Rio Rancho, NM, 87144
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
Explore this hospital across cost reports, quality ratings, and non-profit filings.
vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 67 | $8,787.15 | $8,787.15 | $19.11 | $289.66 | 0.02× | $350,165 |
| inpatient | |||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 67 | $21,679 | $21,679 | $1.75 | $11,771 | 0.76× | $350,165 |
| COPD w MCC | MS-DRG | 190 | 67 | $22,424 | $22,424 | $22.13 | $7,513.78 | 0.67× | $350,165 |
| COPD w CC | MS-DRG | 191 | 67 | $19,707 | $19,707 | $18.49 | $3,439.79 | 0.39× | $350,165 |
| COPD w/o CC/MCC | MS-DRG | 192 | 67 | $9,816.5 | $9,816.5 | $34.38 | $838.23 | 0.12× | $350,165 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 67 | $17,868 | $17,868 | $11.51 | $4,197.7 | 0.50× | $350,165 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 67 | $30,556 | $30,556 | $28 | $1,361.13 | 0.20× | $350,165 |
| AMI discharged alive w MCC | MS-DRG | 280 | 67 | $22,838 | $22,838 | $16.08 | $8,402.9 | 0.54× | $350,165 |
| AMI discharged alive w CC | MS-DRG | 281 | 67 | $14,524 | $14,524 | $6,657.99 | $6,657.99 | 0.69× | $350,165 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 67 | $12,270 | $12,270 | $8.52 | $3,696.13 | 0.47× | $350,165 |
| Heart failure & shock w MCC | MS-DRG | 291 | 67 | $24,168 | $24,168 | $27.87 | $9,974.46 | 0.78× | $350,165 |
| Heart failure & shock w CC | MS-DRG | 292 | 67 | $14,209 | $14,209 | $20.83 | $4,327.95 | 0.48× | $350,165 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 67 | $16,876 | $16,876 | $15.19 | $934.02 | 0.15× | $350,165 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 67 | $18,649 | $18,649 | $500 | $6,077.21 | 0.50× | $350,165 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 67 | $16,811 | $16,811 | $17.56 | $3,773.32 | 0.49× | $350,165 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 67 | $13,220 | $13,220 | $3.53 | $539.71 | 0.09× | $350,165 |
| GI hemorrhage w CC | MS-DRG | 378 | 67 | $14,174 | $14,174 | $140.35 | $5,425.77 | 0.54× | $350,165 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 67 | $10,136 | $10,136 | $20.39 | $844.34 | 0.12× | $350,165 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 67 | $12,242 | $12,242 | $5.03 | $1,081.66 | 0.13× | $350,165 |
| Kidney/UTI w MCC | MS-DRG | 689 | 67 | $11,982 | $11,982 | $20.5 | $7,089.75 | 0.61× | $350,165 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 67 | $10,128 | $10,128 | $9.19 | $1,804.09 | 0.22× | $350,165 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 67 | $32,304 | $32,304 | $28.68 | $10,887 | 0.58× | $350,165 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 67 | $18,413 | $18,413 | $12.7 | $5,350.81 | 0.52× | $350,165 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 67 | $54,874 | $54,874 | $113.91 | $24,914 | 0.58× | $350,165 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 67 | $55,067 | $55,067 | $58.65 | $18,073 | 0.78× | $350,165 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 67 | $29,464 | $29,464 | $34.99 | $9,337.45 | 0.57× | $350,165 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 67 | $25,191 | $25,191 | $11,176 | $12,476 | 0.76× | $350,165 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 67 | $26,603 | $26,603 | $5,234.52 | $9,948.45 | 0.74× | $350,165 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 67 | $32,559 | $32,559 | $15,192 | $15,192 | 0.47× | $350,165 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $350,165 | $350,165 | 10.4× | $350,165 |
| Major joint replacement w MCC | MS-DRG | 469 | 67 | $72,678 | $72,678 | $27.67 | $31,623 | 1.1× | $350,165 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 67 | $35,224 | $35,224 | $38.83 | $11,168 | 0.59× | $350,165 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 67 | $39,189 | $39,189 | $63.28 | $16,074 | 0.57× | $350,165 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 67 | $39,724 | $39,724 | $41.28 | $15,815 | 0.78× | $350,165 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 67 | $26,457 | $26,457 | $10,481 | $10,655 | 0.67× | $350,165 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 67 | $79,362 | $79,362 | $33,667 | $34,968 | 1.3× | $350,165 |
| OR procedure for obesity w CC | MS-DRG | 620 | 67 | $39,067 | $39,067 | $40.99 | $11,081 | 0.68× | $350,165 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 67 | $38,433 | $38,433 | $32.56 | $12,365 | 0.82× | $350,165 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 67 | $19,391 | $19,391 | $8,589.18 | $8,589.18 | 0.70× | $350,165 |
| Payer | Codes covered | Median rate |
|---|---|---|
| max_allowable_835 | 39 | $14,707 |
| triwest aso unm health sciences center network_min_allowable | 39 | $350,165 |
| triwest aso unm health sciences center network_max_allowable | 39 | $350,165 |
| amerigroup iowa inc._max_allowable | 38 | $8,077.29 |
| amgp community care of nm inc. new mexico medicare_max_allowable | 38 | $8,077.29 |
| amgp community care of nm inc. new mexico medicare_min_allowable | 38 | $8,077.29 |
| amgp community care of nm inc. new mexico medicare_avg_allowable | 38 | $8,077.29 |
| amgp community care of nm inc._max_allowable | 38 | $8,077.29 |
| amgp community care of nm inc._min_allowable | 38 | $8,077.29 |
| Blue Cross Blue Shield | 38 | $9,070.35 |
| Cigna | 38 | $7,733.69 |
| Humana | 38 | $7,444.7 |
| presbyterian health plan centennial care unm health sciences center network_avg_allowable | 38 | $7,733.69 |
| Medicare | 38 | $7,733.69 |
| min_allowable_835 | 38 | $28.34 |
| Meritain Health | 38 | $7,733.69 |
| Molina | 38 | $8,825.8 |
| new mexico health connections inc._avg_allowable | 38 | $7,733.69 |
| new mexico health connections inc._max_allowable | 38 | $7,733.69 |
| new mexico health connections inc._min_allowable | 38 | $7,733.69 |
| new mexico health connections_avg_allowable | 38 | $7,733.69 |
| new mexico health connections_max_allowable | 38 | $7,733.69 |
| new mexico health connections_min_allowable | 38 | $7,733.69 |
| presbyterian care services aso_avg_allowable | 38 | $7,598.41 |
| presbyterian care services aso_max_allowable | 38 | $7,598.41 |
| presbyterian care services aso_min_allowable | 38 | $7,598.41 |
| amgp community care of nm inc._avg_allowable | 38 | $8,077.29 |
| presbyterian health plan centennial care unm health sciences center network_max_allowable | 38 | $7,733.69 |
| presbyterian health plan centennial care unm health sciences center network_min_allowable | 38 | $7,733.69 |
| amerigroup iowa inc._min_allowable | 38 | $8,077.29 |
