Therapy Procedure Using Functional Activities Cost in New Mexico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 18 New Mexico hospitals. CPT 97530. 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 | BCBS | Humana | UHC | Medicare | Aetna | Cigna | TRICARE | Molina |
|---|---|---|---|---|---|---|---|---|---|
| UNM ADULT PSYCHIATRIC CENTER ALBUQUERQUE |
$42.49 | $33.47 | $30.12 | $33.47 | — | $33.47 | $80.00 | — | $82.00 |
| MINERS COLFAX MEDICAL CENTER RATON |
$50.00 | — | — | — | — | — | — | — | — |
| CLEARSKY REHABILITATION HOSPITAL OF RIO RANCHO RIO RANCHO |
$62.00 | — | — | — | — | — | — | — | — |
| REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP |
$67.00 | $190 | $201 | $167 | $54.00 | — | $207 | — | — |
| UNION COUNTY GENERAL HOSPITAL CLAYTON |
$74.00 | $95.00 | $95.00 | — | — | $95.00 | — | — | — |
| CENTRAL DESERT BEHAVIORAL HEALTH HOSPITAL ALBUQUERQUE |
$75.00 | — | — | — | — | — | — | — | — |
| COVENANT HEALTH HOBBS HOSPITAL HOBBS |
$75.60 | $34.47 | $35.14 | — | — | $33.47 | — | — | $33.80 |
| SIERRA VISTA HOSPITAL TRUTH OR CONSEQUENCES |
$90.53 | $33.95 | $45.87 | $33.95 | $45.87 | — | — | $51.04 | $48.16 |
| HEART HOSPITAL OF NEW MEXICO AT LOVELACE MEDICAL ALBUQUERQUE |
$110 | — | — | — | — | — | — | — | — |
| LOVELACE WOMENS HOSPITAL ALBUQUERQUE |
$112 | — | — | — | — | — | — | — | — |
| LOVELACE WESTSIDE HOSPITAL ALBUQUERQUE |
$112 | — | — | — | — | — | — | — | — |
| LOVELACE UNM REHABILITATION HOSPITAL ALBUQUERQUE |
$118 | — | — | — | — | — | — | — | — |
| LOVELACE REGIONAL HOSPITAL ROSWELL ROSWELL |
$123 | — | — | — | — | — | — | — | — |
| CIBOLA GENERAL HOSPITAL GRANTS |
$129 | $33.95 | $73.03 | $60.08 | $72.31 | — | $137 | $71.28 | $47.53 |
| ALTA VISTA REGIONAL HOSPITAL LAS VEGAS |
$147 | — | — | — | $40.16 | — | — | $38.54 | — |
| LOS ALAMOS MEDICAL CENTER WEST ROAD LOS ALAMOS |
$167 | $100 | $100 | $82.00 | $100 | $68.90 | $58.90 | $100 | — |
| MEMORIAL MEDICAL CENTER LAS CRUCES |
$178 | $195 | — | $56.10 | $100 | $71.30 | $63.19 | $100 | $317 |
| NOR LEA DISTRICT HOSPITAL LOVINGTON |
$178 | — | — | — | — | — | — | — | — |
That is the median of what the 18 New Mexico hospitals above publish for Therapy procedure using functional activities — 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 97530 in New Mexico, Medicare reimburses about $33.47 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Mexico range from $42.49 to $178 — that means hospital cash prices are typically 3.3x 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 therapy procedure using functional activities cost in New Mexico?
- Cash prices for therapy procedure using functional activities (CPT 97530) in New Mexico range from $42.49 to $178, with a median of $110. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in New Mexico?
- The cheapest New Mexico hospital published cash price for this procedure is $42.49. 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.