Based on public Medicaid payment data.
Cibola General Hospital Corporation
Medicaid Provider in Grants, NM
Type
Organization
Address
1016 E Roosevelt Ave
Grants, NM 870202118
Phone
5052875300
NPI
1780677039
Procedures
19
Total Claims
150.4K
Patients Served
132K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $19.13 | 70,625 | 61,110 |
| Emergency Room Visit | $334.45 | 33,086 | 30,596 |
| Urinalysis & Urine Tests | $10.86 | 15,417 | 14,160 |
| X-Ray | $148.00 | 8,195 | 7,543 |
| Physical Therapy | $112.84 | 4,457 | 1,904 |
| EKG / ECG (Electrocardiogram) | $131.83 | 4,380 | 3,844 |
| CT Scan (Computed Tomography) | $577.63 | 3,969 | 3,706 |
| Prescription Medications | $9.16 | 3,277 | 2,683 |
| Culture & Microbiology Tests | $11.63 | 2,410 | 2,316 |
| Ultrasound | $239.89 | 1,303 | 1,226 |
| Pulmonary Function Test | $229.30 | 1,161 | 926 |
| Pathology & Lab Services | $101.42 | 967 | 927 |
| Mammogram | $325.89 | 496 | 494 |
| Vaccines & Immunizations | $34.91 | 425 | 381 |
| Echocardiogram | $824.77 | 121 | 100 |
| Root Canal | $204.58 | 54 | 13 |
| Office Visit | $142.21 | 52 | 40 |
| Psychiatric Evaluation | $345.06 | 17 | 13 |
| Sleep Study (Polysomnography) | $518.41 | 13 | 13 |
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