CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Gila Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,010
about 0.8× the $1,223 Medicare rate · typically $362–$1,786
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,024
About the fair price
about $14 over the fair price · 0.8× Medicare
Medicare pays $1,223 Fair price $1,010 This hospital $1,024 Cash price $1,496 Hospital's list price $1,870

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Lowest price of the 9 NM hospitals we have prices for — a strong deal.

Cheapest $1,024 Priciest $4,030

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

A fair price for a Colonoscopy with biopsy is about $1,010 (about 0.8× the $1,223 Medicare rate). Gila Regional Medical Center charges insurers about $1,024, or about $1,496 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 $210 - $535 17%
Presbyterian $1,753 143%
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