New Mexico · 73060

X-Ray Of Upper Arm, Minimum Of 2 Views in New Mexico

New Mexico Medicare Avg
$8.72
19% below national avg
National Medicare Avg
$10.77
All states combined
Billed Charge (NM)
$53.84
What providers submit
Est. Commercial (NM)
$26.13
National avg: $32.60
Est. Cash / Self-Pay (NM)
$23.92
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.4K
Services in NM
272
Providers
N/A
Min Payment
N/A
Max Payment

New Mexico Pricing in Context

In New Mexico, CPT code 73060 (X-Ray Of Upper Arm, Minimum Of 2 Views) carries an average Medicare payment of $8.72 — 19% below the national benchmark of $10.77. 272 providers across the state submitted claims for this procedure in 2023, performing 1.4K total services. Individual payments in NM ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in New Mexico is $53.84, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because New Mexico sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in New Mexico lands near $26.13, with self-pay cash prices typically around $23.92. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does X-Ray Of Upper Arm, Minimum Of 2 Views cost in New Mexico?

The average Medicare payment for X-Ray Of Upper Arm, Minimum Of 2 Views in New Mexico is $8.72, which is 19% below the national average of $10.77. Providers in NM typically bill $53.84 for this procedure.

What does X-Ray Of Upper Arm, Minimum Of 2 Views cost with insurance in New Mexico?

With commercial insurance in New Mexico, X-Ray Of Upper Arm, Minimum Of 2 Views costs an estimated $26.13. Without insurance, the estimated cash price is $23.92. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Of Upper Arm, Minimum Of 2 Views in New Mexico?

272 providers in New Mexico billed Medicare for X-Ray Of Upper Arm, Minimum Of 2 Views in 2023, performing 1.4K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Upper Arm, Minimum Of 2 Views cheaper in New Mexico than the national average?

Yes — X-Ray Of Upper Arm, Minimum Of 2 Views costs 19% below the national average in New Mexico. The state average Medicare payment is $8.72 compared to $10.77 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial