Evaluation for Occupational Therapy, Typically 1 Hour Cost in New Mexico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 17 New Mexico hospitals. CPT 97167. 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 17 of 17 hospitals.
| Hospital | Cash | BCBS | UHC | Humana | Medicare | Cigna | TRICARE | Molina | Aetna |
|---|---|---|---|---|---|---|---|---|---|
| REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP |
$63.00 | $179 | $158 | $190 | $51.00 | $196 | — | — | — |
| MINERS COLFAX MEDICAL CENTER RATON |
$100 | — | — | — | — | — | — | — | — |
| UNM ADULT PSYCHIATRIC CENTER ALBUQUERQUE |
$125 | $80.00 | $80.00 | $65.00 | — | $80.00 | — | $237 | $85.00 |
| LOVELACE REGIONAL HOSPITAL ROSWELL ROSWELL |
$153 | — | — | — | — | — | — | — | — |
| COVENANT HEALTH HOBBS HOSPITAL HOBBS |
$160 | $99.46 | — | $101 | — | — | — | $97.53 | $96.56 |
| SIERRA VISTA HOSPITAL TRUTH OR CONSEQUENCES |
$238 | $121 | $121 | $121 | $121 | — | $134 | $127 | — |
| CLEARSKY REHABILITATION HOSPITAL OF RIO RANCHO RIO RANCHO |
$247 | — | — | — | — | — | — | — | — |
| ALTA VISTA REGIONAL HOSPITAL LAS VEGAS |
$282 | — | — | — | $92.33 | — | $86.66 | — | — |
| CENTRAL DESERT BEHAVIORAL HEALTH HOSPITAL ALBUQUERQUE |
$300 | — | — | — | — | — | — | — | — |
| LOS ALAMOS MEDICAL CENTER WEST ROAD LOS ALAMOS |
$368 | $100 | $82.00 | $100 | $100 | $58.90 | $100 | — | $68.90 |
| CIBOLA GENERAL HOSPITAL GRANTS |
$374 | $172 | $210 | $213 | $210 | $397 | $207 | $240 | — |
| HEART HOSPITAL OF NEW MEXICO AT LOVELACE MEDICAL ALBUQUERQUE |
$436 | — | — | — | — | — | — | — | — |
| LOVELACE WESTSIDE HOSPITAL ALBUQUERQUE |
$445 | — | — | — | — | — | — | — | — |
| LOVELACE WOMENS HOSPITAL ALBUQUERQUE |
$445 | — | — | — | — | — | — | — | — |
| LOVELACE UNM REHABILITATION HOSPITAL ALBUQUERQUE |
$466 | — | — | — | — | — | — | — | — |
| NOR LEA DISTRICT HOSPITAL LOVINGTON |
$559 | — | — | — | — | — | — | — | — |
| MEMORIAL MEDICAL CENTER LAS CRUCES |
$1,287 | $520 | $56.10 | — | $100 | $63.19 | $100 | $317 | $71.30 |
That is the median of what the 17 New Mexico hospitals above publish for Evaluation for occupational therapy, typically 1 hour — 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 97167 in New Mexico, Medicare reimburses about $96.56 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Mexico range from $63.00 to $1,287 — that means hospital cash prices are typically 3.1x 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 evaluation for occupational therapy, typically 1 hour cost in New Mexico?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in New Mexico range from $63.00 to $1,287, with a median of $300. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in New Mexico?
- The cheapest New Mexico hospital published cash price for this procedure is $63.00. 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.