Eastern New Mexico Medical Center
405 W Country Club Road, Roswell, NM 88201 · 100 Priced Procedures · 55% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Aligned Regional Benchmark Peer
Eastern New Mexico Medical Center prices shoppable and inpatient services (1.1× to 1.2× Medicare, divergence 1.09×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 74% of shoppable procedures (99/100 Cash Honesty)
- 1-Star CMS clinical rating with 55% patient recommendation (53/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
- Captive ER (0.7×) & laboratory (1.0×) services average 1.09× higher multiples than routine shoppable care (1.1×)
- Even at low-cost facilities (1.01× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Consolidated metro market (HHI 6,876) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Eastern New Mexico Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $15,753 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $15,647 | 0.8× |
| Total hip replacement CPT Code: 27130 | $14,430 | 1.1× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,350 | 0.8× |
| Total knee replacement CPT Code: 27447 | $13,115 | 1.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,662 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,125 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,662 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,347 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,347 | 1.0× |
| Trauma team activation HCPCS Code: G0390 | $2,379 | 1.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,224 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $951 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $928 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $559 | 1.0× |
| Blood transfusion CPT Code: 36430 | $451 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $432 | 0.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $357 | 0.8× |
| Rabies immune globulin HCPCS Code: 90375 | $301 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $295 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $295 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $295 | 0.8× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $220 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $244 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $244 | 0.8× |
Audit a Bill or Quote at Eastern New Mexico Medical Center (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Eastern New Mexico Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($37,807) is $18,720 above the denoised Fair BaseRate ($19,087) and 2.7× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Eastern New Mexico Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Eastern New Mexico Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-24·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (341 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Eastern New Mexico Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.