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Simple pneumonia & pleurisy w CC

MS-DRG 194 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$4,197.70
Median
$9,179.03
Max
$9,179.03
Range multiplier
2.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield26$4,197.70$9,294.70$9,454.402.3×
Molina23$4,197.70$9,270.82$25,0596.0×
presbyterian13$6,171.07$6,171.07$9,179.031.5×
Humana23$4,197.70$5,796.89$9,637.982.3×
Aetna23$84.20$4,197.70$9,179.03109.0×
Cigna23$4,197.70$6,356.20$9,179.032.2×
UnitedHealthcare22$4,197.70$6,917.84$9,637.982.3×
amgp community care of nm inc._avg_allowable11$4,197.70$4,197.70$4,197.701.0×
amgp community care of nm inc._max_allowable11$4,197.70$4,197.70$4,197.701.0×
amgp community care of nm inc._min_allowable11$4,197.70$4,197.70$4,197.701.0×
baylor scott and white11$9,179.03$9,179.03$9,179.031.0×
capstar11$9,246.32$9,246.32$9,246.321.0×
insurance management services11$90.00$90.00$90.001.0×
max_allowable_83511$6,844.13$6,844.13$6,844.131.0×
Medicare11$4,197.70$4,197.70$4,197.701.0×
Meritain Health11$4,197.70$4,197.70$4,197.701.0×
min_allowable_83511$11.51$11.51$11.511.0×
Multiplan11$80.00$80.00$80.001.0×
new mexico health connections inc._avg_allowable11$4,197.70$4,197.70$4,197.701.0×
new mexico health connections inc._max_allowable11$4,197.70$4,197.70$4,197.701.0×
new mexico health connections inc._min_allowable11$4,197.70$4,197.70$4,197.701.0×
new mexico health connections_avg_allowable11$4,197.70$4,197.70$4,197.701.0×
new mexico health connections_max_allowable11$4,197.70$4,197.70$4,197.701.0×
new mexico health connections_min_allowable11$4,197.70$4,197.70$4,197.701.0×
presbyterian care services aso_avg_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian care services aso_max_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian care services aso_min_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$4,197.70$4,197.70$4,197.701.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$4,197.70$4,197.70$4,197.701.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$4,197.70$4,197.70$4,197.701.0×
presbyterian health plan centennial care_avg_allowable11$4,197.70$4,197.70$4,197.701.0×
presbyterian health plan centennial care_max_allowable11$4,197.70$4,197.70$4,197.701.0×
presbyterian health plan centennial care_min_allowable11$4,197.70$4,197.70$4,197.701.0×
presbyterian health plan inc not assigned_avg_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc not assigned_max_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc not assigned_min_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc_avg_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc_max_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan inc_min_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan level funded_avg_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan level funded_max_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan level funded_min_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan_avg_allowable11$6,844.13$6,844.13$6,844.131.0×
presbyterian health plan_max_allowable11$6,844.13$6,844.13$6,844.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Covenant Health Hobbs HospitalHobbsNM14$80.00$9,179.03$25,059
Unm Sandoval Regional Medical CenterRio RanchoNM67$17,868$17,868$11.51$4,197.70$350,165

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.