B1004 — Amputation Lower Extremity M <47.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Amputation lower extremity M <47.50 (HCPCS B1004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/B1004?code_type=HCPCS
MLA (9th ed.)
“Amputation lower extremity M <47.50 (HCPCS B1004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/B1004?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Amputation lower extremity M <47.50 (HCPCS B1004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/B1004?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $40,820–$46,619 (25th–75th percentile) across 204 hospitals · 301 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS B1004 — 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
$40,820
$44,520 typical
$46,619
The middle 50% of negotiated facility rates for this procedure, measured across 204 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $44,520 |
| Likely subtotal | $44,520 |
Facility charge (no separate professional fee)
$44,520
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 | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage PPO | — | — | — | 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 | CareSource Ohio | Medicare Advantage 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 | CareSource Ohio | Health Insurance Exchange (ACA) | — | — | — | 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 | Med Mutual | Medicare Advantage | — | — | — | 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 | 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 | Medicare (CMS) | Medicare | — | — | — | 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 | Molina Medicare Options Plus | — | — | — | 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 | Humana Insurance Company | MyCare Ohio DSNP | — | — | — | 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 | CareSource Ohio | DSNP | — | — | — | 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 | Molina Healthcare of Ohio | Medicaid HMO | — | — | — | 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 | Aetna Network Services | Medicare Advantage | — | — | — | 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 | 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 | Buckeye Community Health Plan | Health Insurance Exchange (ACA) | — | — | — | 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 | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Midlands Regional Rehabilitation Hospital 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 ↗ |
| 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 ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $16,934.66 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $16,934.66 | $43,533.83 | $43,533.83 | 2026-03-16 | 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 TUOMEY 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 | 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 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 OCONEE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $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 GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $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 HILLCREST HOSPITAL | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $17,846.56 | $43,212.02 | $43,212.02 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $18,960.99 | $54,863.97 | $54,863.97 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $19,279.20 | $54,863.97 | $54,863.97 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $19,652.27 | $54,863.97 | $54,863.97 | 2026-03-17 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $20,474.40 | $42,655.00 | $22,800.00 | 2026-07-18 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $21,476.17 | $46,930.00 | $22,800.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $21,634.28 | $46,151.00 | $22,800.00 | 2026-07-18 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $23,213.19 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $23,213.19 | $38,688.65 | $38,688.65 | 2025-08-11 | 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 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 ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $24,019.62 | $45,320.04 | $45,320.04 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $24,019.62 | $45,320.04 | $45,320.04 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $24,019.62 | $45,320.04 | $45,320.04 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $24,751.15 | $41,251.92 | $41,251.92 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $25,031.95 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $25,031.95 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $25,230.79 | $42,051.31 | $42,051.31 | 2026-03-16 | 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 ↗ |
| 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 GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 HILLCREST HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL 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 North Greenville Ltach | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | 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 ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $26,813.75 | $41,251.92 | $41,251.92 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $27,333.35 | $42,051.31 | $42,051.31 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $27,758.75 | $46,264.58 | $46,264.58 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $28,029.93 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $28,029.93 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $28,242.71 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $28,242.71 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $28,296.99 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $28,296.99 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $28,296.99 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $28,296.99 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $28,642.26 | $45,320.04 | $45,320.04 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $28,803.58 | $54,863.97 | $54,863.97 | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $28,838.25 | $45,059.76 | $45,059.76 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $28,878.99 | $38,505.32 | $38,505.32 | 2025-08-08 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $29,403.37 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $29,403.37 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $29,458.02 | $45,320.04 | $45,320.04 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 GREER MEMORIAL HOSPITAL | 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 HILLCREST HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | 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 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 TUOMEY HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $30,503.67 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $30,503.67 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $30,631.59 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $30,631.59 | — | — | 2024-10-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $30,685.70 | $45,059.76 | $45,059.76 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $30,685.70 | $45,059.76 | $45,059.76 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $30,727.98 | $48,012.47 | $48,012.47 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $30,774.80 | $41,033.07 | $41,033.07 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $30,786.98 | $41,049.30 | $41,049.30 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $30,807.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $30,807.73 | — | — | 2024-10-01 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $31,216.88 | $41,622.50 | $41,622.50 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $31,497.40 | $54,863.97 | $54,863.97 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $31,504.90 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $31,504.90 | — | — | 2026-03-02 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $31,541.83 | $45,059.76 | $45,059.76 | 2025-08-08 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $31,550.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $31,840.32 | $42,453.75 | $42,453.75 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $31,840.32 | $42,453.75 | $42,453.75 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $31,840.32 | $42,453.75 | $42,453.75 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $32,179.73 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $32,215.03 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $32,215.03 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $32,215.03 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $32,215.03 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRPPO | $32,265.19 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | BCBS | MCRHMO | $32,265.19 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-05-28 | 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 ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $32,350.42 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $32,350.42 | — | — | 2024-10-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $32,364.67 | $43,152.90 | $43,152.90 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $32,385.21 | $46,264.58 | $46,264.58 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $32,385.21 | $46,264.58 | $46,264.58 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Inpatient | BCBS | MGMCRHMO | $32,408.94 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $32,449.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $32,449.77 | — | — | 2026-03-01 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $32,650.37 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $32,650.37 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $32,696.49 | $48,012.47 | $48,012.47 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $32,696.49 | $48,012.47 | $48,012.47 | 2026-03-24 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $32,857.03 | $45,320.04 | $45,320.04 | 2026-03-16 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $32,873.66 | — | — | 2024-10-01 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $32,885.35 | $38,688.65 | $38,688.65 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $32,885.35 | $38,688.65 | $38,688.65 | 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 ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $33,205.88 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $33,285.46 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $33,285.46 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRPPO | $33,400.65 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | BCBS | MCRHMO | $33,400.65 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $33,444.93 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $33,444.93 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRHMO | $33,444.93 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | BCBS | MCRPPO | $33,444.93 | — | — | 2026-03-01 | 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 ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $33,543.26 | $42,459.83 | $42,459.83 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $33,608.73 | $48,012.47 | $48,012.47 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $33,665.25 | — | — | 2026-03-01 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $34,105.53 | $45,474.04 | $45,474.04 | 2026-03-17 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $34,161.00 | — | — | 2025-01-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $34,388.69 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $34,388.69 | — | — | 2025-09-11 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | BCBS | MGMCRHMO | $34,471.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | BCBS | MGMCRHMO | $34,476.72 | — | — | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRPPO | $34,732.96 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | BCBS | MCRHMO | $34,732.96 | — | — | 2024-10-01 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $34,827.06 | $43,533.83 | $43,533.83 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $34,827.06 | $43,533.83 | $43,533.83 | 2026-03-16 | 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 ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $35,015.01 | $45,474.04 | $45,474.04 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $35,015.01 | $45,474.04 | $45,474.04 | 2026-03-17 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Humana | MGMCRHMO | $35,319.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $35,337.51 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | Humana | MGMCRHMO | $35,337.51 | — | — | 2025-01-01 | 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.