Emergency Department Visit with Moderate Level of Medical Decision Making Cost in New Mexico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 18 New Mexico hospitals. CPT 99284. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — New Mexico
Sorted by cash price (lowest first). Showing top 18 of 18 hospitals.
| Hospital | Cash | UHC | BCBS | Molina | Cigna | Humana | MultiPlan | Medicare | Aetna |
|---|---|---|---|---|---|---|---|---|---|
| UNM ADULT PSYCHIATRIC CENTER ALBUQUERQUE |
$126 | $80.00 | $80.00 | $1,007 | $80.00 | $65.00 | $85.00 | — | $85.00 |
| NOR LEA DISTRICT HOSPITAL LOVINGTON |
$299 | — | — | — | — | — | — | — | — |
| SIERRA VISTA HOSPITAL TRUTH OR CONSEQUENCES |
$316 | $268 | $268 | $436 | — | $413 | $379 | $415 | — |
| CIBOLA GENERAL HOSPITAL GRANTS |
$329 | $370 | $268 | $375 | $1,151 | $370 | — | $610 | — |
| REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP |
$331 | $828 | $938 | — | $1,027 | $994 | $994 | $265 | — |
| THREE CROSSES REGIONAL HOSPITAL LAS CRUCES |
$418 | $380 | $422 | $422 | — | — | — | — | $422 |
| LOVELACE REGIONAL HOSPITAL ROSWELL ROSWELL |
$719 | — | — | — | — | — | — | — | — |
| MINERS COLFAX MEDICAL CENTER RATON |
$750 | — | — | — | — | — | — | — | — |
| HEART HOSPITAL OF NEW MEXICO AT LOVELACE MEDICAL ALBUQUERQUE |
$841 | — | — | — | — | — | — | — | — |
| LOVELACE WOMENS HOSPITAL ALBUQUERQUE |
$857 | — | — | — | — | — | — | — | — |
| LOVELACE WESTSIDE HOSPITAL ALBUQUERQUE |
$857 | — | — | — | — | — | — | — | — |
| LOVELACE UNM REHABILITATION HOSPITAL ALBUQUERQUE |
$898 | — | — | — | — | — | — | — | — |
| ALTA VISTA REGIONAL HOSPITAL LAS VEGAS |
$1,106 | — | — | — | — | — | — | — | — |
| GUADALUPE COUNTY HOSPITAL SANTA ROSA |
$1,120 | $1,414 | $1,260 | $1,414 | $1,260 | $1,260 | $1,246 | — | — |
| MEMORIAL MEDICAL CENTER LAS CRUCES |
$1,436 | $7,621 | $1,540 | $206 | $63.19 | — | $90.00 | $100 | $71.30 |
| ALBUQUERQUE ER & HOSPITAL MONTGOMERY BLVD. NE ALBUQUERQE |
$1,583 | — | — | — | — | — | — | — | — |
| ALBUQUERQUE ER & HOSPITAL EAST ALBUQUERQUE |
$2,000 | — | — | — | — | — | — | — | — |
| LOS ALAMOS MEDICAL CENTER WEST ROAD LOS ALAMOS |
$2,121 | $82.00 | $100 | $206 | $58.90 | $100 | — | $100 | $68.90 |
That is the median of what the 18 New Mexico hospitals above publish for Emergency department visit with moderate level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99284 in New Mexico, Medicare reimburses about $119 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Mexico range from $126 to $2,121 — that means hospital cash prices are typically 7.0x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with moderate level of medical decision making cost in New Mexico?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in New Mexico range from $126 to $2,121, with a median of $841. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate level of medical decision making in New Mexico?
- The cheapest New Mexico hospital published cash price for this procedure is $126. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.