A0804 — Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Replacement of lower-extremity joint M >=42.50 and M <51.50 (HCPCS A0804) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0804?code_type=HCPCS
MLA (9th ed.)
“Replacement of lower-extremity joint M >=42.50 and M <51.50 (HCPCS A0804) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0804?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Replacement of lower-extremity joint M >=42.50 and M <51.50 (HCPCS A0804) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0804?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,116–$24,333 (25th–75th percentile) across 212 hospitals · 309 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A0804 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
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).
What hospitals actually negotiate
Measured
$21,116
$22,603 typical
$24,333
The middle 50% of negotiated facility rates for this procedure, measured across 212 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $22,603 |
| Likely subtotal | $22,603 |
Facility charge (no separate professional fee)
$22,603
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 |
|---|---|---|---|---|---|---|---|
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Better Health dba Aetna Better Health of Ohio | MyCare Ohio | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Buckeye Community Health Plan | Health Insurance Exchange (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | Medicare Advantage HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | UnitedHealthcare Insurance dba Optum | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | MyCare Ohio | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Med Mutual | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | MyCare Ohio DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Paramount | Medicare Advantage (Paramount Elite) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Molina Medicare Options Plus | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | MyCare Ohio | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare Network PFFS | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Government Business dba Humana Military | TRICARE program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Buckeye Community Health Plan | Medicare Advantage HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Medicaid HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Molina Medicare Options | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | Health Insurance Exchange (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare POS | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Better Health dba Aetna Better Health of Ohio | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Better Health dba Aetna Better Health of Ohio | Dual Eligible Special Needs (D-SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bcbs Exchange | — | $7,350.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $8,485.24 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $8,485.24 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $9,100.76 | $22,035.74 | $22,035.74 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $9,500.55 | $27,490.02 | $27,490.02 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $9,659.99 | $27,490.02 | $27,490.02 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $9,846.92 | $27,490.02 | $27,490.02 | 2026-03-17 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $10,760.80 | $29,640.00 | $14,400.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $10,840.02 | $29,148.00 | $14,400.00 | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $11,300.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bcbs Exchange | — | $11,650.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $11,837.44 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $11,837.44 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $12,035.22 | $22,707.96 | $22,707.96 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $12,035.22 | $22,707.96 | $22,707.96 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $12,035.22 | $22,707.96 | $22,707.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $12,542.45 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $12,542.45 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $12,621.72 | $21,036.20 | $21,036.20 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $12,642.08 | $21,070.14 | $21,070.14 | 2026-03-16 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $12,931.20 | $26,940.00 | $14,400.00 | 2026-07-18 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $13,673.53 | $21,036.20 | $21,036.20 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $13,695.59 | $21,070.14 | $21,070.14 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Health Insurance Marketplace (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $14,155.43 | $23,592.38 | $23,592.38 | 2025-08-11 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $14,178.43 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $14,178.43 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $14,178.43 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $14,178.43 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $14,293.71 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $14,293.71 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $14,351.43 | $22,707.96 | $22,707.96 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $14,402.22 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $14,402.22 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $14,432.26 | $27,490.02 | $27,490.02 | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $14,705.91 | $22,977.99 | $22,977.99 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $14,726.69 | $19,635.58 | $19,635.58 | 2025-08-08 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $14,760.17 | $22,707.96 | $22,707.96 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $14,994.10 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $14,994.10 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health First Choice Vip | — | $15,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $15,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $15,284.10 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $15,284.10 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $15,396.49 | $24,057.02 | $24,057.02 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $15,419.95 | $20,559.94 | $20,559.94 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $15,426.06 | $20,568.07 | $20,568.07 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $15,610.65 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $15,610.65 | — | — | 2024-10-01 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $15,641.46 | $20,855.28 | $20,855.28 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $15,648.01 | $22,977.99 | $22,977.99 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $15,648.01 | $22,977.99 | $22,977.99 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $15,700.42 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $15,700.42 | — | — | 2024-10-01 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $15,782.02 | $27,490.02 | $27,490.02 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $15,785.78 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $15,785.78 | — | — | 2026-03-02 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $15,953.84 | $21,271.78 | $21,271.78 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $15,953.84 | $21,271.78 | $21,271.78 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $15,953.84 | $21,271.78 | $21,271.78 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $16,084.59 | $22,977.99 | $22,977.99 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $16,141.59 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $16,141.59 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $16,141.59 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $16,141.59 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $16,259.21 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $16,259.21 | — | — | 2026-03-01 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $16,359.72 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $16,359.72 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $16,382.83 | $24,057.02 | $24,057.02 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $16,382.83 | $24,057.02 | $24,057.02 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $16,399.62 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRHMO | $16,443.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRPPO | $16,443.17 | — | — | 2024-10-01 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $16,463.27 | $22,707.96 | $22,707.96 | 2026-03-16 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $16,486.61 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $16,486.61 | — | — | 2024-10-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $16,504.19 | $22,005.59 | $22,005.59 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $16,514.67 | $23,592.38 | $23,592.38 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $16,514.67 | $23,592.38 | $23,592.38 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Inpatient | BCBS | MGMCRHMO | $16,516.43 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $16,735.65 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $16,735.65 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $16,753.27 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $16,757.84 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $16,757.84 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $16,757.84 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $16,757.84 | — | — | 2026-03-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $16,769.71 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $16,769.71 | $19,729.07 | $19,729.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $16,807.11 | $21,274.83 | $21,274.83 | 2026-03-16 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Humana Insurance Company | Medicare POS | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | WellMed | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | WellMed | Medicare Advantage (Humana) | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Superior HealthPlan | DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Humana Insurance Company | Medicare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Superior HealthPlan | MMP | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | HealthSpring Life & Health Insurance Company aka Cigna HealthSpring | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Molina Healthcare of Texas | Molina Medicare Options | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Molina Healthcare of Texas | Star+PLUS Medicare-Medicaid Program | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Coventry Health Care | Coventry Advantra | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Molina Healthcare of Texas | Molina Medicare Options Plus | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Humana Insurance Company | Medicare Network PFFS | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Molina Healthcare of Texas | Health Insurance Marketplace (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Superior HealthPlan | Medicare Advantage Plan (MA Plan) | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Texas Independence Health Plan (TIHP) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | Superior HealthPlan | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Corpus Christi Rehabilitation Hospital Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $16,839.92 | $24,057.02 | $24,057.02 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $16,868.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $16,922.57 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $16,963.13 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $16,963.13 | — | — | 2024-10-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $17,088.84 | $22,785.12 | $22,785.12 | 2026-03-17 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $17,272.26 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $17,274.83 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $17,409.33 | — | — | 2025-01-01 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $17,450.37 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $17,450.37 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $17,525.37 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $17,525.37 | — | — | 2025-09-11 | MRF ↗ |
| Milwaukee Rehabilitation Hospital At Greenfield InpatientFacility | Anthem Medicaid | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $17,544.54 | $22,785.12 | $22,785.12 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $17,544.54 | $22,785.12 | $22,785.12 | 2026-03-17 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $17,700.81 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $17,700.81 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $17,999.47 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $18,008.91 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $18,008.91 | — | — | 2025-01-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | MULTIPLAN | MULTIPLAN | $18,083.60 | $21,274.83 | $21,274.83 | 2026-03-16 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $18,129.69 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $18,129.69 | — | — | 2025-09-11 | MRF ↗ |
| PAM Rehabilitation Hospital of Humble InpatientFacility | United Healthcare | Care Improvement Plus Dual | $18,261.82 | — | — | 2026-08-06 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $18,280.45 | — | — | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $18,280.45 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $18,382.39 | $22,977.99 | $22,977.99 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | BCBS | MCRPPO | $18,427.28 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | BCBS | MCRHMO | $18,427.28 | — | — | 2026-03-01 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | Palm Beach PACE | All-inclusive Care for Elderly Program | $18,528.20 | — | — | 2025-09-11 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | First Health | Commercial | $18,541.02 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | First Health | Commercial | $18,541.02 | $21,812.96 | $21,812.96 | 2026-03-16 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $18,589.62 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $18,619.38 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $18,619.38 | — | — | 2025-01-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | United | MCR | $18,674.13 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | United | MCR | $18,684.96 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | WellMed | MCR | $18,963.38 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $18,983.05 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRPPO | $18,983.05 | — | — | 2025-01-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | Aetna | MCR | $19,074.70 | — | — | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | United | VACCN | $19,074.70 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | United | VACCN | $19,085.76 | — | — | 2026-03-01 | 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.