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Major small/large bowel procedures w MCC

MS-DRG 329 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$24,914
Median
$37,726
Max
$37,726
Range multiplier
1.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$24,914$52,047$52,0472.1×
Cigna23$24,914$35,592$37,7261.5×
Aetna23$84.2$24,914$37,726448.0×
Molina23$24,914$38,103$102,9914.1×
presbyterian13$34,556$34,556$37,7261.1×
Humana22$24,914$32,263$39,6121.6×
UnitedHealthcare22$24,914$32,263$39,6121.6×
amgp community care of nm inc._avg_allowable11$35,355$35,355$35,3551.0×
amgp community care of nm inc._max_allowable11$35,355$35,355$35,3551.0×
amgp community care of nm inc._min_allowable11$35,355$35,355$35,3551.0×
baylor scott and white11$37,726$37,726$37,7261.0×
capstar11$51,776$51,776$51,7761.0×
insurance management services11$90$90$901.0×
max_allowable_83511$44,327$44,327$44,3271.0×
Medicare11$24,914$24,914$24,9141.0×
Meritain Health11$24,914$24,914$24,9141.0×
min_allowable_83511$113.91$113.91$113.911.0×
Multiplan11$80$80$801.0×
new mexico health connections inc._avg_allowable11$24,914$24,914$24,9141.0×
new mexico health connections inc._max_allowable11$24,914$24,914$24,9141.0×
new mexico health connections inc._min_allowable11$24,914$24,914$24,9141.0×
new mexico health connections_avg_allowable11$24,914$24,914$24,9141.0×
new mexico health connections_max_allowable11$24,914$24,914$24,9141.0×
new mexico health connections_min_allowable11$24,914$24,914$24,9141.0×
presbyterian care services aso_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian care services aso_max_allowable11$24,914$24,914$24,9141.0×
presbyterian care services aso_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan centennial care_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan centennial care_max_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan centennial care_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc not assigned_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc not assigned_max_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc not assigned_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc_max_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan inc_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan level funded_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan level funded_max_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan level funded_min_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan_avg_allowable11$24,914$24,914$24,9141.0×
presbyterian health plan_max_allowable11$24,914$24,914$24,9141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COVENANT HEALTH HOBBS HOSPITALHOBBSNM14$80$37,726$102,991
UNM SANDOVAL REGIONAL MEDICAL CENTERRIO RANCHONM67$54,874$54,874$113.91$24,914$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.