92214439 — Pegfilgrastim 6mg/0.6ml Sol
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PEGFILGRASTIM 6MG/0.6ML SOL (CDM 92214439) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92214439?code_type=CDM
MLA (9th ed.)
“PEGFILGRASTIM 6MG/0.6ML SOL (CDM 92214439) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92214439?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PEGFILGRASTIM 6MG/0.6ML SOL (CDM 92214439) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92214439?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,424–$21,384 (25th–75th percentile) across 11 hospitals · 56 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 92214439 — 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 |
|---|---|---|---|---|---|---|---|
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $7,759.83 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $7,890.05 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $8,042.74 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $11,787.93 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $12,890.38 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $16,038.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $16,038.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $16,465.68 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $16,465.68 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $16,893.36 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan | MultiPlan | $17,962.56 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | MULTIPLAN | MULTIPLAN | $18,176.40 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | MultiPlan | MultiPlan | $19,085.22 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | Private Healthcare Systems | Private Healthcare Systems | $20,207.88 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed Allcare MGG | Wellmed Allcare MGG | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | United Healthcare MGG | United Healthcare MGG | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Superior Health Plan CPG | Superior Health Plan CPG | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed Tx MGG | Wellmed Tx MGG | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Sendero Health Plan Ideal Care | Sendero Health Plan Ideal Care | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | VA TriWest CPG | VA TriWest CPG | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed Allcare MGG | Wellmed Allcare MGG | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Devoted Health MCR Adv | Devoted Health MCR Adv | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Ascension Medicare | Ascension Medicare | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Aetna MGG | Aetna MGG | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | BCBS Medicare | BCBS Medicare | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | United Healthcare Medicare Adv | United Healthcare Medicare Adv | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Sendero Health Plan CHAP | Sendero Health Plan CHAP | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed MGG | Wellmed MGG | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | United Healthcare Medicare Adv | United Healthcare Medicare Adv | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Humana HMO | Humana HMO | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | BCBS Medicare | BCBS Medicare | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Aetna MGG | Aetna MGG | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Ascension Medicare | Ascension Medicare | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Devoted Health MCR Adv | Devoted Health MCR Adv | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Sendero Health Plan Ideal Care | Sendero Health Plan Ideal Care | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Sendero Health Plan CHAP | Sendero Health Plan CHAP | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Superior Health Plan CPG | Superior Health Plan CPG | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | United Healthcare MGG | United Healthcare MGG | $20,424.00 | $20,424.00 | $20,424.00 | 2026-03-16 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed MGG | Wellmed MGG | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Central Texas Rehabilitation Hospital Inpatient | Wellmed Tx MGG | Wellmed Tx MGG | — | $20,424.00 | $20,424.00 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | VACCN | VACCN | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | ABCBS Medicare Advantage | ABCBS Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | ALLWELL Medicare Advantage | ALLWELL Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | CIGNA Medicare Advantage | CIGNA Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | ESSENCE | ESSENCE | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | TRICARE - HUMANA MILITARY | TRICARE - HUMANA MILITARY | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | UNITED HEALTHCARE Medicare Advantage | UNITED HEALTHCARE Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | EMPOWER | EMPOWER | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | HUMAMA Medicare Advantage | HUMAMA Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | American Health Plan | American Health Plan | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | United HealthCare MCR | United HealthCare MCR | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | CIGNA Medicare Advantage | CIGNA Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | Humana Medicare Advantage | Humana Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | Blue Cross Blue Shield of TX Medicare Advantage PPO | Blue Cross Blue Shield of TX Medicare Advantage PPO | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | Blue Cross Blue Shield of TX Blue Essentials Medicare Advantage | Blue Cross Blue Shield of TX Blue Essentials Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | Multiplan Medicare Advantage | Multiplan Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | Scott & White Senior Care Medicare Advantage | Scott & White Senior Care Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | VA-CCN TriWest Health Care Alliance | VA-CCN TriWest Health Care Alliance | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | VA-CCN TriEast Humana Military - Commercial | VA-CCN TriEast Humana Military - Commercial | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | VA-CCN TriEast Humana Military - Medicare Advantage | VA-CCN TriEast Humana Military - Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | AETNA MEDICARE ADVANTAGE (HMO & PPO) | AETNA MEDICARE ADVANTAGE (HMO & PPO) | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | BLUE CROSS BLUE SHIELD TN BLUEADVANTAGE | BLUE CROSS BLUE SHIELD TN BLUEADVANTAGE | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | HUMANA MEDICARE ADVANTAGE HMO | HUMANA MEDICARE ADVANTAGE HMO | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | VA | VA | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Optum VA | Optum VA | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Aetna MGG | Aetna MGG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | BCBS MGG | BCBS MGG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Cigna MGG | Cigna MGG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Humana MGG | Humana MGG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | UHC MGG | UHC MGG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Wellcare MGG | Wellcare MGG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Bright Health - commercial | Bright Health - commercial | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Bright Health MGG | Bright Health MGG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | MEDICARE | MEDICARE | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | AARP MGG | AARP | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | AETNA MGG | AETNA Health Management | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | ALLWELL MGG | AR Health and Wellness | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | BCBS ARKANSAS 2 MGG | Arkansas Blue Cross and Blue Shield Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | BCBS ARKANSAS MGG | Arkansas Blue Cross and Blue Shield | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | CIGNA MGG | CIGNA Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | HUMANA CHOICE CARE PPO MGG | Humana TriCare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | UNH DUAL COMPLETE MGG | UHC Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | UNITED HEALTHCARE MGG | United Healthcare of Arkansas | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | VACCN-OPTUM CPG | Vererans Affairs Community Care Network | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | MEDICARE PART A | MEDICARE PART A | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | DEVOTED | DEVOTED | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Care N Care, Medicare | Care N Care, Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Friday Health Commercial (PPO & EPO) | Friday Health Commercial (PPO & EPO) | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Friday Health Managed Medicare | Friday Health Managed Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana Military Health Plan | Humana Military Health Plan | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana Wellmed | Humana Wellmed | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan Managed Medicare | MultiPlan Managed Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Oscar Healthcare | Oscar Healthcare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Molina (Medicare Advantage) | Molina (Medicare Advantage) | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Texas Plus (Universal American)(Includes WellCare - Merged with Texan Plus eff 1/1/19) | Texas Plus (Universal American)(Includes WellCare - Merged with Texan Plus eff 1/1/19) | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Health Alliance Medicare Advantage | Health Alliance Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | UHC Medicare | UHC Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Humana Choice Care | Humana Choice Care | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Aetna Government Programs | Aetna Government Programs | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Blue Cross Blue Shield MCR | Blue Cross Blue Shield MCR | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | GlobalHealth/Generations | GlobalHealth/Generations | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Oklahoma Complete - Centene | Oklahoma Complete - Centene | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Temple Inpatient | United Healthcare Medicare Advantage | United Healthcare Medicare Advantage | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-18 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Health Alliance Commercial | Health Alliance Commercial | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Health Alliance Medicare | Health Alliance Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Molina (Dual Eligible) | Molina (Dual Eligible) | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Essence Medicare | Essence Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Essence PPO Products | Essence PPO Products | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Wellcare Medicare HMO | Wellcare Medicare HMO | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Wellcare Medicare PPO | Wellcare Medicare PPO | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Cigna HealthSpring | Cigna HealthSpring | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Superior | Superior | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Molina Exchange | Molina Exchange | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Amerigroup | Amerigroup | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Wellmed | Wellmed | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Scott & White Health Plan | Scott & White Health Plan | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Aetna Managed Medicare | Aetna Managed Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Molina Medicare | Molina Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana Medicare PPO | Humana Medicare PPO | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Healthscope | Healthscope | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Ambetter Health CPG | Ambetter Health CPG | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana Managed Medicare | Humana Managed Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | BCBSTX, Medicare | BCBSTX, Medicare | $21,384.00 | $21,384.00 | $21,384.00 | 2026-03-17 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | VA TRICARE | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | COMMUNITY HEALTH GROUP MEDICARE ADVANTAGE | COMMUNITY HEALTH GROUP MEDICARE ADVANTAGE | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | KAISER MEDICARE ADVANTAGE | KAISER MEDICARE ADVANTAGE | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | KAISER HMO | KAISER HMO | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | HUMANA CHOICE PLUS | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SCRIPPS HMO Medicare | SCRIPPS HMO Medicare | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | WELLMED | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | VA | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | TRICARE | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | BCBS | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | UNITED HEALTHCARE | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Everest Rehabilitation Hospital Longview Inpatient | AETNA | MGD | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | GARY & MARY WEST PACE | GARY & MARY WEST PACE | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | BLUE SHIELD MEDICARE ADVANTAGE | BLUE SHIELD MEDICARE ADVANTAGE | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | TRICARE | TRICARE | $22,453.20 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | HEALTH NET AMBETTER PPO (fka ENHANCEDCARE) | HEALTH NET AMBETTER PPO (fka ENHANCEDCARE) | $36,935.51 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | HEALTH NET AMBETTER HMO (fka COMMUNITYCARE) & PURECARE | HEALTH NET AMBETTER HMO (fka COMMUNITYCARE) & PURECARE | $42,189.56 | $22,453.20 | $22,453.20 | 2026-03-17 | MRF ↗ |