A1004 — Amputation Lower Extremity M <47.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Amputation lower extremity M <47.50 (HCPCS A1004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A1004?code_type=HCPCS
MLA (9th ed.)
“Amputation lower extremity M <47.50 (HCPCS A1004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A1004?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Amputation lower extremity M <47.50 (HCPCS A1004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A1004?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28,280–$33,226 (25th–75th percentile) across 207 hospitals · 308 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A1004 — 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
$28,280
$31,258 typical
$33,226
The middle 50% of negotiated facility rates for this procedure, measured across 207 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $31,258 |
| Likely subtotal | $31,258 |
Facility charge (no separate professional fee)
$31,258
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 | 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 | Molina Healthcare of Ohio | Molina Medicare Options | — | — | — | 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 Network PFFS | — | — | — | 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 | United Healthcare (UHC) | Medicare Advantage | — | — | — | 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 | Paramount | Medicare Advantage (Paramount Elite) | — | — | — | 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 | 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 | 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 | Humana Insurance Company | Medicare PPO | — | — | — | 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 | UnitedHealthcare Insurance dba Optum | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Medicare (CMS) | Medicare | — | — | — | 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 | 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 | Buckeye Community Health Plan | Medicare Advantage HMO | — | — | — | 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 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 | CareSource Ohio | MyCare Ohio | — | — | — | 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 | CareSource Ohio | Medicare Advantage HMO | — | — | — | 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 | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 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 | Coordinated Care Corporation dba Managed Health Services | Healthy Indiana Plan | — | — | — | 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 PPO Plans | — | — | — | 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 | CareSource Network Partners | Dual-Eligible Special Needs Plan (D-SNP) | — | — | — | 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 | Coordinated Care Corporation dba Managed Health Services | DSNP | — | — | — | 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 | Aetna Network Services | 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 | MDWise Excel Network | Medicare Advantage | — | — | — | 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 | Humana Insurance Company | Medicare HMO Plans | — | — | — | 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 | Coordinated Care Corporation dba Managed Health Services | Medicare Advantage (MA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc Inpatient | Humana Government Business dba Humana Military | TRICARE | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northern Indiana, Llc 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 ↗ |
| 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 ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $11,858.70 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $11,858.70 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $12,067.03 | $29,218.00 | $29,218.00 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $13,277.67 | $38,419.17 | $38,419.17 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $13,500.50 | $38,419.17 | $38,419.17 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $13,761.75 | $38,419.17 | $38,419.17 | 2026-03-17 | 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 Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $15,038.95 | $41,990.00 | $20,400.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $15,149.67 | $41,293.00 | $20,400.00 | 2026-07-18 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $15,695.70 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $15,695.70 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $16,735.60 | $27,892.67 | $27,892.67 | 2025-08-08 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $16,820.04 | $31,735.92 | $31,735.92 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $16,820.04 | $31,735.92 | $31,735.92 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $16,820.04 | $31,735.92 | $31,735.92 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $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 GREER MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | 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 BAPTIST EASLEY HOSPITAL | 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 North Greenville Ltach | 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 OCONEE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 TUOMEY HOSPITAL | 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 ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 BAPTIST PARKRIDGE | 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 LAURENS COUNTY HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $17,528.93 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $17,528.93 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $17,668.17 | $29,446.95 | $29,446.95 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $18,130.23 | $27,892.67 | $27,892.67 | 2025-08-08 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $18,319.20 | $38,165.00 | $20,400.00 | 2026-07-18 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $18,769.20 | $31,282.00 | $31,282.00 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $18,952.56 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $18,952.56 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $19,096.44 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $19,096.44 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $19,140.52 | $29,446.95 | $29,446.95 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $19,499.11 | $30,467.35 | $30,467.35 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $19,526.65 | $26,035.54 | $26,035.54 | 2025-08-08 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $19,815.31 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $19,815.31 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $19,815.31 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $19,815.31 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $19,881.22 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $19,881.22 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $20,057.10 | $31,735.92 | $31,735.92 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $20,170.06 | $38,419.17 | $38,419.17 | 2026-03-17 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $20,628.35 | $31,735.92 | $31,735.92 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $20,733.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $20,733.00 | — | — | 2024-10-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $20,748.27 | $30,467.35 | $30,467.35 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $20,748.27 | $30,467.35 | $30,467.35 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $20,852.22 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $20,852.22 | — | — | 2024-10-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $21,327.15 | $30,467.35 | $30,467.35 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $21,360.57 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $21,360.57 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $21,517.65 | $33,621.32 | $33,621.32 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $21,558.96 | $28,745.28 | $28,745.28 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $21,780.86 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRPPO | $21,838.70 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRHMO | $21,838.70 | — | — | 2024-10-01 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $21,860.00 | $29,146.67 | $29,146.67 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $21,883.52 | $29,178.02 | $29,178.02 | 2025-08-11 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $21,896.39 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $21,896.39 | — | — | 2024-10-01 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $21,897.40 | $31,282.00 | $31,282.00 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $21,897.40 | $31,282.00 | $31,282.00 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Inpatient | BCBS | MGMCRHMO | $21,936.00 | — | — | 2024-10-01 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $22,056.45 | $38,419.17 | $38,419.17 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $22,061.70 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $22,061.70 | — | — | 2026-03-02 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $22,235.58 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $22,235.58 | $26,159.50 | $26,159.50 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $22,250.54 | — | — | 2024-10-01 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $22,296.57 | $29,728.76 | $29,728.76 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $22,296.57 | $29,728.76 | $29,728.76 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $22,296.57 | $29,728.76 | $29,728.76 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $22,475.41 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $22,529.27 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $22,529.27 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $22,558.97 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $22,558.97 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $22,558.97 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $22,558.97 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $22,723.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $22,723.35 | — | — | 2026-03-01 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $22,863.83 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $22,863.83 | $30,485.10 | $30,485.10 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $22,896.12 | $33,621.32 | $33,621.32 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $22,896.12 | $33,621.32 | $33,621.32 | 2026-03-24 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $23,008.54 | $31,735.92 | $31,735.92 | 2026-03-16 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $23,121.88 | — | — | 2025-01-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $23,275.99 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $23,275.99 | — | — | 2025-09-11 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $23,389.21 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $23,389.21 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $23,420.22 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $23,420.22 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $23,420.22 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $23,420.22 | — | — | 2026-03-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $23,489.08 | $29,733.02 | $29,733.02 | 2026-03-16 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $23,509.01 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $23,509.01 | — | — | 2024-10-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $23,534.93 | $33,621.32 | $33,621.32 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $23,574.51 | — | — | 2026-03-01 | MRF ↗ |
| Bloomington Regional Rehabilitation Hospital Llc Inpatient | Elevance fka IU Health | Premier Network | — | — | — | 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 | Elevance fka IU Health | Medicare Advantage | — | — | — | 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 | UnitedHealthcare Insurance dba Optum | VA CCN | — | — | — | 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 | Humana Insurance Company | Medicare HMO Plans | — | — | — | 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 | Aetna Network Services | Medicare Advantage | — | — | — | 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 | 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 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 PPO (EPO and SNP) | — | — | — | 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 | CareSource Network Partners | Healthy Indiana Plan (HIP) | — | — | — | 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 | 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 | Qualified Health Plan (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $23,882.82 | $31,843.76 | $31,843.76 | 2026-03-17 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $23,905.67 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $23,918.20 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $23,918.20 | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Whole Health Of Sc | — | $24,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Whole Health Of Sc | — | $24,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Whole Health Of Sc | — | $24,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $24,078.61 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $24,078.61 | — | — | 2025-09-11 | 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.