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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$15,815
Median
$18,883
Max
$18,883
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$15,815$23,519$33,4322.1×
Molina23$19,072$20,142$51,5522.7×
presbyterian13$15,615$15,615$18,8831.2×
Humana23$12,210$15,815$19,8281.6×
Aetna23$84.20$15,815$18,883224.3×
Cigna23$15,815$16,084$18,8831.2×
UnitedHealthcare22$15,815$17,821$19,8281.3×
amgp community care of nm inc._avg_allowable11$15,815$15,815$15,8151.0×
amgp community care of nm inc._max_allowable11$15,815$15,815$15,8151.0×
amgp community care of nm inc._min_allowable11$15,815$15,815$15,8151.0×
baylor scott and white11$18,883$18,883$18,8831.0×
capstar11$23,397$23,397$23,3971.0×
insurance management services11$90.00$90.00$90.001.0×
max_allowable_83511$47,108$47,108$47,1081.0×
Medicare11$15,815$15,815$15,8151.0×
Meritain Health11$15,815$15,815$15,8151.0×
min_allowable_83511$41.28$41.28$41.281.0×
Multiplan11$80.00$80.00$80.001.0×
new mexico health connections inc._avg_allowable11$15,815$15,815$15,8151.0×
new mexico health connections inc._max_allowable11$15,815$15,815$15,8151.0×
new mexico health connections inc._min_allowable11$15,815$15,815$15,8151.0×
new mexico health connections_avg_allowable11$15,815$15,815$15,8151.0×
new mexico health connections_max_allowable11$15,815$15,815$15,8151.0×
new mexico health connections_min_allowable11$15,815$15,815$15,8151.0×
presbyterian care services aso_avg_allowable11$13,351$13,351$13,3511.0×
presbyterian care services aso_max_allowable11$13,351$13,351$13,3511.0×
presbyterian care services aso_min_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$15,815$15,815$15,8151.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$15,815$15,815$15,8151.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$15,815$15,815$15,8151.0×
presbyterian health plan centennial care_avg_allowable11$15,815$15,815$15,8151.0×
presbyterian health plan centennial care_max_allowable11$15,815$15,815$15,8151.0×
presbyterian health plan centennial care_min_allowable11$15,815$15,815$15,8151.0×
presbyterian health plan inc not assigned_avg_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc not assigned_max_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc not assigned_min_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc_avg_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc_max_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan inc_min_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan level funded_avg_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan level funded_max_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan level funded_min_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan_avg_allowable11$13,351$13,351$13,3511.0×
presbyterian health plan_max_allowable11$13,351$13,351$13,3511.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Covenant Health Hobbs HospitalHobbsNM14$80.00$18,883$51,552
Unm Sandoval Regional Medical CenterRio RanchoNM67$39,724$39,724$41.28$15,815$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.