76085056 — In-111 Pentetr Dx To 6mci
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IN-111 PENTETR DX TO 6MCI (CDM 76085056) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/76085056?code_type=CDM
MLA (9th ed.)
“IN-111 PENTETR DX TO 6MCI (CDM 76085056) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/76085056?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“IN-111 PENTETR DX TO 6MCI (CDM 76085056) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/76085056?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,123–$23,220 (25th–75th percentile) across 25 hospitals · 149 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 76085056 — 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 |
|---|---|---|---|---|---|---|---|
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $389.31 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $414.25 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $414.25 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $425.81 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $486.64 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Military | Humana Military | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Ambetter from MHS Marketplace | Ambetter from MHS Marketplace | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare Medicare | United Healthcare Medicare | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | CareSource Marketplace | CareSource Marketplace | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | MyTru Advantage | MyTru Advantage | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Anthem Medicare Advantage HMO/PPO | Anthem Medicare Advantage HMO/PPO | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Allwell from MHS | Allwell from MHS | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Wellcare Medicare | Wellcare Medicare | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Zing Medicare | Zing Medicare | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Medicare HMO/PPO | Humana Medicare HMO/PPO | $608.30 | $608.30 | $608.30 | 2026-03-24 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $8,024.95 | $23,220.35 | $23,220.35 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $8,159.63 | $23,220.35 | $23,220.35 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $8,317.53 | $23,220.35 | $23,220.35 | 2026-03-17 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Allwell - PA Health & Wellness - Centene | Allwell - PA Health & Wellness - Centene | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Reedman Toll | Reedman Toll | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Devoted Health Medicare | Devoted Health Medicare | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Humana Military (Tricare) | Humana Military (Tricare) | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $9,133.34 | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Aetna Advantra Medicare | Aetna Advantra Medicare | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Keystone First Medicaid Advantage | Keystone First Medicaid Advantage | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Keystone First VIP Medicare Advantage | Keystone First VIP Medicare Advantage | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Ambetter - Centene | Ambetter - Centene | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Cigna Healthspring Medicare Advantage | Cigna Healthspring Medicare Advantage | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Wood School | Wood School | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Humana Medicare | Humana Medicare | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Cigna commercial | Cigna commercial | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $9,394.02 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $12,190.68 | $23,220.35 | $23,220.35 | 2026-03-17 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CARE N CARE | MGD | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna Medicare | Aetna MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Cross Medicare | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Health Net Federal Services | Health Net Federal Services | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | UHC WELLMED | MGD | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Allwell from Home State Health | Allwell (Centene) MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | UHC MEDICARE | MGD | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | BLUE CROSS BLUCE SHIELD MCR ADV | MGD | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | WellCare Health Plans | WellCare Health Plans - Centene MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | United Healthcare | United Healthcare – Medicare Advantage | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | United HealthCare Veterans Affairs Community Care Plan | United HealthCare Veterans Affairs Community Care Plan | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Humana | Humana-Medicare products | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | AllyAlign Health (NHC Advantage) | AllyAlign Health MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Allwell from Home State Health | Allwell (Centene) MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Health Net Federal Services | Health Net Federal Services | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | AllyAlign Health (NHC Advantage) | AllyAlign Health MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | United Healthcare | United Healthcare – Medicare Advantage | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Essence | Essence MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | United HealthCare Veterans Affairs Community Care Plan | United HealthCare Veterans Affairs Community Care Plan | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | WellCare Health Plans | WellCare Health Plans - Centene MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | AETNA MCR ADV | MGD | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $13,268.77 | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Essence | Essence MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $13,268.77 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Humana | Humana-Medicare products | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna Medicare | Aetna MCR | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $13,268.77 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $13,268.77 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Cross Medicare | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $13,330.80 | $23,220.35 | $23,220.35 | 2026-03-17 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $13,885.77 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $13,932.21 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | WPS HEALTH PLAN (FORMERLY ARISE HEALTH PLAN) | WPS HEALTH PLAN (FORMERLY ARISE HEALTH PLAN) | $14,153.36 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | WPS HEALTH PLAN (FORMERLY ARISE HEALTH PLAN) | WPS Health Plan | $14,153.36 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $14,374.50 | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Zing Medicare | Zing Medicare | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | CareSource Marketplace | CareSource Marketplace | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Ambetter from MHS Marketplace | Ambetter from MHS Marketplace | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $14,577.96 | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Anthem Medicare Advantage HMO/PPO | Anthem Medicare Advantage HMO/PPO | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | IU Health Plan | IU Health Plan | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Allwell from MHS | Allwell from MHS | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Medicare HMO/PPO | Humana Medicare HMO/PPO | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare Medicare | United Healthcare Medicare | — | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $15,093.23 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | DEAN PPO HMO/POS | DEAN PPO HMO/POS | $15,473.60 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | ALLIANCE PPO | ALLIANCE PPO | $15,480.23 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $15,480.23 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $15,480.23 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | ALLIANCE (ALL HEALTH) | PPO | $15,480.23 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | UMR (PROHEALTH EMPLOYEE PLAN PPO-WIDS) | UMR Prohealth Employee) PPO-WIDS | $15,480.23 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | DEAN PPO HMO/POS | Dean PPO/HMO/POS | $15,480.23 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | UMR (PROHEALTH EMPLOYEE PLAN PPO-WIDS) | UMR (PROHEALTH EMPLOYEE PLAN PPO-WIDS) | $15,480.23 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $15,511.86 | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $15,511.86 | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $15,696.95 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $15,696.95 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $15,944.64 | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $16,022.04 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $16,022.04 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $16,143.67 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $16,143.67 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | WPS "INSURANCE"" PPO" | WPS "Insurance"" PPO" | $16,143.67 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | WPS "INSURANCE"" PPO" | WPS "INSURANCE"" PPO" | $16,143.67 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | TRILOGY PPO | TRILOGY PPO | $16,143.67 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Provider Network of America | commercial | $16,254.25 | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | WellMed | Medicare Advantage | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Aetna Better Health Florida Medicaid | managed medicaid | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Care Plus | Medicare Advantage | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Humana- Medicare | Medicare - PPO,HMO, POS, PFFS | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Humana Medicaid Florida | managed medicaid | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Cigna Medicare (aka Healthspring of Florida) | Medicare Advantage | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Unitedhealthcare - Optum transplant MCR | Medicare Advantage - transplants | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Florida Blue Medicare Advantage | Medicare Advantage | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Florida Community Care Medicaid | managed medicaid | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Aetna Medicare | Medicare Advantage | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | BayCare Select | Medicare Advantage | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Inpatient | Unitedhealthcare - MCR | Medicare Advantage | — | $23,220.35 | $23,220.35 | 2025-08-26 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | PHCS SAVILITY | PHCS SAVILITY | $16,585.97 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | PHCS SAVILITY | PHCS Savility | $16,585.97 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $16,585.97 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Amerigroup | PPO | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Ambetter Health CPG | PPO | — | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $16,807.11 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | HPS SOLUTIONS PPO | HPS SOLUTIONS PPO | $16,807.11 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | HPS SOLUTIONS PPO | HPS PPO | $16,807.11 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $16,807.11 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $17,083.54 | $22,778.06 | $22,778.06 | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | AETNA W-PLAN | AETNA W-PLAN | $17,249.40 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $17,415.26 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $17,415.26 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $17,415.26 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $17,415.26 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $17,415.26 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $17,539.11 | $22,778.06 | $22,778.06 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $17,539.11 | $22,778.06 | $22,778.06 | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | HEALTH EOS POC | HEALTH EOS POC | $17,691.70 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | HEALTH EOS POC | Health EOS POC | $17,691.70 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $17,870.38 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $17,870.38 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $18,111.87 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | COVENTRY/FIRST HEALTH PPO | COVENTRY/FIRST HEALTH PPO | $18,133.99 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | COVENTRY/FIRST HEALTH PPO | PPO | $18,133.99 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | HPS (OTHER) | HPS | $18,133.99 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | HPS (OTHER) | HPS (OTHER) | $18,133.99 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $18,222.45 | $22,778.06 | $22,778.06 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $18,344.08 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $18,797.43 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $18,797.43 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | HEALTH EOS MULTIPLAN | Multiplan | $18,797.43 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | HEALTH EOS MULTIPLAN | HEALTH EOS MULTIPLAN | $18,797.43 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan | MultiPlan | $19,133.57 | $22,778.06 | $22,778.06 | 2026-03-17 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $19,319.33 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | AETNA PPO | AETNA PPO | $19,682.01 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | MultiPlan | MultiPlan | $19,737.30 | $23,220.35 | $23,220.35 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | MULTIPLAN | MULTIPLAN | $19,737.30 | $23,220.35 | $23,220.35 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | HUMANA MEDICARE ADV PLAN | Percent of Charges | $19,903.16 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Outpatient | PHCS / MULTIPLAN | PHCS / MULTIPLAN | $20,345.45 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| Rehabilitation Hospital Of Wisconsin Inpatient | PHCS / MULTIPLAN | PHCS Multiplan | $20,345.45 | $22,114.62 | $22,114.62 | 2025-08-25 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | First Health | Commercial | $20,526.79 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | Private Healthcare Systems | Private Healthcare Systems | $20,898.31 | $23,220.35 | $23,220.35 | 2026-03-17 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | HEALTHSPRING INSURANCE- MCR ADV | MGD | $21,008.89 | $22,114.62 | $22,114.62 | 2025-08-11 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Beechstreet | Commercial | $21,734.24 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice | Commercial | $21,734.24 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Multiplan | Commercial | $21,734.24 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Fortified | Commercial | $21,734.24 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | PHCS | Commercial | $21,734.24 | $24,149.16 | $24,149.16 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | United HealthCare MCR | United HealthCare MCR | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | United Healthcare Dual | United Healthcare Dual | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | United Healthcare - Managed Medicare | United Healthcare - Managed Medicare | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Wellcare - Managed Medicare | Wellcare - Managed Medicare | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Commonwealth Care Alliance | Commonwealth Care Alliance | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | GlobalHealth/Generations | GlobalHealth/Generations | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Blue Cross Blue Shield of RI Managed Medicare | Blue Cross Blue Shield of RI Managed Medicare | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Neighborhood Health Plan - Managed Medicare | Neighborhood Health Plan - Managed Medicare | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed MGG | Wellmed MGG | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed Tx MGG | Wellmed Tx MGG | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed Allcare MGG | Wellmed Allcare MGG | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | VA TriWest CPG | VA TriWest CPG | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | United Healthcare MGG | United Healthcare MGG | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Superior Health Plan CPG | Superior Health Plan CPG | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Sendero Health Plan CHAP | Sendero Health Plan CHAP | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Sendero Health Plan Ideal Care | Sendero Health Plan Ideal Care | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Blue Cross Blue Shield MCR | Blue Cross Blue Shield MCR | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Devoted Health MCR Adv | Devoted Health MCR Adv | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Ascension Medicare | Ascension Medicare | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Aetna MGG | Aetna MGG | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | BCBS Medicare | BCBS Medicare | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Humana HMO | Humana HMO | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | United Healthcare Medicare Adv | United Healthcare Medicare Adv | $22,114.62 | $22,114.62 | $22,114.62 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | United HealthCare MCR | United HealthCare MCR | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Humana Choice Care | Humana Choice Care | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | Oklahoma Complete - Centene | Oklahoma Complete - Centene | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | GlobalHealth/Generations | GlobalHealth/Generations | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | Blue Cross Blue Shield MCR | Blue Cross Blue Shield MCR | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | Aetna Government Programs | Aetna Government Programs | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | Humana Choice Care | Humana Choice Care | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | HUMANA MEDICARE ADVANTAGE HMO | HUMANA MEDICARE ADVANTAGE HMO | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | BLUE CROSS BLUE SHIELD TN BLUEADVANTAGE | BLUE CROSS BLUE SHIELD TN BLUEADVANTAGE | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | AETNA MEDICARE ADVANTAGE (HMO & PPO) | AETNA MEDICARE ADVANTAGE (HMO & PPO) | — | $22,114.62 | $22,114.62 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Aetna Government Programs | Aetna Government Programs | — | $22,114.62 | $22,114.62 | 2025-08-08 | 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.