B0805 — 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 B0805) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/B0805?code_type=HCPCS
MLA (9th ed.)
“Replacement of lower-extremity joint M <42.50 (HCPCS B0805) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/B0805?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Replacement of lower-extremity joint M <42.50 (HCPCS B0805) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/B0805?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $37,178–$42,331 (25th–75th percentile) across 183 hospitals · 289 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS B0805 — 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
$37,178
$39,831 typical
$42,331
The middle 50% of negotiated facility rates for this procedure, measured across 183 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $39,831 |
| Likely subtotal | $39,831 |
Facility charge (no separate professional fee)
$39,831
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 | Paramount | Medicare Advantage (Paramount Elite) | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Med Mutual | Medicare Advantage | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | DSNP | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Better Health dba Aetna Better Health of Ohio | Medicare | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Better Health dba Aetna Better Health of Ohio | MyCare Ohio | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Buckeye Community Health Plan | Medicare Advantage HMO | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | MyCare Ohio | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage HMO | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Government Business dba Humana Military | TRICARE program | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Medicaid HMO | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Buckeye Community Health Plan | Health Insurance Exchange (ACA) | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage PPO | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare Network PFFS | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | UnitedHealthcare Insurance dba Optum | VA CCN | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare POS | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | Health Insurance Exchange (ACA) | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Better Health dba Aetna Better Health of Ohio | Dual Eligible Special Needs (D-SNP) | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | MyCare Ohio DSNP | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | Medicare Advantage HMO | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare PPO | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare HMO | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Health Insurance Marketplace (ACA) | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Molina Medicare Options Plus | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Molina Medicare Options | — | — | — | 2026-08-10 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | MyCare Ohio | — | — | — | 2026-08-10 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $14,982.81 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $14,982.81 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $15,952.93 | $38,626.96 | $38,626.96 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $16,775.59 | $48,540.47 | $48,540.47 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $17,057.12 | $48,540.47 | $48,540.47 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $17,387.20 | $48,540.47 | $48,540.47 | 2026-03-17 | 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 ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $19,000.88 | $41,990.00 | $20,400.00 | 2026-11-02 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $19,140.76 | $41,293.00 | $20,400.00 | 2026-11-02 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $20,750.13 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $20,750.13 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $21,251.17 | $40,096.56 | $40,096.56 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $21,251.17 | $40,096.56 | $40,096.56 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $21,251.17 | $40,096.56 | $40,096.56 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $22,124.90 | $36,874.84 | $36,874.84 | 2025-08-08 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $22,146.83 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $22,146.83 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $22,322.75 | $37,204.58 | $37,204.58 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $23,968.64 | $36,874.84 | $36,874.84 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $24,182.98 | $37,204.58 | $37,204.58 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $24,813.38 | $41,355.63 | $41,355.63 | 2025-08-11 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $25,035.54 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $25,035.54 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $25,035.54 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $25,035.54 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $25,055.78 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $25,055.78 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $25,245.99 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $25,245.99 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $25,341.02 | $40,096.56 | $40,096.56 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $25,483.75 | $48,540.47 | $48,540.47 | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $25,778.33 | $40,278.64 | $40,278.64 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $25,814.75 | $34,419.67 | $34,419.67 | 2025-08-08 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $26,062.76 | $40,096.56 | $40,096.56 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $26,283.50 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $26,283.50 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $26,987.88 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $26,987.88 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $27,186.35 | $42,478.67 | $42,478.67 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $27,227.77 | $36,303.69 | $36,303.69 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $27,238.54 | $36,318.06 | $36,318.06 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $27,429.76 | $40,278.64 | $40,278.64 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $27,429.76 | $40,278.64 | $40,278.64 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $27,439.44 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $27,439.44 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $27,597.23 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $27,597.23 | — | — | 2024-10-01 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $27,618.89 | $36,825.19 | $36,825.19 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $27,867.09 | $48,540.47 | $48,540.47 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $27,873.72 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $27,873.72 | — | — | 2026-03-02 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $28,170.47 | $37,560.63 | $37,560.63 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $28,170.47 | $37,560.63 | $37,560.63 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $28,170.47 | $37,560.63 | $37,560.63 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $28,195.05 | $40,278.64 | $40,278.64 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $28,502.00 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $28,502.00 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $28,502.00 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $28,502.00 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $28,709.69 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $28,709.69 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA BRANDON HOSPITAL Inpatient | BCBS | MGMCRHMO | $28,826.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $28,826.25 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $28,887.17 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $28,887.17 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRHMO | $28,902.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRPPO | $28,902.80 | — | — | 2024-10-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $28,927.97 | $42,478.67 | $42,478.67 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $28,927.97 | $42,478.67 | $42,478.67 | 2026-03-24 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $28,930.58 | $38,574.11 | $38,574.11 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $28,948.94 | $41,355.63 | $41,355.63 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $28,948.94 | $41,355.63 | $41,355.63 | 2025-08-11 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $28,979.15 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $28,979.15 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Inpatient | BCBS | MGMCRHMO | $29,031.57 | — | — | 2024-10-01 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $29,070.00 | $40,096.56 | $40,096.56 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $29,396.02 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $29,396.02 | $34,583.55 | $34,583.55 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $29,447.86 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $29,550.97 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $29,550.97 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $29,590.14 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $29,590.14 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $29,590.14 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $29,590.14 | — | — | 2026-03-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $29,677.15 | $37,566.01 | $37,566.01 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $29,735.07 | $42,478.67 | $42,478.67 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $29,745.46 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $29,785.08 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $29,816.75 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $29,816.75 | — | — | 2024-10-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $30,174.60 | $40,232.81 | $40,232.81 | 2026-03-17 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $30,498.48 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $30,503.01 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $30,601.04 | — | — | 2025-01-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $30,805.01 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $30,805.01 | — | — | 2025-09-11 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $30,812.98 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $30,812.98 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $30,979.26 | $40,232.81 | $40,232.81 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $30,979.26 | $40,232.81 | $40,232.81 | 2026-03-17 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $31,113.40 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $31,113.40 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $31,638.37 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $31,654.95 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $31,654.95 | — | — | 2025-01-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $31,867.25 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $31,867.25 | — | — | 2025-09-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | MULTIPLAN | MULTIPLAN | $31,931.11 | $37,566.01 | $37,566.01 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $32,222.91 | $40,278.64 | $40,278.64 | 2025-08-08 | MRF ↗ |
| PAM Rehabilitation Hospital of Humble InpatientFacility | United Healthcare | Care Improvement Plus Dual | $32,245.78 | — | — | 2026-08-06 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $32,278.69 | — | — | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $32,278.69 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | BCBS | MCRHMO | $32,537.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | BCBS | MCRPPO | $32,537.95 | — | — | 2026-03-01 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | Palm Beach PACE | All-inclusive Care for Elderly Program | $32,567.73 | — | — | 2025-09-11 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $32,675.69 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $32,728.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $32,728.00 | — | — | 2025-01-01 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | First Health | Commercial | $32,738.79 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | First Health | Commercial | $32,738.79 | $38,516.22 | $38,516.22 | 2026-03-16 | MRF ↗ |
| Memorial Satilla Health Inpatient | United | MCR | $32,973.83 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | United | MCR | $32,992.95 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | WellMed | MCR | $33,332.66 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $33,367.24 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRPPO | $33,367.24 | — | — | 2025-01-01 | MRF ↗ |
| Pam Rehabilitation Hospital Of Tulsa InpatientFacility | Humana | Medicare Advantage | $33,547.97 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Clover Health Plan | Medicare Advantage | $33,637.66 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Clover Health Plan | Medicare Advantage | $33,637.66 | — | — | 2025-09-11 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Inpatient | United | MCR | $33,657.36 | — | — | 2024-10-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | United | VACCN | $33,681.13 | — | — | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | Aetna | MCR | $33,681.13 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | United | VACCN | $33,700.67 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | Aetna | MCR | $33,700.67 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | Ultimate Health Plan | MCR | $33,734.86 | — | — | 2026-03-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan | MultiPlan | $33,795.56 | $40,232.81 | $40,232.81 | 2026-03-17 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $33,801.05 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $33,801.05 | — | — | 2025-01-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | MCR | $33,825.28 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | TriWest VA PCCC | FEDERAL | $33,885.90 | — | — | 2025-01-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $33,982.93 | $42,478.67 | $42,478.67 | 2026-03-24 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | $34,011.96 | $35,802.06 | $35,802.06 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | TriWest Healthcare Alliance | FED | $34,151.57 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | United | MCR | $34,231.68 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | Ultimate Health Plan | MCR | $34,299.30 | — | — | 2024-10-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | Wellcare | MCR | $34,354.75 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | Wellcare | MCR | $34,374.68 | — | — | 2026-03-01 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | CarePlus | Medicare Advantage | $34,377.05 | — | — | 2025-09-11 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | United Healthcare | Medicare Advantage | $34,377.05 | — | — | 2025-09-11 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Inpatient | United | VACCN | $34,379.33 | — | — | 2024-10-01 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lecanto Inpatient | Humana FL | Medicare Replacement | $34,382.75 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lecanto Inpatient | United Healthcare FL | Medicare Replacement | $34,382.75 | — | — | 2026-03-02 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | $34,400.74 | $36,211.30 | $36,211.30 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | $34,419.67 | $34,419.67 | $34,419.67 | 2025-08-08 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | WellMed | MCR | $34,480.65 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | WellMed | MCR | $34,480.65 | — | — | 2025-01-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Aetna Government Programs | Aetna Government Programs | $34,488.51 | $36,303.69 | $36,303.69 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | Ultimate Health Plan | MCR | $34,496.54 | — | — | 2024-10-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Aetna Government Programs | Aetna Government Programs | $34,502.15 | $36,318.06 | $36,318.06 | 2026-03-16 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRPPO | $34,516.42 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $34,516.42 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $34,516.42 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRPPO | $34,516.42 | — | — | 2025-01-01 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Humana Medicare | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | People Health | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Wellcare | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | United Healthcare Medicare | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Humana Military | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Optum Va Ccn | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Aetna Medicare | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Blue Advantage | Hmo | $34,548.22 | $34,548.22 | — | 2026-11-03 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | VACCN | $34,550.85 | — | — | 2024-10-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.