CMS Price Transparency Data

Inguinal hernia repair

Facility: Eastern New Mexico Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,678

about 1.0× the $3,658 Medicare rate · typically $3,653–$5,009

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,662

About the fair price

about $16 under the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $3,678 This hospital $3,662 Cash price $7,985 Hospital's list price $38,023

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 $1,139 Priciest $5,981

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

A fair price for a Inguinal hernia repair is about $3,678 (about 1.0× the $3,658 Medicare rate). Eastern New Mexico Medical Center charges insurers about $3,662, or about $7,985 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	$2,881 - $23,764	79%
Blue Cross Blue Shieldmajor	$2,613 - $26,608	71%
Aetnamajor	$32,015	875%
Cignamajor	$26,996	738%
Humanamajor	$3,662	100%
Devoted Health	$3,662	100%
Molina	$3,523 - $9,676	96%
Presbyterian	$2,613 - $25,597	71%
+ 10 smaller / regional plans	$3,544 - $36,122

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 7,985), 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: 49505.

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 49505.
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: Inguinal hernia repair at other NM hospitals

Gila Regional Medical Center · Silver City $1,139
Mountain View Regional Medical Center · Las Cruces $3,662
Christus St Vincent Regional Medical Center · Santa Fe $3,724
Covenant Health Hobbs Hospital · Hobbs $3,729
Dr Dan C Trigg Memorial Hospital · Tucumcari $4,096
Carlsbad Medical Center · Carlsbad $4,334
Presbyterian Hospital · Albuquerque $5,589
UNM Hospital · Albuquerque $5,981

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