CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Gila Regional Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$951
about 1.0× the $950 Medicare rate · typically $337–$1,441
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,027
About the fair price
about $76 over the fair price · 1.1× Medicare
Medicare pays $950 Fair price $951 This hospital $1,027 Cash price $1,014 Hospital's list price $1,268

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

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

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). Gila Regional Medical Center charges insurers about $1,027, or about $1,014 in cash — about the fair price. Located in Silver City, NM.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $193 20%
Presbyterian $1,237 130%
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1313 E 32Nd St, Silver City, NM 88061
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals