Hospital Las Cruces, NM

Mountain View Regional Medical Center

Mountain View Regional Medical Center in Las Cruces, NM publishes cash prices for 394 common procedures listed here, from its own machine-readable price file updated Dec 3, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the New Mexico median for 256 of 387 procedures and above it for 131. Select a procedure to compare it with other hospitals nearby.

4311 E Lohman Ave, Las Cruces, NM 88011 Collected Nov 12, 2026 Source price file Check a bill from this hospital

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	$1,787.67	$6,621.00	$161.88–$5,826.48	26% below	73%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$3,178.08	$6,621.00	$433.04–$5,826.48	—	52%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$208.17	$771.00	$44.83–$678.48	21% below	73%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$370.08	$771.00	$44.16–$678.48	—	52%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$400.68	$1,484.00	$80.49–$1,305.92	2% below	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$712.32	$1,484.00	$549.08–$1,305.92	—	52%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$839.97	$3,111.00	$96.81–$2,737.68	40% below	73%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$1,493.28	$3,111.00	$268.70–$2,737.68	—	52%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$846.72	$3,136.00	$106.13–$2,759.68	73% above	73%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$1,505.28	$3,136.00	$121.23–$2,759.68	—	52%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$650.16	$2,408.00	$300.01–$2,119.04	36% below	73%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$1,155.84	$2,408.00	$362.79–$2,119.04	—	52%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$453.33	$1,679.00	$96.90–$1,477.52	7% below	73%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$805.92	$1,679.00	$169.63–$1,477.52	—	52%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$236.52	$876.00	$80.27–$770.88	11% below	73%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$420.48	$876.00	$139.50–$770.88	—	52%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$1,516.86	$5,618.00	$338.66–$4,943.84	38% below	73%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$2,696.64	$5,618.00	$612.77–$4,943.84	—	52%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$1,159.38	$4,294.00	$161.97–$3,778.72	33% below	73%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$2,061.12	$4,294.00	$503.50–$3,778.72	—	52%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$1,159.38	$4,294.00	$161.97–$3,778.72	27% below	73%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$2,061.12	$4,294.00	$513.73–$3,778.72	—	52%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$1,061.37	$3,931.00	$161.97–$3,459.28	53% below	73%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$1,886.88	$3,931.00	$453.00–$3,459.28	—	52%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W	$690.12	$2,556.00	$161.67–$2,249.28	62% below	73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-HT CARD FUNC W	$1,226.88	$2,556.00	$611.55–$2,249.28	—	52%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL	$439.29	$1,627.00	$35.56–$1,431.76	116% above	73%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL	$780.96	$1,627.00	$240.94–$1,431.76	—	52%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$3,204.09	$11,867.00	$215.86–$10,442.96	19% above	73%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$5,696.16	$11,867.00	$254.69–$10,442.96	—	52%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$3,944.97	$14,611.00	$338.48–$12,857.68	18% above	73%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$7,013.28	$14,611.00	$405.79–$12,857.68	—	52%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$3,504.06	$12,978.00	$338.57–$11,420.64	13% below	73%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$6,229.44	$12,978.00	$497.23–$11,420.64	—	52%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$1,787.67	$6,621.00	$161.88–$5,826.48	13% below	73%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$3,178.08	$6,621.00	$347.69–$5,826.48	—	52%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$1,163.43	$4,309.00	$96.81–$3,791.92	35% below	73%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$2,068.32	$4,309.00	$275.06–$3,791.92	—	52%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$1,111.05	$4,115.00	$96.81–$3,621.20	15% below	73%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$1,975.20	$4,115.00	$280.89–$3,621.20	—	52%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$1,319.76	$4,888.00	$96.90–$4,301.44	12% below	73%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$2,346.24	$4,888.00	$234.78–$4,301.44	—	52%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$1,787.67	$6,621.00	$161.88–$5,826.48	at median	73%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$3,178.08	$6,621.00	$290.90–$5,826.48	—	52%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$1,787.67	$6,621.00	$161.97–$5,826.48	11% below	73%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$3,178.08	$6,621.00	$346.78–$5,826.48	—	52%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$1,163.43	$4,309.00	$96.81–$3,791.92	35% below	73%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$2,068.32	$4,309.00	$293.62–$3,791.92	—	52%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$1,386.72	$5,136.00	$96.81–$4,519.68	33% below	73%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$2,465.28	$5,136.00	$294.89–$4,519.68	—	52%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,787.67	$6,621.00	$161.88–$5,826.48	9% below	73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$3,178.08	$6,621.00	$338.33–$5,826.48	—	52%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$453.33	$1,679.00	$188.02–$1,477.52	11% below	73%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$805.92	$1,679.00	$621.23–$1,477.52	—	52%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$1,787.67	$6,621.00	$161.97–$5,826.48	15% below	73%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$3,178.08	$6,621.00	$416.42–$5,826.48	—	52%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$208.17	$771.00	$42.02–$678.48	14% below	73%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$370.08	$771.00	$42.02–$678.48	—	52%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$208.17	$771.00	$32.32–$678.48	3% below	73%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$370.08	$771.00	$32.32–$678.48	—	52%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$208.17	$771.00	$39.17–$678.48	16% below	73%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$370.08	$771.00	$38.53–$678.48	—	52%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$453.33	$1,679.00	$96.51–$1,477.52	14% below	73%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$805.92	$1,679.00	$141.76–$1,477.52	—	52%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$114.48	$424.00	$87.91–$373.12	55% below	73%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$203.52	$424.00	$100.85–$373.12	—	52%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$125.55	$465.00	$35.30–$409.20	43% below	73%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$223.20	$465.00	$45.75–$409.20	—	52%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL	$453.33	$1,679.00	$188.02–$1,477.52	1% below	73%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-PLV PRG 2T DETAIL	$805.92	$1,679.00	$234.77–$1,477.52	—	52%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$1,386.72	$5,136.00	$96.81–$4,519.68	15% below	73%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$2,465.28	$5,136.00	$284.49–$4,519.68	—	52%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$1,787.67	$6,621.00	$161.97–$5,826.48	6% below	73%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$3,178.08	$6,621.00	$346.45–$5,826.48	—	52%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT	$191.16	$708.00	$100.10–$623.04	—	73%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT	$339.84	$708.00	$206.68–$623.04	—	52%
Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT	$156.33	$579.00	$78.01–$509.52	16% below	73%
Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT	$277.92	$579.00	$163.55–$509.52	—	52%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$638.82	$2,366.00	$188.02–$2,082.08	—	73%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$1,135.68	$2,366.00	$875.42–$2,082.08	—	52%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$935.55	$3,465.00	$188.02–$3,049.20	7% above	73%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$1,663.20	$3,465.00	$1,282.05–$3,049.20	—	52%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP	$1,371.33	$5,079.00	$486.56–$4,469.52	3% above	73%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP	$2,437.92	$5,079.00	$1,879.23–$4,469.52	—	52%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$208.17	$771.00	$35.54–$678.48	8% below	73%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$370.08	$771.00	$34.91–$678.48	—	52%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$208.17	$771.00	$39.58–$678.48	14% below	73%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$370.08	$771.00	$38.86–$678.48	—	52%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$839.97	$3,111.00	$96.90–$2,737.68	38% below	73%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$1,493.28	$3,111.00	$332.83–$2,737.68	—	52%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$360.72	$1,336.00	$57.02–$1,175.68	18% above	73%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$641.28	$1,336.00	$57.02–$1,175.68	—	52%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$208.17	$771.00	$35.54–$678.48	15% below	73%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$370.08	$771.00	$34.91–$678.48	—	52%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$650.16	$2,408.00	$342.43–$2,119.04	31% below	73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$1,155.84	$2,408.00	$408.56–$2,119.04	—	52%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$397.44	$1,472.00	$37.96–$1,295.36	69% above	73%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$706.56	$1,472.00	$37.33–$1,295.36	—	52%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$208.17	$771.00	$34.73–$678.48	11% below	73%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$370.08	$771.00	$34.51–$678.48	—	52%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLPSTDY UNATT RS EFF	$203.04	$752.00	$46.72–$661.76	38% below	73%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLPSTDY UNATT RS EFF	$360.96	$752.00	$278.24–$661.76	—	52%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO	$1,463.94	$5,422.00	$483.80–$4,771.36	19% below	73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO	$2,602.56	$5,422.00	$2,006.14–$4,771.36	—	52%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$208.17	$771.00	$49.28–$678.48	30% below	73%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$370.08	$771.00	$48.81–$678.48	—	52%
Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR	$414.45	$1,535.00	$56.56–$1,350.80	18% above	73%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR	$736.80	$1,535.00	$55.40–$1,350.80	—	52%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$1,489.32	$5,516.00	$96.81–$4,854.08	10% below	73%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$2,647.68	$5,516.00	$269.15–$4,854.08	—	52%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$453.33	$1,679.00	$96.90–$1,477.52	6% below	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$805.92	$1,679.00	$115.91–$1,477.52	—	52%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$453.33	$1,679.00	$69.07–$1,477.52	41% above	73%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$805.92	$1,679.00	$69.07–$1,477.52	—	52%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$189.00	$700.00	$82.09–$1,221.00	56% below	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$336.00	$700.00	$181.69–$616.00	—	52%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$208.17	$771.00	$38.36–$678.48	24% below	73%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$370.08	$771.00	$37.73–$678.48	—	52%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO	$1,985.58	$7,354.00	$215.86–$6,471.52	9% above	73%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO	$3,529.92	$7,354.00	$597.02–$6,471.52	—	52%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$1,551.96	$5,748.00	$215.77–$5,058.24	5% above	73%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$2,759.04	$5,748.00	$570.54–$5,058.24	—	52%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO	$2,547.99	$9,437.00	$338.57–$8,304.56	3% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$4,529.76	$9,437.00	$851.63–$8,304.56	—	52%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$2,249.91	$8,333.00	$215.86–$7,333.04	4% above	73%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$3,999.84	$8,333.00	$561.51–$7,333.04	—	52%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO	$2,547.99	$9,437.00	$338.66–$8,304.56	8% below	73%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$4,529.76	$9,437.00	$887.02–$8,304.56	—	52%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$2,232.09	$8,267.00	$215.86–$7,274.96	21% above	73%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$3,968.16	$8,267.00	$587.38–$7,274.96	—	52%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO	$3,640.41	$13,483.00	$338.66–$11,865.04	32% above	73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$6,471.84	$13,483.00	$832.65–$11,865.04	—	52%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$2,412.45	$8,935.00	$215.86–$7,862.80	18% above	73%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$4,288.80	$8,935.00	$579.63–$7,862.80	—	52%
MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO	$2,547.99	$9,437.00	$338.66–$8,304.56	11% below	73%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$4,529.76	$9,437.00	$826.90–$8,304.56	—	52%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$2,457.00	$9,100.00	$215.86–$8,008.00	11% above	73%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$4,368.00	$9,100.00	$583.91–$8,008.00	—	52%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO	$2,547.99	$9,437.00	$338.66–$8,304.56	9% below	73%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$4,529.76	$9,437.00	$834.62–$8,304.56	—	52%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$1,551.96	$5,748.00	$215.86–$5,058.24	26% below	73%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$2,759.04	$5,748.00	$584.18–$5,058.24	—	52%
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO	$2,547.99	$9,437.00	$338.66–$8,304.56	18% below	73%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$4,529.76	$9,437.00	$886.54–$8,304.56	—	52%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$1,369.44	$5,072.00	$215.77–$4,463.36	31% below	73%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$2,434.56	$5,072.00	$581.38–$4,463.36	—	52%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$1,369.44	$5,072.00	$215.77–$4,463.36	12% below	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$2,434.56	$5,072.00	$581.44–$4,463.36	—	52%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$397.44	$1,472.00	$64.64–$1,295.36	2% above	73%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$706.56	$1,472.00	$63.70–$1,295.36	—	52%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$1,787.67	$6,621.00	$161.97–$5,826.48	7% above	73%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$3,178.08	$6,621.00	$347.65–$5,826.48	—	52%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$1,526.31	$5,653.00	$96.81–$4,974.64	4% above	73%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$2,713.44	$5,653.00	$288.06–$4,974.64	—	52%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$208.17	$771.00	$38.37–$678.48	12% below	73%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$370.08	$771.00	$37.73–$678.48	—	52%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$2,126.52	$7,876.00	$634.00–$6,930.88	8% below	73%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$3,780.48	$7,876.00	$634.00–$6,930.88	—	52%
OCT scan of the retina (optical coherence tomography) CPT 92134 OPH DIAG IMG RETINA	$55.93	$207.14	$54.13–$182.28	—	73%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 OPH DIAG IMG RETINA	$99.43	$207.14	$76.64–$182.28	—	52%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI	$1,664.55	$6,165.00	$1,257.77–$5,425.20	53% below	73%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-IMG /CT SKL-THI	$2,959.20	$6,165.00	$2,231.89–$5,425.20	—	52%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$1,479.60	$5,480.00	$96.81–$4,822.40	12% below	73%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$2,630.40	$5,480.00	$284.57–$4,822.40	—	52%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$382.86	$1,418.00	$75.74–$1,247.84	7% below	73%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$680.64	$1,418.00	$95.14–$1,247.84	—	52%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$453.33	$1,679.00	$96.51–$1,477.52	13% below	73%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$805.92	$1,679.00	$133.09–$1,477.52	—	52%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$453.33	$1,679.00	$96.59–$1,477.52	11% below	73%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$805.92	$1,679.00	$168.55–$1,477.52	—	52%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$453.33	$1,679.00	$96.90–$1,477.52	9% below	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$805.92	$1,679.00	$146.14–$1,477.52	—	52%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$453.33	$1,679.00	$75.74–$1,477.52	3% above	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$805.92	$1,679.00	$101.15–$1,477.52	—	52%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR	$208.17	$771.00	$44.84–$678.48	23% below	73%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR	$370.08	$771.00	$44.16–$678.48	—	52%
Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI	$171.18	$634.00	$82.13–$557.92	—	73%
Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI	$304.32	$634.00	$166.54–$557.92	—	52%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$208.17	$771.00	$42.01–$678.48	12% below	73%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$370.08	$771.00	$41.33–$678.48	—	52%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$208.17	$771.00	$45.88–$678.48	32% below	73%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$370.08	$771.00	$45.88–$678.48	—	52%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$397.44	$1,472.00	$44.50–$1,295.36	25% above	73%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$706.56	$1,472.00	$44.50–$1,295.36	—	52%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO	$1,380.24	$5,112.00	$462.25–$4,498.56	11% below	73%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO	$2,453.76	$5,112.00	$1,891.44–$4,498.56	—	52%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI-TTE STRESS CON WO	$689.85	$2,555.00	$475.84–$2,248.40	36% below	73%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI-TTE STRESS CON WO	$1,226.40	$2,555.00	$945.35–$2,248.40	—	52%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$355.32	$1,316.00	$106.13–$1,158.08	33% below	73%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$631.68	$1,316.00	$160.17–$1,158.08	—	52%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$208.17	$771.00	$50.78–$678.48	11% below	73%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$370.08	$771.00	$50.78–$678.48	—	52%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$1,163.43	$4,309.00	$96.81–$3,791.92	32% below	73%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$2,068.32	$4,309.00	$294.10–$3,791.92	—	52%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$208.17	$771.00	$35.53–$678.48	10% above	73%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$370.08	$771.00	$34.91–$678.48	—	52%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$453.33	$1,679.00	$96.59–$1,477.52	7% below	73%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$805.92	$1,679.00	$149.11–$1,477.52	—	52%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$186.30	$690.00	$75.74–$607.20	46% below	73%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$331.20	$690.00	$115.50–$607.20	—	52%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$453.33	$1,679.00	$96.98–$1,477.52	24% below	73%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$805.92	$1,679.00	$150.22–$1,477.52	—	52%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$453.33	$1,679.00	$96.90–$1,477.52	13% below	73%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$805.92	$1,679.00	$126.15–$1,477.52	—	52%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$453.33	$1,679.00	$96.81–$1,477.52	1% below	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$805.92	$1,679.00	$140.08–$1,477.52	—	52%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$719.28	$2,664.00	$106.13–$2,344.32	37% above	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$1,278.72	$2,664.00	$151.42–$2,344.32	—	52%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$208.17	$771.00	$39.17–$678.48	16% below	73%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$370.08	$771.00	$38.48–$678.48	—	52%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$453.33	$1,679.00	$96.90–$1,477.52	23% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$805.92	$1,679.00	$621.23–$1,477.52	—	52%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$208.17	$771.00	$41.20–$678.48	8% below	73%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$370.08	$771.00	$40.54–$678.48	—	52%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$208.17	$771.00	$49.68–$678.48	21% below	73%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$370.08	$771.00	$48.81–$678.48	—	52%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$208.17	$771.00	$64.73–$678.48	11% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$370.08	$771.00	$64.73–$678.48	—	52%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$208.17	$771.00	$37.58–$678.48	11% below	73%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$370.08	$771.00	$37.34–$678.48	—	52%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$208.17	$771.00	$39.58–$678.48	5% above	73%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$370.08	$771.00	$38.89–$678.48	—	52%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$208.17	$771.00	$46.04–$678.48	15% above	73%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$370.08	$771.00	$44.96–$678.48	—	52%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$208.17	$771.00	$34.33–$678.48	4% below	73%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$370.08	$771.00	$33.97–$678.48	—	52%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$208.17	$771.00	$41.60–$678.48	22% below	73%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$370.08	$771.00	$41.33–$678.48	—	52%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$208.17	$771.00	$44.83–$678.48	15% below	73%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$370.08	$771.00	$43.76–$678.48	—	52%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$208.17	$771.00	$41.60–$678.48	11% below	73%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$370.08	$771.00	$40.94–$678.48	—	52%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$397.44	$1,472.00	$48.47–$1,295.36	28% above	73%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$706.56	$1,472.00	$47.78–$1,295.36	—	52%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$397.44	$1,472.00	$62.21–$1,295.36	1% above	73%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$706.56	$1,472.00	$61.24–$1,295.36	—	52%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR	$328.59	$1,217.00	$39.98–$1,070.96	12% above	73%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR	$584.16	$1,217.00	$39.92–$1,070.96	—	52%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$208.17	$771.00	$46.45–$678.48	11% below	73%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$370.08	$771.00	$45.77–$678.48	—	52%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$208.17	$771.00	$48.07–$678.48	23% below	73%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$370.08	$771.00	$47.38–$678.48	—	52%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$397.44	$1,472.00	$38.67–$1,295.36	57% above	73%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$706.56	$1,472.00	$38.67–$1,295.36	—	52%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$208.17	$771.00	$39.58–$678.48	18% below	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$370.08	$771.00	$38.86–$678.48	—	52%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
ACTH blood test CPT 82024 ADRENOCORT ACTH	$110.43	$409.00	$35.03–$359.92	39% below	73%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$196.32	$409.00	$63.19–$359.92	—	52%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$15.12	$56.00	$4.81–$49.28	79% below	73%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$26.88	$56.00	$9.67–$49.28	—	52%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$14.85	$55.00	$4.70–$48.40	76% below	73%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$26.40	$55.00	$8.97–$48.40	—	52%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$136.35	$505.00	$43.20–$444.40	50% below	73%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$242.40	$505.00	$84.38–$444.40	—	52%
Albumin blood test CPT 82040 ALBUMIN SERUM	$14.31	$53.00	$4.49–$46.64	67% below	73%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$25.44	$53.00	$8.74–$46.64	—	52%
Aldosterone blood test CPT 82088 ALDOSTERONE	$116.64	$432.00	$36.96–$380.16	39% below	73%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$207.36	$432.00	$72.20–$380.16	—	52%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE	$14.85	$55.00	$4.70–$48.40	79% below	73%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE	$26.40	$55.00	$8.97–$48.40	—	52%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$14.85	$55.00	$4.73–$48.40	50% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q10715 ALLERGEN IGE	$40.50	$150.00	$4.73–$132.00	37% above	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$26.40	$55.00	$11.33–$48.40	—	52%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q10715 ALLERGEN IGE	$72.00	$150.00	$11.33–$132.00	—	52%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$48.06	$178.00	$15.21–$156.64	59% below	73%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$85.44	$178.00	$26.12–$156.64	—	52%
Ammonia blood test CPT 82140 AMMONIA	$41.85	$155.00	$13.21–$136.40	64% below	73%
Ammonia blood test inpatient CPT 82140 AMMONIA	$74.40	$155.00	$28.20–$136.40	—	52%
Amylase blood test CPT 82150 AMYLASE	$18.63	$69.00	$5.88–$60.72	81% below	73%
Amylase blood test inpatient CPT 82150 AMYLASE	$33.12	$69.00	$11.76–$60.72	—	52%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$37.26	$138.00	$11.75–$121.44	55% below	73%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$66.24	$138.00	$23.21–$121.44	—	52%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$34.56	$128.00	$10.97–$112.64	65% below	73%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$61.44	$128.00	$19.80–$112.64	—	52%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$112.59	$417.00	$35.61–$366.96	34% below	73%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$200.16	$417.00	$46.83–$366.96	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH	$24.57	$91.00	$7.82–$80.08	71% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$43.68	$91.00	$13.57–$80.08	—	52%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$24.30	$90.00	$7.67–$79.20	84% below	73%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$43.20	$90.00	$14.95–$79.20	—	52%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$14.31	$53.00	$4.55–$46.64	78% below	73%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$25.44	$53.00	$8.71–$46.64	—	52%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$145.26	$538.00	$32.43–$473.44	29% below	73%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$258.24	$538.00	$104.30–$473.44	—	52%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$29.43	$109.00	$9.36–$95.92	78% below	73%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$52.32	$109.00	$17.15–$95.92	—	52%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE	$8.64	$32.00	$8.64–$28.16	63% below	73%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE	$15.36	$32.00	$11.84–$28.16	—	52%
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT	$11.07	$41.00	$3.56–$36.08	72% below	73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT	$19.68	$41.00	$7.84–$36.08	—	52%
Blood lead test CPT 83655 LEAD	$34.56	$128.00	$10.98–$112.64	50% below	73%
Blood lead test inpatient CPT 83655 LEAD	$61.44	$128.00	$22.10–$112.64	—	52%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL	$21.60	$80.00	$6.82–$70.40	80% below	73%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL	$38.40	$80.00	$19.45–$70.40	—	52%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$329.67	$1,221.00	$2.99–$1,074.48	271% above	73%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$586.08	$1,221.00	$6.34–$1,074.48	—	52%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,QUAN	$11.34	$42.00	$3.58–$36.96	84% below	73%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN	$20.16	$42.00	$7.96–$36.96	—	52%
C-peptide blood test CPT 84681 C-PEPTIDE	$59.40	$220.00	$18.87–$193.60	46% below	73%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$105.60	$220.00	$37.31–$193.60	—	52%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$14.85	$55.00	$4.70–$48.40	75% below	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$26.40	$55.00	$10.45–$48.40	—	52%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$106.65	$395.00	$33.80–$347.60	29% below	73%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$189.60	$395.00	$64.12–$347.60	—	52%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$59.40	$220.00	$18.87–$193.60	58% below	73%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$105.60	$220.00	$39.23–$193.60	—	52%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$59.40	$220.00	$18.87–$193.60	54% below	73%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$105.60	$220.00	$39.23–$193.60	—	52%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA	$51.30	$190.00	$46.54–$167.20	54% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Q39448 COVID19	$69.12	$256.00	$46.54–$225.28	38% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$146.88	$544.00	$46.54–$478.72	31% above	73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA	$91.20	$190.00	$61.13–$167.20	—	52%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Q39448 COVID19	$122.88	$256.00	$61.13–$225.28	—	52%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$261.12	$544.00	$61.13–$478.72	—	52%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$14.85	$55.00	$4.68–$48.40	70% below	73%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$26.40	$55.00	$8.97–$48.40	—	52%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$54.27	$201.00	$17.20–$176.88	61% below	73%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$96.48	$201.00	$29.28–$176.88	—	52%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$36.99	$137.00	$11.68–$120.56	45% below	73%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$65.76	$137.00	$20.90–$120.56	—	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$100.44	$372.00	$31.83–$327.36	14% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$178.56	$372.00	$56.01–$327.36	—	52%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$38.34	$142.00	$12.14–$124.96	71% below	73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$68.16	$142.00	$23.68–$124.96	—	52%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$22.41	$83.00	$7.05–$73.04	75% below	73%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$39.84	$83.00	$14.80–$73.04	—	52%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$18.63	$69.00	$5.87–$60.72	61% below	73%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$33.12	$69.00	$12.70–$60.72	—	52%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$30.24	$112.00	$9.58–$98.56	84% below	73%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$53.76	$112.00	$18.62–$98.56	—	52%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$46.71	$173.00	$14.78–$152.24	54% below	73%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$83.04	$173.00	$28.74–$152.24	—	52%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$18.63	$69.00	$5.90–$60.72	75% below	73%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$33.12	$69.00	$11.77–$60.72	—	52%
Creatinine blood test CPT 82565 CREATININE BLOOD	$14.58	$54.00	$4.64–$47.52	80% below	73%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$25.92	$54.00	$9.29–$47.52	—	52%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$41.31	$153.00	$13.05–$134.64	45% below	73%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$73.44	$153.00	$22.58–$134.64	—	52%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT	$29.16	$108.00	$9.23–$95.04	77% below	73%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT	$51.84	$108.00	$15.76–$95.04	—	52%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$63.45	$235.00	$20.16–$206.80	50% below	73%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$112.80	$235.00	$34.30–$206.80	—	52%
Drug screen by lab instrument (any number of drug classes) CPT 80307 USDTL15U DRG S15 UMB	$121.23	$449.00	$56.36–$395.12	29% below	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$177.66	$658.00	$56.36–$579.04	4% above	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 USDTL15U DRG S15 UMB	$215.52	$449.00	$75.18–$395.12	—	52%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$315.84	$658.00	$75.18–$579.04	—	52%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$19.98	$74.00	$6.36–$65.12	82% below	73%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$35.52	$74.00	$12.41–$65.12	—	52%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR, VCA	$51.84	$192.00	$16.45–$168.96	54% below	73%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR, VCA	$92.16	$192.00	$27.84–$168.96	—	52%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$79.92	$296.00	$25.34–$260.48	55% below	73%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$142.08	$296.00	$49.66–$260.48	—	52%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$53.19	$197.00	$16.85–$173.36	61% below	73%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$94.56	$197.00	$33.34–$173.36	—	52%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$56.16	$208.00	$17.80–$183.04	69% below	73%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$99.84	$208.00	$29.92–$183.04	—	52%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$38.88	$144.00	$12.36–$126.72	65% below	73%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$69.12	$144.00	$22.72–$126.72	—	52%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$27.81	$103.00	$8.82–$90.64	74% below	73%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$49.44	$103.00	$14.50–$90.64	—	52%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$42.12	$156.00	$13.33–$137.28	54% below	73%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$74.88	$156.00	$27.82–$137.28	—	52%
Free T3 thyroid hormone test CPT 84481 T3,FREE	$48.33	$179.00	$15.36–$157.52	60% below	73%
Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE	$85.92	$179.00	$31.47–$157.52	—	52%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE	$25.65	$95.00	$8.18–$83.60	79% below	73%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$45.60	$95.00	$14.80–$83.60	—	52%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$72.90	$270.00	$23.10–$237.60	44% below	73%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$129.60	$270.00	$47.39–$237.60	—	52%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$20.52	$76.00	$6.53–$66.88	64% below	73%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$36.48	$76.00	$11.98–$66.88	—	52%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE	$13.77	$51.00	$4.31–$44.88	61% below	73%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST DOSE	$24.48	$51.00	$8.90–$44.88	—	52%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC	$36.99	$137.00	$11.67–$120.56	67% below	73%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$65.76	$137.00	$21.18–$120.56	—	52%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR	$100.44	$372.00	$31.83–$327.36	20% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR	$178.56	$372.00	$56.01–$327.36	—	52%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$48.33	$179.00	$15.28–$157.52	54% below	73%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL	$85.92	$179.00	$24.82–$157.52	—	52%
H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA	$41.31	$153.00	$13.04–$134.64	48% below	73%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA	$73.44	$153.00	$23.21–$134.64	—	52%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT	$243.54	$902.00	$77.19–$793.76	27% below	73%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT	$432.96	$902.00	$117.19–$793.76	—	52%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$27.81	$103.00	$8.81–$90.64	63% below	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$49.44	$103.00	$14.93–$90.64	—	52%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$6.75	$25.00	$2.15–$22.00	83% below	73%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$12.00	$25.00	$4.19–$22.00	—	52%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$34.56	$128.00	$10.93–$112.64	48% below	73%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$61.44	$128.00	$24.70–$112.64	—	52%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$30.51	$113.00	$9.74–$99.44	70% below	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$54.24	$113.00	$20.27–$99.44	—	52%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$29.43	$109.00	$9.37–$95.92	52% below	73%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$52.32	$109.00	$16.46–$95.92	—	52%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$41.04	$152.00	$12.94–$133.76	51% below	73%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$72.96	$152.00	$22.17–$133.76	—	52%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN	$122.58	$454.00	$38.86–$399.52	62% below	73%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN	$217.92	$454.00	$68.56–$399.52	—	52%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$37.80	$140.00	$11.96–$123.20	45% below	73%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$67.20	$140.00	$21.14–$123.20	—	52%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$55.62	$206.00	$17.55–$181.28	35% below	73%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$98.88	$206.00	$35.88–$181.28	—	52%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS	$37.26	$138.00	$11.75–$121.44	45% below	73%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS	$66.24	$138.00	$48.56–$121.44	—	52%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$51.30	$190.00	$16.25–$167.20	64% below	73%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$91.20	$190.00	$30.18–$167.20	—	52%
Insulin blood test CPT 83525 INSULIN, TOTAL	$32.67	$121.00	$10.37–$106.48	57% below	73%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$58.08	$121.00	$21.41–$106.48	—	52%
Iron blood test (serum iron) CPT 83540 IRON	$18.63	$69.00	$5.87–$60.72	76% below	73%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$33.12	$69.00	$12.15–$60.72	—	52%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$24.84	$92.00	$7.93–$80.96	68% below	73%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$44.16	$92.00	$15.32–$80.96	—	52%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$24.84	$92.00	$7.87–$80.96	84% below	73%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$44.16	$92.00	$15.18–$80.96	—	52%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$52.92	$196.00	$16.80–$172.48	61% below	73%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$94.08	$196.00	$32.65–$172.48	—	52%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$33.21	$123.00	$10.49–$108.24	73% below	73%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$59.04	$123.00	$19.61–$108.24	—	52%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH	$17.28	$64.00	$5.48–$56.32	77% below	73%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$30.72	$64.00	$11.76–$56.32	—	52%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$19.71	$73.00	$6.25–$64.24	80% below	73%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$35.04	$73.00	$13.19–$64.24	—	52%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$23.49	$87.00	$7.41–$76.56	84% below	73%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$41.76	$87.00	$14.19–$76.56	—	52%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$48.60	$180.00	$15.45–$158.40	58% below	73%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$86.40	$180.00	$26.23–$158.40	—	52%
Magnesium blood test CPT 83735 MAGNESIUM	$19.17	$71.00	$6.08–$62.48	75% below	73%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$34.08	$71.00	$12.18–$62.48	—	52%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$36.99	$137.00	$11.68–$120.56	50% below	73%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$65.76	$137.00	$21.07–$120.56	—	52%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$14.85	$55.00	$4.70–$48.40	82% below	73%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$26.40	$55.00	$8.25–$48.40	—	52%
Mumps immunity blood test CPT 86735 MUMPS AB	$37.53	$139.00	$11.84–$122.32	48% below	73%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$66.72	$139.00	$20.17–$122.32	—	52%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$52.65	$195.00	$16.68–$171.60	40% below	73%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$93.60	$195.00	$28.24–$171.60	—	52%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL	$52.65	$195.00	$16.68–$171.60	47% below	73%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL	$93.60	$195.00	$28.24–$171.60	—	52%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$118.26	$438.00	$37.44–$385.44	39% below	73%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$210.24	$438.00	$68.92–$385.44	—	52%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$17.28	$64.00	$5.45–$56.32	76% below	73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$30.72	$64.00	$9.75–$56.32	—	52%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, BLOOD	$13.50	$50.00	$4.30–$44.00	82% below	73%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD	$24.00	$50.00	$8.50–$44.00	—	52%
Potassium blood test CPT 84132 POTASSIUM SER PL WB	$13.77	$51.00	$4.32–$44.88	76% below	73%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$24.48	$51.00	$8.50–$44.88	—	52%
Progesterone blood test CPT 84144 PROGESTERONE	$59.94	$222.00	$18.92–$195.36	51% below	73%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$106.56	$222.00	$37.25–$195.36	—	52%
Prolactin blood test CPT 84146 PROLACTIN	$55.62	$206.00	$17.58–$181.28	63% below	73%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$98.88	$206.00	$36.31–$181.28	—	52%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$12.42	$46.00	$3.89–$40.48	76% below	73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$22.08	$46.00	$6.81–$40.48	—	52%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRS DRG IA VIS	$36.18	$134.00	$11.43–$117.92	79% above	73%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PRS DRG IA VIS	$64.32	$134.00	$14.50–$117.92	—	52%
Renin blood test CPT 84244 RENIN	$62.91	$233.00	$19.94–$205.04	40% below	73%
Renin blood test inpatient CPT 84244 RENIN	$111.84	$233.00	$38.63–$205.04	—	52%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$99.09	$367.00	$2.99–$322.96	61% above	73%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$176.16	$367.00	$6.69–$322.96	—	52%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$16.20	$60.00	$5.14–$52.80	74% below	73%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$28.80	$60.00	$12.44–$52.80	—	52%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$41.31	$153.00	$13.05–$134.64	44% below	73%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$73.44	$153.00	$22.19–$134.64	—	52%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED	$7.83	$29.00	$2.45–$25.52	82% below	73%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED	$13.92	$29.00	$6.17–$25.52	—	52%
Sodium blood test CPT 84295 SODIUM,SER PL OR WB	$13.77	$51.00	$4.36–$44.88	68% below	73%
Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB	$24.48	$51.00	$8.69–$44.88	—	52%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$25.38	$94.00	$8.07–$82.72	80% below	73%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$45.12	$94.00	$16.09–$82.72	—	52%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3	$12.69	$47.00	$3.97–$41.36	48% below	73%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3	$22.56	$47.00	$5.57–$41.36	—	52%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI	$37.80	$140.00	$12.01–$123.20	49% below	73%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI	$67.20	$140.00	$20.50–$123.20	—	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL	$12.42	$46.00	$3.87–$40.48	74% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL	$22.08	$46.00	$7.59–$40.48	—	52%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$177.39	$657.00	$56.22–$578.16	18% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$315.36	$657.00	$110.36–$578.16	—	52%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$73.71	$273.00	$23.41–$240.24	44% below	73%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$131.04	$273.00	$46.31–$240.24	—	52%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$41.85	$155.00	$13.20–$136.40	51% below	73%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$74.40	$155.00	$28.30–$136.40	—	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$48.06	$178.00	$15.24–$156.64	60% below	73%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$85.44	$178.00	$28.28–$156.64	—	52%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$47.25	$175.00	$14.93–$154.00	55% below	73%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$84.00	$175.00	$28.85–$154.00	—	52%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$12.69	$47.00	$3.95–$41.36	77% below	73%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$22.56	$47.00	$7.59–$41.36	—	52%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4,TOTAL	$19.71	$73.00	$6.23–$64.24	70% below	73%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4,TOTAL	$35.04	$73.00	$12.41–$64.24	—	52%
Total triiodothyronine (T3) blood test CPT 84480 T3,TOTAL	$40.77	$151.00	$12.86–$132.88	58% below	73%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3,TOTAL	$72.48	$151.00	$23.02–$132.88	—	52%
Transferrin blood test CPT 84466 TRANSFERRIN	$36.72	$136.00	$11.57–$119.68	59% below	73%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$65.28	$136.00	$19.77–$119.68	—	52%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$100.44	$372.00	$31.83–$327.36	55% above	73%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$178.56	$372.00	$46.45–$327.36	—	52%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$16.20	$60.00	$5.21–$52.80	75% below	73%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$28.80	$60.00	$10.12–$52.80	—	52%
Troponin test, quantitative CPT 84484 TROPONIN,QNT	$35.91	$133.00	$11.31–$117.04	73% below	73%
Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT	$63.84	$133.00	$16.87–$117.04	—	52%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$12.96	$48.00	$4.10–$42.24	79% below	73%
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$23.04	$48.00	$7.95–$42.24	—	52%
Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE	$9.18	$34.00	$2.88–$29.92	84% below	73%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE	$16.32	$34.00	$6.32–$29.92	—	52%
Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE	$6.48	$24.00	$2.04–$21.12	73% below	73%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE	$11.52	$24.00	$3.83–$21.12	—	52%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$23.22	$86.00	$7.32–$75.68	74% below	73%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$41.28	$86.00	$13.27–$75.68	—	52%
Urine microalbumin (albumin) test CPT 82043 MICROALB QNT	$16.47	$61.00	$5.24–$53.68	81% below	73%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$29.28	$61.00	$10.33–$53.68	—	52%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$43.20	$160.00	$13.68–$140.80	62% below	73%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$76.80	$160.00	$29.26–$140.80	—	52%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$84.78	$314.00	$26.85–$276.32	50% below	73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$150.72	$314.00	$55.64–$276.32	—	52%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$110.16	$408.00	$34.92–$359.04	37% below	73%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$195.84	$408.00	$68.28–$359.04	—	52%
Zinc blood test CPT 84630 ZINC	$32.67	$121.00	$10.33–$106.48	58% below	73%
Zinc blood test inpatient CPT 84630 ZINC	$58.08	$121.00	$20.00–$106.48	—	52%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$43.20	$160.00	$13.65–$140.80	70% below	73%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$76.80	$160.00	$28.00–$140.80	—	52%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$33,463.53	$123,939.00	$1,706.35–$99,151.20	534% above	73%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$13,688.73	$50,699.00	$639.35–$40,559.20	—	73%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$25,772.58	$95,454.00	$957.36–$76,363.20	183% above	73%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$21,403.17	$79,271.00	$1,049.78–$63,416.80	168% above	73%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$18,127.53	$67,139.00	$833.60–$53,711.20	208% above	73%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$18,541.98	$68,674.00	$664.62–$54,939.20	2% above	73%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT	$18,352.71	$67,973.00	$670.53–$59,816.24	60% above	73%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT	$32,627.04	$67,973.00	$25,150.01–$59,816.24	—	52%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$954.18	$3,534.00	$146.18–$3,109.92	19% below	73%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$1,696.32	$3,534.00	$1,307.58–$3,109.92	—	52%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$7,470.63	$27,669.00	$435.16–$22,135.20	27% above	73%
Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I	$19,945.17	$73,871.00	$923.00–$65,006.48	6% below	73%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I	$35,458.08	$73,871.00	$27,332.27–$65,006.48	—	52%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$12,047.94	$44,622.00	$145.37–$35,697.60	1641% above	73%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$2,503.98	$9,274.00	$429.98–$7,419.20	14% above	73%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$2,599.29	$9,627.00	$407.39–$7,701.60	34% above	73%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,083.05	$7,715.00	$321.67–$6,172.00	50% above	73%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$12,480.21	$46,223.00	$164.71–$36,978.40	2960% above	73%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG	$13,693.05	$50,715.00	$574.93–$44,629.20	5% above	73%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG	$24,343.20	$50,715.00	$18,764.55–$44,629.20	—	52%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$38,263.86	$141,718.00	$374.11–$113,374.40	354% above	73%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$13,932.81	$51,603.00	$223.67–$41,282.40	561% above	73%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$9,217.80	$34,140.00	$288.90–$27,312.00	6% below	73%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$342.90	$1,270.00	$14.60–$1,117.60	159% above	73%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$199.53	$739.00	$46.10–$650.32	34% above	73%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$8,469.63	$31,369.00	$97.95–$25,095.20	3580% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR-DI C-T INJ W IM	$590.22	$2,186.00	$246.12–$1,923.68	29% below	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$897.48	$3,324.00	$246.12–$2,925.12	8% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR-DI C-T INJ W IM	$1,049.28	$2,186.00	$808.82–$1,923.68	—	52%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$19,425.15	$71,945.00	$572.28–$57,556.00	149% above	73%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$28,173.42	$104,346.00	$770.30–$83,476.80	112% above	73%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$13,884.75	$51,425.00	$341.15–$41,140.00	61% above	73%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,616.49	$5,987.00	$172.59–$4,789.60	67% above	73%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$13,684.68	$50,684.00	$657.35–$40,547.20	45% above	73%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$17,324.28	$64,164.00	$714.90–$51,331.20	63% above	73%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$26,403.30	$97,790.00	$512.95–$78,232.00	155% above	73%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$4,049.46	$14,998.00	$268.12–$11,998.40	387% above	73%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$6,591.24	$24,412.00	$496.38–$19,529.60	99% above	73%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$22,627.08	$83,804.00	$1,004.07–$67,043.20	—	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$157.41	$583.00	$157.41–$649.23	49% below	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$11,151.54	$41,302.00	$223.36–$36,345.76	3505% above	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$279.84	$583.00	$215.71–$513.04	—	52%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$12,533.40	$46,420.00	$1,914.18–$37,136.00	22% above	73%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$9,086.31	$33,653.00	$1,214.41–$26,922.40	18% above	73%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$10,182.24	$37,712.00	$49.31–$33,940.80	3892% above	73%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,072.71	$3,973.00	$118.97–$3,496.24	185% above	73%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$14,641.56	$54,228.00	$520.20–$43,382.40	186% above	73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$5,771.52	$21,376.00	$55.77–$17,100.80	1165% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$2,409.21	$8,923.00	$62.80–$7,138.40	464% above	73%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$25,179.39	$93,257.00	$96.92–$74,605.60	10953% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$429.30	$1,590.00	$53.05–$1,399.20	18% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$4,287.33	$15,879.00	$53.05–$12,703.20	1083% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$763.20	$1,590.00	$588.30–$1,399.20	—	52%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$5,810.67	$21,521.00	$51.78–$17,216.80	1442% above	73%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$21,686.13	$80,319.00	$677.45–$64,255.20	56% above	73%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$12,105.18	$44,834.00	$532.55–$35,867.20	34% above	73%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$10,353.15	$38,345.00	$553.09–$30,676.00	1% below	73%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$12,531.78	$46,414.00	$610.96–$37,131.20	83% above	73%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$16,279.38	$60,294.00	$599.00–$48,235.20	19% above	73%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$21,762.00	$80,600.00	$1,072.29–$64,480.00	149% above	73%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$16,724.88	$61,944.00	$796.88–$49,555.20	26% above	73%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$17,840.79	$66,077.00	$897.33–$52,861.60	16% above	73%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$14,277.60	$52,880.00	$430.18–$42,304.00	42% above	73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$13,613.40	$50,420.00	$561.83–$40,336.00	7% below	73%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS	$8,967.78	$33,214.00	$957.10–$26,571.20	6% below	73%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$12,195.63	$45,169.00	$645.55–$36,135.20	36% above	73%
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/<	$6,612.57	$24,491.00	$110.68–$19,592.80	961% above	73%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC	$5,236.38	$19,394.00	$593.76–$17,066.72	38% below	73%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC	$9,309.12	$19,394.00	$7,175.78–$17,066.72	—	52%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,562.22	$5,786.00	$241.64–$4,628.80	2% below	73%
Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM	$3,843.18	$14,234.00	$241.64–$12,525.92	141% above	73%
Lower-back epidural injection, with imaging guidance CPT 62323 CT-DI L-S INJ W IM	$3,843.18	$14,234.00	$241.64–$12,525.92	141% above	73%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR-DI L-S INJ W IM	$6,832.32	$14,234.00	$5,266.58–$12,525.92	—	52%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT-DI L-S INJ W IM	$6,832.32	$14,234.00	$5,266.58–$12,525.92	—	52%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$34,328.34	$127,142.00	$128.95–$101,713.60	3021% above	73%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$19,311.48	$71,524.00	$912.79–$57,219.20	13% above	73%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$49,738.32	$184,216.00	$1,106.17–$147,372.80	645% above	73%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$10,983.33	$40,679.00	$655.90–$35,797.52	63% above	73%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$13,215.69	$48,947.00	$951.97–$39,157.60	7% above	73%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$7,880.76	$29,188.00	$431.85–$23,350.40	6% below	73%
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<	$2,312.82	$8,566.00	$120.78–$6,852.80	232% above	73%
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/<	$5,448.33	$20,179.00	$135.06–$16,143.20	647% above	73%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$867.24	$3,212.00	$71.83–$2,826.56	137% above	73%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$35,180.46	$130,298.00	$503.98–$104,238.40	152% above	73%
Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG	$763.56	$2,828.00	$271.14–$2,488.64	39% below	73%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,059.83	$7,629.00	$271.14–$6,713.52	65% above	73%
Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG	$2,836.62	$10,506.00	$271.14–$9,245.28	127% above	73%
Paracentesis with imaging guidance inpatient CPT 49083 IR-ABD PARACEN W IMG	$1,357.44	$2,828.00	$1,046.36–$2,488.64	—	52%
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG	$5,042.88	$10,506.00	$3,887.22–$9,245.28	—	52%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$34,670.43	$128,409.00	$1,128.79–$102,727.20	10% below	73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$4,024.35	$14,905.00	$152.27–$11,924.00	779% above	73%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$8,108.10	$30,030.00	$506.49–$26,426.40	152% above	73%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$1,273.59	$4,717.00	$143.79–$4,000.00	115% above	73%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$19,784.25	$73,275.00	$697.17–$58,620.00	101% above	73%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,030.40	$7,520.00	$322.06–$6,016.00	49% above	73%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,000.43	$7,409.00	$321.67–$5,927.20	42% above	73%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,319.76	$4,888.00	$64.28–$4,301.44	402% above	73%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$1,595.97	$5,911.00	$70.00–$4,728.80	464% above	73%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$21,984.21	$81,423.00	$665.39–$65,138.40	149% above	73%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$20,127.42	$74,546.00	$168.43–$59,636.80	42% above	73%
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/<	$998.19	$3,697.00	$89.82–$3,253.36	177% above	73%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$8,357.04	$30,952.00	$117.07–$24,761.60	1635% above	73%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$7,581.06	$28,078.00	$87.63–$22,462.40	1894% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST	$1,026.27	$3,801.00	$138.80–$3,344.88	20% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$4,507.38	$16,694.00	$138.80–$14,690.72	428% above	73%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST	$1,824.48	$3,801.00	$1,406.37–$3,344.88	—	52%
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	$1,774.98	$6,574.00	$109.40–$5,259.20	348% above	73%
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/<	$1,881.63	$6,969.00	$107.28–$5,575.20	454% above	73%
Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG	$1,598.13	$5,919.00	$291.49–$5,208.72	30% above	73%
Thoracentesis with imaging guidance CPT 32555 IR-THORACNTSIS W IMG	$2,317.41	$8,583.00	$291.49–$7,553.04	88% above	73%
Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG	$2,337.12	$8,656.00	$291.49–$7,617.28	90% above	73%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$5,282.28	$19,564.00	$291.49–$15,651.20	330% above	73%
Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG	$2,841.12	$5,919.00	$2,190.03–$5,208.72	—	52%
Thoracentesis with imaging guidance inpatient CPT 32555 IR-THORACNTSIS W IMG	$4,119.84	$8,583.00	$3,175.71–$7,553.04	—	52%
Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG	$4,154.88	$8,656.00	$3,202.72–$7,617.28	—	52%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$44,334.27	$164,201.00	$1,263.03–$131,360.80	78% above	73%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$37,263.24	$138,012.00	$1,261.04–$110,409.60	103% above	73%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$46,306.62	$171,506.00	$1,418.94–$137,204.80	41% above	73%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$26,658.99	$98,737.00	$906.77–$78,989.60	123% above	73%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$5,858.19	$21,697.00	$553.02–$17,357.60	4% below	73%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$611.28	$2,264.00	$50.48–$1,992.32	5% above	73%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$15,390.27	$57,001.00	$367.01–$45,600.80	33% above	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$7,542.72	$27,936.00	$459.72–$22,348.80	223% above	73%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$5,035.50	$18,650.00	$714.83–$16,412.00	135% above	73%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$2,842.29	$10,527.00	$350.89–$9,263.76	50% above	73%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$3,371.22	$12,486.00	$373.26–$9,988.80	103% above	73%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$3,251.34	$12,042.00	$461.35–$10,596.96	47% above	73%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$2,600.10	$9,630.00	$386.26–$7,704.00	33% above	73%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$4,953.69	$18,347.00	$269.53–$16,145.36	178% above	73%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$20,532.15	$76,045.00	$403.07–$60,836.00	112% above	73%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$8,328.15	$30,845.00	$106.43–$24,676.00	3789% above	73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$9,674.37	$35,831.00	$122.11–$28,664.80	736% above	73%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$22,331.43	$82,709.00	$728.80–$66,167.20	162% above	73%

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 TRANSFUSION	$382.32	$1,416.00	$38.65–$1,246.08	44% below	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$679.68	$1,416.00	$523.92–$1,246.08	—	52%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR	$443.34	$1,642.00	$118.75–$1,444.96	14% below	73%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFU 1ST HR	$788.16	$1,642.00	$607.54–$1,444.96	—	52%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$1,824.12	$6,756.00	$264.71–$5,945.28	13% below	73%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$3,242.88	$6,756.00	$2,499.72–$5,945.28	—	52%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY	$1,108.35	$4,105.00	$196.50–$3,612.40	23% above	73%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY	$1,970.40	$4,105.00	$1,518.85–$3,612.40	—	52%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD UC STAFF	$35.91	$133.00	$29.75–$117.04	80% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF	$232.20	$860.00	$29.75–$756.80	28% above	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS	$279.45	$1,035.00	$29.75–$910.80	54% above	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD UC STAFF	$63.84	$133.00	$49.21–$117.04	—	52%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD ED STAFF	$412.80	$860.00	$318.20–$756.80	—	52%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS	$496.80	$1,035.00	$382.95–$910.80	—	52%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$182.79	$677.00	$11.31–$595.76	9% below	73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$324.96	$677.00	$250.49–$595.76	—	52%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$232.74	$862.00	$41.21–$1,102.00	21% below	73%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$413.76	$862.00	$318.94–$758.56	—	52%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$373.41	$1,383.00	$70.17–$1,716.00	30% below	73%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$663.84	$1,383.00	$511.71–$1,217.04	—	52%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$513.00	$1,900.00	$119.45–$3,115.00	40% below	73%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$912.00	$1,900.00	$703.00–$1,672.00	—	52%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 POST AR TRA EM LV 5F	$750.06	$2,778.00	$173.11–$5,334.00	47% below	73%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST	$839.70	$3,110.00	$173.11–$5,334.00	41% below	73%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 POST AR TRA EM LV 5F	$1,333.44	$2,778.00	$1,027.86–$2,444.64	—	52%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST	$1,492.80	$3,110.00	$1,150.70–$2,736.80	—	52%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$539.46	$1,998.00	$34.33–$1,758.24	1% below	73%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$959.04	$1,998.00	$739.26–$1,758.24	—	52%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$284.85	$1,055.00	$29.93–$928.40	16% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION 1 HR	$284.85	$1,055.00	$29.93–$928.40	16% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-IV HYDRATION 1 HR	$506.40	$1,055.00	$390.35–$928.40	—	52%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$506.40	$1,055.00	$390.35–$928.40	—	52%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$242.19	$897.00	$57.82–$789.36	44% below	73%
IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY DX 1HR	$260.55	$965.00	$57.82–$849.20	39% below	73%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$430.56	$897.00	$331.89–$789.36	—	52%
IV infusion of a medicine, first hour inpatient CPT 96365 ED-IV THERAPY DX 1HR	$463.20	$965.00	$357.05–$849.20	—	52%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$86.13	$319.00	$33.97–$280.72	53% below	73%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$153.12	$319.00	$118.03–$280.72	—	52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$86.67	$321.00	$13.61–$282.48	24% below	73%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$154.08	$321.00	$118.77–$282.48	—	52%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MN	$30.51	$113.00	$19.93–$99.44	47% below	73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MN	$54.24	$113.00	$41.81–$99.44	—	52%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10	$37.49	$138.85	$14.21–$122.19	13% above	73%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10	$66.65	$138.85	$51.37–$122.19	—	52%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$203.04	$752.00	$70.49–$661.76	14% above	73%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$360.96	$752.00	$278.24–$661.76	—	52%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$370.44	$1,372.00	$115.59–$1,207.36	2% below	73%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$658.56	$1,372.00	$507.64–$1,207.36	—	52%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$156.33	$579.00	$87.27–$509.52	14% below	73%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$277.92	$579.00	$214.23–$509.52	—	52%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED	$43.20	$160.00	$43.20–$140.80	1% below	73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED	$76.80	$160.00	$46.90–$140.80	—	52%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y	$31.73	$117.50	$15.84–$117.50	31% below	73%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y	$56.40	$117.50	$33.88–$94.00	—	52%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE	$72.09	$267.00	$72.09–$234.96	44% below	73%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VIRUS VACCINE	$128.16	$267.00	$120.53–$213.60	—	52%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED	$36.45	$135.00	$26.46–$118.80	42% below	73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED	$64.80	$135.00	$55.81–$108.00	—	52%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B TETAN INJ	$27.27	$101.00	$27.27–$88.88	10% below	73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B TETAN INJ	$48.48	$101.00	$41.79–$88.88	—	52%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG	$16.32	$34.00	$16.32–$114.77	—	52%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$75.06	$278.00	$75.06–$244.64	37% below	73%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$133.44	$278.00	$90.35–$244.64	—	52%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM	$160.92	$596.00	$116.82–$524.48	49% below	73%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM	$286.08	$596.00	$286.08–$476.80	—	52%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$84.24	$312.00	$61.15–$274.56	50% below	73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$149.76	$312.00	$149.76–$249.60	—	52%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$363.18	$1,345.12	$287.82–$1,183.71	12% below	73%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$645.66	$1,345.12	$513.45–$1,183.71	—	52%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y	$72.90	$270.00	$27.82–$237.60	23% above	73%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y	$129.60	$270.00	$49.36–$237.60	—	52%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$56.97	$211.00	$56.97–$185.68	31% below	73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$101.28	$211.00	$67.94–$185.68	—	52%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$86.67	$321.00	$19.35–$282.48	86% above	73%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$154.08	$321.00	$40.06–$282.48	—	52%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$27.27	$101.00	$13.85–$88.88	10% above	73%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$48.48	$101.00	$23.86–$88.88	—	52%

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.mountainviewregional.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/752905434_mountainview-regional-medical-center_standardcharges.csv