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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in NM

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Hospitals
7
Min
$197.1
Median
$373.5
Max
$390.6
Range multiplier
2.0×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
First Health57$366.3$373.5$390.61.1×
benefit management [1175]66$109.5$205.5$2172.0×
northamerica administrators [1725]66$197.1$369.9$390.62.0×
Multiplan66$197.1$369.9$390.62.0×
mutual of omaha [1685]66$197.1$369.9$390.62.0×
national telephone cooperative [1700]66$197.1$369.9$390.62.0×
boon-chapman [2375]66$197.1$369.9$390.62.0×
zelis [2385]66$109.5$205.5$2172.0×
umr - ardent employee [2036]66$69.86$103.83$208.13.0×
coresource [1315]66$197.1$369.9$390.62.0×
Emblem Health66$197.1$369.9$390.62.0×
employee benefit management services [2445]66$197.1$369.9$390.62.0×
trustmark [2030]66$197.1$369.9$390.62.0×
the health plan [2915]66$44.24$82.99$83.831.9×
healthcost solutions [2415]66$197.1$369.9$390.62.0×
american medical security [2190]66$197.1$369.9$390.62.0×
pan american life insurance co [1770]66$197.1$369.9$390.62.0×
phcs [1780]66$197.1$369.9$390.62.0×
healthscope benefits [2290]55$97.48$103.83$208.12.1×
Aetna55$197.1$366.3$373.51.9×
allied benefit systems inc [1030]55$197.1$366.3$373.51.9×
allied national global care [1035]55$197.1$366.3$373.51.9×
administrative concepts [1005]55$197.1$366.3$373.51.9×
magellan behavioral commercial [2895]55$43.8$203.5$207.54.7×
presbyterian health plan [1830]55$43.8$203.5$207.54.7×
healthsmart [1505]24$373.5$388.28$403.621.1×
Kaiser Permanente33$197.1$373.5$390.62.0×
Health Net22$373.5$382.05$390.61.0×
fmh benefit services [1390]22$373.5$382.05$390.61.0×
caprock health plans [1200]11$142.35$142.35$142.351.0×
Medicare11$109.5$109.5$109.51.0×
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$130.2$83.76$390.6$403.62
LOVELACE WOMENS HOSPITALALBUQUERQUENM29$415$124.5$83.83$373.5$385.95
LOVELACE WESTSIDE HOSPITALALBUQUERQUENM25$415$124.5$83.83$373.5$373.5
LOVELACE MEDICAL CENTER- DOWNTOWNALBUQUERQUENM25$407$122.1$82.21$366.3$366.3
HEART HOSPITAL OF NEW MEXICOALBUQUERQUENM25$407$122.1$82.21$366.3$366.3
LOVELACE REGIONAL HOSPITAL-ROSWELLROSWELLNM28$219$65.7$43.8$197.1$197.1
GUADALUPE COUNTY HOSPITALSANTA ROSANM0$95$76

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.