Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in New Mexico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 16 New Mexico hospitals. CPT 97164. 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 16 of 16 hospitals.
| Hospital | Cash | BCBS | Humana | Aetna | UHC | Medicare | Cigna | MultiPlan | TRICARE |
|---|---|---|---|---|---|---|---|---|---|
| REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP |
$61.00 | $173 | $184 | — | $153 | $49.00 | $190 | $184 | — |
| UNM ADULT PSYCHIATRIC CENTER ALBUQUERQUE |
$70.95 | $64.62 | $58.16 | $64.62 | $64.62 | — | $80.00 | $85.00 | — |
| CENTRAL DESERT BEHAVIORAL HEALTH HOSPITAL ALBUQUERQUE |
$100 | — | — | — | — | — | — | — | — |
| SIERRA VISTA HOSPITAL TRUTH OR CONSEQUENCES |
$111 | $56.38 | $56.38 | — | $56.38 | $56.38 | — | $134 | $62.73 |
| COVENANT HEALTH HOBBS HOSPITAL HOBBS |
$121 | $66.57 | $67.86 | $64.63 | — | — | — | — | — |
| HEART HOSPITAL OF NEW MEXICO AT LOVELACE MEDICAL ALBUQUERQUE |
$129 | — | — | — | — | — | — | — | — |
| LOVELACE WOMENS HOSPITAL ALBUQUERQUE |
$131 | — | — | — | — | — | — | — | — |
| LOVELACE WESTSIDE HOSPITAL ALBUQUERQUE |
$131 | — | — | — | — | — | — | — | — |
| LOVELACE UNM REHABILITATION HOSPITAL ALBUQUERQUE |
$137 | — | — | — | — | — | — | — | — |
| UNION COUNTY GENERAL HOSPITAL CLAYTON |
$138 | $177 | $177 | $177 | — | — | — | — | — |
| LOVELACE REGIONAL HOSPITAL ROSWELL ROSWELL |
$150 | — | — | — | — | — | — | — | — |
| ALTA VISTA REGIONAL HOSPITAL LAS VEGAS |
$158 | — | — | — | — | $58.29 | — | — | $54.27 |
| CLEARSKY REHABILITATION HOSPITAL OF RIO RANCHO RIO RANCHO |
$255 | — | — | — | — | — | — | — | — |
| MEMORIAL MEDICAL CENTER LAS CRUCES |
$262 | $85.08 | — | $71.30 | $56.10 | $100 | $63.19 | $90.00 | $100 |
| NOR LEA DISTRICT HOSPITAL LOVINGTON |
$280 | — | — | — | — | — | — | — | — |
| LOS ALAMOS MEDICAL CENTER WEST ROAD LOS ALAMOS |
$310 | $99.38 | $100 | $68.90 | $82.00 | $100 | $58.90 | — | $100 |
That is the median of what the 16 New Mexico hospitals above publish for Re-evaluation for physical therapy, typically 20 minutes — 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 97164 in New Mexico, Medicare reimburses about $64.63 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Mexico range from $61.00 to $310 — that means hospital cash prices are typically 2.0x 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 re-evaluation for physical therapy, typically 20 minutes cost in New Mexico?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in New Mexico range from $61.00 to $310, with a median of $131. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in New Mexico?
- The cheapest New Mexico hospital published cash price for this procedure is $61.00. 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.