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Kidney/UTI w MCC

MS-DRG 689 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$7,089.75
Median
$11,848
Max
$11,848
Range multiplier
1.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$7,089.75$13,266$13,2661.9×
Molina23$7,089.75$11,966$32,3454.6×
presbyterian13$8,808.07$8,808.07$11,8481.3×
Humana23$6,931.26$7,089.75$12,4401.8×
Aetna23$84.2$7,089.75$11,848140.7×
Cigna23$7,089.75$9,072.31$11,8481.7×
UnitedHealthcare22$7,089.75$9,765.07$12,4401.8×
amgp community care of nm inc._avg_allowable11$7,089.75$7,089.75$7,089.751.0×
amgp community care of nm inc._max_allowable11$7,089.75$7,089.75$7,089.751.0×
amgp community care of nm inc._min_allowable11$7,089.75$7,089.75$7,089.751.0×
baylor scott and white11$11,848$11,848$11,8481.0×
capstar11$13,197$13,197$13,1971.0×
insurance management services11$90$90$901.0×
max_allowable_83511$10,104$10,104$10,1041.0×
Medicare11$7,089.75$7,089.75$7,089.751.0×
Meritain Health11$7,089.75$7,089.75$7,089.751.0×
min_allowable_83511$20.5$20.5$20.51.0×
Multiplan11$80$80$801.0×
new mexico health connections inc._avg_allowable11$7,089.75$7,089.75$7,089.751.0×
new mexico health connections inc._max_allowable11$7,089.75$7,089.75$7,089.751.0×
new mexico health connections inc._min_allowable11$7,089.75$7,089.75$7,089.751.0×
new mexico health connections_avg_allowable11$7,089.75$7,089.75$7,089.751.0×
new mexico health connections_max_allowable11$7,089.75$7,089.75$7,089.751.0×
new mexico health connections_min_allowable11$7,089.75$7,089.75$7,089.751.0×
presbyterian care services aso_avg_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian care services aso_max_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian care services aso_min_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$7,089.75$7,089.75$7,089.751.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$7,089.75$7,089.75$7,089.751.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$7,089.75$7,089.75$7,089.751.0×
presbyterian health plan centennial care_avg_allowable11$7,089.75$7,089.75$7,089.751.0×
presbyterian health plan centennial care_max_allowable11$7,089.75$7,089.75$7,089.751.0×
presbyterian health plan centennial care_min_allowable11$7,089.75$7,089.75$7,089.751.0×
presbyterian health plan inc not assigned_avg_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc not assigned_max_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc not assigned_min_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc_avg_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc_max_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan inc_min_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan level funded_avg_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan level funded_max_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan level funded_min_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan_avg_allowable11$7,683.03$7,683.03$7,683.031.0×
presbyterian health plan_max_allowable11$7,683.03$7,683.03$7,683.031.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNM SANDOVAL REGIONAL MEDICAL CENTERRIO RANCHONM67$11,982$11,982$20.5$7,089.75$350,165
COVENANT HEALTH HOBBS HOSPITALHOBBSNM14$80$11,848$32,345

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.