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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in NM

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Hospitals
3
Min
$9,974.46
Median
$12,778
Max
$12,778
Range multiplier
1.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$9,070.35$14,791$14,7911.6×
Cigna23$8,377.62$10,115$12,7781.5×
Aetna23$84.20$8,377.62$12,778151.8×
Molina23$12,660$12,906$34,8842.8×
presbyterian13$9,820.27$9,820.27$12,7781.3×
Humana22$8,377.62$10,897$13,4171.6×
UnitedHealthcare22$8,377.62$10,897$13,4171.6×
amgp community care of nm inc._avg_allowable11$8,377.62$8,377.62$8,377.621.0×
amgp community care of nm inc._max_allowable11$8,377.62$8,377.62$8,377.621.0×
amgp community care of nm inc._min_allowable11$8,377.62$8,377.62$8,377.621.0×
baylor scott and white11$12,778$12,778$12,7781.0×
capstar11$14,714$14,714$14,7141.0×
insurance management services11$90.00$90.00$90.001.0×
max_allowable_83511$27,996$27,996$27,9961.0×
Medicare11$8,377.62$8,377.62$8,377.621.0×
Meritain Health11$8,377.62$8,377.62$8,377.621.0×
min_allowable_83511$27.87$27.87$27.871.0×
Multiplan11$80.00$80.00$80.001.0×
new mexico health connections inc._avg_allowable11$8,377.62$8,377.62$8,377.621.0×
new mexico health connections inc._max_allowable11$8,377.62$8,377.62$8,377.621.0×
new mexico health connections inc._min_allowable11$8,377.62$8,377.62$8,377.621.0×
new mexico health connections_avg_allowable11$8,377.62$8,377.62$8,377.621.0×
new mexico health connections_max_allowable11$8,377.62$8,377.62$8,377.621.0×
new mexico health connections_min_allowable11$8,377.62$8,377.62$8,377.621.0×
presbyterian care services aso_avg_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian care services aso_max_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian care services aso_min_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$8,377.62$8,377.62$8,377.621.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$8,377.62$8,377.62$8,377.621.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$8,377.62$8,377.62$8,377.621.0×
presbyterian health plan centennial care_avg_allowable11$8,377.62$8,377.62$8,377.621.0×
presbyterian health plan centennial care_max_allowable11$8,377.62$8,377.62$8,377.621.0×
presbyterian health plan centennial care_min_allowable11$8,377.62$8,377.62$8,377.621.0×
presbyterian health plan inc not assigned_avg_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc not assigned_max_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc not assigned_min_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc_avg_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc_max_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan inc_min_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan level funded_avg_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan level funded_max_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan level funded_min_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan_avg_allowable11$9,974.46$9,974.46$9,974.461.0×
presbyterian health plan_max_allowable11$9,974.46$9,974.46$9,974.461.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Unm Sandoval Regional Medical CenterRio RanchoNM67$24,168$24,168$27.87$9,974.46$350,165
Covenant Health Hobbs HospitalHobbsNM14$80.00$12,778$34,884
Albuquerque - Amg Specialty HospitalAlbuquerqueNM0$157,762$157,762

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.