▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in NM
Hospitals
5
Min
$500.40
Median
$534.60
Max
$993.60
Range multiplier
2.0×
By payer (37 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| First Health | 4 | 8 | $500.40 | $668.25 | $993.60 | 2.0× |
| zelis [2385] | 5 | 6 | $278.00 | $371.25 | $552.00 | 2.0× |
| benefit management [1175] | 5 | 6 | $278.00 | $371.25 | $552.00 | 2.0× |
| boon-chapman [2375] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| coresource [1315] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| Emblem Health | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| employee benefit management services [2445] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| healthcost solutions [2415] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| healthsmart [1505] | 2 | 6 | $534.60 | $815.27 | $1,026.72 | 1.9× |
| Multiplan | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| mutual of omaha [1685] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| national telephone cooperative [1700] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| northamerica administrators [1725] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| pan american life insurance co [1770] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| phcs [1780] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| the health plan [2915] | 5 | 6 | $112.31 | $143.30 | $223.01 | 2.0× |
| trustmark [2030] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| umr - ardent employee [2036] | 5 | 6 | $141.84 | $287.48 | $427.23 | 3.0× |
| worker's comp [2125] | 5 | 6 | $227.96 | $304.43 | $452.64 | 2.0× |
| american medical security [2190] | 5 | 6 | $500.40 | $668.25 | $993.60 | 2.0× |
| healthscope benefits [2290] | 4 | 5 | $141.84 | $284.82 | $427.23 | 3.0× |
| enablecomp [1350] | 4 | 5 | $227.96 | $243.54 | $452.64 | 2.0× |
| corvel corp [2235] | 4 | 5 | $223.40 | $238.67 | $443.59 | 2.0× |
| Aetna | 4 | 5 | $500.40 | $620.96 | $993.60 | 2.0× |
| magellan behavioral commercial [2895] | 4 | 4 | $278.00 | $415.00 | $609.70 | 2.2× |
| allied benefit systems inc [1030] | 4 | 4 | $500.40 | $672.30 | $993.60 | 2.0× |
| allied national global care [1035] | 4 | 4 | $500.40 | $672.30 | $993.60 | 2.0× |
| administrative concepts [1005] | 4 | 4 | $500.40 | $672.30 | $993.60 | 2.0× |
| Kaiser Permanente | 3 | 4 | $534.60 | $823.05 | $993.60 | 1.9× |
| presbyterian health plan [1830] | 4 | 4 | $278.00 | $415.00 | $609.70 | 2.2× |
| Blue Cross Blue Shield | 1 | 3 | $379.89 | $461.50 | $543.10 | 1.4× |
| fmh benefit services [1390] | 2 | 3 | $534.60 | $801.90 | $993.60 | 1.9× |
| Health Net | 2 | 3 | $534.60 | $801.90 | $993.60 | 1.9× |
| Medicare | 1 | 1 | $469.00 | $469.00 | $469.00 | 1.0× |
| Cigna | 1 | 1 | $643.94 | $643.94 | $643.94 | 1.0× |
| samba health [2305] | 1 | 1 | $643.94 | $643.94 | $643.94 | 1.0× |
| caprock health plans [1200] | 1 | 1 | $609.70 | $609.70 | $609.70 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Lovelace Womens Hospital | Albuquerque | NM | 32 | $1,104.00 | $331.20 | $223.01 | $993.60 | $1,026.72 |
| Lovelace Regional Hospital-Roswell | Roswell | NM | 30 | $938.00 | $281.40 | $189.48 | $844.20 | $844.20 |
| Lovelace Rehabilitation Hospital | Albuquerque | NM | 26 | $891.00 | $267.30 | $114.64 | $534.60 | $828.63 |
| Lovelace Medical Center- Downtown | Albuquerque | NM | 28 | $556.00 | $166.80 | $112.31 | $500.40 | $500.40 |
| Heart Hospital Of New Mexico | Albuquerque | NM | 28 | $556.00 | $166.80 | $112.31 | $500.40 | $500.40 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.