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New Mexico

Cost of a Chest CT Scan Visit
in New Mexico

Reviewed by Momentary Medical Group West PC

New Mexico's rural geography and limited specialist concentration create unique challenges for accessing diagnostic imaging services across the state's vast 121,000 square miles. Patients seeking a Chest CT Scan typically pay between $52 and $505, with a median out-of-pocket cost of $169 based on negotiated insurance rates from over 1,300 active providers. New Mexico maintains many qualified Chest CT Scan facilities from Albuquerque's academic medical centers to smaller community hospitals serving rural populations, allowing patients to browse all available providers throughout the state.

Average

$242

Median

$169

Lowest

$52

Highest

$505

Providers

1,300

National avg: $302New Mexico: $242

20% below national average

Compare Similar Procedures

How does ct chest compare to related procedures in New Mexico?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$98$315$1,0631,235
MRI Knee

MRI of the knee without contrast

73721$57$198$5881,220
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$62$188$7201,236
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$75$230$8011,315

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 71260CT chest with contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 71260 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 71260 (CT chest with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 71260 covers: the provider's professional fee for ct chest. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Chest CT Scan Visit Costs Vary Across New Mexico

New Mexico's Chest CT Scan costs run approximately 3% below national averages, reflecting the state's lower overall healthcare spending and rural market dynamics. The Land of Enchantment's sparse population density and limited specialist networks create unique cost pressures different from more urbanized states.

Urban vs. Rural Provider Availability

Albuquerque and Santa Fe concentrate most of New Mexico's advanced imaging capabilities, while rural counties often lack local CT facilities entirely. Patients in areas like Hidalgo, Catron, or Harding counties frequently travel 100+ miles for imaging services, though they may find more affordable pricing at smaller regional hospitals.

Facility Type and Overhead Costs

Hospital-owned outpatient imaging centers dominate New Mexico's market, with Presbyterian Healthcare Services and University of New Mexico Health System operating multiple locations across the state. Independent radiology groups maintain lower overhead costs and often provide more competitive pricing than hospital-affiliated facilities.

Insurance Market Competition in New Mexico

Limited insurer competition with BCBS NM, UHC, and Molina controlling most of the market results in less aggressive rate negotiations compared to more competitive states. This concentrated market structure often translates to higher negotiated rates for imaging services, particularly in rural areas with single-provider dominance.

Physician Supply and Demand in New Mexico

With over 1,300 active Chest CT Scan providers serving approximately 2.1 million residents, New Mexico maintains adequate imaging capacity in urban areas but faces significant shortages in rural regions. This geographic mismatch creates longer wait times and higher costs in underserved areas while urban markets remain more competitive.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Chest CT Scan Costs in New Mexico

What is the average cost of a Chest CT Scan visit in New Mexico without insurance?

Uninsured patients in New Mexico typically pay between $52 and $505 for a Chest CT Scan, with a median cost of $169 based on negotiated insurance rates. Many facilities offer cash-pay discounts of 20-40% off these standard rates for self-pay patients. Independent imaging centers often provide more affordable options than hospital-based facilities for uninsured patients.

Does New Mexico Medicaid cover Chest CT Scan visits?

Yes, New Mexico Medicaid covers medically necessary Chest CT Scans as the state expanded Medicaid under the Affordable Care Act. Coverage requires prior authorization for non-emergency scans and a referral from a primary care provider. Some imaging facilities have limited Medicaid acceptance, so patients should verify coverage before scheduling.

How do I find an affordable Chest CT Scan near me in New Mexico?

Compare pricing between hospital-owned imaging centers and independent radiology clinics, as independent facilities often charge 30-50% less for the same procedure. Ask about cash-pay discounts if you're uninsured or have a high-deductible plan. Community health centers in Las Cruces, Albuquerque, and other cities may offer sliding-scale pricing based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Chest CT Scans are diagnostic procedures typically ordered by physicians rather than consultation visits, so the $52-$505 range represents the imaging procedure cost regardless of whether it's initial or follow-up. However, the physician visit to discuss results may vary, with specialists charging more for new patient consultations than established patient follow-ups. Most insurance plans have different copay structures for initial versus return visits.

Can I use an HSA or FSA to pay for a Chest CT Scan visit in New Mexico?

Yes, Chest CT Scans qualify as eligible medical expenses for both Health Savings Account (HSA) and Flexible Spending Account (FSA) reimbursement when ordered by a physician for diagnostic purposes. You can use your HSA or FSA debit card directly at most New Mexico imaging facilities. Keep receipts and any referral documentation for your records, as these may be required for account verification.

How does telemedicine affect the cost of seeing a Chest CT Scan in New Mexico?

Telemedicine consultations for discussing CT scan results typically cost $50-150 less than in-person visits with specialists in New Mexico. However, the actual CT scan must be performed at an imaging facility, so telemedicine primarily reduces costs for follow-up discussions and treatment planning. New Mexico's rural geography makes telehealth particularly valuable for patients traveling long distances to urban specialists.

Click a state to compare costs

Average Visit Cost

$131
$2,723

Office visit (CPT 71260)

Compare With Other States

RankStateAverage
1North Dakota
Range: $118$7,881
$2,723
2Minnesota
Range: $80$7,881
$2,711
3Wisconsin
Range: $73$863
$363
4Georgia
Range: $61$699
$319
5Wyoming
Range: $54$598
$287
6Nevada
Range: $80$453
$272
7Maine
Range: $93$439
$262
8Nebraska
Range: $108$415
$246
9Hawaii
Range: $67$348
$243
10New Mexico
Range: $52$505
$242
11Iowa
Range: $73$424
$237
12Vermont
Range: $49$516
$236
13North Carolina
Range: $60$443
$233
14New Hampshire
Range: $67$446
$232
15Massachusetts
Range: $64$454
$230
16Rhode Island
Range: $54$454
$226
17Alaska
Range: $54$449
$224
18District of Columbia
Range: $49$454
$223
19Colorado
Range: $55$441
$218
20Utah
Range: $54$374
$212
21California
Range: $25$521
$210
22Indiana
Range: $54$411
$206
23New York
Range: $42$443
$205
24Washington
Range: $54$384
$203
25Michigan
Range: $57$356
$195
26Illinois
Range: $64$346
$192
27Tennessee
Range: $61$333
$188
28Pennsylvania
Range: $50$389
$185
29West Virginia
Range: $64$317
$184
30Virginia
Range: $41$371
$182
31Idaho
Range: $54$321
$182
32New Jersey
Range: $41$371
$181
33Connecticut
Range: $54$389
$179
34Texas
Range: $54$345
$178
35South Carolina
Range: $54$339
$178
36Kansas
Range: $59$324
$178
37Oregon
Range: $70$291
$177
38South Dakota
Range: $134$222
$175
39Alabama
Range: $48$332
$173
40Delaware
Range: $61$273
$170
41Louisiana
Range: $48$288
$169
42Kentucky
Range: $54$335
$169
43Arkansas
Range: $61$278
$164
44Montana
Range: $54$263
$163
45Maryland
Range: $24$335
$161
46Mississippi
Range: $48$307
$160
47Missouri
Range: $64$265
$159
48Oklahoma
Range: $51$298
$154
49Ohio
Range: $41$298
$154
50Arizona
Range: $54$267
$145
51Florida
Range: $35$297
$131
CT Chest in Other States