1004 — Amputation Lower Extremity With Motor Score < 47.50, No Comorbidity Tier
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Amputation lower extremity with Motor Score < 47.50, No Comorbidity Tier (OTHER 1004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1004?code_type=OTHER
MLA (9th ed.)
“Amputation lower extremity with Motor Score < 47.50, No Comorbidity Tier (OTHER 1004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1004?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Amputation lower extremity with Motor Score < 47.50, No Comorbidity Tier (OTHER 1004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1004?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,146–$43,205 (25th–75th percentile) across 30 hospitals · 185 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1004 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $37.07 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $37.07 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $37.07 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $37.07 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $37.07 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $37.07 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $37.07 | — | — | 2026-05-13 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $40.95 | $54.60 | $27.30 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $40.95 | $54.60 | $27.30 | 2026-05-14 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $41.05 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $41.05 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $42.28 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $42.28 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $42.28 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $42.69 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $43.10 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $43.10 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $43.68 | $54.60 | $27.30 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $43.68 | $54.60 | $27.30 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $46.41 | $54.60 | $27.30 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $47.78 | $68.25 | $34.12 | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Devoted Healthcare | Medicare Advantage | $48.60 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Healthsync | $50.86 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $51.19 | $68.25 | $34.12 | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Devoted Healthcare | Medicare Advantage | $53.00 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $54.14 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $54.14 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $54.14 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $55.22 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Healthsync | $55.46 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $55.76 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $56.85 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $58.01 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $59.83 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $61.42 | $68.25 | $34.12 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $62.96 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $65.24 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $65.75 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $65.75 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $69.62 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $69.62 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $69.62 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $71.94 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $97.14 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $97.14 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $97.14 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $108.05 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $109.35 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $119.25 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $145.80 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $145.80 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $155.52 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $157.95 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $157.95 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $159.00 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $159.00 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $159.56 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $160.38 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $163.30 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $164.51 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $166.87 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $167.96 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $169.60 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $170.10 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $170.10 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $172.25 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $172.25 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $174.90 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $174.96 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $174.96 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $177.39 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $178.08 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $179.40 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $179.82 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $181.95 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $181.98 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $184.68 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $185.50 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $185.50 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $187.83 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $189.54 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $190.80 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $190.80 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $193.45 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $194.40 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $194.40 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $196.10 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $201.40 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $206.70 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $212.00 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $212.00 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $223.94 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $235.14 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $243.00 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $265.00 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $279.93 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $279.93 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $279.93 | $279.93 | $198.81 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $315.90 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $315.90 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $315.90 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $315.90 | $243.00 | $157.95 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $344.50 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $344.50 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $344.50 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $344.50 | $265.00 | $172.25 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Magellan | Commercial | $867.90 | $1,446.50 | $723.25 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Health Net | Medicare | $940.23 | $1,446.50 | $723.25 | 2026-05-09 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Healthcare Partners | Commercial Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Healthcare Partners | Medicare Advantage Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Silver Summit | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Healthcare Partners | Medicare Advantage Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Healthcare Partners | Commercial Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Silver Summit | Medicare Advantage | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Molina | Medicare Advantage | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Specialty Health | Workers Compensation | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Triwest-Ccn | Veterans / Military | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Pos | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Healthnet Federal Services-Tricare | Veterans / Military | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Paradigm | Workers Compensation | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Anthem Bcbs | Managed Medicaid Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Teachers Health Trust | Medicare Advantage | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Anthem Bcbs | Workers Compensation | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Anthem Bcbs | Medicare Advantage Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Injury Care Of Nevada | Workers Compensation | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Phcs-Multiplan | Motor Vehicle | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Phcs-Multiplan | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Coventry-Aetna | Motor Vehicle | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Silver Summit | Managed Medicaid | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Anthem Bcbs | Medicare Advantage Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Molina | Managed Medicaid | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Phcs-Multiplan | Workers Compensation | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Coventry-Aetna | Workers Compensation | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Mgm Resorts International | Workers Compensation | — | — | — | 2026-05-18 | MRF ↗ |
| Dignity Health Rehabilitation Hospital Inpatient | Healthcare Partners | Commercial Pos | — | — | — | 2026-05-18 | MRF ↗ |
| Cleveland Clinic Rehabilitation Hospitals Llc Inpatient | Caresource | Managed Medicaid | — | — | — | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Uhc | Commercial | $1,012.55 | $1,446.50 | $723.25 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $1,041.48 | $1,446.50 | $723.25 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Coventry | Commercial | $1,041.48 | $1,446.50 | $723.25 | 2026-05-09 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Phcs Multiplan | Motor Vehicle | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Hmo | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Phcs Multiplan | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Peoples Health | Medicare Advantage | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | United Healthcare | Veterans/Military (Va Ccn Contract) | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Bcbs | Medicare Advantage | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Wellcare | Medicare Advantage Dual Eligible | — | — | — | 2026-05-06 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Phcs Multiplan | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Ochsner Health Plan | Medicare Advantage | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Amerihealth Caritas | Managed Medicaid | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-05-14 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Ochsner Health Plan | Medicare Advantage | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Aetna Better Health | Managed Medicaid | — | — | — | 2026-05-06 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Peoples Health | Medicare Advantage | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Phcs Multiplan | Motor Vehicle | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Bcbs | Medicare Advantage | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Healthy Blue Medicaid | Managed Medicaid | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Healthscope Benefits | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Louisiana Healthcare Connections | Managed Medicaid | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | United Healthcare | Veterans/Military (Va Ccn Contract) | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Aetna Better Health | Managed Medicaid | — | — | — | 2026-05-14 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Louisiana Healthcare Connections | Managed Medicaid | — | — | — | 2026-05-06 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | United Healthcare | Managed Medicaid (Uhc Community Plan Product) | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Wellcare | Medicare Advantage Dual Eligible | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Vantage Health Plans | Commercial Aca/Exchange | — | — | — | 2026-05-14 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | United Healthcare | Managed Medicaid (Uhc Community Plan Product) | — | — | — | 2026-05-06 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Hmo | — | — | — | 2026-05-14 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-05-14 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Vantage Health Plans | Commercial Aca/Exchange | — | — | — | 2026-05-06 | MRF ↗ |
| Southeast Rehabilitation Hospital Inpatient | Vantage Health Plans | Medicare Advantage | — | — | — | 2026-05-06 | MRF ↗ |
| Sterlington Rehabilitation Hospital Inpatient | Vantage Health Plans | Medicare Advantage | — | — | — | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.