.08	$35.39	$7.08–$32.91	—	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$51.44	$514.39	$2.66–$478.38	42% below	90%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$102.88	$514.39	$6.34–$478.38	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN	$3.78	$18.88	$3.78–$17.56	—	80%
C-peptide blood test CPT 84681 C-PEPTIDE	$9.79	$97.92	$9.79–$91.07	91% below	90%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$19.58	$97.92	$19.58–$91.07	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$4.95	$24.77	$4.95–$23.04	—	80%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$17.58	$175.79	$17.58–$163.48	88% below	90%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$35.16	$175.79	$35.16–$163.48	—	80%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$9.79	$97.92	$9.79–$91.07	93% below	90%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$19.58	$97.92	$19.58–$91.07	—	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$19.58	$97.92	$19.58–$91.07	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$13.69	$136.86	$13.69–$205.24	88% below	90%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA	$18.05	$180.51	$18.05–$205.24	84% below	90%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Q39448 COVID19	$24.42	$244.21	$24.42–$227.12	78% below	90%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$27.37	$136.86	$27.37–$127.28	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA	$36.10	$180.51	$36.10–$167.87	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Q39448 COVID19	$48.84	$244.21	$48.84–$227.12	—	80%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$4.95	$24.77	$4.95–$23.04	—	80%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$8.97	$89.67	$8.97–$83.39	94% below	90%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$17.93	$89.67	$17.93–$83.39	—	80%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$6.14	$61.35	$6.14–$57.06	91% below	90%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$12.27	$61.35	$12.27–$57.06	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Q10120 C TRACH PRB	$14.04	$140.36	$14.04–$140.36	88% below	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$16.52	$165.17	$16.52–$153.61	86% below	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Q10120 C TRACH PRB	$28.07	$140.36	$28.07–$130.53	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$33.03	$165.17	$33.03–$153.61	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$12.74	$63.71	$12.74–$59.25	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$7.31	$36.57	$7.31–$34.01	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$6.14	$30.68	$6.14–$28.53	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$9.91	$49.56	$9.91–$46.09	—	80%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$15.34	$76.69	$15.34–$71.32	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$6.14	$30.68	$6.14–$28.53	—	80%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$4.72	$23.60	$4.72–$21.95	—	80%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$6.84	$68.42	$6.84–$63.63	91% below	90%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$13.68	$68.42	$13.68–$63.63	—	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT	$9.67	$48.37	$9.67–$44.98	—	80%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$10.50	$105.00	$10.50–$97.65	92% below	90%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$21.00	$105.00	$21.00–$97.65	—	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$29.38	$293.77	$29.38–$273.21	83% below	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$58.75	$293.77	$58.75–$273.21	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$6.61	$33.03	$6.61–$30.72	—	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR, VCA	$8.61	$86.13	$8.61–$80.10	92% below	90%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR, VCA	$17.23	$86.13	$17.23–$80.10	—	80%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$31.89	$318.90	$24.85–$296.58	82% below	90%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$63.78	$318.90	$49.66–$296.58	—	80%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$8.73	$87.30	$8.73–$81.19	94% below	90%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$17.46	$87.30	$17.46–$81.19	—	80%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$18.64	$93.21	$18.64–$86.69	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$12.98	$64.89	$12.98–$60.35	—	80%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$9.20	$46.01	$9.20–$42.79	—	80%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$13.92	$69.61	$13.92–$64.74	—	80%
Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE	$16.04	$80.22	$16.04–$74.60	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$8.49	$42.47	$8.49–$39.50	—	80%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$12.03	$120.34	$12.03–$111.92	91% below	90%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$24.07	$120.34	$24.07–$111.92	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$6.84	$34.22	$6.84–$31.82	—	80%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$29.73	$148.65	$29.73–$138.24	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$12.03	$60.17	$12.03–$55.96	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Q10120 NG AMP PRB	$14.04	$140.36	$14.04–$140.36	89% below	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR	$16.52	$165.17	$16.52–$153.61	87% below	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Q10120 NG AMP PRB	$28.07	$140.36	$28.07–$130.53	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR	$33.03	$165.17	$33.03–$153.61	—	80%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA	$13.68	$68.42	$13.68–$63.63	—	80%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT	$40.11	$401.13	$40.11–$373.05	88% below	90%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT	$80.23	$401.13	$80.23–$373.05	—	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$16.52	$165.17	$16.52–$153.61	87% below	90%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$33.03	$165.17	$33.03–$153.61	—	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$9.20	$46.01	$9.20–$42.79	—	80%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$5.66	$56.63	$5.66–$52.67	92% below	90%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$11.33	$56.63	$11.33–$52.67	—	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$10.15	$50.73	$10.15–$47.18	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$9.67	$48.37	$9.67–$44.98	—	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$13.45	$67.25	$13.45–$62.54	—	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN	$20.17	$201.74	$20.17–$187.62	94% below	90%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN	$40.35	$201.74	$40.35–$187.62	—	80%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$6.25	$62.53	$6.25–$58.15	91% below	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$12.51	$62.53	$12.51–$58.15	—	80%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$9.08	$90.84	$9.08–$84.48	89% below	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$18.17	$90.84	$18.17–$84.48	—	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS	$6.14	$61.35	$6.14–$57.06	91% below	90%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS	$12.27	$61.35	$12.27–$57.06	—	80%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$16.99	$84.95	$16.99–$79.00	—	80%
Insulin blood test CPT 83525 INSULIN, TOTAL	$5.43	$54.27	$5.43–$50.47	93% below	90%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$10.85	$54.27	$10.85–$50.47	—	80%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$6.14	$30.68	$6.14–$28.53	—	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$8.26	$41.30	$8.26–$38.41	—	80%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$8.73	$87.30	$8.73–$81.19	94% below	90%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$17.46	$87.30	$17.46–$81.19	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$10.85	$54.27	$10.85–$50.47	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$5.66	$28.31	$5.66–$26.33	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$6.61	$33.03	$6.61–$30.72	—	80%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$8.02	$80.22	$8.02–$74.60	93% below	90%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$16.04	$80.22	$16.04–$74.60	—	80%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$6.37	$31.85	$6.37–$29.62	—	80%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$6.14	$61.35	$6.14–$57.06	92% below	90%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$12.27	$61.35	$12.27–$57.06	—	80%
Mumps immunity blood test CPT 86735 MUMPS AB	$6.14	$61.35	$6.14–$57.06	92% below	90%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$12.27	$61.35	$12.27–$57.06	—	80%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$8.73	$87.30	$8.73–$81.19	90% below	90%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$17.46	$87.30	$17.46–$81.19	—	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL	$8.73	$87.30	$8.73–$81.19	91% below	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL	$17.46	$87.30	$17.46–$81.19	—	80%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS	$12.51	$125.06	$12.51–$116.31	87% below	90%
Pap test (liquid-based, automated screening with review) CPT 88175 L196527 PAP AU MN RS	$39.56	$395.64	$23.67–$367.95	58% below	90%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP DIAG AUTO MAN RS	$25.01	$125.06	$25.01–$116.31	—	80%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196527 PAP AU MN RS	$79.13	$395.64	$69.84–$367.95	—	80%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG	$9.56	$95.56	$9.56–$88.87	87% below	90%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THINLAY LIQ DIAG	$19.11	$95.56	$19.11–$88.87	—	80%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$19.47	$194.67	$19.47–$181.04	90% below	90%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$38.93	$194.67	$38.93–$181.04	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$5.66	$28.31	$5.66–$26.33	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD	$4.48	$22.42	$4.48–$20.85	—	80%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$4.48	$22.42	$4.48–$20.85	—	80%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET ANEUP GSA PN	$358.18	$3,581.81	$358.18–$3,331.08	49% below	90%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FET ANEUP GSA PN	$716.36	$3,581.81	$716.36–$3,331.08	—	80%
Progesterone blood test CPT 84144 PROGESTERONE	$9.79	$97.92	$9.79–$91.07	92% below	90%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$19.58	$97.92	$19.58–$91.07	—	80%
Prolactin blood test CPT 84146 PROLACTIN	$9.20	$92.02	$9.20–$85.58	94% below	90%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$18.40	$92.02	$18.40–$85.58	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$4.01	$20.06	$4.01–$18.66	—	80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRS DRG IA VIS	$5.90	$58.99	$5.90–$54.86	71% below	90%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PRS DRG IA VIS	$11.80	$58.99	$11.80–$54.86	—	80%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$7.79	$77.87	$7.79–$72.42	85% below	90%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$15.57	$77.87	$15.57–$72.42	—	80%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI	$7.80	$78.02	$7.80–$72.56	88% below	90%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI	$15.60	$78.02	$15.60–$72.56	—	80%
Renin blood test CPT 84244 RENIN	$10.38	$103.82	$10.38–$96.55	90% below	90%
Renin blood test inpatient CPT 84244 RENIN	$20.76	$103.82	$20.76–$96.55	—	80%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$15.81	$158.09	$2.66–$147.02	74% below	90%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$31.62	$158.09	$6.69–$147.02	—	80%
Rheumatoid factor (RF) test inpatient CPT 86431 Q37491 RHEUMATOID FA	$4.83	$24.15	$4.83–$22.46	—	80%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$5.43	$27.14	$5.43–$25.24	—	80%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$6.84	$68.42	$6.84–$63.63	91% below	90%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$13.68	$68.42	$13.68–$63.63	—	80%
Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB	$4.48	$22.42	$4.48–$20.85	—	80%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$8.49	$42.47	$8.49–$39.50	—	80%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA	$6.37	$63.68	$6.37–$63.68	91% below	90%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCULT FECES EIA	$12.74	$63.68	$12.74–$59.22	—	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI	$6.25	$62.53	$6.25–$58.15	92% below	90%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI	$12.51	$62.53	$12.51–$58.15	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL	$4.00	$40.00	$3.80–$37.20	92% below	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL	$8.00	$40.00	$7.59–$37.20	—	80%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$29.26	$292.58	$29.26–$272.10	86% below	90%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$58.52	$292.58	$58.52–$272.10	—	80%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$12.15	$121.52	$12.15–$113.01	91% below	90%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$24.30	$121.52	$24.30–$113.01	—	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 Q37491 MICROSOMAL AB	$6.09	$60.90	$6.09–$58.20	93% below	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$6.84	$68.42	$6.84–$63.63	92% below	90%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Q37491 MICROSOMAL AB	$12.18	$60.90	$12.18–$56.64	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$13.68	$68.42	$13.68–$63.63	—	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$7.90	$79.04	$7.90–$73.51	93% below	90%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$15.81	$79.04	$15.81–$73.51	—	80%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$7.79	$77.87	$7.79–$72.42	93% below	90%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$15.57	$77.87	$15.57–$72.42	—	80%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$4.01	$20.06	$4.01–$18.66	—	80%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4,TOTAL	$6.37	$31.85	$6.37–$29.62	—	80%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3,TOTAL	$13.45	$67.25	$13.45–$62.54	—	80%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$12.03	$60.17	$12.03–$55.96	—	80%
Trichomonas test (NAAT) CPT 87661 Q10119 TVAG AMP PRB	$10.53	$105.27	$10.53–$140.36	84% below	90%
Trichomonas test (NAAT) CPT 87661 Q10120 TVAG AMP PRB	$14.04	$140.36	$14.04–$140.36	78% below	90%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$16.52	$165.17	$16.52–$153.61	74% below	90%
Trichomonas test (NAAT) inpatient CPT 87661 Q10119 TVAG AMP PRB	$21.05	$105.27	$21.05–$97.90	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 Q10120 TVAG AMP PRB	$28.07	$140.36	$28.07–$130.53	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$33.03	$165.17	$33.03–$153.61	—	80%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$5.43	$27.14	$5.43–$25.24	—	80%
Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT	$11.80	$58.99	$11.80–$54.86	—	80%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$7.55	$37.76	$7.55–$35.12	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$5.43	$27.14	$5.43–$25.24	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$8.02	$40.11	$8.02–$37.30	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$14.16	$70.79	$14.16–$65.83	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$13.92	$139.21	$13.92–$129.47	92% below	90%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$27.84	$139.21	$27.84–$129.47	—	80%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$18.17	$181.68	$18.17–$168.96	90% below	90%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$36.34	$181.68	$36.34–$168.96	—	80%
Zinc blood test CPT 84630 ZINC	$5.43	$54.27	$5.43–$50.47	93% below	90%
Zinc blood test inpatient CPT 84630 ZINC	$10.85	$54.27	$10.85–$50.47	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$14.16	$70.79	$14.16–$65.83	—	80%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$1,952.90	$19,529.00	$580.49–$18,161.97	75% below	90%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$6,694.20	$66,942.00	$1,828.35–$62,256.06	—	90%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$6,410.30	$64,103.00	$4,166.51–$59,615.79	30% below	90%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$6,036.40	$60,364.00	$3,029.87–$56,138.52	24% below	90%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$4,674.00	$46,740.00	$2,576.67–$43,468.20	21% below	90%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$4,280.50	$42,805.00	$2,161.59–$39,808.65	77% below	90%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT	$7,477.41	$74,774.12	$870.51–$69,539.93	35% below	90%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT	$14,954.82	$74,774.12	$14,954.82–$69,539.93	—	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$434.64	$4,346.40	$406.35–$4,042.15	63% below	90%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$4,068.40	$40,684.00	$406.35–$37,836.12	245% above	90%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$869.28	$4,346.40	$869.28–$4,042.15	—	80%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$2,206.60	$22,066.00	$1,220.31–$20,521.38	62% below	90%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$3,653.60	$36,536.00	$560.68–$33,978.48	29% below	90%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,834.80	$18,348.00	$744.16–$17,063.64	16% below	90%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$1,571.60	$15,716.00	$744.16–$14,615.88	19% below	90%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$1,294.50	$12,945.00	$727.54–$12,038.85	7% below	90%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG	$3,779.45	$37,794.54	$1,157.72–$35,148.92	71% below	90%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG	$7,558.91	$37,794.54	$7,558.91–$35,148.92	—	80%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$3,047.30	$30,473.00	$793.83–$28,339.89	69% below	90%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$1,952.10	$19,521.00	$479.51–$18,154.53	10% below	90%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$285.20	$2,852.00	$40.66–$2,652.36	115% above	90%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$829.80	$8,298.00	$54.13–$7,717.14	455% above	90%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$6,307.10	$63,071.00	$1,079.31–$58,656.03	31% below	90%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$4,428.80	$44,288.00	$1,510.76–$41,187.84	43% below	90%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$8,405.50	$84,055.00	$2,030.55–$78,171.15	37% below	90%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$4,527.40	$45,274.00	$901.68–$42,104.82	48% below	90%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,557.10	$15,571.00	$471.97–$14,481.03	61% above	90%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$6,677.80	$66,778.00	$2,026.38–$62,103.54	29% below	90%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$5,984.30	$59,843.00	$1,523.83–$55,653.99	42% below	90%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$3,448.60	$34,486.00	$1,447.85–$32,071.98	4% above	90%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$3,549.50	$35,495.00	$3,041.97–$33,010.35	66% below	90%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$2,594.30	$25,943.00	$1,846.49–$24,126.99	66% below	90%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$2,693.60	$26,936.00	$49.31–$25,050.48	956% above	90%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$658.10	$6,581.00	$118.97–$6,120.33	75% above	90%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$5,097.70	$50,977.00	$1,479.15–$47,408.61	at median	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$250.30	$2,503.00	$171.21–$2,327.79	41% below	90%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$536.50	$5,365.00	$145.86–$4,989.45	48% above	90%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$2,334.90	$23,349.00	$139.67–$21,714.57	520% above	90%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$3,697.40	$36,974.00	$2,171.10–$34,385.82	59% below	90%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$4,419.20	$44,192.00	$2,445.33–$41,098.56	58% below	90%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$6,744.80	$67,448.00	$1,876.75–$62,726.64	51% below	90%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$8,269.90	$82,699.00	$2,832.00–$76,910.07	46% below	90%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$4,652.30	$46,523.00	$1,887.89–$43,266.39	48% below	90%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$4,841.20	$48,412.00	$110.68–$45,023.16	677% above	90%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC	$7,477.41	$74,774.12	$749.56–$69,539.93	11% below	90%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC	$14,954.82	$74,774.12	$14,954.82–$69,539.93	—	80%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$4,142.20	$41,422.00	$1,849.63–$38,522.46	39% below	90%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$8,807.60	$88,076.00	$2,766.84–$81,910.68	29% below	90%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$3,004.70	$30,047.00	$1,176.60–$27,943.71	64% below	90%
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<	$2,187.00	$21,870.00	$354.11–$20,339.10	214% above	90%
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/<	$2,276.70	$22,767.00	$356.55–$21,173.31	212% above	90%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$432.20	$4,322.00	$71.83–$4,019.46	18% above	90%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$7,074.50	$70,745.00	$1,603.63–$65,792.85	49% below	90%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$880.80	$8,808.00	$449.76–$8,191.44	30% below	90%
Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG	$1,024.54	$10,245.36	$449.76–$9,528.18	18% below	90%
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG	$2,049.07	$10,245.36	$2,049.07–$9,528.18	—	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$2,865.50	$28,655.00	$317.42–$26,649.15	526% above	90%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$2,850.90	$28,509.00	$516.52–$26,513.37	12% below	90%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$1,097.90	$10,979.00	$228.70–$10,210.47	86% above	90%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$8,444.90	$84,449.00	$2,317.55–$78,537.57	14% below	90%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$1,116.50	$11,165.00	$661.30–$10,383.45	18% below	90%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$1,114.30	$11,143.00	$661.30–$10,362.99	21% below	90%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$4,527.10	$45,271.00	$1,036.35–$42,102.03	23% below	90%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$664.80	$6,648.00	$113.05–$6,182.64	153% above	90%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$747.10	$7,471.00	$86.12–$6,948.03	164% above	90%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$5,411.60	$54,116.00	$2,296.83–$50,327.88	62% below	90%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$596.80	$5,968.00	$119.38–$5,550.24	66% above	90%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$2,939.40	$29,394.00	$213.95–$27,336.42	510% above	90%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$1,543.20	$15,432.00	$119.38–$14,351.76	306% above	90%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$1,216.00	$12,160.00	$304.20–$11,308.80	43% above	90%
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	$763.70	$7,637.00	$119.38–$7,102.41	93% above	90%
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/<	$779.70	$7,797.00	$119.38–$7,251.21	130% above	90%
Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG	$844.13	$8,441.26	$266.83–$7,850.37	31% below	90%
Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG	$1,688.25	$8,441.26	$1,688.25–$7,850.37	—	80%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$2,107.00	$21,070.00	$854.19–$19,595.10	77% below	90%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$2,459.30	$24,593.00	$812.44–$22,871.49	73% below	90%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$2,381.10	$23,811.00	$778.41–$22,144.23	83% below	90%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS	$3,169.00	$31,690.00	$761.48–$29,471.70	66% below	90%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$9,892.80	$98,928.00	$4,183.56–$92,003.04	60% below	90%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$9,935.00	$99,350.00	$4,903.64–$92,395.50	46% below	90%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$13,283.70	$132,837.00	$4,409.52–$123,538.41	59% below	90%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$1,931.70	$19,317.00	$1,279.40–$17,964.81	68% below	90%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,551.80	$15,518.00	$714.83–$14,431.74	18% below	90%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$1,870.00	$18,700.00	$714.83–$17,391.00	15% below	90%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,898.20	$28,982.00	$714.83–$26,953.26	63% above	90%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$3,332.80	$33,328.00	$2,537.39–$30,995.04	2% above	90%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$2,099.60	$20,996.00	$119.38–$19,526.28	880% above	90%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$2,766.50	$27,665.00	$228.70–$25,728.45	139% above	90%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$6,273.90	$62,739.00	$2,079.01–$58,347.27	27% below	90%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 2 HRS	$160.42	$1,604.15	$103.31–$1,491.86	77% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$190.55	$1,905.51	$103.31–$1,772.12	72% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 2 4 HRS	$192.50	$1,924.98	$103.31–$1,790.23	72% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 4 6 HRS	$231.00	$2,309.98	$103.31–$2,148.28	66% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 6 8 HRS	$277.20	$2,771.97	$103.31–$2,577.93	60% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 8 10 HR	$332.64	$3,326.38	$103.31–$3,093.53	52% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRAN 10 TO 12HRS	$399.17	$3,991.65	$103.31–$3,712.23	42% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$4,808.40	$48,084.00	$103.31–$44,718.12	599% above	90%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0 2 HRS	$320.83	$1,604.15	$320.83–$1,491.86	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$381.10	$1,905.51	$381.10–$1,772.12	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 2 4 HRS	$385.00	$1,924.98	$385.00–$1,790.23	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 4 6 HRS	$462.00	$2,309.98	$462.00–$2,148.28	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 6 8 HRS	$554.39	$2,771.97	$554.39–$2,577.93	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 8 10 HR	$665.28	$3,326.38	$665.28–$3,093.53	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRAN 10 TO 12HRS	$798.33	$3,991.65	$798.33–$3,712.23	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$77.92	$779.15	$6.64–$724.61	35% below	90%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$155.83	$779.15	$155.83–$724.61	—	80%
Critical care, first 30 to 74 minutes CPT 99291 POST AR TRA EM LVCCF	$1,199.76	$11,997.61	$508.71–$11,157.78	43% below	90%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$534.89	$5,348.90	$508.71–$7,403.00	75% below	90%
Critical care, first 30 to 74 minutes inpatient CPT 99291 POST AR TRA EM LVCCF	$2,399.52	$11,997.61	$2,399.52–$11,157.78	—	80%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$1,069.78	$5,348.90	$1,069.78–$4,974.48	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF	$49.08	$490.80	$5.25–$456.44	73% below	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS	$87.35	$873.46	$5.25–$812.32	52% below	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD ED STAFF	$98.16	$490.80	$98.16–$456.44	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS	$174.69	$873.46	$174.69–$812.32	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$55.33	$553.32	$42.63–$561.00	72% below	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$110.66	$553.32	$110.66–$514.59	—	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$98.61	$986.13	$82.04–$1,219.00	66% below	90%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$197.23	$986.13	$197.23–$917.10	—	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$150.80	$1,507.99	$132.78–$1,827.00	72% below	90%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$301.60	$1,507.99	$301.60–$1,402.43	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$240.28	$2,402.79	$223.59–$3,137.00	72% below	90%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$480.56	$2,402.79	$480.56–$2,234.59	—	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 POST AR TRA EM LV 5F	$1,021.80	$10,217.98	$328.97–$9,502.72	28% below	90%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST	$713.85	$3,569.27	$713.85–$3,319.42	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 POST AR TRA EM LV 5F	$2,043.60	$10,217.98	$2,043.60–$9,502.72	—	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$234.65	$2,346.50	$31.33–$2,182.24	57% below	90%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$469.30	$2,346.50	$469.30–$2,182.24	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$81.73	$817.28	$81.73–$760.07	76% below	90%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$163.46	$817.28	$163.46–$760.07	—	80%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$81.73	$817.28	$81.73–$760.07	81% below	90%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$163.46	$817.28	$163.46–$760.07	—	80%
IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH	$40.21	$402.12	$40.21–$561.00	78% below	90%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$81.73	$817.28	$45.40–$760.07	56% below	90%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH	$80.42	$402.12	$80.42–$373.97	—	80%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$163.46	$817.28	$163.46–$760.07	—	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$24.89	$248.91	$24.89–$231.49	78% below	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$49.78	$248.91	$49.78–$231.49	—	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10	$12.71	$127.14	$12.71–$118.24	62% below	90%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10	$25.43	$127.14	$25.43–$118.24	—	80%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$56.99	$569.89	$23.30–$530.00	68% below	90%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$113.98	$569.89	$113.98–$530.00	—	80%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$104.02	$1,040.24	$33.19–$967.42	73% below	90%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$208.05	$1,040.24	$208.05–$967.42	—	80%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$44.93	$449.25	$44.92–$417.80	75% below	90%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$89.85	$449.25	$89.85–$417.80	—	80%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y	$6.53	$65.31	$6.53–$60.74	86% below	90%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y	$13.06	$65.31	$13.06–$60.74	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED	$7.07	$70.68	$7.07–$65.73	89% below	90%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED	$14.14	$70.68	$14.14–$65.73	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG	$16.91	$84.54	$16.91–$114.77	—	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$61.87	$618.65	$61.86–$575.34	48% below	90%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$123.73	$618.65	$90.35–$575.34	—	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$78.92	$789.20	$78.92–$733.96	53% below	90%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$157.84	$789.20	$157.84–$733.96	—	80%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$300.49	$3,004.90	$287.82–$2,794.56	27% below	90%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$600.98	$3,004.90	$513.45–$2,794.56	—	80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$31.37	$313.73	$31.37–$291.77	62% below	90%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$62.75	$313.73	$62.75–$291.77	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$27.70	$277.04	$27.70–$257.65	41% below	90%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$55.41	$277.04	$40.06–$257.65	—	80%

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

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

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

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

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

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

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

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

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

Source file: https://www.carlsbadmedicalcenter.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621762526_carlsbad-medical-center_standardcharges.csv