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Respiratory infections & inflammations w MCC
MS-DRG 177 · negotiated-rate distribution across hospitals in NM
Hospitals
3
Min
$11,771
Median
$14,878
Max
$14,878
Range multiplier
1.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 2 | 7 | $11,771 | $18,323 | $18,323 | 1.6× |
| Aetna | 2 | 4 | $84.2 | $12,945 | $14,878 | 176.7× |
| Cigna | 2 | 3 | $11,771 | $12,530 | $14,878 | 1.3× |
| Molina | 2 | 3 | $15,027 | $21,564 | $40,618 | 2.7× |
| presbyterian | 1 | 3 | $12,165 | $12,165 | $14,878 | 1.2× |
| Humana | 2 | 2 | $11,771 | $13,697 | $15,622 | 1.3× |
| UnitedHealthcare | 2 | 2 | $11,771 | $13,697 | $15,622 | 1.3× |
| amgp community care of nm inc._avg_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| amgp community care of nm inc._max_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| amgp community care of nm inc._min_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| baylor scott and white | 1 | 1 | $14,878 | $14,878 | $14,878 | 1.0× |
| capstar | 1 | 1 | $18,228 | $18,228 | $18,228 | 1.0× |
| insurance management services | 1 | 1 | $90 | $90 | $90 | 1.0× |
| max_allowable_835 | 1 | 1 | $49,994 | $49,994 | $49,994 | 1.0× |
| Medicare | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| Meritain Health | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| min_allowable_835 | 1 | 1 | $1.75 | $1.75 | $1.75 | 1.0× |
| Multiplan | 1 | 1 | $80 | $80 | $80 | 1.0× |
| new mexico health connections inc._avg_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| new mexico health connections inc._max_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| new mexico health connections inc._min_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| new mexico health connections_avg_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| new mexico health connections_max_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| new mexico health connections_min_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| presbyterian care services aso_avg_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian care services aso_max_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian care services aso_min_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan centennial care unm health sciences center network_avg_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| presbyterian health plan centennial care unm health sciences center network_max_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| presbyterian health plan centennial care unm health sciences center network_min_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| presbyterian health plan centennial care_avg_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| presbyterian health plan centennial care_max_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| presbyterian health plan centennial care_min_allowable | 1 | 1 | $11,771 | $11,771 | $11,771 | 1.0× |
| presbyterian health plan inc not assigned_avg_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc not assigned_max_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc not assigned_min_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc unm health sciences center network_avg_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc unm health sciences center network_max_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc unm health sciences center network_min_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc_avg_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc_max_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan inc_min_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan level funded unm health sciences center network_avg_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan level funded unm health sciences center network_max_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan level funded unm health sciences center network_min_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan level funded_avg_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan level funded_max_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan level funded_min_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan_avg_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
| presbyterian health plan_max_allowable | 1 | 1 | $14,119 | $14,119 | $14,119 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH HOBBS HOSPITAL | HOBBS | NM | 14 | — | — | $80 | $14,878 | $40,618 |
| UNM SANDOVAL REGIONAL MEDICAL CENTER | RIO RANCHO | NM | 67 | $21,679 | $21,679 | $1.75 | $11,771 | $350,165 |
| ALBUQUERQUE - AMG SPECIALTY HOSPITAL | ALBUQUERQUE | NM | 0 | $63,803 | $63,803 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.