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Hip & femur procedures except major joint w MCC
MS-DRG 480 · negotiated-rate distribution across hospitals in NM
Hospitals
2
Min
$16,074
Median
$25,042
Max
$25,042
Range multiplier
1.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 2 | 7 | $16,074 | $33,336 | $33,336 | 2.1× |
| Molina | 2 | 3 | $16,074 | $25,293 | $68,365 | 4.3× |
| presbyterian | 1 | 3 | $22,133 | $22,133 | $25,042 | 1.1× |
| Humana | 2 | 3 | $15,761 | $16,074 | $26,294 | 1.7× |
| Aetna | 2 | 3 | $84.20 | $16,074 | $25,042 | 297.4× |
| Cigna | 2 | 3 | $16,074 | $22,797 | $25,042 | 1.6× |
| UnitedHealthcare | 2 | 2 | $16,074 | $21,184 | $26,294 | 1.6× |
| amgp community care of nm inc._avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| amgp community care of nm inc._max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| amgp community care of nm inc._min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| baylor scott and white | 1 | 1 | $25,042 | $25,042 | $25,042 | 1.0× |
| capstar | 1 | 1 | $33,163 | $33,163 | $33,163 | 1.0× |
| insurance management services | 1 | 1 | $90.00 | $90.00 | $90.00 | 1.0× |
| max_allowable_835 | 1 | 1 | $19,342 | $19,342 | $19,342 | 1.0× |
| Medicare | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| Meritain Health | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| min_allowable_835 | 1 | 1 | $63.28 | $63.28 | $63.28 | 1.0× |
| Multiplan | 1 | 1 | $80.00 | $80.00 | $80.00 | 1.0× |
| new mexico health connections inc._avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| new mexico health connections inc._max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| new mexico health connections inc._min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| new mexico health connections_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| new mexico health connections_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| new mexico health connections_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian care services aso_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian care services aso_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian care services aso_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan centennial care unm health sciences center network_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan centennial care unm health sciences center network_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan centennial care unm health sciences center network_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan centennial care_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan centennial care_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan centennial care_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc not assigned_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc not assigned_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc not assigned_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc unm health sciences center network_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc unm health sciences center network_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc unm health sciences center network_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan inc_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan level funded unm health sciences center network_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan level funded unm health sciences center network_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan level funded unm health sciences center network_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan level funded_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan level funded_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan level funded_min_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan_avg_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
| presbyterian health plan_max_allowable | 1 | 1 | $16,074 | $16,074 | $16,074 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Covenant Health Hobbs Hospital | Hobbs | NM | 14 | — | — | $80.00 | $25,042 | $68,365 |
| Unm Sandoval Regional Medical Center | Rio Rancho | NM | 67 | $39,189 | $39,189 | $63.28 | $16,074 | $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.