2501655 — Stavudine 40 Mg Cap
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). stavudine 40 mg Cap (CDM 2501655) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2501655?code_type=CDM
MLA (9th ed.)
“stavudine 40 mg Cap (CDM 2501655) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2501655?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“stavudine 40 mg Cap (CDM 2501655) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2501655?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32–$52 (25th–75th percentile) across 4 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2501655 — 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 |
|---|---|---|---|---|---|---|---|
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $0.54 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $0.54 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $0.55 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $0.55 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $0.56 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $0.57 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $0.58 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $0.58 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $0.58 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $0.59 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $0.59 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $0.59 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $0.67 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $0.69 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $0.70 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $0.70 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $0.73 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $0.73 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $0.73 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $0.75 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $0.79 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $0.80 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $0.80 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $0.80 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $0.81 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $0.85 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $0.85 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $0.85 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $0.90 | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA PRIME SOLUTION | MEDICA PRIME SOLUTION | $17.80 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $17.80 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC MCAID | UHC MCAID | $21.92 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | NE TOTAL CARE MCAID | NE TOTAL CARE MCAID | $21.92 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $22.26 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $22.26 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $22.26 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $22.26 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MOLINA MCAID | MOLINA MCAID | $22.58 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | NE TOTAL CARE MCR - ALL OTHER PLANS | NE TOTAL CARE MCR - ALL OTHER PLANS | $22.70 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HEALTHY BLUE MCAID-ALL PLANS | HEALTHY BLUE MCAID-ALL PLANS | $23.01 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | GREAT PLAINS MCR ADV-ALL PLANS | GREAT PLAINS MCR ADV-ALL PLANS | $23.37 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $23.37 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | AETNA ADVANTRA MCR ADV | AETNA ADVANTRA MCR ADV | $23.37 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHOICE | MEDICA CHOICE | $30.69 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI ACO - ALL OTHER PLANS | MEDICA CHI ACO - ALL OTHER PLANS | $30.69 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI HEALTH | MEDICA CHI HEALTH | $30.69 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT - ALL OTHER PLANS | BCBSNE BLUE PRINT - ALL OTHER PLANS | $32.03 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE NETWORK BLUE | BCBSNE NETWORK BLUE | $32.03 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | OHARA LLC WC- ALL PLANS | OHARA LLC WC- ALL PLANS | $32.03 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $32.37 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB OPEN ACCESS | MEDICA IFB OPEN ACCESS | $32.37 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB ACO | MEDICA IFB ACO | $32.37 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC ACO | UHC ACO | $32.37 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | PHCS/MULTIPLAN-ALL PLANS | PHCS/MULTIPLAN-ALL PLANS | $33.05 | $33.72 | $26.98 | 2026-07-15 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $33.15 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $33.15 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $33.75 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $33.75 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $34.05 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $34.64 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $34.64 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $34.67 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $34.67 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $34.67 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $35.27 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $35.27 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $35.30 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $35.30 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $35.37 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $35.58 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem IUH Employee Plan | $35.58 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem IUH Employee Plan | $35.61 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $35.61 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $35.83 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $35.83 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $36.01 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | $36.22 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $36.22 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $36.25 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | $36.25 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $36.44 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $36.44 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $36.96 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $36.99 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $37.44 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $37.44 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $37.47 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $37.47 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $37.63 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $37.65 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $38.08 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $38.08 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $38.11 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $38.11 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $41.03 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $42.11 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $42.87 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $42.88 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $42.88 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $42.91 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $44.03 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $44.07 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $44.80 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $44.80 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $44.84 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $44.84 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $45.02 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $45.02 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $45.02 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $45.94 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $47.04 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $47.04 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $47.04 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $47.08 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $47.08 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $47.08 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $48.00 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $48.04 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $48.08 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | UHC COMM PLAN MCAID | UHC COMM PLAN MCAID | $48.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | NEBRASKA TOTAL CARE-ALL PLANS | NEBRASKA TOTAL CARE-ALL PLANS | $48.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $48.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | HEALTHY BLUE MCAID - ALL PLANS | HEALTHY BLUE MCAID - ALL PLANS | $48.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $49.00 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $49.00 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $49.00 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $49.61 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $49.94 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA PRIME SOL | MEDICA PRIME SOL | $49.98 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $49.98 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $49.98 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $49.98 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $49.98 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $49.98 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $50.24 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $50.28 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $51.20 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $51.20 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $51.20 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $51.24 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $51.24 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $51.24 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $51.84 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $51.88 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $52.06 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $52.06 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $52.06 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | GREAT PLAINS MCR ADV - ALL PLANS | GREAT PLAINS MCR ADV - ALL PLANS | $52.48 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $54.40 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $54.40 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $54.40 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $54.44 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $54.44 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $54.44 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $55.13 | $61.25 | $34.91 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $57.60 | $64.00 | $36.48 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $57.65 | $64.05 | $36.51 | 2025-12-11 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $91.80 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA IFB ACO | MEDICA IFB ACO | $91.80 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA IFB OPEN ACCESS | MEDICA IFB OPEN ACCESS | $91.80 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA CHI OPEN ACCESS | MEDICA CHI OPEN ACCESS | $91.80 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA CHI ACO - ALL OTHER PLANS | MEDICA CHI ACO - ALL OTHER PLANS | $91.80 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | BCBS BLUE PRINT | BCBS BLUE PRINT | $92.82 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | BCBS - ALL OTHER PLANS | BCBS - ALL OTHER PLANS | $96.90 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | UHC COMM -ALL OTHER PLANS | UHC COMM -ALL OTHER PLANS | $97.92 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AETNA PPO/HMO - ALL OTHER PLANS | AETNA PPO/HMO - ALL OTHER PLANS | $99.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AETNA ADVANTRA HMO | AETNA ADVANTRA HMO | $99.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AETNA EMPLOYER | AETNA EMPLOYER | $99.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $99.96 | $102.00 | $91.80 | 2026-02-24 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Aetna | All Managed Medicare | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | United Healthcare | All Managed Medicare | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Humana | All Managed Medicare | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Health Alliance | All Managed Medicare | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $1.05 | $0.60 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Corvel | All Managed Care Plans | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Managed Medicare | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Caresource | All Marketplace Plans | — | $1.00 | $0.57 | 2024-12-03 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | United Healthcare | Medicare Advantage | $4,592.00 | $9,566.00 | $9,566.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Midlands Choice | Commercial | $7,653.00 | $9,566.00 | $9,566.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Medica | Commercial | $8,992.00 | $9,566.00 | $9,566.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | United Healthcare | Commercial | $8,992.00 | $9,566.00 | $9,566.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Blue Cross Blue Shield | Commercial | $9,088.00 | $9,566.00 | $9,566.00 | 2026-06-09 | MRF ↗ |