CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Gila Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,416

about 1.5× the $5,676 Medicare rate · typically $4,230–$12,415

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,173

Below the fair price — a good deal

about $4,243 under the fair price · 0.7× Medicare

Medicare pays $5,676 Fair price $8,416 This hospital $4,173 Cash price $29,388 Hospital's list price $36,735

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 $4,173 Priciest $8,469

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,416 (about 1.5× the $5,676 Medicare rate). Gila Regional Medical Center charges insurers about $4,173, or about $29,388 in cash — below the fair price — a good deal. 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	$1,232 - $4,544	22%
Presbyterian	$3,881	68%

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 29,388), 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 MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Gila Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
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 Gila Regional Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other NM hospitals

Alta Vista Regional Hospital · Las Vegas $5,282
Christus St Vincent Regional Medical Center · Santa Fe $5,475
Holy Cross Hospital A Div of Taos Health Systems · Taos $5,960
Mountain View Regional Medical Center · Las Cruces $6,413
Eastern New Mexico Medical Center · Roswell $6,662
Carlsbad Medical Center · Carlsbad $7,027
Presbyterian Hospital · Albuquerque $7,869
Artesia General Hospital · Artesia $8,469

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