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CPT 81003 · negotiated-rate distribution across hospitals in NM

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Hospitals
7
Min
$23.4
Median
$72.9
Max
$76.5
Range multiplier
3.3×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
First Health57$71.1$72.9$76.51.1×
benefit management [1175]66$13$40$42.53.3×
northamerica administrators [1725]66$23.4$72$76.53.3×
Multiplan66$23.4$72$76.53.3×
mutual of omaha [1685]66$23.4$72$76.53.3×
national telephone cooperative [1700]66$23.4$72$76.53.3×
boon-chapman [2375]66$23.4$72$76.53.3×
zelis [2385]66$13$40$42.53.3×
umr - ardent employee [2036]66$8.29$20.15$40.764.9×
coresource [1315]66$23.4$72$76.53.3×
Emblem Health66$23.4$72$76.53.3×
employee benefit management services [2445]66$23.4$72$76.53.3×
trustmark [2030]66$23.4$72$76.53.3×
the health plan [2915]66$5.25$16.16$16.413.1×
healthcost solutions [2415]66$23.4$72$76.53.3×
american medical security [2190]66$23.4$72$76.53.3×
pan american life insurance co [1770]66$23.4$72$76.53.3×
phcs [1780]66$23.4$72$76.53.3×
healthscope benefits [2290]55$19.03$20.15$40.762.1×
Aetna55$23.4$71.1$72.93.1×
allied benefit systems inc [1030]55$23.4$71.1$72.93.1×
allied national global care [1035]55$23.4$71.1$72.93.1×
administrative concepts [1005]55$23.4$71.1$72.93.1×
magellan behavioral commercial [2895]55$5.2$39.5$40.57.8×
presbyterian health plan [1830]55$5.2$39.5$40.57.8×
healthsmart [1505]24$72.9$75.92$79.051.1×
Kaiser Permanente33$23.4$72.9$76.53.3×
Health Net22$72.9$74.7$76.51.0×
fmh benefit services [1390]22$72.9$74.7$76.51.0×
caprock health plans [1200]11$16.9$16.9$16.91.0×
Medicare11$13$13$131.0×
Cigna11$17.85$17.85$17.851.0×
samba health [2305]11$17.85$17.85$17.851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LOVELACE REHABILITATION HOSPITALALBUQUERQUENM23$85$25.5$16.41$76.5$79.05
LOVELACE WOMENS HOSPITALALBUQUERQUENM29$81$24.3$16.36$72.9$75.33
LOVELACE WESTSIDE HOSPITALALBUQUERQUENM25$81$24.3$16.36$72.9$72.9
LOVELACE MEDICAL CENTER- DOWNTOWNALBUQUERQUENM25$79$23.7$15.96$71.1$71.1
HEART HOSPITAL OF NEW MEXICOALBUQUERQUENM25$79$23.7$15.96$71.1$71.1
LOVELACE REGIONAL HOSPITAL-ROSWELLROSWELLNM28$26$7.8$5.2$23.4$23.4
GUADALUPE COUNTY HOSPITALSANTA ROSANM0$33$26.4

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.