Cost of a ER Visit (Moderate) Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico's rural geography creates significant disparities in emergency care access, with 15 counties lacking a hospital entirely. For an ER Visit (Moderate), patients typically pay between $85 and $266, with a median negotiated rate of $121 based on insurance contracts with local providers. The state has 2,466 active providers handling moderate-severity emergency visits across urban centers like Albuquerque and rural communities. Patients can browse all emergency care providers throughout New Mexico to compare costs and coverage options.
Average
$158
Median
$121
Lowest
$85
Highest
$266
Providers
2,466
11% above national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $54 | $72 | $139 | 2,391 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $88 | $177 | $389 | 2,452 |
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 99284 — Emergency department visit, moderate severity). 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 99284 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99284 (Emergency department visit, moderate severity), as mandated by the CMS Price Transparency Rule.
What CPT 99284 covers: the provider's professional fee for er visit (moderate severity). 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.
Top-Rated Hospitals in New Mexico
These hospitals in New Mexico are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAS CRUCES, NM
ALBUQUERQUE, NM
ESPANOLA, NM
SILVER CITY, NM
SANTA FE, NM
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why ER Visit (Moderate) Visit Costs Vary Across New Mexico
New Mexico's healthcare costs run approximately 3% below national averages, reflecting lower practice overhead in rural areas but higher transport and staffing costs due to provider shortages. The state's unique geography, with vast distances between population centers, creates distinct cost pressures for emergency services.
Urban vs. Rural Provider Availability
Albuquerque and Santa Fe concentrate most emergency specialists, while 15 rural counties lack hospitals entirely, forcing patients to travel significant distances for care. Rural critical access hospitals often charge lower facility fees but may transfer moderate cases to urban centers, adding transport costs.
Facility Type and Overhead Costs
Hospital-based emergency departments dominate New Mexico's emergency care landscape, with Presbyterian Healthcare Services and UNM Health operating the largest networks. Independent emergency groups are less common than in other states, limiting competitive pricing pressure on facility fees.
Insurance Market Competition in New Mexico
Limited insurer competition between BCBS NM, UHC, and Molina creates less negotiating pressure on provider rates compared to more competitive markets. Rural areas often have single-insurer dominance, reducing patient choice and potentially increasing out-of-pocket costs for out-of-network emergency care.
Physician Supply and Demand in New Mexico
With 2,466 providers handling moderate-severity emergency cases, New Mexico maintains adequate coverage in urban areas but faces significant shortages in rural regions. This supply imbalance contributes to longer wait times in cities and higher per-visit costs as rural facilities struggle to maintain 24/7 emergency physician coverage.
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.
Frequently Asked Questions — ER Visit (Moderate) Costs in New Mexico
What is the average cost of a ER Visit (Moderate) visit in New Mexico without insurance?
Does New Mexico Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in New Mexico?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a ER Visit (Moderate) visit in New Mexico?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in New Mexico?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99284)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $647 | $311 |
| 2 | Illinois Range: $80 – $431 | $223 |
| 3 | Iowa Range: $80 – $371 | $205 |
| 4 | New Hampshire Range: $102 – $307 | $202 |
| 5 | Pennsylvania Range: $55 – $431 | $191 |
| 6 | New York Range: $67 – $374 | $183 |
| 7 | Rhode Island Range: $62 – $374 | $177 |
| 8 | Maine Range: $116 – $233 | $172 |
| 9 | Massachusetts Range: $62 – $368 | $170 |
| 10 | Nebraska Range: $83 – $291 | $165 |
| 11 | Washington Range: $80 – $259 | $161 |
| 12 | Michigan Range: $80 – $291 | $158 |
| 13 | New Mexico Range: $85 – $266 | $158 |
| 14 | Wyoming Range: $85 – $262 | $157 |
| 15 | Colorado Range: $80 – $267 | $157 |
| 16 | Vermont Range: $80 – $257 | $156 |
| 17 | Georgia Range: $84 – $246 | $151 |
| 18 | California Range: $80 – $258 | $142 |
| 19 | Indiana Range: $80 – $258 | $142 |
| 20 | Kentucky Range: $70 – $246 | $140 |
| 21 | North Carolina Range: $80 – $231 | $139 |
| 22 | District of Columbia Range: $80 – $217 | $138 |
| 23 | West Virginia Range: $62 – $174 | $137 |
| 24 | Utah Range: $80 – $228 | $135 |
| 25 | Maryland Range: $80 – $206 | $132 |
| 26 | New Jersey Range: $60 – $237 | $131 |
| 27 | Hawaii Range: $80 – $217 | $130 |
| 28 | Arkansas Range: $80 – $194 | $130 |
| 29 | Virginia Range: $81 – $202 | $129 |
| 30 | Tennessee Range: $85 – $187 | $128 |
| 31 | South Carolina Range: $80 – $206 | $128 |
| 32 | Ohio Range: $75 – $197 | $127 |
| 33 | Missouri Range: $85 – $167 | $124 |
| 34 | Alabama Range: $80 – $195 | $124 |
| 35 | Oklahoma Range: $85 – $169 | $123 |
| 36 | Kansas Range: $86 – $167 | $123 |
| 37 | Texas Range: $80 – $196 | $122 |
| 38 | Arizona Range: $80 – $187 | $122 |
| 39 | Mississippi Range: $86 – $165 | $121 |
| 40 | Idaho Range: $80 – $194 | $121 |
| 41 | Delaware Range: $80 – $157 | $120 |
| 42 | Minnesota Range: $62 – $233 | $119 |
| 43 | Nevada Range: $84 – $184 | $119 |
| 44 | Connecticut Range: $55 – $211 | $118 |
| 45 | Alaska Range: $80 – $194 | $118 |
| 46 | Louisiana Range: $62 – $150 | $104 |
| 47 | Oregon Range: $62 – $183 | $102 |
| 48 | Montana Range: $62 – $145 | $96 |
| 49 | Florida Range: $35 – $190 | $95 |
| 50 | North Dakota Range: $62 – $121 | $82 |
| 51 | South Dakota Range: $62 – $121 | $82 |