Presbyterian Health Plan (NM): disclosed hospital rates

iDirect answer

Based on the published hospital price files, Presbyterian Health Plan (NM) appears in disclosed negotiated rates across 1 hospital and 100 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

100 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
1 ADMN RSV MONOC ANTB IM NJX Outpatient	CHRISTUS St. Vincent Regional Medical Center	96381 CPT	—	—	—	—
1 EM CORE SESSION Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9873 HCPCS	—	—	$135 – $135	—
100 INSULIN SYRINGES Outpatient	CHRISTUS St. Vincent Regional Medical Center	S8490 HCPCS	—	—	—	—
1ST HOSP IP/OBS HIGH 75 Outpatient	CHRISTUS St. Vincent Regional Medical Center	99223 CPT	—	—	$914 – $1,108	—
1ST HOSP IP/OBS MODERATE 55 Outpatient	CHRISTUS St. Vincent Regional Medical Center	99222 CPT	—	—	$754 – $914	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS St. Vincent Regional Medical Center	99221 CPT	—	—	$552 – $914	—
1ST NF CARE HIGH MDM 50 Outpatient	CHRISTUS St. Vincent Regional Medical Center	99306 CPT	—	—	$881 – $881	—
1ST NF CARE MODERATE MDM 35 Outpatient	CHRISTUS St. Vincent Regional Medical Center	99305 CPT	—	—	$685 – $685	—
1ST NF CARE SF/LOW MDM 25 Outpatient	CHRISTUS St. Vincent Regional Medical Center	99304 CPT	—	—	$490 – $490	—
1ST PSYC COLLAB CARE MGMT Outpatient	CHRISTUS St. Vincent Regional Medical Center	99492 CPT	—	—	$97.61 – $452	—
1ST/SBSQ PSYC COLLAB CARE Outpatient	CHRISTUS St. Vincent Regional Medical Center	99494 CPT	—	—	$267 – $267	—
2 EM CORE MS MO 10-12 NO WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9877 HCPCS	—	—	$82.46 – $82.46	—
2 EM CORE MS MO 10-12 WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9879 HCPCS	—	—	$328 – $328	—
2 EM CORE MS MO 7-9 NO WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9876 HCPCS	—	—	$82.46 – $82.46	—
2 EM CORE MS MO 7-9 WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9878 HCPCS	—	—	$328 – $328	—
2 EM ONGOING MS MO 13-15 WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9882 HCPCS	—	—	$273 – $273	—
2 EM ONGOING MS MO 16-18 WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9883 HCPCS	—	—	$273 – $273	—
2 EM ONGOING MS MO 19-21 WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9884 HCPCS	—	—	$273 – $273	—
2 EM ONGOING MS MO 22-24 WL Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9885 HCPCS	—	—	$273 – $273	—
2019-NCOV DIAGNOSTIC P Outpatient	CHRISTUS St. Vincent Regional Medical Center	U0001 HCPCS	—	—	$35.92 – $226	—
2D CEPHAL RADIO IMAGE Outpatient	CHRISTUS St. Vincent Regional Medical Center	D0702 HCPCS	—	—	$92.92 – $186	—
2D CEPHALOMETRIC IMAGE Outpatient	CHRISTUS St. Vincent Regional Medical Center	D0340 HCPCS	—	—	$92.92 – $4,359	—
2D ORAL/FACIAL PHOTO IMAGE Outpatient	CHRISTUS St. Vincent Regional Medical Center	D0703 HCPCS	—	—	$92.92 – $186	—
2VHPV VACCINE 3 DOSE IM Outpatient	CHRISTUS St. Vincent Regional Medical Center	90650 CPT	—	—	$135 – $809	—
3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy Outpatient	CHRISTUS St. Vincent Regional Medical Center	C8001 HCPCS	—	—	$92.92 – $186	—