A0904 — Other Orthopedic; M < 24.15
Cite this view
HANK Price Transparency. (n.d.). OTHER ORTHOPEDIC; M < 24.15 (CPT A0904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0904?code_type=CPT
“OTHER ORTHOPEDIC; M < 24.15 (CPT A0904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0904?code_type=CPT. Accessed .
“OTHER ORTHOPEDIC; M < 24.15 (CPT A0904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0904?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27,398–$28,715 (25th–75th percentile) across 13 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A0904 — 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 13 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $28,522 |
| Likely subtotal | $28,522 |
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 | $19,079.85 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $20,302.15 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $20,302.15 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $20,868.58 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $20,903.68 | — | — | 2026-03-01 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | United Medicare | — | $22,452.87 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Aetna Medicare | — | $23,634.60 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Vantage Medicare | — | $23,634.60 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Wellcare Medicare Hmo And Ppo | — | $23,634.60 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Bcbs Dsnp Dual Plan And Blue Advantage | — | $23,634.60 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Uhc Va Communicty Care Network | — | $23,634.60 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | La Health Connect Allwell Medicare | — | $23,634.60 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Acpn Medicare | — | $23,634.60 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $23,849.81 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Inpatient | Regence Blue Shield | MGMCR | $25,112.04 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | VACCN | $25,338.50 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | United | VACCN | $26,093.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Cigna HealthSpring | MCR | $26,129.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | WellCare | MCR | $26,129.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $26,129.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | United VA CCN | FED | $26,129.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Ultimate Health Plan | MCR | $26,129.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Aetna | MCR | $26,390.90 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | WellMed | MGMCR | $26,620.71 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | United | MCR | $26,784.87 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $27,174.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $27,174.79 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | PFFS | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | TriWest Healthcare Alliance | Veterans | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Texas Independent Health Plan | MCR | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRPPO | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRHMO | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRPPO | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRSNP | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MMP | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRHMO | $27,359.41 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BayCare Health Plans | MCR | $27,436.08 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRHMO | $27,545.69 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRPPO | $27,545.69 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRSNP | $27,545.69 | — | — | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantagePPOPFFS | $27,638.09 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantageHMO | $27,638.09 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantagePPOPFFS | $27,716.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantageHMO | $27,716.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Oscar | MGMCR | $27,951.83 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Oscar | MGMCR | $28,030.99 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | United | MGMCR | $28,082.93 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | United | MGMCR | $28,082.93 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Humana | MGMCR | $28,140.36 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Humana | MGMCR | $28,140.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MMP | $28,237.06 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRPPO | $28,237.06 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRSNP | $28,237.06 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | PFFS | $28,237.06 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRHMO | $28,237.06 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | United | MCR | $28,265.58 | — | — | 2026-05-14 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Aetna | MCR | $28,289.63 | — | — | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellMed | MGMCR | $28,311.51 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRSNP | $28,317.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRPPO | $28,317.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MMP | $28,317.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRHMO | $28,317.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | PFFS | $28,317.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellMed | MGMCR | $28,317.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | United | MCR | $28,345.63 | — | — | 2026-03-01 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Prime Health Medicare | — | $28,361.51 | $33,065.91 | $33,065.91 | 2026-05-18 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | MCRHMO | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PFFS | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | POS | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Texas Independent Health Plan | MCR | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PPO | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | SNP | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | DualEligible | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRHMO | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPOS | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPPO | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | PFFS | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRSNP | $28,522.28 | — | — | 2026-05-14 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Oscar | MCR | $28,566.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | BCBS | MCRPPO | $28,597.48 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PFFS | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | MCRHMO | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | POS | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PPO | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | SNP | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | DualEligible | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRHMO | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPOS | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPPO | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRSNP | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | PFFS | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MCRPPO | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MedicareAdvantageHMO | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Independent Health Plan | MCR | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | TriWest Healthcare Alliance | Veterans | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Kelsey Seybold | MGMCR | $28,603.05 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | WellMed | MGMCR | $28,628.51 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | WellMed | MGMCR | $28,628.51 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | BCBS | MCRPPO | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | BCBS | MCRPPO | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Integranet | MGMCR | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Integranet | MGMCR | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $28,714.65 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | American Health Plan | MCR | $28,727.38 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Imperial Insurance Co | MCR | $29,000.98 | — | — | 2024-10-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Care N Care | MGMCR | $29,001.80 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Care N Care | MGMCR | $29,001.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Aetna | MCR | $29,280.70 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $29,288.94 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $29,288.94 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $29,288.94 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $29,288.94 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Aetna | MCR | $29,575.56 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Medicare HMO/PPO | Humana Medicare HMO/PPO | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Anthem Medicare Advantage HMO/PPO | Anthem Medicare Advantage HMO/PPO | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare Medicare | United Healthcare Medicare | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Wellcare Medicare | Wellcare Medicare | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Allwell from MHS | Allwell from MHS | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Military | Humana Military | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | MyTru Advantage | MyTru Advantage | $29,812.26 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | American Health Plan | MGMCR | $29,948.39 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | American Health Plan | MGMCR | $30,033.21 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | ProCare Advantge | MCR | $30,150.38 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | ProCare Advantge | MCR | $30,150.38 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Zing Medicare | Zing Medicare | $30,706.63 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Ambetter from MHS Marketplace | Ambetter from MHS Marketplace | $40,246.55 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | CareSource Marketplace | CareSource Marketplace | $40,246.55 | $29,812.26 | $29,812.26 | 2026-03-24 | MRF ↗ |