Sierra Vista Hospital
T Or C, NM · Critical Access Hospital
Posts prices for 47 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $972.75 | $1,297 | 0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $249.75 | $333 | 0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $279 | $372 | 0.3× |
| Diagnostic colonoscopy (45378) | $415.50 | $554 | 0.5× |
| Colonoscopy with biopsy (45380) | $486.75 | $649 | 0.4× |
| Colonoscopy with lesion removal (45385) | $579 | $772 | 0.5× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,233 | $1,644 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $972 | $1,296 | 0.3× |
| CT head/brain without contrast (70450) range across 4 matching MRF lines |
$243.75–$2,268 | $325–$3,024 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$318.75–$2,142 | $425–$2,856 | varies |
| MRI brain without and with contrast (70553) range across 4 matching MRF lines |
$318.75–$3,307.50 | $425–$4,410 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$63.75–$393.75 | $85–$525 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$318.75–$2,580 | $425–$3,440 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$243.75–$2,077.13 | $325–$2,769.50 | varies |
| MRI lower-extremity joint without contrast (73721) range across 20 matching MRF lines |
$318.75–$2,552.25 | $425–$3,403 | varies |
| CT abdomen and pelvis with contrast (74177) range across 4 matching MRF lines |
$243.75–$4,839.38 | $325–$6,452.50 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$206.25–$778.50 | $275–$1,038 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$206.25–$727.88 | $275–$970.50 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$206.25–$639.75 | $275–$853 | varies |
| Mammography, one breast (diagnostic) (77065) range across 8 matching MRF lines |
$168.75–$235.50 | $225–$314 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 5 matching MRF lines |
$168.75–$367.50 | $225–$490 | varies |
| Mammography, screening (bilateral) (77067) range across 14 matching MRF lines |
$168.75–$450 | $225–$600 | varies |
| Basic metabolic panel (80048) | $49.13 | $65.50 | 5.8× |
| Comprehensive metabolic panel (80053) | $189.75 | $253 | 18.0× |
| Lipid panel (80061) range across 2 matching MRF lines |
$142.85–$154.13 | $190.47–$205.50 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$123.75–$133.50 | $165–$178 | varies |
| Hepatic function panel (80076) | $126.38 | $168.50 | 15.5× |
| PSA, total (84153) range across 2 matching MRF lines |
$133.88–$144.38 | $178.50–$192.50 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $112.50 | $150 | 6.7× |
| CBC with automated differential (85025) | $69.38 | $92.50 | 8.9× |
| CBC, automated (85027) | $65.27 | $87.02 | 10.1× |
| Prothrombin time (PT) (85610) range across 5 matching MRF lines |
$19.50–$47.25 | $26–$63 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$60.75–$124.88 | $81–$166.50 | varies |
| Psychotherapy, 30 minutes (90832) | $171 | $228 | 1.0× |
| Psychotherapy, 45 minutes (90834) | $171 | $228 | 1.0× |
| Psychotherapy, 60 minutes (90837) | $238.13 | $317.50 | 1.4× |
| Family psychotherapy, without patient (50 min) (90846) | $177.90 | $237.20 | 1.0× |
| Family psychotherapy, with patient (50 min) (90847) | $185.33 | $247.11 | 1.1× |
| Group psychotherapy (90853) | $44.63 | $59.51 | 0.4× |
| Electrocardiogram (ECG), complete (93000) range across 3 matching MRF lines |
$29.96–$30 | $39.95–$40 | varies |
| Sleep study (attended polysomnography) (95810) | $2,630.25 | $3,507 | 3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 3 matching MRF lines |
$92.16–$99.38 | $122.88–$132.50 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $185.25 | $247 | 1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $289.88 | $386.50 | 2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$138.38–$361.13 | $184.50–$481.50 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $255 | $340 | — |
| Preventive visit, new patient (age 40–64) (99386) | $272.25 | $363 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 186 codes with posted prices and Medicare benchmarks
- Lab & pathology: 347 codes with posted prices and Medicare benchmarks
- Visits & medical services: 99 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 128 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 17 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 17.5 MB) ↓ — captured 2026-09-04
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.