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Simple pneumonia & pleurisy w/o CC/MCC

MS-DRG 195 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$1,361.13
Median
$7,843.04
Max
$7,843.04
Range multiplier
5.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$588.2$7,059.44$8,078.3313.7×
Cigna23$1,361.13$4,827.61$7,843.045.8×
Aetna23$84.2$1,361.13$7,843.0493.1×
Molina23$1,361.13$7,921.47$21,41215.7×
presbyterian13$4,687$4,687$7,843.041.7×
Humana22$1,361.13$4,798.16$8,235.196.1×
UnitedHealthcare22$1,361.13$4,798.16$8,235.196.1×
amgp community care of nm inc._avg_allowable11$1,361.13$1,361.13$1,361.131.0×
amgp community care of nm inc._max_allowable11$1,361.13$1,361.13$1,361.131.0×
amgp community care of nm inc._min_allowable11$1,361.13$1,361.13$1,361.131.0×
baylor scott and white11$7,843.04$7,843.04$7,843.041.0×
capstar11$7,022.69$7,022.69$7,022.691.0×
insurance management services11$90$90$901.0×
max_allowable_83511$3,926.48$3,926.48$3,926.481.0×
Medicare11$1,361.13$1,361.13$1,361.131.0×
Meritain Health11$1,361.13$1,361.13$1,361.131.0×
min_allowable_83511$28$28$281.0×
Multiplan11$80$80$801.0×
new mexico health connections inc._avg_allowable11$1,361.13$1,361.13$1,361.131.0×
new mexico health connections inc._max_allowable11$1,361.13$1,361.13$1,361.131.0×
new mexico health connections inc._min_allowable11$1,361.13$1,361.13$1,361.131.0×
new mexico health connections_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
new mexico health connections_max_allowable11$1,361.13$1,361.13$1,361.131.0×
new mexico health connections_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian care services aso_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian care services aso_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian care services aso_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan centennial care_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan centennial care_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan centennial care_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc not assigned_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc not assigned_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc not assigned_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan inc_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan level funded_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan level funded_max_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan level funded_min_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan_avg_allowable11$1,361.13$1,361.13$1,361.131.0×
presbyterian health plan_max_allowable11$1,361.13$1,361.13$1,361.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COVENANT HEALTH HOBBS HOSPITALHOBBSNM14$80$7,843.04$21,412
UNM SANDOVAL REGIONAL MEDICAL CENTERRIO RANCHONM67$30,556$30,556$28$1,361.13$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.