A1904 — Guillain-barré M <38.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Guillain-Barré M <38.50 (HCPCS A1904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A1904?code_type=HCPCS
MLA (9th ed.)
“Guillain-Barré M <38.50 (HCPCS A1904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A1904?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Guillain-Barré M <38.50 (HCPCS A1904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A1904?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $45,797–$56,558 (25th–75th percentile) across 121 hospitals · 283 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A1904 — 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
$45,797
$49,305 typical
$56,558
The middle 50% of negotiated facility rates for this procedure, measured across 121 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $49,305 |
| Likely subtotal | $49,305 |
Facility charge (no separate professional fee)
$49,305
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 |
|---|---|---|---|---|---|---|---|
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $519.93 | $509.53 | 2025-08-04 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $519.93 | $509.53 | 2025-03-17 | 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 | 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 | Molina Healthcare of Ohio | Molina Medicare Options Plus | — | — | — | 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 | United Healthcare (UHC) | Medicare Advantage | — | — | — | 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 | MyCare Ohio | — | — | — | 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 | CareSource Ohio | Health Insurance Exchange (ACA) | — | — | — | 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 | 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 | Med Mutual | Medicare Advantage | — | — | — | 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 | Aetna Better Health dba Aetna Better Health of Ohio | Medicare | — | — | — | 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 | Buckeye Community Health Plan | Medicare Advantage 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 | Molina Healthcare of Ohio | Molina Medicare Options | — | — | — | 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 | Humana Insurance Company | MyCare Ohio DSNP | — | — | — | 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 | Medicaid 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 | Aetna Better Health dba Aetna Better Health of Ohio | MyCare Ohio | — | — | — | 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 ↗ |
| 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 ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $15,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | 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 GREENVILLE 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 GREER MEMORIAL HOSPITAL | Aetna Prisma Health | — | $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 OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 HILLCREST HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | 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 GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY 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 RICHLAND 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 OCONEE 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 | 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 ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $18,687.31 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $18,687.31 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $19,982.53 | $48,383.84 | $48,383.84 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $20,923.35 | $60,542.11 | $60,542.11 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $21,274.50 | $60,542.11 | $60,542.11 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $21,686.18 | $60,542.11 | $60,542.11 | 2026-03-17 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $23,698.85 | $61,750.00 | $30,000.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $23,873.31 | $60,725.00 | $30,000.00 | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH TUOMEY 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 RICHLAND HOSPITAL | Aetna Whole Health Of Sc | — | $24,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $25,991.46 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $25,991.46 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $26,505.53 | $50,010.43 | $50,010.43 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $26,505.53 | $50,010.43 | $50,010.43 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $26,505.53 | $50,010.43 | $50,010.43 | 2026-03-16 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $26,940.00 | $56,125.00 | $30,000.00 | 2026-07-18 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $27,622.63 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $27,622.63 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $27,713.49 | $46,189.15 | $46,189.15 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $27,842.05 | $46,403.41 | $46,403.41 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Magellan Behavioral Health | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Magellan Behavioral Health | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $30,022.95 | $46,189.15 | $46,189.15 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $30,162.22 | $46,403.41 | $46,403.41 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $31,081.05 | $51,801.75 | $51,801.75 | 2025-08-11 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $31,225.58 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $31,225.58 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $31,225.58 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $31,225.58 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $31,384.69 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $31,384.69 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $31,550.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $31,606.59 | $50,010.43 | $50,010.43 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $31,622.94 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $31,622.94 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $31,784.61 | $60,542.11 | $60,542.11 | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $32,289.75 | $50,452.73 | $50,452.73 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $32,335.37 | $43,113.82 | $43,113.82 | 2025-08-08 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $32,506.78 | $50,010.43 | $50,010.43 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $32,922.51 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $32,922.51 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Cigna Hmo Ppo | — | $33,150.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Cigna Hmo Ppo | — | $33,150.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna | — | $33,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna | — | $33,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $33,908.17 | $52,981.52 | $52,981.52 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $33,959.84 | $45,279.78 | $45,279.78 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $33,973.28 | $45,297.70 | $45,297.70 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $34,358.31 | $50,452.73 | $50,452.73 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $34,358.31 | $50,452.73 | $50,452.73 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $34,447.67 | $45,930.22 | $45,930.22 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $34,757.23 | $60,542.11 | $60,542.11 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $34,765.50 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $34,765.50 | — | — | 2026-03-02 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna | — | $35,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | First Health-Aetna Rental Network | — | $35,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $35,135.63 | $46,847.50 | $46,847.50 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $35,135.63 | $46,847.50 | $46,847.50 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $35,135.63 | $46,847.50 | $46,847.50 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $35,316.91 | $50,452.73 | $50,452.73 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $35,549.13 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $35,549.13 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $35,549.13 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $35,549.13 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna | — | $36,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna | — | $36,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $36,029.52 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $36,029.52 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $36,080.42 | $52,981.52 | $52,981.52 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $36,080.42 | $52,981.52 | $52,981.52 | 2026-03-24 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $36,238.24 | $48,317.65 | $48,317.65 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $36,257.56 | $50,010.43 | $50,010.43 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $36,261.23 | $51,801.75 | $51,801.75 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $36,261.23 | $51,801.75 | $51,801.75 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $36,821.23 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $36,821.23 | $43,319.10 | $43,319.10 | 2025-08-11 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $37,014.82 | $46,854.21 | $46,854.21 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $37,087.06 | $52,981.52 | $52,981.52 | 2026-03-24 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Carelink By Aetna Exchange | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Ppo | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Carelink By Aetna Exchange | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Ppo | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Ppo | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $37,635.28 | $50,180.37 | $50,180.37 | 2026-03-17 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $38,431.49 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $38,431.49 | $48,039.36 | $48,039.36 | 2026-03-16 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $38,541.76 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $38,541.76 | — | — | 2025-09-11 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $38,638.89 | $50,180.37 | $50,180.37 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $38,638.89 | $50,180.37 | $50,180.37 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | MULTIPLAN | MULTIPLAN | $39,826.08 | $46,854.21 | $46,854.21 | 2026-03-16 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $39,870.78 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $39,870.78 | — | — | 2025-09-11 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare Humana Military | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Behavioral Health | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Ppo | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | First Health-Aetna Rental Network | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare Humana Military | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Ppo | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $40,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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.