|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$19,131.24
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$4,190.20 |
| Max. Negotiated Rate |
$19,131.24 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,190.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,756.91
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,190.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,658.78
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,253.67
|
| Rate for Payer: GEHA Medicare |
$11,253.67
|
| Rate for Payer: Humana ChoiceCare |
$12,379.04
|
| Rate for Payer: Humana Medicare Advantage |
$11,253.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$18,906.17
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,658.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,253.67
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,131.24
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$15,755.14
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,658.78
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,253.67
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,092.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,028.60
|
| Rate for Payer: United Healthcare Commercial |
$7,373.10
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,658.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,253.67
|
| Rate for Payer: Zelis Medicare |
$9,565.62
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,081.20
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$41,828.23
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$13,604.15 |
| Max. Negotiated Rate |
$41,828.23 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$13,604.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$19,145.97
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$13,604.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$24,277.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$24,604.84
|
| Rate for Payer: GEHA Medicare |
$24,604.84
|
| Rate for Payer: Humana ChoiceCare |
$27,065.32
|
| Rate for Payer: Humana Medicare Advantage |
$24,604.84
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$41,336.13
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$24,277.60
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$24,604.84
|
| Rate for Payer: New Mexico Health Connections Medicare |
$41,828.23
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$34,446.78
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$24,277.60
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$24,604.84
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$35,184.92
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$24,112.74
|
| Rate for Payer: United Healthcare Commercial |
$16,120.43
|
| Rate for Payer: United Healthcare Managed Medicaid |
$24,277.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,604.84
|
| Rate for Payer: Zelis Medicare |
$20,914.11
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$15,482.24
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$81,258.55
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$16,227.75 |
| Max. Negotiated Rate |
$81,258.55 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$16,227.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$37,194.39
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$16,227.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$28,909.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$47,799.15
|
| Rate for Payer: GEHA Medicare |
$47,799.15
|
| Rate for Payer: Humana ChoiceCare |
$52,579.07
|
| Rate for Payer: Humana Medicare Advantage |
$47,799.15
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$80,302.57
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$28,909.15
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$47,799.15
|
| Rate for Payer: New Mexico Health Connections Medicare |
$81,258.55
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$66,918.81
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$28,909.15
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$47,799.15
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$68,352.78
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$46,843.17
|
| Rate for Payer: United Healthcare Commercial |
$31,316.76
|
| Rate for Payer: United Healthcare Managed Medicaid |
$28,909.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,799.15
|
| Rate for Payer: Zelis Medicare |
$40,629.28
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$30,076.94
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,216.22
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$8,852.90 |
| Max. Negotiated Rate |
$29,216.22 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$8,852.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,373.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$8,852.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$15,890.03
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,186.01
|
| Rate for Payer: GEHA Medicare |
$17,186.01
|
| Rate for Payer: Humana ChoiceCare |
$18,904.61
|
| Rate for Payer: Humana Medicare Advantage |
$17,186.01
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,872.50
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$15,890.03
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,186.01
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,216.22
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$24,060.41
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$15,890.03
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,186.01
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,575.99
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,842.29
|
| Rate for Payer: United Healthcare Commercial |
$11,259.82
|
| Rate for Payer: United Healthcare Managed Medicaid |
$15,890.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,186.01
|
| Rate for Payer: Zelis Medicare |
$14,608.11
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,814.05
|
|
|
MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$26,528.19
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$5,302.50 |
| Max. Negotiated Rate |
$26,528.19 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,302.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,142.71
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,302.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,622.37
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,604.82
|
| Rate for Payer: GEHA Medicare |
$15,604.82
|
| Rate for Payer: Humana ChoiceCare |
$17,165.30
|
| Rate for Payer: Humana Medicare Advantage |
$15,604.82
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,216.10
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,622.37
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,604.82
|
| Rate for Payer: New Mexico Health Connections Medicare |
$26,528.19
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$21,846.75
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,622.37
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,604.82
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,314.89
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,292.72
|
| Rate for Payer: United Healthcare Commercial |
$10,223.86
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,622.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,604.82
|
| Rate for Payer: Zelis Medicare |
$13,264.10
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,819.10
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$19,644.42
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$4,013.45 |
| Max. Negotiated Rate |
$19,644.42 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,013.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,991.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,013.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,346.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,555.54
|
| Rate for Payer: GEHA Medicare |
$11,555.54
|
| Rate for Payer: Humana ChoiceCare |
$12,711.09
|
| Rate for Payer: Humana Medicare Advantage |
$11,555.54
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,413.31
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,346.75
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,555.54
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,644.42
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,177.76
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,346.75
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,555.54
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,524.42
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,324.43
|
| Rate for Payer: United Healthcare Commercial |
$7,570.88
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,346.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,555.54
|
| Rate for Payer: Zelis Medicare |
$9,822.21
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,271.15
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$32,017.49
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$6,501.25 |
| Max. Negotiated Rate |
$32,017.49 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,501.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,655.33
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,501.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$11,738.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,833.82
|
| Rate for Payer: GEHA Medicare |
$18,833.82
|
| Rate for Payer: Humana ChoiceCare |
$20,717.20
|
| Rate for Payer: Humana Medicare Advantage |
$18,833.82
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$31,640.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$11,738.57
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,833.82
|
| Rate for Payer: New Mexico Health Connections Medicare |
$32,017.49
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$26,367.35
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$11,738.57
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,833.82
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,932.36
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$18,457.14
|
| Rate for Payer: United Healthcare Commercial |
$12,339.43
|
| Rate for Payer: United Healthcare Managed Medicaid |
$11,738.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,833.82
|
| Rate for Payer: Zelis Medicare |
$16,008.75
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,850.92
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$16,949.22
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$2,245.60 |
| Max. Negotiated Rate |
$16,949.22 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,245.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,735.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,245.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$4,225.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9,970.13
|
| Rate for Payer: GEHA Medicare |
$9,970.13
|
| Rate for Payer: Humana ChoiceCare |
$10,967.14
|
| Rate for Payer: Humana Medicare Advantage |
$9,970.13
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$16,749.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$4,225.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9,970.13
|
| Rate for Payer: New Mexico Health Connections Medicare |
$16,949.22
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$13,958.18
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$4,225.90
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9,970.13
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,257.29
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,770.73
|
| Rate for Payer: United Healthcare Commercial |
$6,513.10
|
| Rate for Payer: United Healthcare Managed Medicaid |
$4,225.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,970.13
|
| Rate for Payer: Zelis Medicare |
$8,474.61
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,255.25
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$19,870.94
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$4,911.20 |
| Max. Negotiated Rate |
$19,870.94 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,911.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9,095.49
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,911.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,931.59
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,688.79
|
| Rate for Payer: GEHA Medicare |
$11,688.79
|
| Rate for Payer: Humana ChoiceCare |
$12,857.67
|
| Rate for Payer: Humana Medicare Advantage |
$11,688.79
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,637.17
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,931.59
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,688.79
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,870.94
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,364.31
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,931.59
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,688.79
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,714.97
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,455.01
|
| Rate for Payer: United Healthcare Commercial |
$7,658.18
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,931.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,688.79
|
| Rate for Payer: Zelis Medicare |
$9,935.47
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,354.99
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$30,594.73
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$6,296.85 |
| Max. Negotiated Rate |
$30,594.73 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,296.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,004.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,296.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$11,377.73
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,996.90
|
| Rate for Payer: GEHA Medicare |
$17,996.90
|
| Rate for Payer: Humana ChoiceCare |
$19,796.59
|
| Rate for Payer: Humana Medicare Advantage |
$17,996.90
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$30,234.79
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$11,377.73
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,996.90
|
| Rate for Payer: New Mexico Health Connections Medicare |
$30,594.73
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25,195.66
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$11,377.73
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,996.90
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$25,735.57
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,636.96
|
| Rate for Payer: United Healthcare Commercial |
$11,791.10
|
| Rate for Payer: United Healthcare Managed Medicaid |
$11,377.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,996.90
|
| Rate for Payer: Zelis Medicare |
$15,297.36
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,324.30
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$13,642.06
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$3,544.45 |
| Max. Negotiated Rate |
$13,642.06 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,544.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,901.66
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,544.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,518.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$8,024.74
|
| Rate for Payer: GEHA Medicare |
$8,024.74
|
| Rate for Payer: Humana ChoiceCare |
$8,827.21
|
| Rate for Payer: Humana Medicare Advantage |
$8,024.74
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,481.56
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,518.81
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$8,024.74
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,642.06
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,234.64
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,518.81
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$8,024.74
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,475.38
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,864.25
|
| Rate for Payer: United Healthcare Commercial |
$4,969.05
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,518.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,024.74
|
| Rate for Payer: Zelis Medicare |
$6,821.03
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,772.33
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$19,955.89
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$5,459.30 |
| Max. Negotiated Rate |
$19,955.89 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,459.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9,134.37
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,459.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,899.17
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,738.76
|
| Rate for Payer: GEHA Medicare |
$11,738.76
|
| Rate for Payer: Humana ChoiceCare |
$12,912.64
|
| Rate for Payer: Humana Medicare Advantage |
$11,738.76
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,721.12
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,899.17
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,738.76
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,955.89
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,434.26
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,899.17
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,738.76
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,786.43
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,503.98
|
| Rate for Payer: United Healthcare Commercial |
$7,690.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,899.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,738.76
|
| Rate for Payer: Zelis Medicare |
$9,977.95
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,386.44
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
|
IP
|
$32,288.27
|
|
|
Service Code
|
MSDRG 435
|
| Min. Negotiated Rate |
$7,395.85 |
| Max. Negotiated Rate |
$32,288.27 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,395.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,779.26
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,395.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$13,317.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,993.10
|
| Rate for Payer: GEHA Medicare |
$18,993.10
|
| Rate for Payer: Humana ChoiceCare |
$20,892.41
|
| Rate for Payer: Humana Medicare Advantage |
$18,993.10
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$31,908.41
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$13,317.84
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,993.10
|
| Rate for Payer: New Mexico Health Connections Medicare |
$32,288.27
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$26,590.34
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$13,317.84
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,993.10
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$27,160.13
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$18,613.24
|
| Rate for Payer: United Healthcare Commercial |
$12,443.77
|
| Rate for Payer: United Healthcare Managed Medicaid |
$13,317.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,993.10
|
| Rate for Payer: Zelis Medicare |
$16,144.14
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,951.13
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,468.85
|
|
|
Service Code
|
MSDRG 437
|
| Min. Negotiated Rate |
$4,113.55 |
| Max. Negotiated Rate |
$14,468.85 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,113.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$6,360.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,113.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,523.46
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$8,511.09
|
| Rate for Payer: GEHA Medicare |
$8,511.09
|
| Rate for Payer: Humana ChoiceCare |
$9,362.20
|
| Rate for Payer: Humana Medicare Advantage |
$8,511.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$14,298.63
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,523.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$8,511.09
|
| Rate for Payer: New Mexico Health Connections Medicare |
$14,468.85
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,915.53
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,523.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$8,511.09
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$12,170.86
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8,340.87
|
| Rate for Payer: United Healthcare Commercial |
$5,355.06
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,523.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,511.09
|
| Rate for Payer: Zelis Medicare |
$7,234.43
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,143.06
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC
|
Facility
|
IP
|
$19,092.31
|
|
|
Service Code
|
MSDRG 598
|
| Min. Negotiated Rate |
$2,867.55 |
| Max. Negotiated Rate |
$19,092.31 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,867.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,739.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,867.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,323.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,230.77
|
| Rate for Payer: GEHA Medicare |
$11,230.77
|
| Rate for Payer: Humana ChoiceCare |
$12,353.85
|
| Rate for Payer: Humana Medicare Advantage |
$11,230.77
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$18,867.69
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,323.85
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,230.77
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,092.31
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$15,723.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,323.85
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,230.77
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,060.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,006.15
|
| Rate for Payer: United Healthcare Commercial |
$7,358.10
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,323.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,230.77
|
| Rate for Payer: Zelis Medicare |
$9,546.15
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,066.80
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC
|
Facility
|
IP
|
$31,086.69
|
|
|
Service Code
|
MSDRG 597
|
| Min. Negotiated Rate |
$5,164.60 |
| Max. Negotiated Rate |
$31,086.69 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,164.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,229.27
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,164.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,378.92
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,286.29
|
| Rate for Payer: GEHA Medicare |
$18,286.29
|
| Rate for Payer: Humana ChoiceCare |
$20,114.92
|
| Rate for Payer: Humana Medicare Advantage |
$18,286.29
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$30,720.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,378.92
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,286.29
|
| Rate for Payer: New Mexico Health Connections Medicare |
$31,086.69
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25,600.81
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,378.92
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,286.29
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,149.39
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,920.56
|
| Rate for Payer: United Healthcare Commercial |
$11,980.69
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,378.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,286.29
|
| Rate for Payer: Zelis Medicare |
$15,543.35
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,506.39
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,486.98
|
|
|
Service Code
|
MSDRG 599
|
| Min. Negotiated Rate |
$1,681.75 |
| Max. Negotiated Rate |
$15,486.98 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$1,681.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$6,924.69
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$1,681.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$3,230.51
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9,109.99
|
| Rate for Payer: GEHA Medicare |
$9,109.99
|
| Rate for Payer: Humana ChoiceCare |
$10,020.99
|
| Rate for Payer: Humana Medicare Advantage |
$9,109.99
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15,304.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$3,230.51
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9,109.99
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15,486.98
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$12,753.99
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$3,230.51
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9,109.99
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$13,027.29
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8,927.79
|
| Rate for Payer: United Healthcare Commercial |
$5,830.42
|
| Rate for Payer: United Healthcare Managed Medicaid |
$3,230.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,109.99
|
| Rate for Payer: Zelis Medicare |
$7,743.49
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,599.60
|
|
|
MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$30,989.35
|
|
|
Service Code
|
MSDRG 582
|
| Min. Negotiated Rate |
$4,604.25 |
| Max. Negotiated Rate |
$30,989.35 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,604.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,184.72
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,604.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,389.72
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,229.03
|
| Rate for Payer: GEHA Medicare |
$18,229.03
|
| Rate for Payer: Humana ChoiceCare |
$20,051.93
|
| Rate for Payer: Humana Medicare Advantage |
$18,229.03
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$30,624.77
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,389.72
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,229.03
|
| Rate for Payer: New Mexico Health Connections Medicare |
$30,989.35
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25,520.64
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,389.72
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,229.03
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,067.51
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,864.45
|
| Rate for Payer: United Healthcare Commercial |
$11,943.18
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,389.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,229.03
|
| Rate for Payer: Zelis Medicare |
$15,494.68
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,470.36
|
|
|
MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$29,069.34
|
|
|
Service Code
|
MSDRG 583
|
| Min. Negotiated Rate |
$4,286.10 |
| Max. Negotiated Rate |
$29,069.34 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,286.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,305.87
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,286.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,828.07
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,099.61
|
| Rate for Payer: GEHA Medicare |
$17,099.61
|
| Rate for Payer: Humana ChoiceCare |
$18,809.57
|
| Rate for Payer: Humana Medicare Advantage |
$17,099.61
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,727.34
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,828.07
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,099.61
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,069.34
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,939.45
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,828.07
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,099.61
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,452.44
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,757.62
|
| Rate for Payer: United Healthcare Commercial |
$11,203.21
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,828.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,099.61
|
| Rate for Payer: Zelis Medicare |
$14,534.67
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,759.68
|
|
|
MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC
|
Facility
|
IP
|
$30,196.59
|
|
|
Service Code
|
MSDRG 551
|
| Min. Negotiated Rate |
$3,720.85 |
| Max. Negotiated Rate |
$30,196.59 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,720.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,821.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,720.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,830.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,762.70
|
| Rate for Payer: GEHA Medicare |
$17,762.70
|
| Rate for Payer: Humana ChoiceCare |
$19,538.97
|
| Rate for Payer: Humana Medicare Advantage |
$17,762.70
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$29,841.34
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,830.22
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,762.70
|
| Rate for Payer: New Mexico Health Connections Medicare |
$30,196.59
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$24,867.78
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,830.22
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,762.70
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$25,400.66
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,407.45
|
| Rate for Payer: United Healthcare Commercial |
$11,637.65
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,830.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,762.70
|
| Rate for Payer: Zelis Medicare |
$15,098.30
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,176.92
|
|
|
MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC
|
Facility
|
IP
|
$17,077.74
|
|
|
Service Code
|
MSDRG 552
|
| Min. Negotiated Rate |
$2,593.50 |
| Max. Negotiated Rate |
$17,077.74 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,593.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,806.78
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,593.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$4,840.06
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,045.73
|
| Rate for Payer: GEHA Medicare |
$10,045.73
|
| Rate for Payer: Humana ChoiceCare |
$11,050.30
|
| Rate for Payer: Humana Medicare Advantage |
$10,045.73
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$16,876.83
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$4,840.06
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,045.73
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,077.74
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,064.02
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$4,840.06
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,045.73
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,365.39
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,844.82
|
| Rate for Payer: United Healthcare Commercial |
$6,573.12
|
| Rate for Payer: United Healthcare Managed Medicaid |
$4,840.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,045.73
|
| Rate for Payer: Zelis Medicare |
$8,538.87
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,312.89
|
|
|
MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$17,441.24
|
|
|
Service Code
|
MSDRG 760
|
| Min. Negotiated Rate |
$3,238.55 |
| Max. Negotiated Rate |
$17,441.24 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,238.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,983.36
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,238.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,978.79
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,259.55
|
| Rate for Payer: GEHA Medicare |
$10,259.55
|
| Rate for Payer: Humana ChoiceCare |
$11,285.50
|
| Rate for Payer: Humana Medicare Advantage |
$10,259.55
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,236.04
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,978.79
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,259.55
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,441.24
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,363.37
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,978.79
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,259.55
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,671.16
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,054.36
|
| Rate for Payer: United Healthcare Commercial |
$6,721.79
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,978.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,259.55
|
| Rate for Payer: Zelis Medicare |
$8,720.62
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,455.68
|
|
|
MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,258.72
|
|
|
Service Code
|
MSDRG 761
|
| Min. Negotiated Rate |
$2,328.20 |
| Max. Negotiated Rate |
$12,258.72 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,328.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,134.59
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,328.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$4,371.71
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,211.01
|
| Rate for Payer: GEHA Medicare |
$7,211.01
|
| Rate for Payer: Humana ChoiceCare |
$7,932.11
|
| Rate for Payer: Humana Medicare Advantage |
$7,211.01
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$12,114.50
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$4,371.71
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,211.01
|
| Rate for Payer: New Mexico Health Connections Medicare |
$12,258.72
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,095.41
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$4,371.71
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,211.01
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$10,311.74
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,066.79
|
| Rate for Payer: United Healthcare Commercial |
$4,323.20
|
| Rate for Payer: United Healthcare Managed Medicaid |
$4,371.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,211.01
|
| Rate for Payer: Zelis Medicare |
$6,129.36
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,152.05
|
|
|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$27,028.98
|
|
|
Service Code
|
MSDRG 663
|
| Min. Negotiated Rate |
$5,950.35 |
| Max. Negotiated Rate |
$27,028.98 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,950.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,371.94
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,950.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$10,766.04
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,899.40
|
| Rate for Payer: GEHA Medicare |
$15,899.40
|
| Rate for Payer: Humana ChoiceCare |
$17,489.34
|
| Rate for Payer: Humana Medicare Advantage |
$15,899.40
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,710.99
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$10,766.04
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,899.40
|
| Rate for Payer: New Mexico Health Connections Medicare |
$27,028.98
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$22,259.16
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$10,766.04
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,899.40
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,736.14
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,581.41
|
| Rate for Payer: United Healthcare Commercial |
$10,416.87
|
| Rate for Payer: United Healthcare Managed Medicaid |
$10,766.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,899.40
|
| Rate for Payer: Zelis Medicare |
$13,514.49
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,004.47
|
|
|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$55,204.64
|
|
|
Service Code
|
MSDRG 662
|
| Min. Negotiated Rate |
$10,358.60 |
| Max. Negotiated Rate |
$55,204.64 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$10,358.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$25,268.76
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$10,358.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$18,548.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$32,473.32
|
| Rate for Payer: GEHA Medicare |
$32,473.32
|
| Rate for Payer: Humana ChoiceCare |
$35,720.65
|
| Rate for Payer: Humana Medicare Advantage |
$32,473.32
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$54,555.18
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$18,548.10
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$32,473.32
|
| Rate for Payer: New Mexico Health Connections Medicare |
$55,204.64
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$45,462.65
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$18,548.10
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$32,473.32
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$46,436.85
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$31,823.85
|
| Rate for Payer: United Healthcare Commercial |
$21,275.67
|
| Rate for Payer: United Healthcare Managed Medicaid |
$18,548.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,473.32
|
| Rate for Payer: Zelis Medicare |
$27,602.32
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$20,433.38
|
|
