CMS Price Transparency Data

Total hip replacement

Facility: Eastern New Mexico Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$14,369

about 1.1× the $13,117 Medicare rate · typically $10,003–$15,130

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,430

About the fair price

about $61 over the fair price · 1.1× Medicare

Medicare pays $13,117 Fair price $14,369 This hospital $14,430 Cash price $24,950 Hospital's list price $118,808

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 4 charge more and 3 charge less, among the 9 NM hospitals compared.

Cheapest $12,648 Priciest $66,130

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

A fair price for a Total hip replacement is about $14,369 (about 1.1× the $13,117 Medicare rate). Eastern New Mexico Medical Center charges insurers about $14,430, or about $24,950 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	$13,115 - $74,255	100%
Blue Cross Blue Shieldmajor	$12,865 - $83,142	98%
Aetnamajor	$100,037	763%
Cignamajor	$84,354	643%
Humanamajor	$13,115	100%
Devoted Health	$13,115	100%
Molina	$12,615 - $34,698	96%
Presbyterian	$12,490 - $79,982	95%
+ 10 smaller / regional plans	$12,710 - $112,868

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 24,950), 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: 27130.

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 27130.
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: Total hip replacement at other NM hospitals

UNM Hospital · Albuquerque $12,648
Covenant Health Hobbs Hospital · Hobbs $13,372
Christus St Vincent Regional Medical Center · Santa Fe $13,578
Mountain View Regional Medical Center · Las Cruces $14,430
Carlsbad Medical Center · Carlsbad $14,715
Presbyterian Hospital · Albuquerque $22,242
Dr Dan C Trigg Memorial Hospital · Tucumcari $66,130
Lincoln County Medical Center · Ruidoso $66,130

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