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Major joint replacement w MCC

MS-DRG 469 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$25,953
Median
$31,623
Max
$31,623
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$24,364$37,048$37,0481.5×
Molina23$26,212$31,623$70,8512.7×
presbyterian13$24,598$24,598$25,9531.1×
Humana23$24,850$27,250$31,6231.3×
Aetna23$84.2$25,953$31,623375.6×
Cigna23$25,336$25,953$31,6231.2×
UnitedHealthcare22$27,250$29,436$31,6231.2×
amgp community care of nm inc._avg_allowable11$31,623$31,623$31,6231.0×
amgp community care of nm inc._max_allowable11$31,623$31,623$31,6231.0×
amgp community care of nm inc._min_allowable11$31,623$31,623$31,6231.0×
baylor scott and white11$25,953$25,953$25,9531.0×
capstar11$36,856$36,856$36,8561.0×
insurance management services11$90$90$901.0×
max_allowable_83511$76,507$76,507$76,5071.0×
Medicare11$31,623$31,623$31,6231.0×
Meritain Health11$31,623$31,623$31,6231.0×
min_allowable_83511$27.67$27.67$27.671.0×
Multiplan11$80$80$801.0×
new mexico health connections inc._avg_allowable11$31,623$31,623$31,6231.0×
new mexico health connections inc._max_allowable11$31,623$31,623$31,6231.0×
new mexico health connections inc._min_allowable11$31,623$31,623$31,6231.0×
new mexico health connections_avg_allowable11$31,623$31,623$31,6231.0×
new mexico health connections_max_allowable11$31,623$31,623$31,6231.0×
new mexico health connections_min_allowable11$31,623$31,623$31,6231.0×
presbyterian care services aso_avg_allowable11$20,003$20,003$20,0031.0×
presbyterian care services aso_max_allowable11$20,003$20,003$20,0031.0×
presbyterian care services aso_min_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$31,623$31,623$31,6231.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$31,623$31,623$31,6231.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$31,623$31,623$31,6231.0×
presbyterian health plan centennial care_avg_allowable11$31,623$31,623$31,6231.0×
presbyterian health plan centennial care_max_allowable11$31,623$31,623$31,6231.0×
presbyterian health plan centennial care_min_allowable11$31,623$31,623$31,6231.0×
presbyterian health plan inc not assigned_avg_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc not assigned_max_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc not assigned_min_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc_avg_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc_max_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan inc_min_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan level funded_avg_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan level funded_max_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan level funded_min_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan_avg_allowable11$20,003$20,003$20,0031.0×
presbyterian health plan_max_allowable11$20,003$20,003$20,0031.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNM SANDOVAL REGIONAL MEDICAL CENTERRIO RANCHONM67$72,678$72,678$27.67$31,623$350,165
COVENANT HEALTH HOBBS HOSPITALHOBBSNM14$80$25,953$70,851

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.