|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,582.63
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$6,026.65 |
| Max. Negotiated Rate |
$18,582.63 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,026.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,505.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,026.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$10,900.74
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,930.96
|
| Rate for Payer: GEHA Medicare |
$10,930.96
|
| Rate for Payer: Humana ChoiceCare |
$12,024.06
|
| Rate for Payer: Humana Medicare Advantage |
$10,930.96
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$18,364.01
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$10,900.74
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,930.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$18,582.63
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$15,303.34
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$10,900.74
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,930.96
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$15,631.27
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,712.34
|
| Rate for Payer: United Healthcare Commercial |
$7,161.68
|
| Rate for Payer: United Healthcare Managed Medicaid |
$10,900.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,930.96
|
| Rate for Payer: Zelis Medicare |
$9,291.32
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,878.15
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$37,945.70
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$7,848.40 |
| Max. Negotiated Rate |
$37,945.70 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,848.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$17,368.83
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,848.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$14,116.74
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$22,321.00
|
| Rate for Payer: GEHA Medicare |
$22,321.00
|
| Rate for Payer: Humana ChoiceCare |
$24,553.10
|
| Rate for Payer: Humana Medicare Advantage |
$22,321.00
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$37,499.28
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$14,116.74
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$22,321.00
|
| Rate for Payer: New Mexico Health Connections Medicare |
$37,945.70
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$31,249.40
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$14,116.74
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$22,321.00
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$31,919.03
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$21,874.58
|
| Rate for Payer: United Healthcare Commercial |
$14,624.13
|
| Rate for Payer: United Healthcare Managed Medicaid |
$14,116.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,321.00
|
| Rate for Payer: Zelis Medicare |
$18,972.85
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$14,045.17
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,510.58
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$4,574.15 |
| Max. Negotiated Rate |
$13,510.58 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,574.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,828.76
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,574.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,336.58
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,947.40
|
| Rate for Payer: GEHA Medicare |
$7,947.40
|
| Rate for Payer: Humana ChoiceCare |
$8,742.14
|
| Rate for Payer: Humana Medicare Advantage |
$7,947.40
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,351.63
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,336.58
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,947.40
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,510.58
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,126.36
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,336.58
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,947.40
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,364.78
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,788.45
|
| Rate for Payer: United Healthcare Commercial |
$4,907.67
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,336.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,947.40
|
| Rate for Payer: Zelis Medicare |
$6,755.29
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,713.38
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$29,895.72
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$5,011.30 |
| Max. Negotiated Rate |
$29,895.72 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,011.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,684.14
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,011.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,108.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,585.72
|
| Rate for Payer: GEHA Medicare |
$17,585.72
|
| Rate for Payer: Humana ChoiceCare |
$19,344.29
|
| Rate for Payer: Humana Medicare Advantage |
$17,585.72
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$29,544.01
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,108.30
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,585.72
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,895.72
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$24,620.01
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,108.30
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,585.72
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$25,147.58
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,234.01
|
| Rate for Payer: United Healthcare Commercial |
$11,521.71
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,108.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,585.72
|
| Rate for Payer: Zelis Medicare |
$14,947.86
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,065.57
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$18,048.24
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$3,101.00 |
| Max. Negotiated Rate |
$18,048.24 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,101.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,261.19
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,101.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,735.97
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,616.61
|
| Rate for Payer: GEHA Medicare |
$10,616.61
|
| Rate for Payer: Humana ChoiceCare |
$11,678.27
|
| Rate for Payer: Humana Medicare Advantage |
$10,616.61
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,835.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,735.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,616.61
|
| Rate for Payer: New Mexico Health Connections Medicare |
$18,048.24
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,863.25
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,735.97
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,616.61
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$15,181.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,404.28
|
| Rate for Payer: United Healthcare Commercial |
$6,955.72
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,735.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,616.61
|
| Rate for Payer: Zelis Medicare |
$9,024.12
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,680.35
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,048.24
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$5,410.65 |
| Max. Negotiated Rate |
$18,048.24 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,410.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,261.19
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,410.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,813.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,616.61
|
| Rate for Payer: GEHA Medicare |
$10,616.61
|
| Rate for Payer: Humana ChoiceCare |
$11,678.27
|
| Rate for Payer: Humana Medicare Advantage |
$10,616.61
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,835.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,813.29
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,616.61
|
| Rate for Payer: New Mexico Health Connections Medicare |
$18,048.24
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,863.25
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,813.29
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,616.61
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$15,181.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,404.28
|
| Rate for Payer: United Healthcare Commercial |
$6,955.72
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,813.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,616.61
|
| Rate for Payer: Zelis Medicare |
$9,024.12
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,680.35
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$29,745.33
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$7,215.95 |
| Max. Negotiated Rate |
$29,745.33 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,215.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,615.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,215.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$13,000.26
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,497.25
|
| Rate for Payer: GEHA Medicare |
$17,497.25
|
| Rate for Payer: Humana ChoiceCare |
$19,246.97
|
| Rate for Payer: Humana Medicare Advantage |
$17,497.25
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$29,395.38
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$13,000.26
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,497.25
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,745.33
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$24,496.15
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$13,000.26
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,497.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$25,021.07
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,147.31
|
| Rate for Payer: United Healthcare Commercial |
$11,463.74
|
| Rate for Payer: United Healthcare Managed Medicaid |
$13,000.26
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,497.25
|
| Rate for Payer: Zelis Medicare |
$14,872.66
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,009.90
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,139.56
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$3,633.35 |
| Max. Negotiated Rate |
$13,139.56 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,633.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,623.02
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,633.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,675.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,729.15
|
| Rate for Payer: GEHA Medicare |
$7,729.15
|
| Rate for Payer: Humana ChoiceCare |
$8,502.07
|
| Rate for Payer: Humana Medicare Advantage |
$7,729.15
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$12,984.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,675.75
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,729.15
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,139.56
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,820.81
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,675.75
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,729.15
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,052.68
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,574.57
|
| Rate for Payer: United Healthcare Commercial |
$4,734.44
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,675.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,729.15
|
| Rate for Payer: Zelis Medicare |
$6,569.78
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,547.01
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$40,849.59
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$6,876.80 |
| Max. Negotiated Rate |
$40,849.59 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,876.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$18,698.04
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,876.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12,401.54
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$24,029.17
|
| Rate for Payer: GEHA Medicare |
$24,029.17
|
| Rate for Payer: Humana ChoiceCare |
$26,432.09
|
| Rate for Payer: Humana Medicare Advantage |
$24,029.17
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$40,369.01
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12,401.54
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$24,029.17
|
| Rate for Payer: New Mexico Health Connections Medicare |
$40,849.59
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$33,640.84
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12,401.54
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$24,029.17
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$34,361.71
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$23,548.59
|
| Rate for Payer: United Healthcare Commercial |
$15,743.29
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12,401.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,029.17
|
| Rate for Payer: Zelis Medicare |
$20,424.79
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$15,120.02
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$74,139.45
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$11,039.70 |
| Max. Negotiated Rate |
$74,139.45 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,039.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$33,935.76
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,039.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$19,750.47
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$43,611.44
|
| Rate for Payer: GEHA Medicare |
$43,611.44
|
| Rate for Payer: Humana ChoiceCare |
$47,972.58
|
| Rate for Payer: Humana Medicare Advantage |
$43,611.44
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$73,267.22
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$19,750.47
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$43,611.44
|
| Rate for Payer: New Mexico Health Connections Medicare |
$74,139.45
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$61,056.02
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$19,750.47
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$43,611.44
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$62,364.36
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$42,739.21
|
| Rate for Payer: United Healthcare Commercial |
$28,573.07
|
| Rate for Payer: United Healthcare Managed Medicaid |
$19,750.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,611.44
|
| Rate for Payer: Zelis Medicare |
$37,069.72
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$27,441.88
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,699.65
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$3,926.30 |
| Max. Negotiated Rate |
$27,699.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,926.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,678.93
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,926.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,192.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$16,293.91
|
| Rate for Payer: GEHA Medicare |
$16,293.91
|
| Rate for Payer: Humana ChoiceCare |
$17,923.30
|
| Rate for Payer: Humana Medicare Advantage |
$16,293.91
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$27,373.77
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,192.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$16,293.91
|
| Rate for Payer: New Mexico Health Connections Medicare |
$27,699.65
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$22,811.47
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,192.90
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$16,293.91
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$23,300.29
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,968.03
|
| Rate for Payer: United Healthcare Commercial |
$10,675.35
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,192.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,293.91
|
| Rate for Payer: Zelis Medicare |
$13,849.82
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,252.72
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$60,952.33
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$15,347.85 |
| Max. Negotiated Rate |
$60,952.33 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15,347.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$27,899.64
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15,347.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$27,355.82
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$35,854.31
|
| Rate for Payer: GEHA Medicare |
$35,854.31
|
| Rate for Payer: Humana ChoiceCare |
$39,439.74
|
| Rate for Payer: Humana Medicare Advantage |
$35,854.31
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$60,235.24
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$27,355.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$35,854.31
|
| Rate for Payer: New Mexico Health Connections Medicare |
$60,952.33
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$50,196.03
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$27,355.82
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$35,854.31
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$51,271.66
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$35,137.22
|
| Rate for Payer: United Healthcare Commercial |
$23,490.81
|
| Rate for Payer: United Healthcare Managed Medicaid |
$27,355.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,854.31
|
| Rate for Payer: Zelis Medicare |
$30,476.16
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$22,560.82
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$90,833.92
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$33,621.15 |
| Max. Negotiated Rate |
$90,833.92 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$34,801.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$41,577.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$34,801.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$61,698.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$53,431.72
|
| Rate for Payer: GEHA Medicare |
$53,431.72
|
| Rate for Payer: Humana ChoiceCare |
$58,774.89
|
| Rate for Payer: Humana Medicare Advantage |
$53,431.72
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$89,765.29
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$61,698.22
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$53,431.72
|
| Rate for Payer: New Mexico Health Connections Medicare |
$90,833.92
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$74,804.41
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$61,698.22
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$53,431.72
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$76,407.36
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$52,363.09
|
| Rate for Payer: United Healthcare Commercial |
$35,007.06
|
| Rate for Payer: United Healthcare Managed Medicaid |
$61,698.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,431.72
|
| Rate for Payer: Zelis Medicare |
$45,416.96
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$33,621.15
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$44,279.14
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$11,033.75 |
| Max. Negotiated Rate |
$44,279.14 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,033.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$20,267.82
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,033.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$19,739.97
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$26,046.55
|
| Rate for Payer: GEHA Medicare |
$26,046.55
|
| Rate for Payer: Humana ChoiceCare |
$28,651.21
|
| Rate for Payer: Humana Medicare Advantage |
$26,046.55
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$43,758.20
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$19,739.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$26,046.55
|
| Rate for Payer: New Mexico Health Connections Medicare |
$44,279.14
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$36,465.17
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$19,739.97
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$26,046.55
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$37,246.57
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$25,525.62
|
| Rate for Payer: United Healthcare Commercial |
$17,065.00
|
| Rate for Payer: United Healthcare Managed Medicaid |
$19,739.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,046.55
|
| Rate for Payer: Zelis Medicare |
$22,139.57
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$16,389.41
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$19,481.61
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$4,167.80 |
| Max. Negotiated Rate |
$19,481.61 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,167.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,917.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,167.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,619.23
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,459.77
|
| Rate for Payer: GEHA Medicare |
$11,459.77
|
| Rate for Payer: Humana ChoiceCare |
$12,605.75
|
| Rate for Payer: Humana Medicare Advantage |
$11,459.77
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,252.41
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,619.23
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,459.77
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,481.61
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,043.68
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,619.23
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,459.77
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,387.47
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,230.57
|
| Rate for Payer: United Healthcare Commercial |
$7,508.14
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,619.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,459.77
|
| Rate for Payer: Zelis Medicare |
$9,740.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,210.90
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,864.32
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$3,124.10 |
| Max. Negotiated Rate |
$11,864.32 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,124.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$4,915.89
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,124.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,776.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$6,979.01
|
| Rate for Payer: GEHA Medicare |
$6,979.01
|
| Rate for Payer: Humana ChoiceCare |
$7,676.91
|
| Rate for Payer: Humana Medicare Advantage |
$6,979.01
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$11,724.74
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,776.75
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$6,979.01
|
| Rate for Payer: New Mexico Health Connections Medicare |
$11,864.32
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$9,770.61
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,776.75
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$6,979.01
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$9,979.98
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$6,839.43
|
| Rate for Payer: United Healthcare Commercial |
$4,139.06
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,776.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6,979.01
|
| Rate for Payer: Zelis Medicare |
$5,932.16
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$3,975.20
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$32,835.07
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$4,872.00 |
| Max. Negotiated Rate |
$32,835.07 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,872.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$15,029.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,872.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,862.39
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$19,314.75
|
| Rate for Payer: GEHA Medicare |
$19,314.75
|
| Rate for Payer: Humana ChoiceCare |
$21,246.22
|
| Rate for Payer: Humana Medicare Advantage |
$19,314.75
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$32,448.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,862.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$19,314.75
|
| Rate for Payer: New Mexico Health Connections Medicare |
$32,835.07
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$27,040.65
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,862.39
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$19,314.75
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$27,620.09
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$18,928.46
|
| Rate for Payer: United Healthcare Commercial |
$12,654.51
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,862.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,314.75
|
| Rate for Payer: Zelis Medicare |
$16,417.54
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$12,153.52
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$21,799.78
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$3,608.15 |
| Max. Negotiated Rate |
$21,799.78 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,608.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9,978.39
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,608.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,631.26
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$12,823.40
|
| Rate for Payer: GEHA Medicare |
$12,823.40
|
| Rate for Payer: Humana ChoiceCare |
$14,105.74
|
| Rate for Payer: Humana Medicare Advantage |
$12,823.40
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$21,543.31
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,631.26
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$12,823.40
|
| Rate for Payer: New Mexico Health Connections Medicare |
$21,799.78
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$17,952.76
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,631.26
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$12,823.40
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18,337.46
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$12,566.93
|
| Rate for Payer: United Healthcare Commercial |
$8,401.56
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,631.26
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12,823.40
|
| Rate for Payer: Zelis Medicare |
$10,899.89
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$8,068.94
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$39,963.06
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$10,422.30 |
| Max. Negotiated Rate |
$39,963.06 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$10,422.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$18,292.23
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$10,422.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$18,660.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$23,507.68
|
| Rate for Payer: GEHA Medicare |
$23,507.68
|
| Rate for Payer: Humana ChoiceCare |
$25,858.45
|
| Rate for Payer: Humana Medicare Advantage |
$23,507.68
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$39,492.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$18,660.55
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$23,507.68
|
| Rate for Payer: New Mexico Health Connections Medicare |
$39,963.06
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$32,910.75
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$18,660.55
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$23,507.68
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$33,615.98
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$23,037.53
|
| Rate for Payer: United Healthcare Commercial |
$15,401.61
|
| Rate for Payer: United Healthcare Managed Medicaid |
$18,660.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,507.68
|
| Rate for Payer: Zelis Medicare |
$19,981.53
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$14,791.86
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$25,116.02
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$8,554.35 |
| Max. Negotiated Rate |
$25,116.02 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$8,554.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$11,496.33
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$8,554.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$15,362.99
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$14,774.13
|
| Rate for Payer: GEHA Medicare |
$14,774.13
|
| Rate for Payer: Humana ChoiceCare |
$16,251.54
|
| Rate for Payer: Humana Medicare Advantage |
$14,774.13
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$24,820.54
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$15,362.99
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$14,774.13
|
| Rate for Payer: New Mexico Health Connections Medicare |
$25,116.02
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$20,683.78
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$15,362.99
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$14,774.13
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$21,127.01
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$14,478.65
|
| Rate for Payer: United Healthcare Commercial |
$9,679.63
|
| Rate for Payer: United Healthcare Managed Medicaid |
$15,362.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$14,774.13
|
| Rate for Payer: Zelis Medicare |
$12,558.01
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,296.42
|
|
|
MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$21,047.70
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$5,993.75 |
| Max. Negotiated Rate |
$21,047.70 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,993.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9,634.14
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,993.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$10,842.66
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$12,381.00
|
| Rate for Payer: GEHA Medicare |
$12,381.00
|
| Rate for Payer: Humana ChoiceCare |
$13,619.10
|
| Rate for Payer: Humana Medicare Advantage |
$12,381.00
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$20,800.08
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$10,842.66
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$12,381.00
|
| Rate for Payer: New Mexico Health Connections Medicare |
$21,047.70
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$17,333.40
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$10,842.66
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$12,381.00
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$17,704.83
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$12,133.38
|
| Rate for Payer: United Healthcare Commercial |
$8,111.71
|
| Rate for Payer: United Healthcare Managed Medicaid |
$10,842.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12,381.00
|
| Rate for Payer: Zelis Medicare |
$10,523.85
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,790.57
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$26,545.87
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$9,825.66 |
| Max. Negotiated Rate |
$26,545.87 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,054.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,150.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,054.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$19,777.04
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,615.22
|
| Rate for Payer: GEHA Medicare |
$15,615.22
|
| Rate for Payer: Humana ChoiceCare |
$17,176.74
|
| Rate for Payer: Humana Medicare Advantage |
$15,615.22
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,233.57
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$19,777.04
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,615.22
|
| Rate for Payer: New Mexico Health Connections Medicare |
$26,545.87
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$21,861.31
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$19,777.04
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,615.22
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,329.76
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,302.92
|
| Rate for Payer: United Healthcare Commercial |
$10,230.68
|
| Rate for Payer: United Healthcare Managed Medicaid |
$19,777.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,615.22
|
| Rate for Payer: Zelis Medicare |
$13,272.94
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,825.66
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$48,074.93
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$15,477.35 |
| Max. Negotiated Rate |
$48,074.93 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15,477.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$22,005.27
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15,477.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$27,584.44
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$28,279.37
|
| Rate for Payer: GEHA Medicare |
$28,279.37
|
| Rate for Payer: Humana ChoiceCare |
$31,107.31
|
| Rate for Payer: Humana Medicare Advantage |
$28,279.37
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$47,509.34
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$27,584.44
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$28,279.37
|
| Rate for Payer: New Mexico Health Connections Medicare |
$48,074.93
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$39,591.12
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$27,584.44
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$28,279.37
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$40,439.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$27,713.78
|
| Rate for Payer: United Healthcare Commercial |
$18,527.89
|
| Rate for Payer: United Healthcare Managed Medicaid |
$27,584.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,279.37
|
| Rate for Payer: Zelis Medicare |
$24,037.46
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$17,794.38
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$16,329.83
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$5,977.53 |
| Max. Negotiated Rate |
$16,329.83 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$8,905.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,392.06
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$8,905.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$15,982.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9,605.78
|
| Rate for Payer: GEHA Medicare |
$9,605.78
|
| Rate for Payer: Humana ChoiceCare |
$10,566.36
|
| Rate for Payer: Humana Medicare Advantage |
$9,605.78
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$16,137.71
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$15,982.09
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9,605.78
|
| Rate for Payer: New Mexico Health Connections Medicare |
$16,329.83
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$13,448.09
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$15,982.09
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9,605.78
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$13,736.27
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,413.66
|
| Rate for Payer: United Healthcare Commercial |
$6,223.93
|
| Rate for Payer: United Healthcare Managed Medicaid |
$15,982.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,605.78
|
| Rate for Payer: Zelis Medicare |
$8,164.91
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,977.53
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,044.72
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$3,503.15 |
| Max. Negotiated Rate |
$18,044.72 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,503.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,259.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,503.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,445.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,614.54
|
| Rate for Payer: GEHA Medicare |
$10,614.54
|
| Rate for Payer: Humana ChoiceCare |
$11,675.99
|
| Rate for Payer: Humana Medicare Advantage |
$10,614.54
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,832.43
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,445.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,614.54
|
| Rate for Payer: New Mexico Health Connections Medicare |
$18,044.72
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,860.36
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,445.90
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,614.54
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$15,178.79
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,402.25
|
| Rate for Payer: United Healthcare Commercial |
$6,954.35
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,445.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,614.54
|
| Rate for Payer: Zelis Medicare |
$9,022.36
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,679.03
|
|
