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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in NM

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Hospitals
7
Min
$197.10
Median
$373.50
Max
$390.60
Range multiplier
2.0×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
First Health57$366.30$373.50$390.601.1×
benefit management [1175]66$109.50$205.50$217.002.0×
northamerica administrators [1725]66$197.10$369.90$390.602.0×
Multiplan66$197.10$369.90$390.602.0×
mutual of omaha [1685]66$197.10$369.90$390.602.0×
national telephone cooperative [1700]66$197.10$369.90$390.602.0×
boon-chapman [2375]66$197.10$369.90$390.602.0×
zelis [2385]66$109.50$205.50$217.002.0×
umr - ardent employee [2036]66$69.86$103.83$208.103.0×
coresource [1315]66$197.10$369.90$390.602.0×
Emblem Health66$197.10$369.90$390.602.0×
employee benefit management services [2445]66$197.10$369.90$390.602.0×
trustmark [2030]66$197.10$369.90$390.602.0×
the health plan [2915]66$44.24$82.99$83.831.9×
healthcost solutions [2415]66$197.10$369.90$390.602.0×
american medical security [2190]66$197.10$369.90$390.602.0×
pan american life insurance co [1770]66$197.10$369.90$390.602.0×
phcs [1780]66$197.10$369.90$390.602.0×
healthscope benefits [2290]55$97.48$103.83$208.102.1×
Aetna55$197.10$366.30$373.501.9×
allied benefit systems inc [1030]55$197.10$366.30$373.501.9×
allied national global care [1035]55$197.10$366.30$373.501.9×
administrative concepts [1005]55$197.10$366.30$373.501.9×
magellan behavioral commercial [2895]55$43.80$203.50$207.504.7×
presbyterian health plan [1830]55$43.80$203.50$207.504.7×
healthsmart [1505]24$373.50$388.28$403.621.1×
Kaiser Permanente33$197.10$373.50$390.602.0×
Health Net22$373.50$382.05$390.601.0×
fmh benefit services [1390]22$373.50$382.05$390.601.0×
caprock health plans [1200]11$142.35$142.35$142.351.0×
Medicare11$109.50$109.50$109.501.0×
Cigna11$150.34$150.34$150.341.0×
samba health [2305]11$150.34$150.34$150.341.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Lovelace Rehabilitation HospitalAlbuquerqueNM23$434.00$130.20$83.76$390.60$403.62
Lovelace Womens HospitalAlbuquerqueNM29$415.00$124.50$83.83$373.50$385.95
Lovelace Westside HospitalAlbuquerqueNM25$415.00$124.50$83.83$373.50$373.50
Lovelace Medical Center- DowntownAlbuquerqueNM25$407.00$122.10$82.21$366.30$366.30
Heart Hospital Of New MexicoAlbuquerqueNM25$407.00$122.10$82.21$366.30$366.30
Lovelace Regional Hospital-RoswellRoswellNM28$219.00$65.70$43.80$197.10$197.10
Guadalupe County HospitalSanta RosaNM0$95.00$76.00

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.