San Juan Regional Medical Center Inc is an acute care hospital in Farmington, New Mexico. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 17 services, specialties and programs. Medicare lists 473 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.
What is an acute care hospital?
A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types
Photo: Steven Baltakatei Sandoval, CC BY-SA 4.0, via Wikimedia Commons · source · licence
Profile from official sources
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
473 doctors and other clinicians list San Juan Regional Medical Center Inc as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 449 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What San Juan Regional Medical Center Inc reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Summary star rating (all survey topics)
★★★★★2 of 5 stars
Overall rating of the hospital
2 of 5 stars
Would recommend the hospital
2 of 5 stars
Nurses communicated well
2 of 5 stars
Doctors communicated well
2 of 5 stars
Staff explained medicines
2 of 5 stars
Information about recovery at home
3 of 5 stars
Room and bathroom kept clean
3 of 5 stars
Quiet at night
3 of 5 stars
Rated the hospital 9 or 10 out of 10
63%National average: 72%
Would definitely recommend the hospital
53%National average: 71%
Nurses “always” communicated well
71%National average: 80%
Doctors “always” communicated well
71%National average: 80%
Staff “always” explained medicines before giving them
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients
11%
Deaths within 30 days: heart failure patients
13.6%
Deaths within 30 days: pneumonia patients
16.7%
Deaths within 30 days: COPD patients
13.4%
Deaths within 30 days: stroke patients
12.1%
Deaths within 30 days: coronary bypass surgery (CABG)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients)
Not reported to Medicare
Readmitted within 30 days: heart attack
13.4%
Readmitted within 30 days: heart failure
20.8%
Readmitted within 30 days: pneumonia
16.1%
Readmitted within 30 days: COPD
19.4%
Readmitted within 30 days: coronary bypass surgery
Not reported to Medicare
Readmitted within 30 days: hip or knee replacement
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
Emergency room volume (patients per year)
Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)
190 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
7%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as San Juan Regional Medical Center Inc lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
$! 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.
Office and emergency visits
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$269
$134.50
$158.71 – $242.10
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $242.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $158.71
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $158.71
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,722.56
BC OF NM MCAID — BC OF NM MCAID: $158.71
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $242.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $215.20
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $228.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $215.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $256
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$413
$206.50
$238.74 – $371.70
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $371.70
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $238.74
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $238.74
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,067.07
BC OF NM MCAID — BC OF NM MCAID: $238.74
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $371.70
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $330.40
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $351.05
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $330.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $307.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$562
$281
$315.33 – $505.80
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $505.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $315.33
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $315.33
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,363.14
BC OF NM MCAID — BC OF NM MCAID: $315.33
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $505.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $449.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $477.70
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $449.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $351.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$285
$142.50
$100 – $1,534.16
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $256.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,054.50
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $1,242.60
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,534.16
BC OF NM MCAID — BC OF NM MCAID: $387.03
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $256.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $221.96
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $242.25
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $228
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $228
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$320
$160
$100 – $1,722.56
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $288
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,184
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $1,395.20
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,722.56
BC OF NM MCAID — BC OF NM MCAID: $434.56
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $288
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $249.22
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $272
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $256
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $256
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more
$309
$154.50
$159.85 – $278.10
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $278.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $159.85
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $159.85
BC OF NM MCAID — BC OF NM MCAID: $159.85
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $278.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $247.20
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $262.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $247.20
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $159.85
SAN JUAN COUNTY/TALL TREE - ALL PLANS — SAN JUAN COUNTY/TALL TREE - ALL PLANS: $247.20
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more
$475
$237.50
$228.74 – $427.50
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $427.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $228.74
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $228.74
BC OF NM MCAID — BC OF NM MCAID: $228.74
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $427.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $380
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $403.75
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $380
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $228.74
SAN JUAN COUNTY/TALL TREE - ALL PLANS — SAN JUAN COUNTY/TALL TREE - ALL PLANS: $380
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)
$297
$148.50
$100 – $1,598.75
Preventive checkup, new patient, age 18–39: 10 of 18 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $267.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,098.90
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $1,294.92
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,598.75
BC OF NM MCAID — BC OF NM MCAID: $403.33
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $267.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $231.30
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $252.45
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $237.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $237.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)
$342
$171
$100 – $1,840.99
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $307.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,265.40
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $1,491.12
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,840.99
BC OF NM MCAID — BC OF NM MCAID: $464.44
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $307.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $266.35
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $290.70
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $273.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $273.60
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making
$1,299
$649.50
$476.11 – $6,992.52
Emergency room visit (moderate): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $1,169.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $4,806.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $5,663.64
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $6,992.52
BC OF NM MCAID — BC OF NM MCAID: $1,764.04
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $1,169.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,011.66
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $1,104.15
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $1,039.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $1,039.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$528
$264
$70.04 – $475.20
Emergency room visit (moderate): 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $475.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $103.54
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $103.54
BC OF NM MCAID — BC OF NM MCAID: $103.54
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $475.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $422.40
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $448.80
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $422.40
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $70.04
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $103.54
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$2,188
$1,094
$727.76 – $11,778
Emergency room visit (moderately high): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $1,969.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $8,095.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $9,539.68
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $11,778
BC OF NM MCAID — BC OF NM MCAID: $2,971.30
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $1,969.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,704.01
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $1,859.80
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $1,750.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $1,750.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$902
$451
$119.34 – $811.80
Emergency room visit (moderately high): 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $811.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $176.25
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $176.25
BC OF NM MCAID — BC OF NM MCAID: $176.25
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $811.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $721.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $766.70
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $721.60
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $119.34
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $176.25
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making
$3,292
$1,646
$1,038.69 – $17,720.84
Emergency room visit (high): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $2,962.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $12,180.40
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $14,353.12
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $17,720.84
BC OF NM MCAID — BC OF NM MCAID: $4,470.54
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $2,962.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,563.81
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $2,798.20
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $2,633.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,633.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$1,337
$668.50
$172.77 – $1,203.30
Emergency room visit (high): 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $1,203.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $255.43
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $255.43
BC OF NM MCAID — BC OF NM MCAID: $255.43
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $1,203.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,069.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $1,136.45
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $1,069.60
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $172.77
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $255.43
Lab tests
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)
$176
$88
$14.89 – $947.41
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $158.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $651.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $767.36
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $947.41
BC OF NM MCAID — BC OF NM MCAID: $176
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $158.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $104.79
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $149.60
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $140.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $140.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals
$218
$109
$23.02 – $1,173.49
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $196.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $806.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $950.48
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,173.49
BC OF NM MCAID — BC OF NM MCAID: $218
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $196.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $129.80
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $185.30
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $174.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $174.40
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel
$126
$63
$60.24 – $678.26
Obstetric blood test panel: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $113.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $466.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $549.36
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $678.26
BC OF NM MCAID — BC OF NM MCAID: $126
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $113.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $75.02
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $107.10
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $100.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $100.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)
$165
$82.50
$22.09 – $888.20
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $148.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $610.50
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $719.40
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $888.20
BC OF NM MCAID — BC OF NM MCAID: $165
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $148.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $98.24
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $140.25
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $132
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $132
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel
$153
$76.50
$13.28 – $823.60
Kidney function panel: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $137.70
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $566.10
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $667.08
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $823.60
BC OF NM MCAID — BC OF NM MCAID: $153
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $137.70
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $91.10
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $130.05
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $122.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $122.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel
$198
$99
$16.18 – $1,065.83
Liver function panel: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $178.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $732.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $863.28
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,065.83
BC OF NM MCAID — BC OF NM MCAID: $198
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $178.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $117.89
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $168.30
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $158.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $158.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$85
$42.50
$2.69 – $457.56
Urine test (automated, with microscope): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $76.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $314.50
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $370.60
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $457.56
BC OF NM MCAID — BC OF NM MCAID: $85
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $76.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $50.61
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $72.25
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $68
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $68
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test
$47
$23.50
$1.06 – $253
Urine test (automated, without microscope): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $42.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $173.90
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $204.92
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $253
BC OF NM MCAID — BC OF NM MCAID: $47
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $42.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $27.98
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $39.95
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $37.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $37.60
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Automated urinalysis test
$9
$4.50
$0.20! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $48.45
Urine test (automated, without microscope): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $8.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $33.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $39.24
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $48.45
BC OF NM MCAID — BC OF NM MCAID: $9
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $8.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5.36
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $7.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $7.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $7.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total
$178
$89
$32.73 – $958.17
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $160.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $658.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $776.08
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $958.17
BC OF NM MCAID — BC OF NM MCAID: $178
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $160.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $105.98
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $151.30
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $142.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $142.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)
$101
$50.50
$16.97 – $543.68
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $90.90
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $373.70
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $440.36
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $543.68
BC OF NM MCAID — BC OF NM MCAID: $101
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $90.90
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $60.14
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $85.85
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $80.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $80.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$116
$58
$9.01 – $624.43
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $104.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $429.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $505.76
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $624.43
BC OF NM MCAID — BC OF NM MCAID: $116
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $104.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $69.07
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $98.60
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $92.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $92.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test
$77
$38.50
$4.98 – $414.49
Complete blood count (CBC), automated: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $69.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $284.90
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $335.72
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $414.49
BC OF NM MCAID — BC OF NM MCAID: $77
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $69.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $45.85
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $65.45
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $61.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $61.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time
$67
$33.50
$2.87 – $360.66
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $60.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $247.90
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $292.12
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $360.66
BC OF NM MCAID — BC OF NM MCAID: $67
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $60.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $39.89
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $56.95
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $53.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $53.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$111
$55.50
$6.67 – $597.51
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $99.90
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $410.70
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $483.96
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $597.51
BC OF NM MCAID — BC OF NM MCAID: $111
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $99.90
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $66.09
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $94.35
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $88.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $88.80
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast
$2,745
$1,372.50
$182.34 – $14,776.34
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $2,470.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $10,156.50
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $11,968.20
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $14,776.34
BC OF NM MCAID — BC OF NM MCAID: $3,727.71
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $2,470.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,137.81
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $2,333.25
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $2,196
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,196
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast
$5,426
$2,713
$608.48 – $29,208.16
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $4,883.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $20,076.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $23,657.36
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $29,208.16
BC OF NM MCAID — BC OF NM MCAID: $7,368.51
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $4,883.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,225.77
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $4,612.10
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $4,340.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $4,340.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views
$499
$249.50
$151.78 – $2,686.12
Chest X-ray, 2 views: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $449.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,846.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $2,175.64
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,686.12
BC OF NM MCAID — BC OF NM MCAID: $677.64
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $449.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $388.62
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $424.15
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $399.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $399.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views
$850
$425
$182.34 – $4,575.55
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $765
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $3,145
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $3,706
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $4,575.55
BC OF NM MCAID — BC OF NM MCAID: $1,154.30
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $765
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $661.98
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $722.50
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $680
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $680
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$4,018
$2,009
$416.16 – $21,628.89
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,616.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $14,866.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $17,518.48
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $21,628.89
BC OF NM MCAID — BC OF NM MCAID: $5,456.44
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,616.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,129.22
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,415.30
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $3,214.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $3,214.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast
$3,929
$1,964.50
$305.92 – $21,149.81
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,536.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $14,537.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $17,130.44
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $21,149.81
BC OF NM MCAID — BC OF NM MCAID: $5,335.58
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,536.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,059.91
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,339.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $3,143.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $3,143.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast
$3,756
$1,878
$416.16 – $20,218.55
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,380.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $13,897.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $16,376.16
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $20,218.55
BC OF NM MCAID — BC OF NM MCAID: $5,100.65
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,380.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,925.17
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,192.60
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $3,004.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $3,004.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast
$5,698
$2,849
$608.48 – $30,672.33
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $5,128.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $21,082.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $24,843.28
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $30,672.33
BC OF NM MCAID — BC OF NM MCAID: $7,737.88
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $5,128.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,437.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $4,843.30
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $4,558.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $4,558.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen
$1,089
$544.50
$182.34 – $5,862.09
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $980.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $4,029.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $4,748.04
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $5,862.09
BC OF NM MCAID — BC OF NM MCAID: $1,478.86
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $980.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $848.11
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $925.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $871.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $871.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$828
$414
$182.34 – $4,457.12
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $745.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $3,063.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $3,610.08
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $4,457.12
BC OF NM MCAID — BC OF NM MCAID: $1,124.42
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $745.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $644.85
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $703.80
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $662.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $662.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$896
$448
$182.34 – $4,823.17
Transvaginal ultrasound: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $806.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $3,315.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $3,906.56
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $4,823.17
BC OF NM MCAID — BC OF NM MCAID: $1,216.77
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $806.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $697.80
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $761.60
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $716.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $716.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast
$497
$248.50
$203.68 – $2,675.35
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $447.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,838.90
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $2,166.92
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,675.35
BC OF NM MCAID — BC OF NM MCAID: $674.93
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $447.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $387.06
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $422.45
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $397.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $397.60
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts
$529
$264.50
$258 – $2,847.61
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $476.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,957.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $2,306.44
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,847.61
BC OF NM MCAID — BC OF NM MCAID: $718.38
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $476.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $411.99
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $449.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $423.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $423.20
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography
$477
$238.50
$207.03 – $2,567.69
Screening mammogram, both breasts: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $429.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,764.90
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $2,079.72
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,567.69
BC OF NM MCAID — BC OF NM MCAID: $647.77
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $429.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $371.49
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $405.45
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $381.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $381.60
Heart tests and sleep study
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report
$76
$38
$14.75 – $68.40
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $68.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $20.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $20.20
BC OF NM MCAID — BC OF NM MCAID: $20.20
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $68.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $60.80
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $64.60
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $60.80
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $14.75
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $20.20
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist
$10,317
$5,158.50
$5,654.37 – $55,536.41
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $9,285.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $38,172.90
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $44,982.12
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $55,536.41
BC OF NM MCAID — BC OF NM MCAID: $14,010.49
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $9,285.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $8,034.88
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $8,769.45
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $8,253.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $8,253.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Insertion of catheters for recording and pacing of right heart chambers rhythm
$10,800
$5,400
$7,560 – $58,136.40
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $9,720
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $39,960
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $47,088
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $58,136.40
BC OF NM MCAID — BC OF NM MCAID: $14,666.40
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $9,720
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $8,411.04
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $9,180
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $8,640
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $8,640
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction
$42,609
$21,304.50
$29,826.30 – $229,364.25
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $38,348.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $157,653.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $185,775.24
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $229,364.25
BC OF NM MCAID — BC OF NM MCAID: $57,863.02
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $38,348.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $33,183.89
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $36,217.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $34,087.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $34,087.20
Physical therapy and mental health
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$220
$110
$48.98 – $1,184.26
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $198
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $814
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $959.20
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,184.26
BC OF NM MCAID — BC OF NM MCAID: $298.76
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $198
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $171.34
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $187
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $176
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $176
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$410
$205
$164.69 – $2,207.03
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $369
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,517
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $1,787.60
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,207.03
BC OF NM MCAID — BC OF NM MCAID: $556.78
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $369
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $319.31
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $348.50
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $328
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $328
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$469
$234.50
$164.69 – $2,524.63
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $422.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,735.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $2,044.84
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $2,524.63
BC OF NM MCAID — BC OF NM MCAID: $636.90
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $422.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $365.26
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $398.65
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $375.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $375.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$612
$306
$164.69 – $3,294.40
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $550.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $2,264.40
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $2,668.32
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $3,294.40
BC OF NM MCAID — BC OF NM MCAID: $831.10
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $550.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $476.63
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $520.20
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $489.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $489.60
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes
$212
$106
$69.18 – $212
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $190.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $212
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $212
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,200.41
BC OF NM MCAID — BC OF NM MCAID: $212
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $190.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $169.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $180.20
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $169.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $178.40
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes
$280
$140
$91.52 – $280
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $252
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $280
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $280
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,593.37
BC OF NM MCAID — BC OF NM MCAID: $280
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $252
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $224
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $238
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $224
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $236.80
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour
$414
$207
$134.71 – $414
Psychotherapy, 60 minutes: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $372.60
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $414
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $414
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,636.43
BC OF NM MCAID — BC OF NM MCAID: $414
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $372.60
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $331.20
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $351.90
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $331.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $243.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes
$303
$151.50
$98.85 – $303
Family psychotherapy, without the patient: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $272.70
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $303
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $303
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,491.09
BC OF NM MCAID — BC OF NM MCAID: $303
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $272.70
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $242.40
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $257.55
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $242.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $221.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes
$315
$157.50
$102.45 – $315
Family psychotherapy, with the patient: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $283.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $315
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $315
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,781.77
BC OF NM MCAID — BC OF NM MCAID: $315
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $283.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $252
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $267.75
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $252
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $264.80
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy
$75
$37.50
$24.31 – $75
Group psychotherapy: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $67.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $75
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $75
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $1,065.83
BC OF NM MCAID — BC OF NM MCAID: $75
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $67.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $63.75
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $158.40
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple
$1,822
$911
$403.73 – $1,639.80
Removal of breast growth (open surgery): 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $1,639.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $747.33
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $747.33
BC OF NM MCAID — BC OF NM MCAID: $747.33
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $1,639.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,457.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $1,548.70
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $1,457.60
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $403.73
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $747.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$3,736
$1,868
$1,581.91 – $20,110.89
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,362.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $13,823.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $16,288.96
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $20,110.89
BC OF NM MCAID — BC OF NM MCAID: $5,073.49
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,362.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,909.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,175.60
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $2,988.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,988.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$4,376
$2,188
$1,581.91 – $23,556.01
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,938.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $16,191.20
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $19,079.36
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $23,556.01
BC OF NM MCAID — BC OF NM MCAID: $5,942.61
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,938.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,408.03
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,719.60
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $3,500.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $3,500.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope
$3,688
$1,844
$1,621.97 – $19,852.50
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,319.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $13,645.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $16,079.68
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $19,852.50
BC OF NM MCAID — BC OF NM MCAID: $5,008.30
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,319.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,872.21
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,134.80
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $2,950.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,950.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope
$4,319
$2,159.50
$2,087.10 – $23,249.18
Colonoscopy with biopsy: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,887.10
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $15,980.30
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $18,830.84
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $23,249.18
BC OF NM MCAID — BC OF NM MCAID: $5,865.20
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,887.10
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,363.64
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,671.15
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $3,455.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $3,455.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$4,525
$2,262.50
$2,087.10 – $24,358.08
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $4,072.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $16,742.50
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $19,729
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $24,358.08
BC OF NM MCAID — BC OF NM MCAID: $6,144.95
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $4,072.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,524.07
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,846.25
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $3,620
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $3,620
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
$3,688
$1,844
$1,621.97 – $19,852.50
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $3,319.20
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $13,645.60
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $16,079.68
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $19,852.50
BC OF NM MCAID — BC OF NM MCAID: $5,008.30
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $3,319.20
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,872.21
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,134.80
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $2,950.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,950.40
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope
$3,002
$1,501
$2,101.40 – $16,159.77
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $2,701.80
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $11,107.40
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $13,088.72
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $16,159.77
BC OF NM MCAID — BC OF NM MCAID: $4,076.72
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $2,701.80
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,337.96
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $2,551.70
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $2,401.60
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,401.60
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)
$2,164.60
$1,082.30
$1,515.22 – $11,652.04
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $1,948.14
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $8,009.02
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $9,437.66
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $11,652.04
BC OF NM MCAID — BC OF NM MCAID: $2,939.53
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $1,948.14
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,685.79
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $1,839.91
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $1,731.68
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $1,731.68
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope
$4,586
$2,293
$205.56 – $4,127.40
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $4,127.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $1,791.88
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $1,791.88
BC OF NM MCAID — BC OF NM MCAID: $1,791.88
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $4,127.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,668.80
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $3,898.10
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $3,668.80
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $205.56
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$967
$483.50
$88.27 – $870.30
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $870.30
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $356.55
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $356.55
BC OF NM MCAID — BC OF NM MCAID: $356.55
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $870.30
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $773.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $821.95
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $773.60
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $88.27
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $356.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$950
$475
$98.01 – $855
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $855
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $340.94
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $340.94
BC OF NM MCAID — BC OF NM MCAID: $340.94
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $855
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $760
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $807.50
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $760
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $98.01
PRESBYTERIAN MCAID — PRESBYTERIAN MCAID: $340.94
Pregnancy and childbirth
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery
$5,953
$2,976.50
$2,233.23 – $5,357.70
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $5,357.70
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $3,555.08
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $3,555.08
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $32,045
BC OF NM MCAID — BC OF NM MCAID: $3,555.08
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $5,357.70
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,762.40
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $5,060.05
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $4,762.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $4,762.40
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery
$6,503.08
$3,251.54
$4,384.05 – $35,006.06
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $5,852.77
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $24,061.38
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $28,353.41
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $35,006.06
BC OF NM MCAID — BC OF NM MCAID: $8,831.18
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $5,852.77
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,064.60
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $5,527.61
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $5,202.46
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $5,202.46
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery
$10,145
$5,072.50
$4,134.52 – $54,610.54
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $9,130.50
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $37,536.50
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $44,232.20
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $54,610.54
BC OF NM MCAID — BC OF NM MCAID: $13,776.91
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $9,130.50
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $7,900.93
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $8,623.25
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $8,116
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $8,116
Hospital stays (whole stay, MS-DRG)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
$83,786
$41,893
$18,000 – $75,407.40
Spinal fusion (not neck), without major complications: 10 of 16 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $75,407.40
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $50,029.10
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $29,709.46
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $71,289.65
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $75,407.40
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $65,252.54
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $71,218.10
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $67,028.80
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $67,028.80
HUMANA CHOICECARE MCR ADV — HUMANA CHOICECARE MCR ADV: $30,161
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
$76,120.03
$38,060.02
$15,181.68 – $68,508.03
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $68,508.03
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $26,381.57
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $15,666.53
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $37,592.78
BC OF NM MCAID — BC OF NM MCAID: $33,560.52
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $68,508.03
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $59,282.28
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $64,702.03
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $60,896.02
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $60,896.02
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC
$57,704
$28,852
$13,737.18 – $51,933.60
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $51,933.60
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $33,389.66
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $19,828.24
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $47,579.06
BC OF NM MCAID — BC OF NM MCAID: $18,270.44
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $51,933.60
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $44,939.88
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $49,048.40
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $46,163.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $46,163.20
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
$44,741.25
$22,370.63
$7,694.91 – $40,267.13
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates
AETNA - ALL PLANS — AETNA - ALL PLANS: $40,267.13
BC OF NM BLUE ADVANTAGE — BC OF NM BLUE ADVANTAGE: $16,969.05
BC OF NM BLUE COMMUNITY — BC OF NM BLUE COMMUNITY: $10,076.97
BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS — BC OF NM HMO/PPO/PAR/POS - ALL OTHER PLANS: $24,180.29
BC OF NM MCAID — BC OF NM MCAID: $10,234.23
BEECH STREET - ALL PLANS — BEECH STREET - ALL PLANS: $40,267.13
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $34,844.49
CIMMARRON ADVANTAGE PPO - ALL PLANS — CIMMARRON ADVANTAGE PPO - ALL PLANS: $38,030.06
FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS — FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS: $35,793
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $35,793
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
