A0704 — Fracture Of Lower Extremity; M < 28.15
Cite this view
HANK Price Transparency. (n.d.). FRACTURE OF LOWER EXTREMITY; M < 28.15 (CPT A0704) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0704?code_type=CPT
“FRACTURE OF LOWER EXTREMITY; M < 28.15 (CPT A0704) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0704?code_type=CPT. Accessed .
“FRACTURE OF LOWER EXTREMITY; M < 28.15 (CPT A0704) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0704?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29,469–$31,147 (25th–75th percentile) across 14 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A0704 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
The middle 50% of negotiated facility rates for this procedure, measured across 14 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $30,938 |
| Likely subtotal | $30,938 |
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: your remaining deductible and out-of-pocket max — enter your own plan terms to tighten this.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 | $20,695.95 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $22,021.78 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $22,021.78 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $22,636.19 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $22,674.26 | — | — | 2026-03-01 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Humana Commercial, Medicare | — | $23,471.21 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | United Medicare | — | $24,394.48 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Uhc Va Communicty Care Network | — | $25,237.86 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Wellcare Medicare | — | $25,237.86 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Bcbs Dsnp Dual Plan | — | $25,237.86 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Aetna Better Health Medicare | — | $25,237.86 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Acpn Medicare | — | $25,237.86 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | United Medicare | — | $25,237.86 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | La Health Connect Allwell Medicare | — | $25,237.86 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Vantage Medicare | — | $25,678.40 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Aetna Medicare | — | $25,678.40 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Acpn Medicare | — | $25,678.40 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | La Health Connect Allwell Medicare | — | $25,678.40 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Uhc Va Communicty Care Network | — | $25,678.40 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Bcbs Dsnp Dual Plan And Blue Advantage | — | $25,678.40 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Wellcare Medicare Hmo And Ppo | — | $25,678.40 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $25,869.93 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Inpatient | Regence Blue Shield | MGMCR | $27,239.08 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | VACCN | $27,484.72 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | United | VACCN | $28,304.15 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Ultimate Health Plan | MCR | $28,342.83 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $28,342.83 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | WellCare | MCR | $28,342.83 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Cigna HealthSpring | MCR | $28,342.83 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | United VA CCN | FED | $28,342.83 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Aetna | MCR | $28,626.26 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | WellMed | MGMCR | $28,673.50 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | United | MCR | $28,850.31 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Texas Independent Health Plan | MCR | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRHMO | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRPPO | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRSNP | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MMP | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | PFFS | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | TriWest Healthcare Alliance | Veterans | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRHMO | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRPPO | $29,469.16 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $29,476.54 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $29,476.54 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BayCare Health Plans | MCR | $29,759.97 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRPPO | $29,878.86 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRHMO | $29,878.86 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRSNP | $29,878.86 | — | — | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantageHMO | $29,979.09 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantagePPOPFFS | $29,979.09 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantagePPOPFFS | $30,063.99 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantageHMO | $30,063.99 | — | — | 2026-03-01 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Prime Health Medicare | — | $30,285.43 | $39,034.55 | $39,034.55 | 2026-05-17 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Oscar | MGMCR | $30,319.41 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Oscar | MGMCR | $30,405.27 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | United | MGMCR | $30,461.61 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | United | MGMCR | $30,461.61 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Aetna | MCR | $30,471.12 | — | — | 2024-10-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Humana | MGMCR | $30,523.90 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Humana | MGMCR | $30,523.90 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRPPO | $30,628.79 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | PFFS | $30,628.79 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MMP | $30,628.79 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRHMO | $30,628.79 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRSNP | $30,628.79 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | United | MCR | $30,659.72 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellMed | MGMCR | $30,709.55 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRSNP | $30,715.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRHMO | $30,715.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRPPO | $30,715.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MMP | $30,715.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | PFFS | $30,715.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellMed | MGMCR | $30,715.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | United | MCR | $30,746.55 | — | — | 2026-03-01 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Prime Health Medicare | — | $30,814.08 | $36,092.56 | $36,092.56 | 2026-05-18 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | MCRHMO | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | DualEligible | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | SNP | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PPO | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | POS | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | PFFS | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRSNP | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PFFS | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPPO | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPOS | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRHMO | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Texas Independent Health Plan | MCR | $30,938.17 | — | — | 2026-05-14 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | American Health Plan | MCR | $30,942.62 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Oscar | MCR | $30,986.17 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | BCBS | MCRPPO | $31,019.74 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | MCRHMO | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MCRPPO | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MedicareAdvantageHMO | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PFFS | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | POS | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PPO | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | SNP | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | DualEligible | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRHMO | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPOS | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRSNP | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | PFFS | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Kelsey Seybold | MGMCR | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPPO | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Independent Health Plan | MCR | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | TriWest Healthcare Alliance | Veterans | $31,025.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | WellMed | MGMCR | $31,053.40 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | WellMed | MGMCR | $31,053.40 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | BCBS | MCRPPO | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | BCBS | MCRPPO | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Integranet | MGMCR | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Integranet | MGMCR | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $31,146.84 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Imperial Insurance Co | MCR | $31,237.31 | — | — | 2024-10-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Care N Care | MGMCR | $31,458.30 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Care N Care | MGMCR | $31,458.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Aetna | MCR | $31,760.83 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $31,769.77 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $31,769.77 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $31,769.77 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $31,769.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Aetna | MCR | $32,080.66 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Allwell from MHS | Allwell from MHS | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare Medicare | United Healthcare Medicare | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Wellcare Medicare | Wellcare Medicare | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | MyTru Advantage | MyTru Advantage | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Medicare HMO/PPO | Humana Medicare HMO/PPO | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Anthem Medicare Advantage HMO/PPO | Anthem Medicare Advantage HMO/PPO | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Military | Humana Military | $32,337.42 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | American Health Plan | MGMCR | $32,485.08 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | American Health Plan | MGMCR | $32,577.08 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | ProCare Advantge | MCR | $32,704.18 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | ProCare Advantge | MCR | $32,704.18 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Zing Medicare | Zing Medicare | $33,307.54 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | CareSource Marketplace | CareSource Marketplace | $43,655.51 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Ambetter from MHS Marketplace | Ambetter from MHS Marketplace | $43,655.51 | $32,337.42 | $32,337.42 | 2026-03-24 | MRF ↗ |