B0904 — Other Orthopedic M <44.5
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Other orthopedic M <44.5 (HCPCS B0904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/B0904?code_type=HCPCS
MLA (9th ed.)
“Other orthopedic M <44.5 (HCPCS B0904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/B0904?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Other orthopedic M <44.5 (HCPCS B0904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/B0904?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38,798–$44,883 (25th–75th percentile) across 194 hospitals · 308 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS B0904 — 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
$38,798
$42,561 typical
$44,883
The middle 50% of negotiated facility rates for this procedure, measured across 194 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $42,561 |
| Likely subtotal | $42,561 |
Facility charge (no separate professional fee)
$42,561
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 |
|---|---|---|---|---|---|---|---|
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Health InfoNet | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Denver Health Medical Plan | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Humana Insurance Company | Medicare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Humana Insurance Company | Medicare HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | SelectHealth | Select Health Medicare Advantage Network | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | WellCare | Dual Eligible Special Needs Plan (DSNP Plan) | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Humana Insurance Company | Medicare Network PFFS | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | SelectHealth | Select Health Value Network | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | TRU Community Care dba Tru Pace | PACE (Program of All-inclusive Care for the Elderly) | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | WellCare | Medicare Advantage Prescription Drug Plan (MA-PD Plan) | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | WellCare | Medicare Advantage Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Milwaukee Rehabilitation Hospital At Greenfield InpatientFacility | Anthem Blue Cross Blue Shield | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $16,109.21 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $16,109.21 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $16,565.76 | $40,110.80 | $40,110.80 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $18,036.77 | $52,189.71 | $52,189.71 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $18,339.47 | $52,189.71 | $52,189.71 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $18,694.36 | $52,189.71 | $52,189.71 | 2026-03-17 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $19,396.80 | $40,410.00 | $21,600.00 | 2026-07-18 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $20,429.35 | $44,460.00 | $21,600.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $20,579.75 | $43,722.00 | $21,600.00 | 2026-07-18 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $21,547.24 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $21,547.24 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $22,848.82 | $43,110.99 | $43,110.99 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $22,848.82 | $43,110.99 | $43,110.99 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $22,848.82 | $43,110.99 | $43,110.99 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $22,974.82 | $38,291.37 | $38,291.37 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $23,811.81 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $23,811.81 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $24,000.96 | $40,001.59 | $40,001.59 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $24,889.39 | $38,291.37 | $38,291.37 | 2025-08-08 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $25,766.57 | $42,944.29 | $42,944.29 | 2025-08-11 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $26,001.04 | $40,001.59 | $40,001.59 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $26,018.29 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $26,018.29 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $26,215.81 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $26,215.81 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $26,768.60 | $41,825.94 | $41,825.94 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $26,806.42 | $35,741.89 | $35,741.89 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $26,917.70 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $26,917.70 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $26,917.70 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $26,917.70 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $27,246.14 | $43,110.99 | $43,110.99 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $27,293.17 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $27,293.17 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $27,399.60 | $52,189.71 | $52,189.71 | 2026-03-17 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $28,022.14 | $43,110.99 | $43,110.99 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $28,483.46 | $41,825.94 | $41,825.94 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $28,483.46 | $41,825.94 | $41,825.94 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $28,508.37 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $28,508.37 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $28,672.31 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $28,672.31 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $29,016.82 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $29,016.82 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $29,230.20 | $45,672.18 | $45,672.18 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $29,278.15 | $41,825.94 | $41,825.94 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $29,286.32 | $39,048.42 | $39,048.42 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $29,695.26 | $39,593.68 | $39,593.68 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $29,949.21 | — | — | 2024-10-01 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $29,962.12 | $52,189.71 | $52,189.71 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $29,969.25 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $29,969.25 | — | — | 2026-03-02 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRHMO | $30,028.74 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRPPO | $30,028.74 | — | — | 2024-10-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $30,041.94 | $40,055.92 | $40,055.92 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $30,061.00 | $42,944.29 | $42,944.29 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $30,061.00 | $42,944.29 | $42,944.29 | 2025-08-11 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $30,108.06 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $30,108.06 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Inpatient | BCBS | MGMCRHMO | $30,162.53 | — | — | 2024-10-01 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $30,288.31 | $40,384.42 | $40,384.42 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $30,288.31 | $40,384.42 | $40,384.42 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $30,288.31 | $40,384.42 | $40,384.42 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $30,525.26 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $30,525.26 | $35,912.07 | $35,912.07 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $30,595.03 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $30,644.76 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $30,644.76 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $30,644.76 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $30,644.76 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $30,868.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $30,868.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $30,904.22 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $30,978.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $30,978.29 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $31,058.88 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $31,058.88 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $31,102.76 | $45,672.18 | $45,672.18 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $31,102.76 | $45,672.18 | $45,672.18 | 2026-03-24 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $31,255.47 | $43,110.99 | $43,110.99 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $31,772.59 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $31,772.59 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $31,793.14 | — | — | 2025-01-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $31,814.71 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $31,814.71 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $31,814.71 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $31,814.71 | — | — | 2026-03-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $31,908.25 | $40,390.19 | $40,390.19 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $31,970.53 | $45,672.18 | $45,672.18 | 2026-03-24 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $32,005.05 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $32,005.05 | — | — | 2025-09-11 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $32,024.30 | — | — | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $32,325.46 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $32,325.46 | — | — | 2024-10-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $32,443.11 | $43,257.48 | $43,257.48 | 2026-03-17 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $32,791.34 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $32,796.21 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $32,870.87 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $32,888.10 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $32,888.10 | — | — | 2025-01-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $33,108.67 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | United Healthcare | Medicare Advantage | $33,108.67 | — | — | 2025-09-11 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $33,129.48 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $33,129.48 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $33,308.26 | $43,257.48 | $43,257.48 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $33,308.26 | $43,257.48 | $43,257.48 | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $33,460.75 | $41,825.94 | $41,825.94 | 2025-08-08 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | Palm Beach PACE | All-inclusive Care for Elderly Program | $33,836.45 | — | — | 2025-09-11 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $33,948.61 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $34,002.95 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $34,002.95 | — | — | 2025-01-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | MULTIPLAN | MULTIPLAN | $34,331.67 | $40,390.19 | $40,390.19 | 2026-03-16 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Blue Cross Blue Shield of Texas | Medicare Advantage PPO | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Blue Cross Blue Shield of Texas | Medicare Advantage POS | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Blue Cross Blue Shield of Texas | Medicare Advantage HMO | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Texas Independence Health Plan (TIHP) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | MMP | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Molina Medicare Options Plus | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Corvel Healthcare Corporation | Workers' Compensation | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Health Insurance Marketplace (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Molina Medicare Options | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Molina Healthcare of Texas | Star+PLUS Medicare-Medicaid Program | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Superior HealthPlan | Medicare Advantage Plan (MA Plan) | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | WellMed | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| South Texas Rehabiltation Hospital Inpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | WellMed | MCR | $34,631.17 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRPPO | $34,667.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $34,667.09 | — | — | 2025-01-01 | MRF ↗ |
| PAM Rehabilitation Hospital of Humble InpatientFacility | United Healthcare | Care Improvement Plus Dual | $34,669.99 | — | — | 2026-08-06 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $34,705.38 | — | — | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $34,705.38 | — | — | 2026-03-01 | MRF ↗ |
| Pam Rehabilitation Hospital Of Tulsa InpatientFacility | Humana | Medicare Advantage | $34,854.86 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Clover Health Plan | Medicare Advantage | $34,948.04 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Clover Health Plan | Medicare Advantage | $34,948.04 | — | — | 2025-09-11 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Inpatient | United | MCR | $34,968.52 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | BCBS | MCRPPO | $34,984.14 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | BCBS | MCRHMO | $34,984.14 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $35,117.80 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $35,117.80 | — | — | 2025-01-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | MCR | $35,142.98 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | First Health | Commercial | $35,200.07 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | First Health | Commercial | $35,200.07 | $41,411.84 | $41,411.84 | 2026-03-16 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | TriWest VA PCCC | FEDERAL | $35,205.96 | — | — | 2025-01-01 | MRF ↗ |
| Everest Rehabilitation Hospital Okc, Llc Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | $35,318.52 | $37,177.39 | $37,177.39 | 2025-08-08 | MRF ↗ |
| Memorial Satilla Health Inpatient | United | MCR | $35,452.78 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | United | MCR | $35,473.34 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | TriWest Healthcare Alliance | FED | $35,481.98 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | United | MCR | $35,565.21 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | Ultimate Health Plan | MCR | $35,635.46 | — | — | 2024-10-01 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | CarePlus | Medicare Advantage | $35,716.25 | — | — | 2025-09-11 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | United Healthcare | Medicare Advantage | $35,716.25 | — | — | 2025-09-11 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Inpatient | United | VACCN | $35,718.61 | — | — | 2024-10-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | $35,722.23 | $37,602.35 | $37,602.35 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | $35,741.89 | $35,741.89 | $35,741.89 | 2025-08-08 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | WellMed | MCR | $35,823.88 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | WellMed | MCR | $35,823.88 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | Ultimate Health Plan | MCR | $35,840.38 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $35,861.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRPPO | $35,861.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $35,861.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRPPO | $35,861.04 | — | — | 2025-01-01 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | United Healthcare Medicare | Hmo | $35,894.08 | $35,894.08 | — | 2026-07-15 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Optum Va Ccn | Hmo | $35,894.08 | $35,894.08 | — | 2026-07-15 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Humana Medicare | Hmo | $35,894.08 | $35,894.08 | — | 2026-07-15 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Humana Military | Hmo | $35,894.08 | $35,894.08 | — | 2026-07-15 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | People Health | Hmo | $35,894.08 | $35,894.08 | — | 2026-07-15 | MRF ↗ |
| INTENSIVE SPECIALTY HOSPITAL Inpatient | Blue Advantage | Hmo | $35,894.08 | $35,894.08 | — | 2026-07-15 | 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.