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OR procedure for obesity w MCC

MS-DRG 619 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$24,855
Median
$34,968
Max
$34,968
Range multiplier
1.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$25,600$30,904$34,9681.4×
Cigna23$21,134$24,855$34,9681.7×
Aetna23$84.20$24,855$34,968415.3×
Molina23$25,103$34,968$67,8532.7×
presbyterian13$20,518$20,518$24,8551.2×
Humana22$26,097$30,532$34,9681.3×
UnitedHealthcare22$26,097$30,532$34,9681.3×
amgp community care of nm inc._avg_allowable11$34,968$34,968$34,9681.0×
amgp community care of nm inc._max_allowable11$34,968$34,968$34,9681.0×
amgp community care of nm inc._min_allowable11$34,968$34,968$34,9681.0×
baylor scott and white11$24,855$24,855$24,8551.0×
capstar11$30,743$30,743$30,7431.0×
insurance management services11$90.00$90.00$90.001.0×
max_allowable_83511$36,268$36,268$36,2681.0×
Medicare11$34,968$34,968$34,9681.0×
Meritain Health11$34,968$34,968$34,9681.0×
min_allowable_83511$33,667$33,667$33,6671.0×
Multiplan11$80.00$80.00$80.001.0×
new mexico health connections inc._avg_allowable11$34,968$34,968$34,9681.0×
new mexico health connections inc._max_allowable11$34,968$34,968$34,9681.0×
new mexico health connections inc._min_allowable11$34,968$34,968$34,9681.0×
new mexico health connections_avg_allowable11$34,968$34,968$34,9681.0×
new mexico health connections_max_allowable11$34,968$34,968$34,9681.0×
new mexico health connections_min_allowable11$34,968$34,968$34,9681.0×
presbyterian care services aso_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian care services aso_max_allowable11$34,968$34,968$34,9681.0×
presbyterian care services aso_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan centennial care_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan centennial care_max_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan centennial care_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc not assigned_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc not assigned_max_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc not assigned_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc_max_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan inc_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan level funded_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan level funded_max_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan level funded_min_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan_avg_allowable11$34,968$34,968$34,9681.0×
presbyterian health plan_max_allowable11$34,968$34,968$34,9681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Unm Sandoval Regional Medical CenterRio RanchoNM67$79,362$79,362$33,667$34,968$350,165
Covenant Health Hobbs HospitalHobbsNM14$80.00$24,855$67,853

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.