|
MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS
|
Facility
|
IP
|
$43,350.08
|
|
|
Service Code
|
MSDRG 792
|
| Min. Negotiated Rate |
$2,526.30 |
| Max. Negotiated Rate |
$43,350.08 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,526.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$19,842.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,526.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$4,721.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$25,500.05
|
| Rate for Payer: GEHA Medicare |
$25,500.05
|
| Rate for Payer: Humana ChoiceCare |
$28,050.06
|
| Rate for Payer: Humana Medicare Advantage |
$25,500.05
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$42,840.08
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$4,721.43
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$25,500.05
|
| Rate for Payer: New Mexico Health Connections Medicare |
$43,350.08
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$35,700.07
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$4,721.43
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$25,500.05
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$36,465.07
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$24,990.05
|
| Rate for Payer: United Healthcare Commercial |
$16,706.95
|
| Rate for Payer: United Healthcare Managed Medicaid |
$4,721.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,500.05
|
| Rate for Payer: Zelis Medicare |
$21,675.04
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$16,045.53
|
|
|
MS-DRG 42.00: PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS
|
Facility
|
IP
|
$261.65
|
|
|
Service Code
|
MSDRG 998
|
| Min. Negotiated Rate |
$261.65 |
| Max. Negotiated Rate |
$261.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$261.65
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$261.65
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$261.65
|
| Rate for Payer: United Healthcare Managed Medicaid |
$261.65
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$29,150.73
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$5,301.45 |
| Max. Negotiated Rate |
$29,150.73 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,301.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,343.13
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,301.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$9,620.51
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,147.49
|
| Rate for Payer: GEHA Medicare |
$17,147.49
|
| Rate for Payer: Humana ChoiceCare |
$18,862.24
|
| Rate for Payer: Humana Medicare Advantage |
$17,147.49
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,807.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$9,620.51
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,147.49
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,150.73
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$24,006.49
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$9,620.51
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,147.49
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,520.91
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,804.54
|
| Rate for Payer: United Healthcare Commercial |
$11,234.59
|
| Rate for Payer: United Healthcare Managed Medicaid |
$9,620.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,147.49
|
| Rate for Payer: Zelis Medicare |
$14,575.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,789.82
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$60,761.21
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$6,823.95 |
| Max. Negotiated Rate |
$60,761.21 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$6,823.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$27,812.16
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$6,823.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12,308.24
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$35,741.89
|
| Rate for Payer: GEHA Medicare |
$35,741.89
|
| Rate for Payer: Humana ChoiceCare |
$39,316.08
|
| Rate for Payer: Humana Medicare Advantage |
$35,741.89
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$60,046.38
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12,308.24
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$35,741.89
|
| Rate for Payer: New Mexico Health Connections Medicare |
$60,761.21
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$50,038.65
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12,308.24
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$35,741.89
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$51,110.90
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$35,027.05
|
| Rate for Payer: United Healthcare Commercial |
$23,417.15
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12,308.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,741.89
|
| Rate for Payer: Zelis Medicare |
$30,380.61
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$22,490.08
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$18,188.03
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$4,518.15 |
| Max. Negotiated Rate |
$18,188.03 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,518.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,325.18
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,518.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,237.72
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,698.84
|
| Rate for Payer: GEHA Medicare |
$10,698.84
|
| Rate for Payer: Humana ChoiceCare |
$11,768.72
|
| Rate for Payer: Humana Medicare Advantage |
$10,698.84
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,974.05
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,237.72
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,698.84
|
| Rate for Payer: New Mexico Health Connections Medicare |
$18,188.03
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,978.38
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,237.72
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,698.84
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$15,299.34
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,484.86
|
| Rate for Payer: United Healthcare Commercial |
$7,009.60
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,237.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,698.84
|
| Rate for Payer: Zelis Medicare |
$9,094.01
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,732.09
|
|
|
MS-DRG 42.00: PSYCHOSES
|
Facility
|
IP
|
$24,944.39
|
|
|
Service Code
|
MSDRG 885
|
| Min. Negotiated Rate |
$4,075.40 |
| Max. Negotiated Rate |
$24,944.39 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,075.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$11,417.76
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,075.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7,456.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$14,673.17
|
| Rate for Payer: GEHA Medicare |
$14,673.17
|
| Rate for Payer: Humana ChoiceCare |
$16,140.49
|
| Rate for Payer: Humana Medicare Advantage |
$14,673.17
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$24,650.93
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7,456.12
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$14,673.17
|
| Rate for Payer: New Mexico Health Connections Medicare |
$24,944.39
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$20,542.44
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7,456.12
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$14,673.17
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$20,982.63
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$14,379.71
|
| Rate for Payer: United Healthcare Commercial |
$9,613.47
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7,456.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$14,673.17
|
| Rate for Payer: Zelis Medicare |
$12,472.19
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,232.88
|
|
|
MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE
|
Facility
|
IP
|
$21,897.12
|
|
|
Service Code
|
MSDRG 189
|
| Min. Negotiated Rate |
$7,000.35 |
| Max. Negotiated Rate |
$21,897.12 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,000.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$10,022.94
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,000.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12,619.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$12,880.66
|
| Rate for Payer: GEHA Medicare |
$12,880.66
|
| Rate for Payer: Humana ChoiceCare |
$14,168.73
|
| Rate for Payer: Humana Medicare Advantage |
$12,880.66
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$21,639.51
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12,619.65
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$12,880.66
|
| Rate for Payer: New Mexico Health Connections Medicare |
$21,897.12
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$18,032.92
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12,619.65
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$12,880.66
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18,419.34
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$12,623.05
|
| Rate for Payer: United Healthcare Commercial |
$8,439.07
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12,619.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12,880.66
|
| Rate for Payer: Zelis Medicare |
$10,948.56
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$8,104.97
|
|
|
MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
|
Facility
|
IP
|
$24,935.53
|
|
|
Service Code
|
MSDRG 175
|
| Min. Negotiated Rate |
$9,229.60 |
| Max. Negotiated Rate |
$24,935.53 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$12,981.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$11,413.71
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$12,981.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$23,177.79
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$14,667.96
|
| Rate for Payer: GEHA Medicare |
$14,667.96
|
| Rate for Payer: Humana ChoiceCare |
$16,134.76
|
| Rate for Payer: Humana Medicare Advantage |
$14,667.96
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$24,642.17
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$23,177.79
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$14,667.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$24,935.53
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$20,535.14
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$23,177.79
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$14,667.96
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$20,975.18
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$14,374.60
|
| Rate for Payer: United Healthcare Commercial |
$9,610.06
|
| Rate for Payer: United Healthcare Managed Medicaid |
$23,177.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$14,667.96
|
| Rate for Payer: Zelis Medicare |
$12,467.77
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,229.60
|
|
|
MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC
|
Facility
|
IP
|
$16,688.32
|
|
|
Service Code
|
MSDRG 176
|
| Min. Negotiated Rate |
$5,334.98 |
| Max. Negotiated Rate |
$16,688.32 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$9,305.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$6,597.45
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$9,305.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$16,688.32
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$8,762.85
|
| Rate for Payer: GEHA Medicare |
$8,762.85
|
| Rate for Payer: Humana ChoiceCare |
$9,639.14
|
| Rate for Payer: Humana Medicare Advantage |
$8,762.85
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$14,721.59
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$16,688.32
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$8,762.85
|
| Rate for Payer: New Mexico Health Connections Medicare |
$14,896.84
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$12,267.99
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$16,688.32
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$8,762.85
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$12,530.88
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8,587.59
|
| Rate for Payer: United Healthcare Commercial |
$5,554.89
|
| Rate for Payer: United Healthcare Managed Medicaid |
$16,688.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,762.85
|
| Rate for Payer: Zelis Medicare |
$7,448.42
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,334.98
|
|
|
MS-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$47,267.96
|
|
|
Service Code
|
MSDRG 849
|
| Min. Negotiated Rate |
$4,712.40 |
| Max. Negotiated Rate |
$47,267.96 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,712.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$21,635.91
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,712.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,580.64
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$27,804.68
|
| Rate for Payer: GEHA Medicare |
$27,804.68
|
| Rate for Payer: Humana ChoiceCare |
$30,585.15
|
| Rate for Payer: Humana Medicare Advantage |
$27,804.68
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$46,711.86
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,580.64
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$27,804.68
|
| Rate for Payer: New Mexico Health Connections Medicare |
$47,267.96
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$38,926.55
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,580.64
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$27,804.68
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$39,760.69
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$27,248.59
|
| Rate for Payer: United Healthcare Commercial |
$18,216.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,580.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,804.68
|
| Rate for Payer: Zelis Medicare |
$23,633.98
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$17,495.71
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$37,609.44
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$11,474.40 |
| Max. Negotiated Rate |
$37,609.44 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,474.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$17,214.93
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,474.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$20,517.87
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$22,123.20
|
| Rate for Payer: GEHA Medicare |
$22,123.20
|
| Rate for Payer: Humana ChoiceCare |
$24,335.52
|
| Rate for Payer: Humana Medicare Advantage |
$22,123.20
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$37,166.98
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$20,517.87
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$22,123.20
|
| Rate for Payer: New Mexico Health Connections Medicare |
$37,609.44
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$30,972.48
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$20,517.87
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$22,123.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$31,636.18
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$21,680.74
|
| Rate for Payer: United Healthcare Commercial |
$14,494.55
|
| Rate for Payer: United Healthcare Managed Medicaid |
$20,517.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,123.20
|
| Rate for Payer: Zelis Medicare |
$18,804.72
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$13,920.72
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$61,382.36
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$15,498.00 |
| Max. Negotiated Rate |
$61,382.36 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15,498.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$28,096.47
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15,498.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$27,620.89
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$36,107.27
|
| Rate for Payer: GEHA Medicare |
$36,107.27
|
| Rate for Payer: Humana ChoiceCare |
$39,718.00
|
| Rate for Payer: Humana Medicare Advantage |
$36,107.27
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$60,660.21
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$27,620.89
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$36,107.27
|
| Rate for Payer: New Mexico Health Connections Medicare |
$61,382.36
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$50,550.18
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$27,620.89
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$36,107.27
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$51,633.40
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$35,385.12
|
| Rate for Payer: United Healthcare Commercial |
$23,656.53
|
| Rate for Payer: United Healthcare Managed Medicaid |
$27,620.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,107.27
|
| Rate for Payer: Zelis Medicare |
$30,691.18
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$22,719.99
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$29,350.72
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$9,564.80 |
| Max. Negotiated Rate |
$29,350.72 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$9,564.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,434.66
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$9,564.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$17,146.77
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$17,265.13
|
| Rate for Payer: GEHA Medicare |
$17,265.13
|
| Rate for Payer: Humana ChoiceCare |
$18,991.64
|
| Rate for Payer: Humana Medicare Advantage |
$17,265.13
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$29,005.42
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$17,146.77
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$17,265.13
|
| Rate for Payer: New Mexico Health Connections Medicare |
$29,350.72
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$24,171.18
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$17,146.77
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$17,265.13
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,689.14
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,919.83
|
| Rate for Payer: United Healthcare Commercial |
$11,311.65
|
| Rate for Payer: United Healthcare Managed Medicaid |
$17,146.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,265.13
|
| Rate for Payer: Zelis Medicare |
$14,675.36
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,863.83
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$24,896.62
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$4,792.55 |
| Max. Negotiated Rate |
$24,896.62 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,792.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$11,395.89
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,792.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,722.13
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$14,645.07
|
| Rate for Payer: GEHA Medicare |
$14,645.07
|
| Rate for Payer: Humana ChoiceCare |
$16,109.58
|
| Rate for Payer: Humana Medicare Advantage |
$14,645.07
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$24,603.72
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,722.13
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$14,645.07
|
| Rate for Payer: New Mexico Health Connections Medicare |
$24,896.62
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$20,503.10
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,722.13
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$14,645.07
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$20,942.45
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$14,352.17
|
| Rate for Payer: United Healthcare Commercial |
$9,595.06
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,722.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$14,645.07
|
| Rate for Payer: Zelis Medicare |
$12,448.31
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,215.19
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$16,480.29
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$2,930.90 |
| Max. Negotiated Rate |
$16,480.29 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$2,930.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,475.49
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$2,930.90
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$5,435.69
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9,694.29
|
| Rate for Payer: GEHA Medicare |
$9,694.29
|
| Rate for Payer: Humana ChoiceCare |
$10,663.72
|
| Rate for Payer: Humana Medicare Advantage |
$9,694.29
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$16,286.41
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$5,435.69
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9,694.29
|
| Rate for Payer: New Mexico Health Connections Medicare |
$16,480.29
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$13,572.01
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$5,435.69
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9,694.29
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$13,862.83
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,500.40
|
| Rate for Payer: United Healthcare Commercial |
$6,294.18
|
| Rate for Payer: United Healthcare Managed Medicaid |
$5,435.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,694.29
|
| Rate for Payer: Zelis Medicare |
$8,240.15
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,044.99
|
|
|
MS-DRG 42.00: REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$27,013.02
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$9,998.58 |
| Max. Negotiated Rate |
$27,013.02 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,941.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,364.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,941.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$21,342.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,890.01
|
| Rate for Payer: GEHA Medicare |
$15,890.01
|
| Rate for Payer: Humana ChoiceCare |
$17,479.01
|
| Rate for Payer: Humana Medicare Advantage |
$15,890.01
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,695.22
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$21,342.10
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,890.01
|
| Rate for Payer: New Mexico Health Connections Medicare |
$27,013.02
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$22,246.01
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$21,342.10
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,890.01
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,722.71
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,572.21
|
| Rate for Payer: United Healthcare Commercial |
$10,410.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$21,342.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,890.01
|
| Rate for Payer: Zelis Medicare |
$13,506.51
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,998.58
|
|
|
MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$19,757.67
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$7,313.07 |
| Max. Negotiated Rate |
$19,757.67 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$8,820.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9,043.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$8,820.35
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$15,832.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,622.16
|
| Rate for Payer: GEHA Medicare |
$11,622.16
|
| Rate for Payer: Humana ChoiceCare |
$12,784.38
|
| Rate for Payer: Humana Medicare Advantage |
$11,622.16
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,525.23
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$15,832.57
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,622.16
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,757.67
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,271.02
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$15,832.57
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,622.16
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,619.69
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,389.72
|
| Rate for Payer: United Healthcare Commercial |
$7,614.53
|
| Rate for Payer: United Healthcare Managed Medicaid |
$15,832.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,622.16
|
| Rate for Payer: Zelis Medicare |
$9,878.84
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,313.07
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH CC
|
Facility
|
IP
|
$15,983.64
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$5,822.30 |
| Max. Negotiated Rate |
$15,983.64 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$8,720.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7,200.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$8,720.95
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$15,657.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9,402.14
|
| Rate for Payer: GEHA Medicare |
$9,402.14
|
| Rate for Payer: Humana ChoiceCare |
$10,342.35
|
| Rate for Payer: Humana Medicare Advantage |
$9,402.14
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15,795.60
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$15,657.09
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9,402.14
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15,983.64
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$13,163.00
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$15,657.09
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9,402.14
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$13,445.06
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$9,214.10
|
| Rate for Payer: United Healthcare Commercial |
$6,062.30
|
| Rate for Payer: United Healthcare Managed Medicaid |
$15,657.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,402.14
|
| Rate for Payer: Zelis Medicare |
$7,991.82
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,822.30
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$26,577.72
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$9,837.44 |
| Max. Negotiated Rate |
$26,577.72 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$13,788.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$12,165.39
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$13,788.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$24,602.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15,633.95
|
| Rate for Payer: GEHA Medicare |
$15,633.95
|
| Rate for Payer: Humana ChoiceCare |
$17,197.35
|
| Rate for Payer: Humana Medicare Advantage |
$15,633.95
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$26,265.04
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$24,602.60
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15,633.95
|
| Rate for Payer: New Mexico Health Connections Medicare |
$26,577.72
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$21,887.53
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$24,602.60
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15,633.95
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$22,356.55
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15,321.27
|
| Rate for Payer: United Healthcare Commercial |
$10,242.96
|
| Rate for Payer: United Healthcare Managed Medicaid |
$24,602.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,633.95
|
| Rate for Payer: Zelis Medicare |
$13,288.86
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$9,837.44
|
|
|
MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,871.63
|
|
|
Service Code
|
MSDRG 684
|
| Min. Negotiated Rate |
$3,978.47 |
| Max. Negotiated Rate |
$11,871.63 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$5,634.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$4,919.94
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$5,634.30
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$10,208.11
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$6,983.31
|
| Rate for Payer: GEHA Medicare |
$6,983.31
|
| Rate for Payer: Humana ChoiceCare |
$7,681.64
|
| Rate for Payer: Humana Medicare Advantage |
$6,983.31
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$11,731.96
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$10,208.11
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$6,983.31
|
| Rate for Payer: New Mexico Health Connections Medicare |
$11,871.63
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$9,776.63
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$10,208.11
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$6,983.31
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$9,986.13
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$6,843.64
|
| Rate for Payer: United Healthcare Commercial |
$4,142.47
|
| Rate for Payer: United Healthcare Managed Medicaid |
$10,208.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6,983.31
|
| Rate for Payer: Zelis Medicare |
$5,935.81
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$3,978.47
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
|
Facility
|
IP
|
$17,556.26
|
|
|
Service Code
|
MSDRG 178
|
| Min. Negotiated Rate |
$6,498.26 |
| Max. Negotiated Rate |
$17,556.26 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,259.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,036.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,259.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$13,076.25
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$10,327.21
|
| Rate for Payer: GEHA Medicare |
$10,327.21
|
| Rate for Payer: Humana ChoiceCare |
$11,359.93
|
| Rate for Payer: Humana Medicare Advantage |
$10,327.21
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$17,349.71
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$13,076.25
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$10,327.21
|
| Rate for Payer: New Mexico Health Connections Medicare |
$17,556.26
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14,458.09
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$13,076.25
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$10,327.21
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$14,767.91
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$10,120.67
|
| Rate for Payer: United Healthcare Commercial |
$6,766.12
|
| Rate for Payer: United Healthcare Managed Medicaid |
$13,076.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,327.21
|
| Rate for Payer: Zelis Medicare |
$8,778.13
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6,498.26
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$28,605.68
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$10,588.08 |
| Max. Negotiated Rate |
$28,605.68 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$11,149.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$13,093.65
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$11,149.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$19,944.48
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$16,826.87
|
| Rate for Payer: GEHA Medicare |
$16,826.87
|
| Rate for Payer: Humana ChoiceCare |
$18,509.56
|
| Rate for Payer: Humana Medicare Advantage |
$16,826.87
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$28,269.14
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$19,944.48
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$16,826.87
|
| Rate for Payer: New Mexico Health Connections Medicare |
$28,605.68
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$23,557.62
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$19,944.48
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$16,826.87
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$24,062.42
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$16,490.33
|
| Rate for Payer: United Healthcare Commercial |
$11,024.53
|
| Rate for Payer: United Healthcare Managed Medicaid |
$19,944.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,826.87
|
| Rate for Payer: Zelis Medicare |
$14,302.84
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10,588.08
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,242.41
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$4,888.10 |
| Max. Negotiated Rate |
$14,242.41 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$4,888.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$6,234.57
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$4,888.10
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$8,890.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$8,377.89
|
| Rate for Payer: GEHA Medicare |
$8,377.89
|
| Rate for Payer: Humana ChoiceCare |
$9,215.68
|
| Rate for Payer: Humana Medicare Advantage |
$8,377.89
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$14,074.86
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$8,890.81
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$8,377.89
|
| Rate for Payer: New Mexico Health Connections Medicare |
$14,242.41
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$11,729.05
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$8,890.81
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$8,377.89
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$11,980.38
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8,210.33
|
| Rate for Payer: United Healthcare Commercial |
$5,249.35
|
| Rate for Payer: United Healthcare Managed Medicaid |
$8,890.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,377.89
|
| Rate for Payer: Zelis Medicare |
$7,121.21
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$5,041.53
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$19,647.94
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$7,271.60 |
| Max. Negotiated Rate |
$19,647.94 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$7,271.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$8,993.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$7,271.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$13,098.50
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$11,557.61
|
| Rate for Payer: GEHA Medicare |
$11,557.61
|
| Rate for Payer: Humana ChoiceCare |
$12,713.37
|
| Rate for Payer: Humana Medicare Advantage |
$11,557.61
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$19,416.78
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$13,098.50
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$11,557.61
|
| Rate for Payer: New Mexico Health Connections Medicare |
$19,647.94
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$16,180.65
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$13,098.50
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$11,557.61
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$16,527.38
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11,326.46
|
| Rate for Payer: United Healthcare Commercial |
$7,572.25
|
| Rate for Payer: United Healthcare Managed Medicaid |
$13,098.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,557.61
|
| Rate for Payer: Zelis Medicare |
$9,823.97
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$7,272.47
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$30,929.17
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$10,220.70 |
| Max. Negotiated Rate |
$30,929.17 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$10,220.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$14,157.18
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$10,220.70
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$18,304.66
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$18,193.63
|
| Rate for Payer: GEHA Medicare |
$18,193.63
|
| Rate for Payer: Humana ChoiceCare |
$20,012.99
|
| Rate for Payer: Humana Medicare Advantage |
$18,193.63
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$30,565.30
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$18,304.66
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$18,193.63
|
| Rate for Payer: New Mexico Health Connections Medicare |
$30,929.17
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25,471.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$18,304.66
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$18,193.63
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$26,016.89
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$17,829.76
|
| Rate for Payer: United Healthcare Commercial |
$11,920.00
|
| Rate for Payer: United Healthcare Managed Medicaid |
$18,304.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,193.63
|
| Rate for Payer: Zelis Medicare |
$15,464.59
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$11,448.09
|
|
