|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$18,945.41
|
|
|
Service Code
|
MSDRG 300
|
| Min. Negotiated Rate |
$4,962.65 |
| Max. Negotiated Rate |
$18,945.41 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,962.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,671.86
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,962.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,022.41
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,144.36
|
| Rate for Payer: GEHA Medicare |
$11,144.36
|
| Rate for Payer: Humana ChoiceCare |
$12,258.80
|
| Rate for Payer: Humana Medicare Advantage |
$11,144.36
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$18,722.52
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,022.41
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,144.36
|
| Rate for Payer: New Mexico Health Connections Medicare |
$18,945.41
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$15,602.10
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,022.41
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,144.36
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$15,936.43
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,921.47
|
| Rate for Payer: United Healthcare Commercial |
$7,301.49
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,022.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,144.36
|
| Rate for Payer: Zelis Medicare |
$9,472.71
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,012.43
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$28,625.18
|
|
|
Service Code
|
MSDRG 299
|
| Min. Negotiated Rate |
$7,277.90 |
| Max. Negotiated Rate |
$28,625.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,277.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,102.56
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,277.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$13,109.62
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$16,838.34
|
| Rate for Payer: GEHA Medicare |
$16,838.34
|
| Rate for Payer: Humana ChoiceCare |
$18,522.17
|
| Rate for Payer: Humana Medicare Advantage |
$16,838.34
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,288.41
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$13,109.62
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$16,838.34
|
| Rate for Payer: New Mexico Health Connections Medicare |
$28,625.18
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,573.68
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$13,109.62
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$16,838.34
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,078.83
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,501.57
|
| Rate for Payer: United Healthcare Commercial |
$11,032.03
|
| Rate for Payer: United Healthcare Managed Medicaid |
$13,109.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,838.34
|
| Rate for Payer: Zelis Medicare |
$14,312.59
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,595.28
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,420.00
|
|
|
Service Code
|
MSDRG 301
|
| Min. Negotiated Rate |
$3,162.25 |
| Max. Negotiated Rate |
$13,420.00 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,162.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,778.54
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,162.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,844.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,894.12
|
| Rate for Payer: GEHA Medicare |
$7,894.12
|
| Rate for Payer: Humana ChoiceCare |
$8,683.53
|
| Rate for Payer: Humana Medicare Advantage |
$7,894.12
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,262.12
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,844.10
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,894.12
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,420.00
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,051.77
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,844.10
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,894.12
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,288.59
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,736.24
|
| Rate for Payer: United Healthcare Commercial |
$4,865.39
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,844.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,894.12
|
| Rate for Payer: Zelis Medicare |
$6,710.00
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,672.77
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$37,379.40
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$11,962.65 |
| Max. Negotiated Rate |
$37,379.40 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,962.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$17,109.63
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,962.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$21,379.79
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$21,987.88
|
| Rate for Payer: GEHA Medicare |
$21,987.88
|
| Rate for Payer: Humana ChoiceCare |
$24,186.67
|
| Rate for Payer: Humana Medicare Advantage |
$21,987.88
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$36,939.64
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$21,379.79
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$21,987.88
|
| Rate for Payer: New Mexico Health Connections Medicare |
$37,379.40
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$30,783.03
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$21,379.79
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$21,987.88
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$31,442.67
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$21,548.12
|
| Rate for Payer: United Healthcare Commercial |
$14,405.89
|
| Rate for Payer: United Healthcare Managed Medicaid |
$21,379.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,987.88
|
| Rate for Payer: Zelis Medicare |
$18,689.70
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$13,835.57
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$64,119.90
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$16,054.15 |
| Max. Negotiated Rate |
$64,119.90 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$16,054.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$29,349.54
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$16,054.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$28,602.68
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$37,717.59
|
| Rate for Payer: GEHA Medicare |
$37,717.59
|
| Rate for Payer: Humana ChoiceCare |
$41,489.35
|
| Rate for Payer: Humana Medicare Advantage |
$37,717.59
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$63,365.55
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$28,602.68
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$37,717.59
|
| Rate for Payer: New Mexico Health Connections Medicare |
$64,119.90
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$52,804.63
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$28,602.68
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$37,717.59
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$53,936.15
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$36,963.24
|
| Rate for Payer: United Healthcare Commercial |
$24,711.59
|
| Rate for Payer: United Healthcare Managed Medicaid |
$28,602.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,717.59
|
| Rate for Payer: Zelis Medicare |
$32,059.95
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$23,733.27
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$27,165.24
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$7,844.90 |
| Max. Negotiated Rate |
$27,165.24 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,844.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,434.31
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,844.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$14,110.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,979.55
|
| Rate for Payer: GEHA Medicare |
$15,979.55
|
| Rate for Payer: Humana ChoiceCare |
$17,577.51
|
| Rate for Payer: Humana Medicare Advantage |
$15,979.55
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,845.64
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$14,110.57
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,979.55
|
| Rate for Payer: New Mexico Health Connections Medicare |
$27,165.24
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$22,371.37
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$14,110.57
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,979.55
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,850.76
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,659.96
|
| Rate for Payer: United Healthcare Commercial |
$10,469.38
|
| Rate for Payer: United Healthcare Managed Medicaid |
$14,110.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,979.55
|
| Rate for Payer: Zelis Medicare |
$13,582.62
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,054.91
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
|
IP
|
$39,865.71
|
|
|
Service Code
|
MSDRG 243
|
| Min. Negotiated Rate |
$13,202.35 |
| Max. Negotiated Rate |
$39,865.71 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$13,202.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$18,247.68
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$13,202.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$23,568.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$23,450.42
|
| Rate for Payer: GEHA Medicare |
$23,450.42
|
| Rate for Payer: Humana ChoiceCare |
$25,795.46
|
| Rate for Payer: Humana Medicare Advantage |
$23,450.42
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$39,396.71
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$23,568.29
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$23,450.42
|
| Rate for Payer: New Mexico Health Connections Medicare |
$39,865.71
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$32,830.59
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$23,568.29
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$23,450.42
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$33,534.10
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$22,981.41
|
| Rate for Payer: United Healthcare Commercial |
$15,364.10
|
| Rate for Payer: United Healthcare Managed Medicaid |
$23,568.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,450.42
|
| Rate for Payer: Zelis Medicare |
$19,932.86
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$14,755.84
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
|
IP
|
$60,025.03
|
|
|
Service Code
|
MSDRG 242
|
| Min. Negotiated Rate |
$14,816.20 |
| Max. Negotiated Rate |
$60,025.03 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$14,816.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$27,475.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$14,816.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$26,417.28
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$35,308.84
|
| Rate for Payer: GEHA Medicare |
$35,308.84
|
| Rate for Payer: Humana ChoiceCare |
$38,839.72
|
| Rate for Payer: Humana Medicare Advantage |
$35,308.84
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$59,318.85
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$26,417.28
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$35,308.84
|
| Rate for Payer: New Mexico Health Connections Medicare |
$60,025.03
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$49,432.38
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$26,417.28
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$35,308.84
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$50,491.64
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$34,602.66
|
| Rate for Payer: United Healthcare Commercial |
$23,133.44
|
| Rate for Payer: United Healthcare Managed Medicaid |
$26,417.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,308.84
|
| Rate for Payer: Zelis Medicare |
$30,012.51
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$22,217.60
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$31,936.10
|
|
|
Service Code
|
MSDRG 244
|
| Min. Negotiated Rate |
$11,820.78 |
| Max. Negotiated Rate |
$31,936.10 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,832.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,618.07
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,832.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$21,149.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,785.94
|
| Rate for Payer: GEHA Medicare |
$18,785.94
|
| Rate for Payer: Humana ChoiceCare |
$20,664.53
|
| Rate for Payer: Humana Medicare Advantage |
$18,785.94
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$31,560.38
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$21,149.95
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,785.94
|
| Rate for Payer: New Mexico Health Connections Medicare |
$31,936.10
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$26,300.32
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$21,149.95
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,785.94
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,863.89
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$18,410.22
|
| Rate for Payer: United Healthcare Commercial |
$12,308.05
|
| Rate for Payer: United Healthcare Managed Medicaid |
$21,149.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,785.94
|
| Rate for Payer: Zelis Medicare |
$15,968.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,820.78
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH CC
|
Facility
|
IP
|
$17,766.87
|
|
|
Service Code
|
MSDRG 187
|
| Min. Negotiated Rate |
$5,359.55 |
| Max. Negotiated Rate |
$17,766.87 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,359.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,132.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,359.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,723.08
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,451.10
|
| Rate for Payer: GEHA Medicare |
$10,451.10
|
| Rate for Payer: Humana ChoiceCare |
$11,496.21
|
| Rate for Payer: Humana Medicare Advantage |
$10,451.10
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,557.85
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,723.08
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,451.10
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,766.87
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,631.54
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,723.08
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,451.10
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,945.07
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,242.08
|
| Rate for Payer: United Healthcare Commercial |
$6,847.28
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,723.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,451.10
|
| Rate for Payer: Zelis Medicare |
$8,883.43
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,576.20
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH MCC
|
Facility
|
IP
|
$27,959.76
|
|
|
Service Code
|
MSDRG 186
|
| Min. Negotiated Rate |
$7,239.75 |
| Max. Negotiated Rate |
$27,959.76 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,239.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,798.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,239.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$13,042.27
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$16,446.92
|
| Rate for Payer: GEHA Medicare |
$16,446.92
|
| Rate for Payer: Humana ChoiceCare |
$18,091.61
|
| Rate for Payer: Humana Medicare Advantage |
$16,446.92
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$27,630.83
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$13,042.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$16,446.92
|
| Rate for Payer: New Mexico Health Connections Medicare |
$27,959.76
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,025.69
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$13,042.27
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$16,446.92
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$23,519.10
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,117.98
|
| Rate for Payer: United Healthcare Commercial |
$10,775.60
|
| Rate for Payer: United Healthcare Managed Medicaid |
$13,042.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,446.92
|
| Rate for Payer: Zelis Medicare |
$13,979.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,349.00
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$13,723.84
|
|
|
Service Code
|
MSDRG 188
|
| Min. Negotiated Rate |
$3,764.95 |
| Max. Negotiated Rate |
$13,723.84 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,764.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,947.02
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,764.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,908.07
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$8,072.85
|
| Rate for Payer: GEHA Medicare |
$8,072.85
|
| Rate for Payer: Humana ChoiceCare |
$8,880.14
|
| Rate for Payer: Humana Medicare Advantage |
$8,072.85
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,562.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,908.07
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$8,072.85
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,723.84
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,301.99
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,908.07
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$8,072.85
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,544.18
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,911.39
|
| Rate for Payer: United Healthcare Commercial |
$5,007.24
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,908.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,072.85
|
| Rate for Payer: Zelis Medicare |
$6,861.92
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,809.01
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH CC
|
Facility
|
IP
|
$19,598.42
|
|
|
Service Code
|
MSDRG 200
|
| Min. Negotiated Rate |
$5,384.05 |
| Max. Negotiated Rate |
$19,598.42 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,384.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,970.75
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,384.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,766.33
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,528.48
|
| Rate for Payer: GEHA Medicare |
$11,528.48
|
| Rate for Payer: Humana ChoiceCare |
$12,681.33
|
| Rate for Payer: Humana Medicare Advantage |
$11,528.48
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,367.85
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,766.33
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,528.48
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,598.42
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,139.87
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,766.33
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,528.48
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,485.73
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,297.91
|
| Rate for Payer: United Healthcare Commercial |
$7,553.15
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,766.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,528.48
|
| Rate for Payer: Zelis Medicare |
$9,799.21
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,254.12
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH MCC
|
Facility
|
IP
|
$31,238.88
|
|
|
Service Code
|
MSDRG 199
|
| Min. Negotiated Rate |
$9,037.70 |
| Max. Negotiated Rate |
$31,238.88 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$9,037.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,298.93
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$9,037.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$16,216.26
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,375.81
|
| Rate for Payer: GEHA Medicare |
$18,375.81
|
| Rate for Payer: Humana ChoiceCare |
$20,213.39
|
| Rate for Payer: Humana Medicare Advantage |
$18,375.81
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$30,871.36
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$16,216.26
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,375.81
|
| Rate for Payer: New Mexico Health Connections Medicare |
$31,238.88
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25,726.13
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$16,216.26
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,375.81
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,277.41
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$18,008.29
|
| Rate for Payer: United Healthcare Commercial |
$12,039.35
|
| Rate for Payer: United Healthcare Managed Medicaid |
$16,216.26
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,375.81
|
| Rate for Payer: Zelis Medicare |
$15,619.44
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,562.72
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC
|
Facility
|
IP
|
$12,889.77
|
|
|
Service Code
|
MSDRG 201
|
| Min. Negotiated Rate |
$3,483.55 |
| Max. Negotiated Rate |
$12,889.77 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,483.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,484.51
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,483.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,411.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,582.22
|
| Rate for Payer: GEHA Medicare |
$7,582.22
|
| Rate for Payer: Humana ChoiceCare |
$8,340.44
|
| Rate for Payer: Humana Medicare Advantage |
$7,582.22
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$12,738.13
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,411.30
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,582.22
|
| Rate for Payer: New Mexico Health Connections Medicare |
$12,889.77
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$10,615.11
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,411.30
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,582.22
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$10,842.57
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,430.58
|
| Rate for Payer: United Healthcare Commercial |
$4,617.82
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,411.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,582.22
|
| Rate for Payer: Zelis Medicare |
$6,444.89
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,435.01
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
|
Facility
|
IP
|
$29,016.25
|
|
|
Service Code
|
MSDRG 917
|
| Min. Negotiated Rate |
$3,307.85 |
| Max. Negotiated Rate |
$29,016.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,307.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,281.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,307.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$6,101.13
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,068.38
|
| Rate for Payer: GEHA Medicare |
$17,068.38
|
| Rate for Payer: Humana ChoiceCare |
$18,775.22
|
| Rate for Payer: Humana Medicare Advantage |
$17,068.38
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,674.88
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$6,101.13
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,068.38
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,016.25
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,895.73
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$6,101.13
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,068.38
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,407.78
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,727.01
|
| Rate for Payer: United Healthcare Commercial |
$11,182.75
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6,101.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,068.38
|
| Rate for Payer: Zelis Medicare |
$14,508.12
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,740.03
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
|
Facility
|
IP
|
$15,920.82
|
|
|
Service Code
|
MSDRG 918
|
| Min. Negotiated Rate |
$2,703.05 |
| Max. Negotiated Rate |
$15,920.82 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,703.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,165.26
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,703.05
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,033.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9,365.19
|
| Rate for Payer: GEHA Medicare |
$9,365.19
|
| Rate for Payer: Humana ChoiceCare |
$10,301.71
|
| Rate for Payer: Humana Medicare Advantage |
$9,365.19
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15,733.52
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,033.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9,365.19
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15,920.82
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$13,111.27
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,033.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9,365.19
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$13,392.22
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,177.89
|
| Rate for Payer: United Healthcare Commercial |
$6,032.97
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,033.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,365.19
|
| Rate for Payer: Zelis Medicare |
$7,960.41
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,794.13
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
|
IP
|
$32,537.76
|
|
|
Service Code
|
MSDRG 862
|
| Min. Negotiated Rate |
$6,919.50 |
| Max. Negotiated Rate |
$32,537.76 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,919.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,893.47
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,919.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12,476.92
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$19,139.86
|
| Rate for Payer: GEHA Medicare |
$19,139.86
|
| Rate for Payer: Humana ChoiceCare |
$21,053.85
|
| Rate for Payer: Humana Medicare Advantage |
$19,139.86
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$32,154.96
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12,476.92
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$19,139.86
|
| Rate for Payer: New Mexico Health Connections Medicare |
$32,537.76
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$26,795.80
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12,476.92
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$19,139.86
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$27,370.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$18,757.06
|
| Rate for Payer: United Healthcare Commercial |
$12,539.93
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12,476.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,139.86
|
| Rate for Payer: Zelis Medicare |
$16,268.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$12,043.49
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$17,694.31
|
|
|
Service Code
|
MSDRG 863
|
| Min. Negotiated Rate |
$3,126.90 |
| Max. Negotiated Rate |
$17,694.31 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,126.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,099.19
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,126.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,781.69
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,408.42
|
| Rate for Payer: GEHA Medicare |
$10,408.42
|
| Rate for Payer: Humana ChoiceCare |
$11,449.26
|
| Rate for Payer: Humana Medicare Advantage |
$10,408.42
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,486.15
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,781.69
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,408.42
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,694.31
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,571.79
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,781.69
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,408.42
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,884.04
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,200.25
|
| Rate for Payer: United Healthcare Commercial |
$6,819.32
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,781.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,408.42
|
| Rate for Payer: Zelis Medicare |
$8,847.16
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,549.35
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$38,557.94
|
|
|
Service Code
|
MSDRG 857
|
| Min. Negotiated Rate |
$7,188.30 |
| Max. Negotiated Rate |
$38,557.94 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,188.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$17,649.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,188.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12,951.44
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$22,681.14
|
| Rate for Payer: GEHA Medicare |
$22,681.14
|
| Rate for Payer: Humana ChoiceCare |
$24,949.25
|
| Rate for Payer: Humana Medicare Advantage |
$22,681.14
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$38,104.32
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12,951.44
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$22,681.14
|
| Rate for Payer: New Mexico Health Connections Medicare |
$38,557.94
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$31,753.60
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12,951.44
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$22,681.14
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$32,434.03
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$22,227.52
|
| Rate for Payer: United Healthcare Commercial |
$14,860.10
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12,951.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,681.14
|
| Rate for Payer: Zelis Medicare |
$19,278.97
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$14,271.80
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$79,837.58
|
|
|
Service Code
|
MSDRG 856
|
| Min. Negotiated Rate |
$19,093.20 |
| Max. Negotiated Rate |
$79,837.58 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$19,093.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$36,543.96
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$19,093.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$33,967.64
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$46,963.28
|
| Rate for Payer: GEHA Medicare |
$46,963.28
|
| Rate for Payer: Humana ChoiceCare |
$51,659.61
|
| Rate for Payer: Humana Medicare Advantage |
$46,963.28
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$78,898.31
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$33,967.64
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$46,963.28
|
| Rate for Payer: New Mexico Health Connections Medicare |
$79,837.58
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$65,748.59
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$33,967.64
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$46,963.28
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$67,157.49
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$46,024.01
|
| Rate for Payer: United Healthcare Commercial |
$30,769.11
|
| Rate for Payer: United Healthcare Managed Medicaid |
$33,967.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,963.28
|
| Rate for Payer: Zelis Medicare |
$39,918.79
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$29,550.98
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,799.63
|
|
|
Service Code
|
MSDRG 858
|
| Min. Negotiated Rate |
$5,131.00 |
| Max. Negotiated Rate |
$22,799.63 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,131.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$10,436.04
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,131.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,319.61
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$13,411.55
|
| Rate for Payer: GEHA Medicare |
$13,411.55
|
| Rate for Payer: Humana ChoiceCare |
$14,752.70
|
| Rate for Payer: Humana Medicare Advantage |
$13,411.55
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$22,531.40
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,319.61
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$13,411.55
|
| Rate for Payer: New Mexico Health Connections Medicare |
$22,799.63
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$18,776.17
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,319.61
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$13,411.55
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$19,178.52
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$13,143.32
|
| Rate for Payer: United Healthcare Commercial |
$8,786.89
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,319.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13,411.55
|
| Rate for Payer: Zelis Medicare |
$11,399.82
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$8,439.02
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
|
Facility
|
IP
|
$24,588.66
|
|
|
Service Code
|
MSDRG 769
|
| Min. Negotiated Rate |
$3,819.20 |
| Max. Negotiated Rate |
$24,588.66 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$3,819.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$11,254.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$3,819.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,003.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$14,463.92
|
| Rate for Payer: GEHA Medicare |
$14,463.92
|
| Rate for Payer: Humana ChoiceCare |
$15,910.31
|
| Rate for Payer: Humana Medicare Advantage |
$14,463.92
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$24,299.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,003.84
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$14,463.92
|
| Rate for Payer: New Mexico Health Connections Medicare |
$24,588.66
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$20,249.49
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,003.84
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$14,463.92
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$20,683.41
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$14,174.64
|
| Rate for Payer: United Healthcare Commercial |
$9,476.39
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,003.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$14,463.92
|
| Rate for Payer: Zelis Medicare |
$12,294.33
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,101.23
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
|
Facility
|
IP
|
$13,421.48
|
|
|
Service Code
|
MSDRG 776
|
| Min. Negotiated Rate |
$2,110.85 |
| Max. Negotiated Rate |
$13,421.48 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,110.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$5,779.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,110.85
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$3,988.02
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$7,894.99
|
| Rate for Payer: GEHA Medicare |
$7,894.99
|
| Rate for Payer: Humana ChoiceCare |
$8,684.49
|
| Rate for Payer: Humana Medicare Advantage |
$7,894.99
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$13,263.58
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$3,988.02
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$7,894.99
|
| Rate for Payer: New Mexico Health Connections Medicare |
$13,421.48
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,052.99
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$3,988.02
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$7,894.99
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,289.84
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$7,737.09
|
| Rate for Payer: United Healthcare Commercial |
$4,866.07
|
| Rate for Payer: United Healthcare Managed Medicaid |
$3,988.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,894.99
|
| Rate for Payer: Zelis Medicare |
$6,710.74
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$4,673.43
|
|
|
MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$71,844.28
|
|
|
Service Code
|
MSDRG 791
|
| Min. Negotiated Rate |
$11,547.20 |
| Max. Negotiated Rate |
$71,844.28 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,547.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$32,885.19
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,547.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$20,646.38
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$42,261.34
|
| Rate for Payer: GEHA Medicare |
$42,261.34
|
| Rate for Payer: Humana ChoiceCare |
$46,487.47
|
| Rate for Payer: Humana Medicare Advantage |
$42,261.34
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$70,999.05
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$20,646.38
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$42,261.34
|
| Rate for Payer: New Mexico Health Connections Medicare |
$71,844.28
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$59,165.88
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$20,646.38
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$42,261.34
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$60,433.72
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$41,416.11
|
| Rate for Payer: United Healthcare Commercial |
$27,688.52
|
| Rate for Payer: United Healthcare Managed Medicaid |
$20,646.38
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,261.34
|
| Rate for Payer: Zelis Medicare |
$35,922.14
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$26,592.35
|
|
