1056 — Nf-besivance Ophthalmic Suspension 0.6%
Cite this view
HANK Price Transparency. (n.d.). NF-BESIVANCE OPHTHALMIC SUSPENSION 0.6% (CDM 1056) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1056?code_type=CDM
“NF-BESIVANCE OPHTHALMIC SUSPENSION 0.6% (CDM 1056) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1056?code_type=CDM. Accessed .
“NF-BESIVANCE OPHTHALMIC SUSPENSION 0.6% (CDM 1056) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1056?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $80–$362 (25th–75th percentile) across 5 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1056 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $37.06 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $37.44 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $37.44 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $37.81 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $42.51 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $42.51 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $52.32 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $52.32 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $54.50 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $54.50 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $59.95 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $59.95 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $75.21 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $75.21 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $76.30 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $76.30 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $79.57 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $79.57 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $81.75 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $81.75 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $83.50 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $83.50 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $84.15 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $84.15 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $85.02 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $85.02 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $91.24 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $91.24 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $91.24 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $91.24 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $92.65 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $94.83 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $94.83 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $94.83 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $94.83 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $99.19 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $99.19 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $99.19 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $99.19 | $109.00 | $54.07 | 2026-02-28 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Health Exchange | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Innovation | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Managed Medicaid | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Managed Medicaid | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Health Exchange | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Innovation | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | State | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Edison Health/Claim Doc | Commercial | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Anderson County Employees/EBMS | Commercial | $171.56 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Devoted | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Magellan Behavioral Health | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | State | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Devoted | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Anderson County Employees/EBMS | Commercial | $171.56 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Edison Health/Claim Doc | Commercial | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Commercial | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Managed Medicaid | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Managed Medicaid | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Medicare Advantage | — | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Health Exchange | $175.85 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| J PAUL JONES HOSPITAL OutpatientFacility | Cigna | All Products | $247.00 | $380.00 | $380.00 | 2026-04-17 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Innovation | $303.30 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | State | $306.37 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Preferred Blue | $325.97 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Cigna | Commercial | $341.90 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $349.87 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $351.71 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | $351.71 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $366.41 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost Ultra | Commercial | $367.64 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | First Health | Commercial | $384.79 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost | Commercial | $412.37 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | HMO/POS/PPO | $454.03 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Aetna | HMO/POS/PPO | $472.41 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | First Health | Commercial | $545.33 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | MedCost | Commercial | $551.46 | $612.73 | $306.37 | 2024-11-21 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Health Alliance | All Managed Medicare | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Corvel | All Managed Care Plans | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Aetna | All Managed Medicare | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Caresource | All Marketplace Plans | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | United Healthcare | All Managed Medicare | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Humana | All Managed Medicare | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Managed Medicare | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | — | $24.00 | $13.68 | 2024-12-03 | MRF ↗ |