850.4 — Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Health Services
Cite this view
HANK Price Transparency. (n.d.). PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES (CPT 850.4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/850.4?code_type=CPT
“PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES (CPT 850.4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/850.4?code_type=CPT. Accessed .
“PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES (CPT 850.4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/850.4?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,492–$8,663 (25th–75th percentile) across 2 hospitals · 5 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 850.4 — 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 |
|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $8,434.83 | $8,239.12 | $6,041.87 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $8,434.83 | $8,239.12 | $6,041.87 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $8,434.83 | $8,239.12 | $6,041.87 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $8,434.83 | $8,239.12 | $6,041.87 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $8,663.17 | $8,458.27 | $6,205.43 | 2026-05-22 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Inpatient | Tufts | Tufts Medicaid | $81,642.56 | $24,352.04 | $14,611.22 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Inpatient | Blue Cross | Blue Cross Commercial | $132,824.50 | $24,352.04 | $14,611.22 | 2026-05-14 | MRF ↗ |