A0805 — Replacement Of Lower-extremity Joint M <42.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Replacement of lower-extremity joint M <42.50 (HCPCS A0805) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0805?code_type=HCPCS
MLA (9th ed.)
“Replacement of lower-extremity joint M <42.50 (HCPCS A0805) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0805?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Replacement of lower-extremity joint M <42.50 (HCPCS A0805) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0805?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25,030–$29,713 (25th–75th percentile) across 215 hospitals · 310 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A0805 — 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
$25,030
$27,848 typical
$29,713
The middle 50% of negotiated facility rates for this procedure, measured across 215 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $27,848 |
| Likely subtotal | $27,848 |
Facility charge (no separate professional fee)
$27,848
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 | Molina Healthcare of Ohio | Molina Medicare Options Plus | — | — | — | 2026-03-17 | MRF ↗ |
| 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 | MyCare Ohio | — | — | — | 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 | Buckeye Community Health Plan | Health Insurance Exchange (ACA) | — | — | — | 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 | 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 | Molina Healthcare of Ohio | Medicaid HMO | — | — | — | 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 POS | — | — | — | 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 | Humana Insurance Company | Medicare PPO | — | — | — | 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 | Aetna Better Health dba Aetna Better Health of Ohio | Dual Eligible Special Needs (D-SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Health Insurance Marketplace (ACA) | — | — | — | 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 | Buckeye Community Health Plan | Medicare Advantage HMO | — | — | — | 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 | Humana Insurance Company | Medicare Network PFFS | — | — | — | 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 | Med Mutual | Medicare Advantage | — | — | — | 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 | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage PPO | — | — | — | 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 | Health Insurance Exchange (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Molina Medicare Options | — | — | — | 2026-03-17 | MRF ↗ |
| Elkhorn Valley Rehabilitation Hospital Llc Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Corvel Healthcare Corporation | Workers' Compensation | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Blue Cross Blue Shield of Texas | Medicare Advantage POS | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Molina Medicare Options Plus | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Blue Cross Blue Shield of Texas | Medicare Advantage HMO | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Health Insurance Marketplace (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | MMP | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Molina Medicare Options | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Texas Independence Health Plan (TIHP) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Blue Cross Blue Shield of Texas | Medicare Advantage PPO | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | Medicare Advantage Plan (MA Plan) | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Star+PLUS Medicare-Medicaid Program | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | WellMed | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Laredo Rehabilitation Hospital, Llc Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Arizona Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | CareSource Network Partners | Indiana Marketplace (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | CareSource Network Partners | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | MDWise Excel Network | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | Medicare Advantage (MA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | MDWise Excel Network | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Humana Insurance Company | Medicare Network PFFS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | MMP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | Medicare Advantage Prescription Drug (MA-PD) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | CareSource Network Partners | Dual-Eligible Special Needs Plan (D-SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | UnitedHealthcare Insurance dba Optum | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Humana Government Business dba Humana Military | TRICARE | — | — | — | 2026-03-17 | MRF ↗ |
| Vibra Rehabilitation Hospital Of Denver Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Vibra Rehabilitation Hospital Of Denver Inpatient | Medicare (CMS) | Medicare | — | — | — | 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 Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $10,568.22 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $10,568.22 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $10,908.17 | $26,412.05 | $26,412.05 | 2025-08-08 | 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 ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $11,832.77 | $34,238.33 | $34,238.33 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $12,031.35 | $34,238.33 | $34,238.33 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $12,264.17 | $34,238.33 | $34,238.33 | 2026-03-17 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $13,402.39 | $34,580.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $13,501.06 | $34,006.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $14,188.36 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $14,188.36 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $14,989.65 | $28,282.36 | $28,282.36 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $14,989.65 | $28,282.36 | $28,282.36 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $14,989.65 | $28,282.36 | $28,282.36 | 2026-03-16 | 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 ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $15,086.40 | $31,430.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $15,128.40 | $25,213.99 | $25,213.99 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $15,621.40 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $15,621.40 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $15,745.49 | $26,242.48 | $26,242.48 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $16,389.10 | $25,213.99 | $25,213.99 | 2025-08-08 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $16,966.70 | $28,277.83 | $28,277.83 | 2025-08-11 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $17,057.61 | $26,242.48 | $26,242.48 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $17,132.45 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $17,132.45 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $17,262.51 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $17,262.51 | $23,647.27 | $23,647.27 | 2025-08-11 | 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 HILLCREST HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 TUOMEY HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND 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 North Greenville Ltach | Select Health First Choice Vip | — | $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 BAPTIST PARKRIDGE | Aetna Prisma Health | — | $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 BAPTIST EASLEY HOSPITAL | 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 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 LAURENS COUNTY HOSPITAL | Aetna Prisma Health | — | $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 ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $17,626.51 | $27,541.42 | $27,541.42 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $17,651.41 | $23,535.22 | $23,535.22 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $17,658.98 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $17,658.98 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $17,658.98 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $17,658.98 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $17,874.45 | $28,282.36 | $28,282.36 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $17,971.93 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $17,971.93 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $17,975.12 | $34,238.33 | $34,238.33 | 2026-03-17 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $18,383.53 | $28,282.36 | $28,282.36 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $18,722.93 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $18,722.93 | — | — | 2024-10-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $18,755.71 | $27,541.42 | $27,541.42 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $18,755.71 | $27,541.42 | $27,541.42 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $18,830.59 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $18,830.59 | — | — | 2024-10-01 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Humana Insurance Company | Medicare Network PFFS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | CareSource Network Partners | Dual-Eligible Special Needs Plan (DSNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | CareSource Network Partners | Healthy Indiana Plan (HIP) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | CareSource Network Partners | Qualified Health Plan (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Blue Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Aetna Network Services | Qualified Health Plan (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | MDWise Excel Network | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | MDWise Excel Network | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | MMP | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | Medicare Advantage Prescription Drug (MA-PD) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Coordinated Care Corporation dba Managed Health Services | Medicare Advantage (MA) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Elevance fka IU Health | Commercial | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Humana Government Business dba Humana Military | TRICARE | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Elevance fka IU Health | Premier Network | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | UnitedHealthcare Insurance dba Optum | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Elevance fka IU Health | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $19,036.07 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $19,036.07 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $19,176.06 | $29,962.59 | $29,962.59 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $19,212.88 | $25,617.17 | $25,617.17 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $19,279.00 | $27,541.42 | $27,541.42 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $19,481.16 | $25,974.88 | $25,974.88 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $19,656.22 | $34,238.33 | $34,238.33 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $19,660.91 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $19,660.91 | — | — | 2026-03-02 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $19,669.20 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRPPO | $19,721.43 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRHMO | $19,721.43 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $19,773.53 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $19,773.53 | — | — | 2024-10-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $19,781.93 | $26,375.91 | $26,375.91 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $19,794.48 | $28,277.83 | $28,277.83 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $19,794.48 | $28,277.83 | $28,277.83 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Inpatient | BCBS | MGMCRHMO | $19,809.30 | — | — | 2024-10-01 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $19,870.22 | $26,493.63 | $26,493.63 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $19,870.22 | $26,493.63 | $26,493.63 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $19,870.22 | $26,493.63 | $26,493.63 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $20,093.35 | — | — | 2024-10-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $20,100.18 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $20,100.18 | $23,647.27 | $23,647.27 | 2025-08-11 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $20,104.07 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $20,104.07 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $20,104.07 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $20,104.07 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $20,250.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $20,250.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $20,296.41 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $20,345.05 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $20,345.05 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $20,375.74 | $27,167.66 | $27,167.66 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $20,375.74 | $27,167.66 | $27,167.66 | 2026-03-16 | 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.