B1604 — Pain Syndrome M <43.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Pain syndrome M <43.50 (HCPCS B1604) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/B1604?code_type=HCPCS
MLA (9th ed.)
“Pain syndrome M <43.50 (HCPCS B1604) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/B1604?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Pain syndrome M <43.50 (HCPCS B1604) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/B1604?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38,050–$49,359 (25th–75th percentile) across 103 hospitals · 264 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS B1604 — 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
$38,050
$41,686 typical
$49,359
The middle 50% of negotiated facility rates for this procedure, measured across 103 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $41,686 |
| Likely subtotal | $41,686 |
Facility charge (no separate professional fee)
$41,686
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 | Aetna Better Health dba Aetna Better Health of Ohio | Medicare | — | — | — | 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 | Molina Healthcare of Ohio | MyCare Ohio | — | — | — | 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 | CareSource Ohio | DSNP | — | — | — | 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 | Paramount | Medicare Advantage (Paramount Elite) | — | — | — | 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 | Aetna Network Services | Medicare Advantage | — | — | — | 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 | 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 | Medicare (CMS) | Medicare | — | — | — | 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 | Med Mutual | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Molina Medicare Options | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Aetna Better Health dba Aetna Better Health of Ohio | Dual Eligible Special Needs (D-SNP) | — | — | — | 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 | Medicare Advantage HMO | — | — | — | 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 | Humana Insurance Company | Medicare Network PFFS | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Medicaid HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Buckeye Community Health Plan | Health Insurance Exchange (ACA) | — | — | — | 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 | United Healthcare (UHC) | Medicare Advantage | — | — | — | 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 | 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 ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $14,365.87 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $14,365.87 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $15,086.40 | $31,430.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $16,084.83 | $46,541.75 | $46,541.75 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $16,354.77 | $46,541.75 | $46,541.75 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $16,671.25 | $46,541.75 | $46,541.75 | 2026-03-17 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $17,975.50 | $43,524.21 | $43,524.21 | 2025-08-08 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $18,218.49 | $34,580.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $18,352.61 | $34,006.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $20,376.13 | $38,445.52 | $38,445.52 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $20,376.13 | $38,445.52 | $38,445.52 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $20,376.13 | $38,445.52 | $38,445.52 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $21,234.90 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $21,234.90 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $21,403.57 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $23,187.21 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $23,380.90 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $23,380.90 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $24,004.67 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $24,004.67 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $24,004.67 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $24,004.67 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $24,297.57 | $38,445.52 | $38,445.52 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $24,434.42 | $46,541.75 | $46,541.75 | 2026-03-17 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $24,929.97 | $41,549.95 | $41,549.95 | 2025-08-08 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $24,989.59 | $38,445.52 | $38,445.52 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $26,066.91 | $40,729.54 | $40,729.54 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $26,106.62 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $26,116.96 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $26,481.64 | $35,308.86 | $35,308.86 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $26,719.62 | $46,541.75 | $46,541.75 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $26,725.98 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $26,725.98 | — | — | 2026-03-02 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $27,007.47 | $41,549.95 | $41,549.95 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $27,010.51 | $36,014.02 | $36,014.02 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $27,010.51 | $36,014.02 | $36,014.02 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $27,010.51 | $36,014.02 | $36,014.02 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $27,328.39 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $27,328.39 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $27,328.39 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $27,328.39 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $27,697.69 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $27,697.69 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $27,736.82 | $40,729.54 | $40,729.54 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $27,736.82 | $40,729.54 | $40,729.54 | 2026-03-24 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $27,873.00 | $38,445.52 | $38,445.52 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $27,959.29 | $46,598.82 | $46,598.82 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $28,232.43 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $28,232.43 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $28,446.76 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $28,446.76 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $28,455.15 | $36,019.17 | $36,019.17 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $28,510.68 | $40,729.54 | $40,729.54 | 2026-03-24 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | Humana | $28,932.12 | $38,576.16 | $38,576.16 | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $29,046.59 | $45,385.30 | $45,385.30 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $29,087.63 | $38,783.50 | $38,783.50 | 2025-08-08 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $29,544.21 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $29,544.21 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $29,615.80 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $29,615.80 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan (PCHS) | MultiPlan (PCHS) | $29,703.64 | $38,576.16 | $38,576.16 | 2026-03-17 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Group and Pension Administrators (Under Multiplan) (Primary) | Group and Pension Administrators (Under Multiplan) (Primary) | $29,703.64 | $38,576.16 | $38,576.16 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | MULTIPLAN | MULTIPLAN | $30,616.30 | $36,019.17 | $36,019.17 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $30,907.39 | $45,385.30 | $45,385.30 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $30,907.39 | $45,385.30 | $45,385.30 | 2025-08-08 | MRF ↗ |
| PAM Rehabilitation Hospital of Humble InpatientFacility | United Healthcare | Care Improvement Plus Dual | $30,918.01 | — | — | 2026-08-06 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | First Health | Commercial | $31,390.72 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | First Health | Commercial | $31,390.72 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $31,769.71 | $45,385.30 | $45,385.30 | 2025-08-08 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | MultiPlan | MultiPlan | $32,403.97 | $38,576.16 | $38,576.16 | 2026-03-17 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $32,583.63 | $40,729.54 | $40,729.54 | 2026-03-24 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $32,598.50 | $43,464.66 | $43,464.66 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $32,619.18 | $46,598.82 | $46,598.82 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $32,619.18 | $46,598.82 | $46,598.82 | 2025-08-11 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lecanto Inpatient | United Healthcare FL | Medicare Replacement | $32,966.99 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lecanto Inpatient | Humana FL | Medicare Replacement | $32,966.99 | — | — | 2026-03-02 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Aetna Government Programs | Aetna Government Programs | $33,068.39 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Aetna Government Programs | Aetna Government Programs | $33,081.48 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $33,122.94 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $33,122.94 | $38,968.16 | $38,968.16 | 2025-08-11 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Fortified | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Multiplan | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Fortified | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Beechstreet | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | PHCS | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Multiplan | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | PHCS | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Beechstreet | Commercial | $33,237.23 | $36,930.26 | $36,930.26 | 2026-03-16 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Harker Heights Inpatient | Tricare | Military | $33,556.74 | — | — | 2026-03-02 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $33,734.13 | — | — | 2025-12-15 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | PHP Senior | Medicare Replacement | $33,842.63 | — | — | 2026-03-02 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Presbyterian Senior | Medicare Replacement | $33,842.63 | $31,430.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Multiplan | Medicare Replacement | $33,989.92 | — | — | 2026-03-02 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Multiplan | Medicare Replacement | $33,989.92 | $31,430.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Corvel | Workers Compensation | $33,989.92 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Kenosha Inpatient | Tricare - West Region | TRICARE | $33,992.01 | — | — | 2026-03-02 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | United Healthcare | Medicare Replacement | $34,159.66 | $34,580.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | United Healthcare | Medicare Replacement | $34,159.66 | — | — | 2026-03-02 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | CareNCare | Medicare Replacement | $34,159.66 | — | — | 2026-03-02 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Care N Care | Medicare Replacement | $34,159.66 | $34,580.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Siskin Hospital For Physical Rehabilitation InpatientFacility | HealthSpring | Medicare Advantage | $34,190.40 | — | — | 2026-04-14 | MRF ↗ |
| Siskin Hospital For Physical Rehabilitation InpatientFacility | VA Community Care Network (VACCN) | All products | $34,190.40 | — | — | 2026-04-14 | MRF ↗ |
| Siskin Hospital For Physical Rehabilitation InpatientFacility | Blue Cross of Tennessee | BlueCare Plus | $34,190.40 | — | — | 2026-04-14 | MRF ↗ |
| Siskin Hospital For Physical Rehabilitation InpatientFacility | Blue Cross of Tennessee | BlueAdvantage | $34,190.40 | — | — | 2026-04-14 | MRF ↗ |
| Siskin Hospital For Physical Rehabilitation InpatientFacility | United Healthcare | Medicare Advantage | $34,190.40 | — | — | 2026-04-14 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Humana | Medicare Advantage | $34,389.16 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | Medicare Advantage | $34,389.16 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Wellcare | Medicare Advantage | $34,389.16 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Aetna | Medicare Advantage | $34,389.16 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | American Health Management | Medicare Advantage | $34,389.16 | — | — | 2025-12-15 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | United Healthcare | Medicare Replacement | $34,411.15 | $34,006.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Carencare | Medicare Replacement | $34,411.15 | $34,006.00 | $16,800.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Care N Care | Medicare Replacement | $34,411.15 | — | — | 2026-03-02 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | United Health | Medicare Replacement | $34,411.15 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lecanto Inpatient | Aetna | Medicare Replacement | $34,702.09 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lecanto Inpatient | VA CCN | Veteran | $34,702.09 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lecanto Inpatient | Ultimate Health Plans | Medicare Replacement | $34,702.09 | — | — | 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 | $34,808.83 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | United HealthCare MCR | United HealthCare MCR | $34,808.83 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Humana Choice Care | Humana Choice Care | $34,808.83 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Blue Cross Blue Shield MCR | Blue Cross Blue Shield MCR | $34,808.83 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Oklahoma Complete - Centene | Oklahoma Complete - Centene | $34,808.83 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | GlobalHealth/Generations | GlobalHealth/Generations | $34,808.83 | $34,808.83 | $34,808.83 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | United HealthCare MCR | United HealthCare MCR | $34,822.61 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | GlobalHealth/Generations | GlobalHealth/Generations | $34,822.61 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Humana Choice Care | Humana Choice Care | $34,822.61 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Blue Cross Blue Shield MCR | Blue Cross Blue Shield MCR | $34,822.61 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Oklahoma Complete - Centene | Oklahoma Complete - Centene | $34,822.61 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Tricare (Humana Military Services) Humana is the vendor | Tricare (Humana Military Services) Humana is the vendor | $34,822.61 | $34,822.61 | $34,822.61 | 2026-03-16 | MRF ↗ |
| CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC Inpatient | BCBS of Kansas | Medicare Replacement | $34,932.13 | — | — | 2026-03-02 | MRF ↗ |
| CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC Inpatient | Wellcare by Allwell MO | Medicare Replacement | $34,932.13 | — | — | 2026-03-02 | MRF ↗ |
| CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC Inpatient | Triwest VACCN | Veteran | $34,932.13 | — | — | 2026-03-02 | MRF ↗ |
| CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC Inpatient | Wellcare by Allwell KS | Medicare Replacement | $34,932.13 | — | — | 2026-03-02 | MRF ↗ |
| CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC Inpatient | Aetna | Medicare Replacement | $34,932.13 | — | — | 2026-03-02 | MRF ↗ |
| CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC Inpatient | United Healthcare | Medicare Replacement | $34,932.13 | — | — | 2026-03-02 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Provider Partners Health Plan | Medicare Advantage | $35,044.19 | — | — | 2025-12-15 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $35,082.11 | — | — | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso InpatientFacility | Presbyterian Network | Medicare Advantage | $35,082.11 | — | — | 2025-09-11 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Lancaster LLC Inpatient | United Healthcare | Medicare Replacement | $35,158.45 | — | — | 2026-03-02 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | VACCN (VETERANS AFFAIRS COMMUNITY CARE NETWORK) | $35,308.86 | $35,308.86 | $35,308.86 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Optimum Healthcare | Optimum Healthcare | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Humana | Humana | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Tricare East | Tricare East | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Highmark Wholecare MGG (Formerly Gateway) | Highmark Wholecare MGG (Formerly Gateway) | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Geisinger Gold | Geisinger Gold | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | All Well - PA Health & Wellness | Ambetter | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | UHC Optum VA Plan | UHC Optum VA Plan | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | TriWest | TriWest | $35,672.62 | $35,672.62 | $35,672.62 | 2026-03-16 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | U Health Plans | Managed Medicaid | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Tru Pace | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Regence Blue Cross Blue Shield | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Optum Care Network | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Denver Health | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Innovage | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Molina | Managed Medicaid | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Kaiser | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Cigna Healthcare | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY InpatientFacility | U Health Plans | Managed Medicaid | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY InpatientFacility | Regence Blue Cross Blue Shield | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE InpatientFacility | United Healthcare | Managed Medicaid | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Aetna | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Select Health | Managed Medicaid | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Medicaid | Medicaid | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY InpatientFacility | Optum Care Network | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Humana | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE InpatientFacility | Medicare | Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Devoted Health | Managed Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | Medicare | Medicare | $35,789.97 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS InpatientFacility | United Healthcare | Managed Medicaid | $35,789.97 | — | — | 2024-12-02 | 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.