Medical Procedure Costs in New Mexico

New Mexico Medicare physician rates are generally below the national average (-4.1%). One statewide locality — the ZIP tool still maps you onto that locality.

Look up any CPT in New Mexico

Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.

Try
vs national (featured set)
-4.1%
Medicare localities
1
PE GPCI 0.917
On this page
59
featured procedures · rest via search

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These New Mexico averages are unweighted means of the state’s localities, not population-weighted.

How Medicare prices New Mexico

A single statewide locality covers New Mexico, with geographic indices below the national average, so Albuquerque, Santa Fe, and the most remote high-desert communities share one set of Medicare-approved amounts. The state benefits from the floor CMS applies to the physician work index, which lifts low-cost states toward parity. Uniform pricing across a state this large and sparse means the fee schedule is the easy part; finding a provider is often the harder one. Las Cruces and the border region price identically to the Albuquerque metro.

Albuquerque holds the state's academic medical center and most of its specialists, and for many New Mexicans it is the only in-state option for advanced procedures. The Indian Health Service and tribal facilities are central to care across large parts of the state. Residents of the southeast often use Texas providers in Lubbock or El Paso, and northern communities sometimes look to Colorado.

Enter your ZIP code for local context, whether Albuquerque, Santa Fe, Las Cruces, Farmington, Roswell, or the rural pueblos and high desert in between.

Featured physician rates in New Mexico

ProcedureNew Mexico
Incision & Drainage of Abscess10060$122
Skin Biopsy (Tangential)11102$90
Skin Biopsy (Punch)11104$114
Destruction of Skin Lesion17000$63
Partial Mastectomy19301$632
Total Hip Replacement27130$1,157
Total Knee Replacement27447$1,154
Knee Arthroscopy29881$505
Upper Endoscopy (EGD)43235$304
Upper Endoscopy (EGD) With Biopsy43239$393
Colonoscopy (Diagnostic)45378$359
Colonoscopy With Biopsy45380$454
Colonoscopy With Polyp Removal45385$476
Laparoscopic Cholecystectomy47562$633
Laparoscopic Inguinal Hernia Repair49650$422
Laparoscopic Removal of Ovarian Cyst58661$588
Vaginal Delivery (Global)59400$2,233
Cesarean Delivery (Global)59510$2,505
Lumbar Discectomy63030$892
Cataract Surgery66984$449
MRI Brain Without Contrast70551$184
MRI Brain With Contrast70552$253
MRI Brain70553$298
Chest X-Ray71046$31
CT Chest Without Contrast71250$125
CT Chest With Contrast71260$157
MRI Cervical Spine72141$180
MRI Lumbar Spine72148$181
Shoulder X-Ray73030$33
MRI Shoulder73221$193
Knee X-Ray73560$32
MRI Knee73721$192
CT Abdomen & Pelvis Without Contrast74176$174
CT Abdomen & Pelvis With Contrast74177$281
Ultrasound Abdomen76700$108
Ultrasound Transvaginal76830$110
Ultrasound Pelvis76856$99
Diagnostic Mammogram77066$147
Screening Mammogram77067$118
Nuclear Stress Test78452$398
Psychiatric Evaluation90791$170
Psychiatric Evaluation With Medical Services90792$198
Psychotherapy (45 min)90834$112
Psychotherapy (60 min)90837$164
ECG/EKG93000$15
Echocardiogram93306$185
Stress Echocardiogram93350$175
Carotid Ultrasound93880$176
Laser Treatment for Skin96920$129
Physical Therapy (Therapeutic Exercise)97110$28
Physical Therapy (Manual Therapy)97140$27
PT Evaluation (Low Complexity)97161$94
PT Evaluation (Moderate Complexity)97162$94
Office Visit (New, Low)99203$114
Office Visit (New, Moderate-High)99204$172
Office Visit (New, High)99205$230
Office Visit (Established, Moderate)99213$92
Office Visit (Established, Moderate-High)99214$131
Office Visit (Established, High)99215$186

Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.

Medical costs in New Mexico: questions

Across the 59 featured procedures on this page, New Mexico sits below the national average by about 4%. Examples: incision & drainage of abscess $122, skin biopsy (tangential) $90, skin biopsy (punch) $114. Search any other CPT in the box above — those codes are in the tool, not as extra New Mexico articles.

New Mexico is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.

Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.

Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies New Mexico’s locality when you enter a ZIP.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.