C1004 — Amputation Lower Extremity M <47.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Amputation lower extremity M <47.50 (HCPCS C1004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C1004?code_type=HCPCS
MLA (9th ed.)
“Amputation lower extremity M <47.50 (HCPCS C1004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C1004?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Amputation lower extremity M <47.50 (HCPCS C1004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C1004?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33,867–$38,841 (25th–75th percentile) across 209 hospitals · 322 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C1004 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $453.25 | $444.19 | 2025-08-04 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $453.25 | $444.19 | 2025-03-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Anthem | — | $525.47 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Tricare NW | — | $782.64 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | MT Medical billing | — | $831.04 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | VA network | — | $930.08 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Champ VA | — | $976.18 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Triwest | — | $981.95 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Kaiser Permanente | — | $1,009.64 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Loomis | — | $1,075.41 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | BCBS | — | $1,213.15 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Employee Benefit | — | $1,298.16 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | MACo | — | $1,316.41 | $1,680.00 | $1,344.00 | 2024-01-17 | 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 | Molina Healthcare of Ohio | Molina Medicare Options Plus | — | — | — | 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 | 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 | Aetna Better Health dba Aetna Better Health of Ohio | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Molina Healthcare of Ohio | Molina Medicare Options | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | MyCare Ohio | — | — | — | 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 | Medicare (CMS) | Medicare | — | — | — | 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 | 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 | MyCare Ohio DSNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Humana Insurance Company | Medicare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | CareSource Ohio | Medicare Advantage HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Northwest Ohio Llc Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage PPO | — | — | — | 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 Network Services | Medicare Advantage | — | — | — | 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 | CareSource Ohio | Health Insurance Exchange (ACA) | — | — | — | 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 | Molina Healthcare of Ohio | Health Insurance Marketplace (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 | Humana Insurance Company | Medicare POS | — | — | — | 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 | Molina Healthcare 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 | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Allegiance Benefit Plan | — | $1,358.79 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Pacific Source | — | $1,377.07 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | CIGNA | — | $1,378.92 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | United Healthcare | — | $1,402.62 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | MT Health coop | — | $1,411.19 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | APWU | — | $1,415.49 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | GEHA | — | $1,415.99 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Mail Handlers | — | $1,468.66 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | SLH2 | — | $1,476.86 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | other 1 | — | $1,499.19 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | EMBS | — | $1,503.60 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Humana | — | $1,622.42 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Colonial Life | — | $1,651.23 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Tricare for Life | — | $1,665.19 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | AETNA | — | $1,665.29 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Principle Life | — | $1,673.03 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Bankers | — | $1,673.60 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | United American | — | $1,678.04 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Aid assoc for Lutherans | — | $1,678.57 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Rural Carrier | — | $1,678.65 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Mutual of Omaha | — | $1,679.53 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Physicians Mutual | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Marsh | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Health Info Net | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Golden | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Continental General | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | UHC | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Operating Engineers | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | GE | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | USAA | — | $1,680.00 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Sterling | — | $1,680.01 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Equitbile life | — | $1,680.06 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | AARP | — | $1,680.21 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Continental Life | — | $1,680.29 | $1,680.00 | $1,344.00 | 2024-01-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 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 | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 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 | Denver Health Medical Plan | 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 | Aetna Network Services | Medicare Advantage | — | — | — | 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 | 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 | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 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 | Devoted Health | MA SNP | — | — | — | 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 | SelectHealth | Select Health Value Network | — | — | — | 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 | Humana Insurance Company | Medicare PPO | — | — | — | 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 | United Healthcare (UHC) | Medicare Advantage | — | — | — | 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 | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Northern Colorado Rehabilitation Hospital, Inc Inpatient | Humana Insurance Company | Medicare HMO | — | — | — | 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 ↗ |
| Whittier Rehabilitation Hospital Inpatient | Medicare | Medicare Part A | $13,214.50 | — | — | 2025-12-15 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $14,071.37 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $14,071.37 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $14,795.63 | $35,824.77 | $35,824.77 | 2025-08-08 | 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 ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $15,755.09 | $45,587.65 | $45,587.65 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $16,019.50 | $45,587.65 | $45,587.65 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $16,329.50 | $45,587.65 | $45,587.65 | 2026-03-17 | 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 OCONEE 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 PARKRIDGE | Aetna Prisma Health | — | $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 BAPTIST EASLEY 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 GREER MEMORIAL 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 RICHLAND 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 LAURENS COUNTY HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | 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 HILLCREST HOSPITAL | Select Health First Choice Vip | — | $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 | Select Health First Choice Vip | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $17,845.01 | $46,930.00 | $22,800.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $17,976.39 | $46,151.00 | $22,800.00 | 2026-07-18 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $19,244.81 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $19,244.81 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $19,958.42 | $37,657.40 | $37,657.40 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $19,958.42 | $37,657.40 | $37,657.40 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $19,958.42 | $37,657.40 | $37,657.40 | 2026-03-16 | 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 ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $20,519.85 | $34,199.76 | $34,199.76 | 2025-08-08 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $20,799.59 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $20,799.59 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $20,964.81 | $34,941.34 | $34,941.34 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $22,229.84 | $34,199.76 | $34,199.76 | 2025-08-08 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $22,711.87 | $34,941.34 | $34,941.34 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $23,013.29 | $38,355.49 | $38,355.49 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $23,238.11 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $23,238.11 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $23,414.52 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $23,414.52 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $23,512.58 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $23,512.58 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $23,512.58 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $23,512.58 | $36,173.20 | $36,173.20 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $23,799.47 | $37,657.40 | $37,657.40 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $23,908.24 | $37,356.63 | $37,356.63 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $23,933.52 | $45,587.65 | $45,587.65 | 2026-03-17 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $23,942.02 | $31,922.70 | $31,922.70 | 2025-08-08 | 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 RICHLAND 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 ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $24,376.76 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $24,376.76 | $32,074.69 | $32,074.69 | 2025-08-11 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $24,477.31 | $37,657.40 | $37,657.40 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare | — | $25,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $25,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $25,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRHMO | $25,346.15 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | BCBS | MCRPPO | $25,346.15 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $25,439.87 | $37,356.63 | $37,356.63 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $25,439.87 | $37,356.63 | $37,356.63 | 2025-08-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRHMO | $25,479.20 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | BCBS | MCRPPO | $25,479.20 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $25,532.54 | $39,894.60 | $39,894.60 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $25,581.56 | $34,108.75 | $34,108.75 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $25,938.78 | $34,585.04 | $34,585.04 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $26,149.64 | $37,356.63 | $37,356.63 | 2025-08-08 | 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.