|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$12,347.81
|
|
|
Service Code
|
MSDRG 759
|
| Min. Negotiated Rate |
$2,205.00 |
| Max. Negotiated Rate |
$12,347.81 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,205.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,184.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,205.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$4,154.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,263.42
|
| Rate for Payer: GEHA Medicare |
$7,263.42
|
| Rate for Payer: Humana ChoiceCare |
$7,989.76
|
| Rate for Payer: Humana Medicare Advantage |
$7,263.42
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$12,202.55
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$4,154.22
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,263.42
|
| Rate for Payer: New Mexico Health Connections Medicare |
$12,347.81
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,168.79
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$4,154.22
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,263.42
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$10,386.69
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,118.15
|
| Rate for Payer: United Healthcare Commercial |
$4,364.80
|
| Rate for Payer: United Healthcare Managed Medicaid |
$4,154.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,263.42
|
| Rate for Payer: Zelis Medicare |
$6,173.91
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,192.00
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$35,358.50
|
|
|
Service Code
|
MSDRG 854
|
| Min. Negotiated Rate |
$12,363.75 |
| Max. Negotiated Rate |
$35,358.50 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$12,363.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$16,184.61
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$12,363.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$22,087.87
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$20,799.12
|
| Rate for Payer: GEHA Medicare |
$20,799.12
|
| Rate for Payer: Humana ChoiceCare |
$22,879.03
|
| Rate for Payer: Humana Medicare Advantage |
$20,799.12
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$34,942.52
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$22,087.87
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$20,799.12
|
| Rate for Payer: New Mexico Health Connections Medicare |
$35,358.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$29,118.77
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$22,087.87
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$20,799.12
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$29,742.74
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$20,383.14
|
| Rate for Payer: United Healthcare Commercial |
$13,627.04
|
| Rate for Payer: United Healthcare Managed Medicaid |
$22,087.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,799.12
|
| Rate for Payer: Zelis Medicare |
$17,679.25
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$13,087.56
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$88,503.36
|
|
|
Service Code
|
MSDRG 853
|
| Min. Negotiated Rate |
$23,451.05 |
| Max. Negotiated Rate |
$88,503.36 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$23,451.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$40,510.53
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$23,451.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$41,660.73
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$52,060.80
|
| Rate for Payer: GEHA Medicare |
$52,060.80
|
| Rate for Payer: Humana ChoiceCare |
$57,266.88
|
| Rate for Payer: Humana Medicare Advantage |
$52,060.80
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$87,462.14
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$41,660.73
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$52,060.80
|
| Rate for Payer: New Mexico Health Connections Medicare |
$88,503.36
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$72,885.12
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$41,660.73
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$52,060.80
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$74,446.94
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$51,019.58
|
| Rate for Payer: United Healthcare Commercial |
$34,108.87
|
| Rate for Payer: United Healthcare Managed Medicaid |
$41,660.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$52,060.80
|
| Rate for Payer: Zelis Medicare |
$44,251.68
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$32,758.51
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,766.72
|
|
|
Service Code
|
MSDRG 855
|
| Min. Negotiated Rate |
$9,437.75 |
| Max. Negotiated Rate |
$28,766.72 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$9,437.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,167.36
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$9,437.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$16,922.49
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$16,921.60
|
| Rate for Payer: GEHA Medicare |
$16,921.60
|
| Rate for Payer: Humana ChoiceCare |
$18,613.76
|
| Rate for Payer: Humana Medicare Advantage |
$16,921.60
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,428.29
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$16,922.49
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$16,921.60
|
| Rate for Payer: New Mexico Health Connections Medicare |
$28,766.72
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,690.24
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$16,922.49
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$16,921.60
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,197.89
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,583.17
|
| Rate for Payer: United Healthcare Commercial |
$11,086.59
|
| Rate for Payer: United Healthcare Managed Medicaid |
$16,922.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,921.60
|
| Rate for Payer: Zelis Medicare |
$14,383.36
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,647.68
|
|
|
MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$26,002.59
|
|
|
Service Code
|
MSDRG 727
|
| Min. Negotiated Rate |
$3,360.00 |
| Max. Negotiated Rate |
$26,002.59 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,360.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$11,902.14
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,360.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,193.19
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,295.64
|
| Rate for Payer: GEHA Medicare |
$15,295.64
|
| Rate for Payer: Humana ChoiceCare |
$16,825.20
|
| Rate for Payer: Humana Medicare Advantage |
$15,295.64
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$25,696.68
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,193.19
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,295.64
|
| Rate for Payer: New Mexico Health Connections Medicare |
$26,002.59
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$21,413.90
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,193.19
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,295.64
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$21,872.77
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$14,989.73
|
| Rate for Payer: United Healthcare Commercial |
$10,021.31
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,193.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,295.64
|
| Rate for Payer: Zelis Medicare |
$13,001.29
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,624.57
|
|
|
MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$14,934.82
|
|
|
Service Code
|
MSDRG 728
|
| Min. Negotiated Rate |
$2,605.75 |
| Max. Negotiated Rate |
$14,934.82 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,605.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$6,618.51
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,605.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$4,861.68
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$8,785.19
|
| Rate for Payer: GEHA Medicare |
$8,785.19
|
| Rate for Payer: Humana ChoiceCare |
$9,663.71
|
| Rate for Payer: Humana Medicare Advantage |
$8,785.19
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$14,759.12
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$4,861.68
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$8,785.19
|
| Rate for Payer: New Mexico Health Connections Medicare |
$14,934.82
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$12,299.27
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$4,861.68
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$8,785.19
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$12,562.82
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8,609.49
|
| Rate for Payer: United Healthcare Commercial |
$5,572.62
|
| Rate for Payer: United Healthcare Managed Medicaid |
$4,861.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,785.19
|
| Rate for Payer: Zelis Medicare |
$7,467.41
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,352.01
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC
|
Facility
|
IP
|
$17,563.35
|
|
|
Service Code
|
MSDRG 386
|
| Min. Negotiated Rate |
$4,353.30 |
| Max. Negotiated Rate |
$17,563.35 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,353.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,039.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,353.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,946.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,331.38
|
| Rate for Payer: GEHA Medicare |
$10,331.38
|
| Rate for Payer: Humana ChoiceCare |
$11,364.52
|
| Rate for Payer: Humana Medicare Advantage |
$10,331.38
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,356.72
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,946.70
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,331.38
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,563.35
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,463.93
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,946.70
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,331.38
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,773.87
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,124.75
|
| Rate for Payer: United Healthcare Commercial |
$6,768.85
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,946.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,331.38
|
| Rate for Payer: Zelis Medicare |
$8,781.67
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,500.88
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC
|
Facility
|
IP
|
$28,752.56
|
|
|
Service Code
|
MSDRG 385
|
| Min. Negotiated Rate |
$6,178.55 |
| Max. Negotiated Rate |
$28,752.56 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,178.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,160.88
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,178.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$11,168.89
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$16,913.27
|
| Rate for Payer: GEHA Medicare |
$16,913.27
|
| Rate for Payer: Humana ChoiceCare |
$18,604.60
|
| Rate for Payer: Humana Medicare Advantage |
$16,913.27
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,414.29
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$11,168.89
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$16,913.27
|
| Rate for Payer: New Mexico Health Connections Medicare |
$28,752.56
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,678.58
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$11,168.89
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$16,913.27
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,185.98
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,575.00
|
| Rate for Payer: United Healthcare Commercial |
$11,081.14
|
| Rate for Payer: United Healthcare Managed Medicaid |
$11,168.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,913.27
|
| Rate for Payer: Zelis Medicare |
$14,376.28
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,642.44
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$12,790.43
|
|
|
Service Code
|
MSDRG 387
|
| Min. Negotiated Rate |
$3,481.45 |
| Max. Negotiated Rate |
$12,790.43 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,481.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,429.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,481.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,407.59
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,523.78
|
| Rate for Payer: GEHA Medicare |
$7,523.78
|
| Rate for Payer: Humana ChoiceCare |
$8,276.16
|
| Rate for Payer: Humana Medicare Advantage |
$7,523.78
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$12,639.95
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,407.59
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,523.78
|
| Rate for Payer: New Mexico Health Connections Medicare |
$12,790.43
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,533.29
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,407.59
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,523.78
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$10,759.01
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,373.30
|
| Rate for Payer: United Healthcare Commercial |
$4,571.45
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,407.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,523.78
|
| Rate for Payer: Zelis Medicare |
$6,395.21
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,390.47
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
|
Facility
|
IP
|
$26,623.75
|
|
|
Service Code
|
MSDRG 351
|
| Min. Negotiated Rate |
$3,051.65 |
| Max. Negotiated Rate |
$26,623.75 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,051.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,186.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,051.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,648.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,661.03
|
| Rate for Payer: GEHA Medicare |
$15,661.03
|
| Rate for Payer: Humana ChoiceCare |
$17,227.13
|
| Rate for Payer: Humana Medicare Advantage |
$15,661.03
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,310.53
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,648.85
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,661.03
|
| Rate for Payer: New Mexico Health Connections Medicare |
$26,623.75
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$21,925.44
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,648.85
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,661.03
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,395.27
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,347.81
|
| Rate for Payer: United Healthcare Commercial |
$10,260.69
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,648.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,661.03
|
| Rate for Payer: Zelis Medicare |
$13,311.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,854.48
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
|
Facility
|
IP
|
$42,801.48
|
|
|
Service Code
|
MSDRG 350
|
| Min. Negotiated Rate |
$4,007.50 |
| Max. Negotiated Rate |
$42,801.48 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,007.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$19,591.47
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,007.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,336.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$25,177.34
|
| Rate for Payer: GEHA Medicare |
$25,177.34
|
| Rate for Payer: Humana ChoiceCare |
$27,695.07
|
| Rate for Payer: Humana Medicare Advantage |
$25,177.34
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$42,297.93
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,336.25
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$25,177.34
|
| Rate for Payer: New Mexico Health Connections Medicare |
$42,801.48
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$35,248.28
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,336.25
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$25,177.34
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$36,003.60
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$24,673.79
|
| Rate for Payer: United Healthcare Commercial |
$16,495.53
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,336.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,177.34
|
| Rate for Payer: Zelis Medicare |
$21,400.74
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$15,842.49
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,511.68
|
|
|
Service Code
|
MSDRG 352
|
| Min. Negotiated Rate |
$2,736.30 |
| Max. Negotiated Rate |
$19,511.68 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,736.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,931.06
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,736.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,092.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,477.46
|
| Rate for Payer: GEHA Medicare |
$11,477.46
|
| Rate for Payer: Humana ChoiceCare |
$12,625.21
|
| Rate for Payer: Humana Medicare Advantage |
$11,477.46
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,282.13
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,092.15
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,477.46
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,511.68
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,068.44
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,092.15
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,477.46
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,412.77
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,247.91
|
| Rate for Payer: United Healthcare Commercial |
$7,519.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,092.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,477.46
|
| Rate for Payer: Zelis Medicare |
$9,755.84
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,222.03
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC
|
Facility
|
IP
|
$17,519.11
|
|
|
Service Code
|
MSDRG 197
|
| Min. Negotiated Rate |
$6,049.40 |
| Max. Negotiated Rate |
$17,519.11 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,049.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,019.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,049.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$10,940.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,305.36
|
| Rate for Payer: GEHA Medicare |
$10,305.36
|
| Rate for Payer: Humana ChoiceCare |
$11,335.90
|
| Rate for Payer: Humana Medicare Advantage |
$10,305.36
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,313.00
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$10,940.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,305.36
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,519.11
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,427.50
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$10,940.90
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,305.36
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,736.66
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,099.25
|
| Rate for Payer: United Healthcare Commercial |
$6,751.80
|
| Rate for Payer: United Healthcare Managed Medicaid |
$10,940.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,305.36
|
| Rate for Payer: Zelis Medicare |
$8,759.56
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,484.50
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC
|
Facility
|
IP
|
$33,341.17
|
|
|
Service Code
|
MSDRG 196
|
| Min. Negotiated Rate |
$8,145.90 |
| Max. Negotiated Rate |
$33,341.17 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$8,145.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$15,261.21
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$8,145.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$14,641.93
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$19,612.45
|
| Rate for Payer: GEHA Medicare |
$19,612.45
|
| Rate for Payer: Humana ChoiceCare |
$21,573.69
|
| Rate for Payer: Humana Medicare Advantage |
$19,612.45
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$32,948.92
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$14,641.93
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$19,612.45
|
| Rate for Payer: New Mexico Health Connections Medicare |
$33,341.17
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$27,457.43
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$14,641.93
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$19,612.45
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$28,045.80
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$19,220.20
|
| Rate for Payer: United Healthcare Commercial |
$12,849.56
|
| Rate for Payer: United Healthcare Managed Medicaid |
$14,641.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,612.45
|
| Rate for Payer: Zelis Medicare |
$16,670.58
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$12,340.85
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$13,230.11
|
|
|
Service Code
|
MSDRG 198
|
| Min. Negotiated Rate |
$3,976.35 |
| Max. Negotiated Rate |
$13,230.11 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,976.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,673.24
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,976.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,281.26
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,782.42
|
| Rate for Payer: GEHA Medicare |
$7,782.42
|
| Rate for Payer: Humana ChoiceCare |
$8,560.66
|
| Rate for Payer: Humana Medicare Advantage |
$7,782.42
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,074.47
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,281.26
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,782.42
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,230.11
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,895.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,281.26
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,782.42
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,128.86
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,626.77
|
| Rate for Payer: United Healthcare Commercial |
$4,776.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,281.26
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,782.42
|
| Rate for Payer: Zelis Medicare |
$6,615.06
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,587.62
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
|
Facility
|
IP
|
$17,995.15
|
|
|
Service Code
|
MSDRG 065
|
| Min. Negotiated Rate |
$6,660.69 |
| Max. Negotiated Rate |
$17,995.15 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,801.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,236.89
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,801.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12,268.08
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,585.38
|
| Rate for Payer: GEHA Medicare |
$10,585.38
|
| Rate for Payer: Humana ChoiceCare |
$11,643.92
|
| Rate for Payer: Humana Medicare Advantage |
$10,585.38
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,783.44
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12,268.08
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,585.38
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,995.15
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,819.53
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12,268.08
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,585.38
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$15,137.09
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,373.67
|
| Rate for Payer: United Healthcare Commercial |
$6,935.26
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12,268.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,585.38
|
| Rate for Payer: Zelis Medicare |
$8,997.57
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,660.69
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
|
Facility
|
IP
|
$35,201.02
|
|
|
Service Code
|
MSDRG 064
|
| Min. Negotiated Rate |
$9,056.95 |
| Max. Negotiated Rate |
$35,201.02 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$9,056.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$16,112.52
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$9,056.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$16,250.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$20,706.48
|
| Rate for Payer: GEHA Medicare |
$20,706.48
|
| Rate for Payer: Humana ChoiceCare |
$22,777.13
|
| Rate for Payer: Humana Medicare Advantage |
$20,706.48
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$34,786.89
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$16,250.25
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$20,706.48
|
| Rate for Payer: New Mexico Health Connections Medicare |
$35,201.02
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$28,989.07
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$16,250.25
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$20,706.48
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$29,610.27
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$20,292.35
|
| Rate for Payer: United Healthcare Commercial |
$13,566.34
|
| Rate for Payer: United Healthcare Managed Medicaid |
$16,250.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,706.48
|
| Rate for Payer: Zelis Medicare |
$17,600.51
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$13,029.26
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$13,053.35
|
|
|
Service Code
|
MSDRG 066
|
| Min. Negotiated Rate |
$4,508.36 |
| Max. Negotiated Rate |
$13,053.35 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,245.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,575.23
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,245.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,521.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,678.44
|
| Rate for Payer: GEHA Medicare |
$7,678.44
|
| Rate for Payer: Humana ChoiceCare |
$8,446.28
|
| Rate for Payer: Humana Medicare Advantage |
$7,678.44
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$12,899.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,521.65
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,678.44
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,053.35
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,749.82
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,521.65
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,678.44
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$10,980.17
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,524.87
|
| Rate for Payer: United Healthcare Commercial |
$4,694.21
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,521.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,678.44
|
| Rate for Payer: Zelis Medicare |
$6,526.67
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,508.36
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
|
Facility
|
IP
|
$97,811.49
|
|
|
Service Code
|
MSDRG 021
|
| Min. Negotiated Rate |
$36,203.82 |
| Max. Negotiated Rate |
$97,811.49 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$41,690.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$44,771.13
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$41,690.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$73,859.73
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$57,536.17
|
| Rate for Payer: GEHA Medicare |
$57,536.17
|
| Rate for Payer: Humana ChoiceCare |
$63,289.79
|
| Rate for Payer: Humana Medicare Advantage |
$57,536.17
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$96,660.77
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$73,859.73
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$57,536.17
|
| Rate for Payer: New Mexico Health Connections Medicare |
$97,811.49
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$80,550.64
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$73,859.73
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$57,536.17
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$82,276.72
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$56,385.45
|
| Rate for Payer: United Healthcare Commercial |
$37,696.19
|
| Rate for Payer: United Healthcare Managed Medicaid |
$73,859.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,536.17
|
| Rate for Payer: Zelis Medicare |
$48,905.74
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$36,203.82
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$142,649.77
|
|
|
Service Code
|
MSDRG 020
|
| Min. Negotiated Rate |
$52,800.21 |
| Max. Negotiated Rate |
$142,649.77 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$56,919.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$65,294.91
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$56,919.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$100,743.21
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$83,911.63
|
| Rate for Payer: GEHA Medicare |
$83,911.63
|
| Rate for Payer: Humana ChoiceCare |
$92,302.79
|
| Rate for Payer: Humana Medicare Advantage |
$83,911.63
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$140,971.54
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$100,743.21
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$83,911.63
|
| Rate for Payer: New Mexico Health Connections Medicare |
$142,649.77
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$117,476.28
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$100,743.21
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$83,911.63
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$119,993.63
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$82,233.40
|
| Rate for Payer: United Healthcare Commercial |
$54,976.70
|
| Rate for Payer: United Healthcare Managed Medicaid |
$100,743.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$83,911.63
|
| Rate for Payer: Zelis Medicare |
$71,324.89
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$52,800.21
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$62,474.22
|
|
|
Service Code
|
MSDRG 022
|
| Min. Negotiated Rate |
$23,124.12 |
| Max. Negotiated Rate |
$62,474.22 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$34,576.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$28,596.24
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$34,576.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$61,301.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$36,749.54
|
| Rate for Payer: GEHA Medicare |
$36,749.54
|
| Rate for Payer: Humana ChoiceCare |
$40,424.49
|
| Rate for Payer: Humana Medicare Advantage |
$36,749.54
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$61,739.23
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$61,301.55
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$36,749.54
|
| Rate for Payer: New Mexico Health Connections Medicare |
$62,474.22
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$51,449.36
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$61,301.55
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$36,749.54
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$52,551.84
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$36,014.55
|
| Rate for Payer: United Healthcare Commercial |
$24,077.33
|
| Rate for Payer: United Healthcare Managed Medicaid |
$61,301.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,749.54
|
| Rate for Payer: Zelis Medicare |
$31,237.11
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$23,124.12
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$29,527.67
|
|
|
Service Code
|
MSDRG 116
|
| Min. Negotiated Rate |
$5,036.50 |
| Max. Negotiated Rate |
$29,527.67 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,036.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,515.66
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,036.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,152.78
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,369.22
|
| Rate for Payer: GEHA Medicare |
$17,369.22
|
| Rate for Payer: Humana ChoiceCare |
$19,106.14
|
| Rate for Payer: Humana Medicare Advantage |
$17,369.22
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$29,180.29
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,152.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,369.22
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,527.67
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$24,316.91
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,152.78
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,369.22
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,837.98
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,021.84
|
| Rate for Payer: United Healthcare Commercial |
$11,379.85
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,152.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,369.22
|
| Rate for Payer: Zelis Medicare |
$14,763.84
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,929.33
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,086.95
|
|
|
Service Code
|
MSDRG 117
|
| Min. Negotiated Rate |
$3,729.95 |
| Max. Negotiated Rate |
$19,086.95 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,729.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,736.66
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,729.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,846.28
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,227.62
|
| Rate for Payer: GEHA Medicare |
$11,227.62
|
| Rate for Payer: Humana ChoiceCare |
$12,350.38
|
| Rate for Payer: Humana Medicare Advantage |
$11,227.62
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$18,862.40
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,846.28
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,227.62
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,086.95
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$15,718.67
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,846.28
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,227.62
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,055.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,003.07
|
| Rate for Payer: United Healthcare Commercial |
$7,356.05
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,846.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,227.62
|
| Rate for Payer: Zelis Medicare |
$9,543.48
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,064.83
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
|
IP
|
$31,514.94
|
|
|
Service Code
|
MSDRG 062
|
| Min. Negotiated Rate |
$11,664.90 |
| Max. Negotiated Rate |
$31,514.94 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$12,036.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,425.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$12,036.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$21,510.78
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,538.20
|
| Rate for Payer: GEHA Medicare |
$18,538.20
|
| Rate for Payer: Humana ChoiceCare |
$20,392.02
|
| Rate for Payer: Humana Medicare Advantage |
$18,538.20
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$31,144.18
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$21,510.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,538.20
|
| Rate for Payer: New Mexico Health Connections Medicare |
$31,514.94
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25,953.48
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$21,510.78
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,538.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,509.63
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$18,167.44
|
| Rate for Payer: United Healthcare Commercial |
$12,145.74
|
| Rate for Payer: United Healthcare Managed Medicaid |
$21,510.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,538.20
|
| Rate for Payer: Zelis Medicare |
$15,757.47
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,664.90
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$47,839.56
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$16,732.80 |
| Max. Negotiated Rate |
$47,839.56 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$16,732.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$21,897.54
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$16,732.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$29,800.73
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$28,140.92
|
| Rate for Payer: GEHA Medicare |
$28,140.92
|
| Rate for Payer: Humana ChoiceCare |
$30,955.01
|
| Rate for Payer: Humana Medicare Advantage |
$28,140.92
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$47,276.75
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$29,800.73
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$28,140.92
|
| Rate for Payer: New Mexico Health Connections Medicare |
$47,839.56
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$39,397.29
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$29,800.73
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$28,140.92
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$40,241.52
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$27,578.10
|
| Rate for Payer: United Healthcare Commercial |
$18,437.19
|
| Rate for Payer: United Healthcare Managed Medicaid |
$29,800.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,140.92
|
| Rate for Payer: Zelis Medicare |
$23,919.78
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$17,707.27
|
|
