CMG-1004D — Inpatient Rehab Per Discharge: Amputation, Lower Extremity
Cite this view
HANK Price Transparency. (n.d.). Inpatient Rehab Per Discharge: Amputation, lower extremity (LOCAL CMG-1004D) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/CMG-1004D?code_type=LOCAL
“Inpatient Rehab Per Discharge: Amputation, lower extremity (LOCAL CMG-1004D) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/CMG-1004D?code_type=LOCAL. Accessed .
“Inpatient Rehab Per Discharge: Amputation, lower extremity (LOCAL CMG-1004D) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/CMG-1004D?code_type=LOCAL.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $31,207–$32,868 (25th–75th percentile) across 4 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this LOCAL CMG-1004D — 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 |
|---|---|---|---|---|---|---|---|
| Summa Rehab Hospital Inpatient | Buckeye Community Health Plan | Buckeye Community Health 320 | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |
| Summa Rehab Hospital Inpatient | United Healthcare (Uhc) | Uhc Community/Ohio Medicaid Benefit Plans /Unison/ -Medicaid | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Texas Health And Human Services Commission Crs Hospital Services | Workers Compensation | $16,433.97 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Paradigm | Workers Compensation | $23,007.55 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Summa Rehab Hospital Inpatient | Caresource Ohio | Caresource - My Care (Medicaid Primary) | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |
| Summa Rehab Hospital Inpatient | Med Mutual | Medical Mutual Of Ohio Mr | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |
| Summa Rehab Hospital Inpatient | Elevance Fka Anthem Blue Cross And Blue Shield | Anthem Blue Access Ppo 366 | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |
| Trustpoint Rehab Hospital Of Lubbock Inpatient | Aetna Network Services | Aetna Health Mr | — | $32,867.93 | — | 2026-07-19 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Humana | Medicare Advantage | $29,581.14 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Summa Rehab Hospital Inpatient | United Healthcare (Uhc) | Uhc Medicare Advanatage | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |
| Summa Rehab Hospital Inpatient | United Healthcare (Uhc) | Uhc Community/Dual | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance | Medicare Advantage And Medselect | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Iu Health | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Iu Health | Commercial | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Iu Health Premier | Commercial | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Iu Health Premier | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Iu Health Select | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Iu Health Select | Commercial | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Absolute Total Care Hip | Medicaid | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Molina | Medicare Dual Exchange | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Caresource | Dsnp | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Wellmed | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Aetna | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Cigna Healthspring | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Superior Wellcare | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Bcbs | Medicare Replacement | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Triwest | Va Ccn | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Absolute Total Care By Wellcare | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Devoted Healthcare | Medicare Replacement | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Humana Tricare | Va | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Aetna | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Optum Va | Ccn | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Caresource | Medicaid Hip | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance | Medicaid Hip | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Humana | Medicare Advantage | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Caresource | Marketplace | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Mdwise | Medicaid Hip | $32,867.93 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Wellpath | All Plans | $37,798.12 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Wellpath | All Plans | $37,798.12 | $32,867.93 | — | 2026-07-15 | MRF ↗ |
| Summa Rehab Hospital Inpatient | Elevance Fka Anthem Blue Cross And Blue Shield | Anthem Blue Cross 328 | — | $33,673.19 | — | 2026-07-15 | MRF ↗ |