CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Eastern New Mexico Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$951

about 1.0× the $950 Medicare rate · typically $944–$1,006

modeled estimate · not a bill or quote

What this hospital charges insurers

$951

About the fair price

1.0× Medicare

Medicare pays $950 Fair price $951 This hospital $951 Cash price $2,644 Hospital's list price $12,592

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 6 of 8 other NM hospitals charge more for the same procedure.

Cheapest $916 Priciest $2,179

Black dot = this hospital, among the 9 NM hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $951 (about 1.0× the $950 Medicare rate). Eastern New Mexico Medical Center charges insurers about $951, or about $2,644 in cash — about the fair price. Located in Roswell, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$820 - $7,870	86%
Blue Cross Blue Shieldmajor	$744 - $8,812	78%
Aetnamajor	$10,603	1116%
Cignamajor	$8,940	941%
Humanamajor	$951	100%
Devoted Health	$951	100%
Molina	$915 - $2,513	96%
Presbyterian	$744 - $8,477	78%
+ 10 smaller / regional plans	$921 - $11,962

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,644), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Eastern New Mexico Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Eastern New Mexico Medical Center

Compare: Colonoscopy (diagnostic) at other NM hospitals

UNM Hospital · Albuquerque $916
Mountain View Regional Medical Center · Las Cruces $951
Covenant Health Hobbs Hospital · Hobbs $969
Gila Regional Medical Center · Silver City $1,027
Dr Dan C Trigg Memorial Hospital · Tucumcari $1,039
Carlsbad Medical Center · Carlsbad $1,126
Presbyterian Hospital · Albuquerque $1,289
Lincoln County Medical Center · Ruidoso $2,179

Insurance negotiated median for the same procedure, sorted lowest first.