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Laparoscopic cholecystectomy w/o CDE w MCC

MS-DRG 418 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$12,476
Median
$15,849
Max
$15,849
Range multiplier
1.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$12,476$18,799$18,7991.5×
Cigna23$12,476$12,856$15,8491.3×
Aetna23$84.2$12,476$15,849188.2×
Molina23$12,476$16,008$43,2683.5×
presbyterian13$12,481$12,481$15,8491.3×
Humana22$12,476$14,559$16,6421.3×
UnitedHealthcare22$12,476$14,559$16,6421.3×
amgp community care of nm inc._avg_allowable11$12,476$12,476$12,4761.0×
amgp community care of nm inc._max_allowable11$12,476$12,476$12,4761.0×
amgp community care of nm inc._min_allowable11$12,476$12,476$12,4761.0×
baylor scott and white11$15,849$15,849$15,8491.0×
capstar11$18,701$18,701$18,7011.0×
insurance management services11$90$90$901.0×
max_allowable_83511$15,075$15,075$15,0751.0×
Medicare11$12,476$12,476$12,4761.0×
Meritain Health11$12,476$12,476$12,4761.0×
min_allowable_83511$11,176$11,176$11,1761.0×
Multiplan11$80$80$801.0×
new mexico health connections inc._avg_allowable11$12,476$12,476$12,4761.0×
new mexico health connections inc._max_allowable11$12,476$12,476$12,4761.0×
new mexico health connections inc._min_allowable11$12,476$12,476$12,4761.0×
new mexico health connections_avg_allowable11$12,476$12,476$12,4761.0×
new mexico health connections_max_allowable11$12,476$12,476$12,4761.0×
new mexico health connections_min_allowable11$12,476$12,476$12,4761.0×
presbyterian care services aso_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian care services aso_max_allowable11$12,476$12,476$12,4761.0×
presbyterian care services aso_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan centennial care_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan centennial care_max_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan centennial care_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc not assigned_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc not assigned_max_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc not assigned_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc_max_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan inc_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan level funded_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan level funded_max_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan level funded_min_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan_avg_allowable11$12,476$12,476$12,4761.0×
presbyterian health plan_max_allowable11$12,476$12,476$12,4761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COVENANT HEALTH HOBBS HOSPITALHOBBSNM14$80$15,849$43,268
UNM SANDOVAL REGIONAL MEDICAL CENTERRIO RANCHONM67$25,191$25,191$11,176$12,476$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.