|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$17,120.10
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$3,425.80 |
| Max. Negotiated Rate |
$17,120.10 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,425.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,830.27
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,425.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,309.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,070.65
|
| Rate for Payer: GEHA Medicare |
$10,070.65
|
| Rate for Payer: Humana ChoiceCare |
$11,077.72
|
| Rate for Payer: Humana Medicare Advantage |
$10,070.65
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$16,918.69
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,309.35
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,070.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,120.10
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,098.91
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,309.35
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,070.65
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,401.03
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,869.24
|
| Rate for Payer: United Healthcare Commercial |
$6,592.89
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,309.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,070.65
|
| Rate for Payer: Zelis Medicare |
$8,560.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,331.89
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$13,174.59
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$3,045.70 |
| Max. Negotiated Rate |
$13,174.59 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,045.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,642.46
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,045.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,638.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,749.76
|
| Rate for Payer: GEHA Medicare |
$7,749.76
|
| Rate for Payer: Humana ChoiceCare |
$8,524.74
|
| Rate for Payer: Humana Medicare Advantage |
$7,749.76
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,019.60
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,638.35
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,749.76
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,174.59
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,849.66
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,638.35
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,749.76
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,082.16
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,594.76
|
| Rate for Payer: United Healthcare Commercial |
$4,750.81
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,638.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,749.76
|
| Rate for Payer: Zelis Medicare |
$6,587.30
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,562.73
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$13,288.54
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$4,613.82 |
| Max. Negotiated Rate |
$13,288.54 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,088.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,705.64
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,088.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12,775.97
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,816.79
|
| Rate for Payer: GEHA Medicare |
$7,816.79
|
| Rate for Payer: Humana ChoiceCare |
$8,598.47
|
| Rate for Payer: Humana Medicare Advantage |
$7,816.79
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,132.21
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12,775.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,816.79
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,288.54
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,943.51
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12,775.97
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,816.79
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,178.01
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,660.45
|
| Rate for Payer: United Healthcare Commercial |
$4,804.01
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12,775.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,816.79
|
| Rate for Payer: Zelis Medicare |
$6,644.27
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,613.82
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$28,993.24
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$10,324.65 |
| Max. Negotiated Rate |
$28,993.24 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$10,324.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,271.04
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$10,324.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$18,488.17
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,054.85
|
| Rate for Payer: GEHA Medicare |
$17,054.85
|
| Rate for Payer: Humana ChoiceCare |
$18,760.33
|
| Rate for Payer: Humana Medicare Advantage |
$17,054.85
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,652.15
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$18,488.17
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,054.85
|
| Rate for Payer: New Mexico Health Connections Medicare |
$28,993.24
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,876.79
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$18,488.17
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,054.85
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,388.44
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,713.75
|
| Rate for Payer: United Healthcare Commercial |
$11,173.89
|
| Rate for Payer: United Healthcare Managed Medicaid |
$18,488.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,054.85
|
| Rate for Payer: Zelis Medicare |
$14,496.62
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,731.52
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$10,486.76
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$2,893.14 |
| Max. Negotiated Rate |
$10,486.76 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,792.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$3,577.77
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,792.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$10,486.76
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$5,559.50
|
| Rate for Payer: GEHA Medicare |
$5,559.50
|
| Rate for Payer: Humana ChoiceCare |
$6,115.45
|
| Rate for Payer: Humana Medicare Advantage |
$5,559.50
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$9,339.96
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$10,486.76
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$5,559.50
|
| Rate for Payer: New Mexico Health Connections Medicare |
$9,451.15
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$7,783.30
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$10,486.76
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$5,559.50
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$7,950.09
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$5,448.31
|
| Rate for Payer: United Healthcare Commercial |
$3,012.39
|
| Rate for Payer: United Healthcare Managed Medicaid |
$10,486.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5,559.50
|
| Rate for Payer: Zelis Medicare |
$4,725.57
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$2,893.14
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$13,798.34
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$3,836.70 |
| Max. Negotiated Rate |
$13,798.34 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,836.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,988.33
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,836.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,034.73
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$8,116.67
|
| Rate for Payer: GEHA Medicare |
$8,116.67
|
| Rate for Payer: Humana ChoiceCare |
$8,928.34
|
| Rate for Payer: Humana Medicare Advantage |
$8,116.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,636.01
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,034.73
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$8,116.67
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,798.34
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,363.34
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,034.73
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$8,116.67
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,606.84
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,954.34
|
| Rate for Payer: United Healthcare Commercial |
$5,042.03
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,034.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,116.67
|
| Rate for Payer: Zelis Medicare |
$6,899.17
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,842.41
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$21,339.66
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$5,569.90 |
| Max. Negotiated Rate |
$21,339.66 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,569.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9,767.79
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,569.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$10,094.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$12,552.74
|
| Rate for Payer: GEHA Medicare |
$12,552.74
|
| Rate for Payer: Humana ChoiceCare |
$13,808.01
|
| Rate for Payer: Humana Medicare Advantage |
$12,552.74
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$21,088.60
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$10,094.42
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$12,552.74
|
| Rate for Payer: New Mexico Health Connections Medicare |
$21,339.66
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$17,573.84
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$10,094.42
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$12,552.74
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$17,950.42
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$12,301.69
|
| Rate for Payer: United Healthcare Commercial |
$8,224.24
|
| Rate for Payer: United Healthcare Managed Medicaid |
$10,094.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12,552.74
|
| Rate for Payer: Zelis Medicare |
$10,669.83
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,898.65
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,171.92
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$2,664.90 |
| Max. Negotiated Rate |
$11,171.92 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,664.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$4,531.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,664.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$4,966.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$6,571.72
|
| Rate for Payer: GEHA Medicare |
$6,571.72
|
| Rate for Payer: Humana ChoiceCare |
$7,228.89
|
| Rate for Payer: Humana Medicare Advantage |
$6,571.72
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$11,040.49
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$4,966.10
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$6,571.72
|
| Rate for Payer: New Mexico Health Connections Medicare |
$11,171.92
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$9,200.41
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$4,966.10
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$6,571.72
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$9,397.56
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$6,440.29
|
| Rate for Payer: United Healthcare Commercial |
$3,815.79
|
| Rate for Payer: United Healthcare Managed Medicaid |
$4,966.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6,571.72
|
| Rate for Payer: Zelis Medicare |
$5,585.96
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$3,664.72
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$26,498.12
|
|
|
Service Code
|
MSDRG 306
|
| Min. Negotiated Rate |
$9,807.97 |
| Max. Negotiated Rate |
$26,498.12 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$13,329.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,128.94
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$13,329.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$23,792.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,587.13
|
| Rate for Payer: GEHA Medicare |
$15,587.13
|
| Rate for Payer: Humana ChoiceCare |
$17,145.84
|
| Rate for Payer: Humana Medicare Advantage |
$15,587.13
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,186.38
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$23,792.57
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,587.13
|
| Rate for Payer: New Mexico Health Connections Medicare |
$26,498.12
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$21,821.98
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$23,792.57
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,587.13
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,289.60
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,275.39
|
| Rate for Payer: United Healthcare Commercial |
$10,212.27
|
| Rate for Payer: United Healthcare Managed Medicaid |
$23,792.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,587.13
|
| Rate for Payer: Zelis Medicare |
$13,249.06
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,807.97
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$31,298.45
|
|
|
Service Code
|
MSDRG 307
|
| Min. Negotiated Rate |
$6,067.92 |
| Max. Negotiated Rate |
$31,298.45 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$17,581.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,503.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$17,581.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$31,298.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9,724.37
|
| Rate for Payer: GEHA Medicare |
$9,724.37
|
| Rate for Payer: Humana ChoiceCare |
$10,696.81
|
| Rate for Payer: Humana Medicare Advantage |
$9,724.37
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$16,336.94
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$31,298.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9,724.37
|
| Rate for Payer: New Mexico Health Connections Medicare |
$16,531.43
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$13,614.12
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$31,298.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9,724.37
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$13,905.85
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,529.88
|
| Rate for Payer: United Healthcare Commercial |
$6,318.05
|
| Rate for Payer: United Healthcare Managed Medicaid |
$31,298.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,724.37
|
| Rate for Payer: Zelis Medicare |
$8,265.71
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,067.92
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
|
Facility
|
IP
|
$125,058.12
|
|
|
Service Code
|
MSDRG 275
|
| Min. Negotiated Rate |
$41,657.00 |
| Max. Negotiated Rate |
$125,058.12 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$41,657.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$57,242.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$41,657.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$73,800.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$73,563.60
|
| Rate for Payer: GEHA Medicare |
$73,563.60
|
| Rate for Payer: Humana ChoiceCare |
$80,919.96
|
| Rate for Payer: Humana Medicare Advantage |
$73,563.60
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$123,586.85
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$73,800.42
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$73,563.60
|
| Rate for Payer: New Mexico Health Connections Medicare |
$125,058.12
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$102,989.04
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$73,800.42
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$73,563.60
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$105,195.95
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$72,092.33
|
| Rate for Payer: United Healthcare Commercial |
$48,196.94
|
| Rate for Payer: United Healthcare Managed Medicaid |
$73,800.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$73,563.60
|
| Rate for Payer: Zelis Medicare |
$62,529.06
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$46,288.85
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$109,616.56
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$33,145.35 |
| Max. Negotiated Rate |
$109,616.56 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$33,145.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$50,174.64
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$33,145.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$58,774.46
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$64,480.33
|
| Rate for Payer: GEHA Medicare |
$64,480.33
|
| Rate for Payer: Humana ChoiceCare |
$70,928.36
|
| Rate for Payer: Humana Medicare Advantage |
$64,480.33
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$108,326.95
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$58,774.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$64,480.33
|
| Rate for Payer: New Mexico Health Connections Medicare |
$109,616.56
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$90,272.46
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$58,774.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$64,480.33
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$92,206.87
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$63,190.72
|
| Rate for Payer: United Healthcare Commercial |
$42,245.81
|
| Rate for Payer: United Healthcare Managed Medicaid |
$58,774.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$64,480.33
|
| Rate for Payer: Zelis Medicare |
$54,808.28
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$40,573.32
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$82,320.34
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$24,029.60 |
| Max. Negotiated Rate |
$82,320.34 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$24,029.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$37,680.39
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$24,029.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$42,682.06
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$48,423.73
|
| Rate for Payer: GEHA Medicare |
$48,423.73
|
| Rate for Payer: Humana ChoiceCare |
$53,266.10
|
| Rate for Payer: Humana Medicare Advantage |
$48,423.73
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$81,351.87
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$42,682.06
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$48,423.73
|
| Rate for Payer: New Mexico Health Connections Medicare |
$82,320.34
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$67,793.22
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$42,682.06
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$48,423.73
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$69,245.93
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$47,455.26
|
| Rate for Payer: United Healthcare Commercial |
$31,725.96
|
| Rate for Payer: United Healthcare Managed Medicaid |
$42,682.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,423.73
|
| Rate for Payer: Zelis Medicare |
$41,160.17
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$30,469.94
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$49,646.32
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$11,696.65 |
| Max. Negotiated Rate |
$49,646.32 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,696.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$22,724.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,696.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$20,910.21
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$29,203.72
|
| Rate for Payer: GEHA Medicare |
$29,203.72
|
| Rate for Payer: Humana ChoiceCare |
$32,124.09
|
| Rate for Payer: Humana Medicare Advantage |
$29,203.72
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$49,062.25
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$20,910.21
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$29,203.72
|
| Rate for Payer: New Mexico Health Connections Medicare |
$49,646.32
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$40,885.21
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$20,910.21
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$29,203.72
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$41,761.32
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$28,619.65
|
| Rate for Payer: United Healthcare Commercial |
$19,133.51
|
| Rate for Payer: United Healthcare Managed Medicaid |
$20,910.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,203.72
|
| Rate for Payer: Zelis Medicare |
$24,823.16
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$18,376.03
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$31,104.41
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$9,983.40 |
| Max. Negotiated Rate |
$31,104.41 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$9,983.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,237.37
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$9,983.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$17,885.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,296.71
|
| Rate for Payer: GEHA Medicare |
$18,296.71
|
| Rate for Payer: Humana ChoiceCare |
$20,126.38
|
| Rate for Payer: Humana Medicare Advantage |
$18,296.71
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$30,738.47
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$17,885.75
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,296.71
|
| Rate for Payer: New Mexico Health Connections Medicare |
$31,104.41
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25,615.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$17,885.75
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,296.71
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,164.30
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,930.78
|
| Rate for Payer: United Healthcare Commercial |
$11,987.51
|
| Rate for Payer: United Healthcare Managed Medicaid |
$17,885.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,296.71
|
| Rate for Payer: Zelis Medicare |
$15,552.20
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,512.93
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$33,580.07
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$7,414.40 |
| Max. Negotiated Rate |
$33,580.07 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,414.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$15,370.56
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,414.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$13,350.59
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$19,752.98
|
| Rate for Payer: GEHA Medicare |
$19,752.98
|
| Rate for Payer: Humana ChoiceCare |
$21,728.28
|
| Rate for Payer: Humana Medicare Advantage |
$19,752.98
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$33,185.01
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$13,350.59
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$19,752.98
|
| Rate for Payer: New Mexico Health Connections Medicare |
$33,580.07
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$27,654.17
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$13,350.59
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$19,752.98
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$28,246.76
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$19,357.92
|
| Rate for Payer: United Healthcare Commercial |
$12,941.63
|
| Rate for Payer: United Healthcare Managed Medicaid |
$13,350.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,752.98
|
| Rate for Payer: Zelis Medicare |
$16,790.03
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$12,429.28
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$60,276.36
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$12,143.95 |
| Max. Negotiated Rate |
$60,276.36 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$12,143.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$27,590.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$12,143.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$21,699.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$35,456.68
|
| Rate for Payer: GEHA Medicare |
$35,456.68
|
| Rate for Payer: Humana ChoiceCare |
$39,002.35
|
| Rate for Payer: Humana Medicare Advantage |
$35,456.68
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$59,567.22
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$21,699.85
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$35,456.68
|
| Rate for Payer: New Mexico Health Connections Medicare |
$60,276.36
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$49,639.35
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$21,699.85
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$35,456.68
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$50,703.05
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$34,747.55
|
| Rate for Payer: United Healthcare Commercial |
$23,230.28
|
| Rate for Payer: United Healthcare Managed Medicaid |
$21,699.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,456.68
|
| Rate for Payer: Zelis Medicare |
$30,138.18
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$22,310.61
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$26,859.10
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$6,228.60 |
| Max. Negotiated Rate |
$26,859.10 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,228.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,294.18
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,228.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$11,257.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,799.47
|
| Rate for Payer: GEHA Medicare |
$15,799.47
|
| Rate for Payer: Humana ChoiceCare |
$17,379.42
|
| Rate for Payer: Humana Medicare Advantage |
$15,799.47
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,543.11
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$11,257.25
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,799.47
|
| Rate for Payer: New Mexico Health Connections Medicare |
$26,859.10
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$22,119.26
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$11,257.25
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,799.47
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,593.24
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,483.48
|
| Rate for Payer: United Healthcare Commercial |
$10,351.40
|
| Rate for Payer: United Healthcare Managed Medicaid |
$11,257.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,799.47
|
| Rate for Payer: Zelis Medicare |
$13,429.55
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,941.59
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$114,279.44
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$36,374.45 |
| Max. Negotiated Rate |
$114,279.44 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$36,374.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$52,308.99
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$36,374.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$64,474.92
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$67,223.20
|
| Rate for Payer: GEHA Medicare |
$67,223.20
|
| Rate for Payer: Humana ChoiceCare |
$73,945.52
|
| Rate for Payer: Humana Medicare Advantage |
$67,223.20
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$112,934.98
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$64,474.92
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$67,223.20
|
| Rate for Payer: New Mexico Health Connections Medicare |
$114,279.44
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$94,112.48
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$64,474.92
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$67,223.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$96,129.18
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$65,878.74
|
| Rate for Payer: United Healthcare Commercial |
$44,042.88
|
| Rate for Payer: United Healthcare Managed Medicaid |
$64,474.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67,223.20
|
| Rate for Payer: Zelis Medicare |
$57,139.72
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$42,299.25
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$170,786.54
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$51,296.00 |
| Max. Negotiated Rate |
$170,786.54 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$51,296.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$78,173.91
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$51,296.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$90,816.53
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$100,462.67
|
| Rate for Payer: GEHA Medicare |
$100,462.67
|
| Rate for Payer: Humana ChoiceCare |
$110,508.94
|
| Rate for Payer: Humana Medicare Advantage |
$100,462.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$168,777.29
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$90,816.53
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$100,462.67
|
| Rate for Payer: New Mexico Health Connections Medicare |
$170,786.54
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$140,647.74
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$90,816.53
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$100,462.67
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$143,661.62
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$98,453.42
|
| Rate for Payer: United Healthcare Commercial |
$65,820.50
|
| Rate for Payer: United Healthcare Managed Medicaid |
$90,816.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$100,462.67
|
| Rate for Payer: Zelis Medicare |
$85,393.27
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$63,214.71
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$105,279.21
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$27,560.05 |
| Max. Negotiated Rate |
$105,279.21 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$27,560.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$48,189.33
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$27,560.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$48,914.51
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$61,928.95
|
| Rate for Payer: GEHA Medicare |
$61,928.95
|
| Rate for Payer: Humana ChoiceCare |
$68,121.85
|
| Rate for Payer: Humana Medicare Advantage |
$61,928.95
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$104,040.64
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$48,914.51
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$61,928.95
|
| Rate for Payer: New Mexico Health Connections Medicare |
$105,279.21
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$86,700.53
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$48,914.51
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$61,928.95
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$88,558.40
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$60,690.37
|
| Rate for Payer: United Healthcare Commercial |
$40,574.23
|
| Rate for Payer: United Healthcare Managed Medicaid |
$48,914.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$61,928.95
|
| Rate for Payer: Zelis Medicare |
$52,639.61
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$38,967.92
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$93,730.77
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$27,894.65 |
| Max. Negotiated Rate |
$93,730.77 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$27,894.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$42,903.27
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$27,894.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$49,505.19
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$55,135.75
|
| Rate for Payer: GEHA Medicare |
$55,135.75
|
| Rate for Payer: Humana ChoiceCare |
$60,649.32
|
| Rate for Payer: Humana Medicare Advantage |
$55,135.75
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$92,628.06
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$49,505.19
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$55,135.75
|
| Rate for Payer: New Mexico Health Connections Medicare |
$93,730.77
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$77,190.05
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$49,505.19
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$55,135.75
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$78,844.12
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$54,033.04
|
| Rate for Payer: United Healthcare Commercial |
$36,123.49
|
| Rate for Payer: United Healthcare Managed Medicaid |
$49,505.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$55,135.75
|
| Rate for Payer: Zelis Medicare |
$46,865.39
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$34,693.39
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$136,923.32
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$38,468.50 |
| Max. Negotiated Rate |
$136,923.32 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$38,468.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$62,673.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$38,468.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$68,171.63
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$80,543.13
|
| Rate for Payer: GEHA Medicare |
$80,543.13
|
| Rate for Payer: Humana ChoiceCare |
$88,597.44
|
| Rate for Payer: Humana Medicare Advantage |
$80,543.13
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$135,312.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$68,171.63
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$80,543.13
|
| Rate for Payer: New Mexico Health Connections Medicare |
$136,923.32
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$112,760.38
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$68,171.63
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$80,543.13
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$115,176.68
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$78,932.27
|
| Rate for Payer: United Healthcare Commercial |
$52,769.75
|
| Rate for Payer: United Healthcare Managed Medicaid |
$68,171.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$80,543.13
|
| Rate for Payer: Zelis Medicare |
$68,461.66
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$50,680.62
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$81,270.96
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$20,982.85 |
| Max. Negotiated Rate |
$81,270.96 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$20,982.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$37,200.06
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$20,982.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$37,303.51
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$47,806.45
|
| Rate for Payer: GEHA Medicare |
$47,806.45
|
| Rate for Payer: Humana ChoiceCare |
$52,587.10
|
| Rate for Payer: Humana Medicare Advantage |
$47,806.45
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$80,314.84
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$37,303.51
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$47,806.45
|
| Rate for Payer: New Mexico Health Connections Medicare |
$81,270.96
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$66,929.03
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$37,303.51
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$47,806.45
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$68,363.22
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$46,850.32
|
| Rate for Payer: United Healthcare Commercial |
$31,321.53
|
| Rate for Payer: United Healthcare Managed Medicaid |
$37,303.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,806.45
|
| Rate for Payer: Zelis Medicare |
$40,635.48
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$30,081.53
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC
|
Facility
|
IP
|
$40,255.03
|
|
|
Service Code
|
MSDRG 035
|
| Min. Negotiated Rate |
$11,722.90 |
| Max. Negotiated Rate |
$40,255.03 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,722.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$18,425.88
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,722.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$20,956.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$23,679.43
|
| Rate for Payer: GEHA Medicare |
$23,679.43
|
| Rate for Payer: Humana ChoiceCare |
$26,047.37
|
| Rate for Payer: Humana Medicare Advantage |
$23,679.43
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$39,781.44
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$20,956.55
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$23,679.43
|
| Rate for Payer: New Mexico Health Connections Medicare |
$40,255.03
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$33,151.20
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$20,956.55
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$23,679.43
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$33,861.58
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$23,205.84
|
| Rate for Payer: United Healthcare Commercial |
$15,514.14
|
| Rate for Payer: United Healthcare Managed Medicaid |
$20,956.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,679.43
|
| Rate for Payer: Zelis Medicare |
$20,127.52
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$14,899.94
|
|
