D0904 — Other Orthopedic; M < 24.15
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER ORTHOPEDIC; M < 24.15 (CPT D0904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D0904?code_type=CPT
MLA (9th ed.)
“OTHER ORTHOPEDIC; M < 24.15 (CPT D0904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D0904?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“OTHER ORTHOPEDIC; M < 24.15 (CPT D0904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D0904?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29,989–$31,476 (25th–75th percentile) across 13 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS D0904 — 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 |
|---|---|---|---|---|---|---|---|
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $20,914.37 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $22,254.20 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $22,254.20 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $22,875.10 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $22,913.57 | — | — | 2026-03-01 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | United Medicare | — | $24,349.44 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Aetna Medicare | — | $25,630.99 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Vantage Medicare | — | $25,630.99 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Wellcare Medicare Hmo And Ppo | — | $25,630.99 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Bcbs Dsnp Dual Plan And Blue Advantage | — | $25,630.99 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Uhc Va Communicty Care Network | — | $25,630.99 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | La Health Connect Allwell Medicare | — | $25,630.99 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Acpn Medicare | — | $25,630.99 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $26,142.97 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Inpatient | Regence Blue Shield | MGMCR | $27,526.56 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | VACCN | $27,774.80 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | United | VACCN | $28,602.88 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Cigna HealthSpring | MCR | $28,641.96 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | WellCare | MCR | $28,641.96 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $28,641.96 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | United VA CCN | FED | $28,641.96 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Ultimate Health Plan | MCR | $28,641.96 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Aetna | MCR | $28,928.38 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | WellMed | MGMCR | $29,095.70 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | United | MCR | $29,275.12 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $29,787.64 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $29,787.64 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | PFFS | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | TriWest Healthcare Alliance | Veterans | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Texas Independent Health Plan | MCR | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRPPO | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRHMO | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRPPO | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRSNP | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MMP | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRHMO | $29,903.08 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BayCare Health Plans | MCR | $30,074.06 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRHMO | $30,194.21 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRPPO | $30,194.21 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRSNP | $30,194.21 | — | — | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantagePPOPFFS | $30,295.49 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantageHMO | $30,295.49 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantageHMO | $30,381.28 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantagePPOPFFS | $30,381.28 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Oscar | MGMCR | $30,639.40 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Oscar | MGMCR | $30,726.17 | — | — | 2026-03-01 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Prime Health Medicare | — | $30,757.18 | $32,805.00 | $32,805.00 | 2026-05-18 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | United | MGMCR | $30,783.10 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | United | MGMCR | $30,783.10 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Humana | MGMCR | $30,846.05 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Humana | MGMCR | $30,846.05 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Aetna | MCR | $30,919.79 | — | — | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MMP | $30,952.05 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRHMO | $30,952.05 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | PFFS | $30,952.05 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRPPO | $30,952.05 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRSNP | $30,952.05 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | United | MCR | $30,983.31 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellMed | MGMCR | $31,033.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRPPO | $31,039.70 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellMed | MGMCR | $31,039.70 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | PFFS | $31,039.70 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MMP | $31,039.70 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRSNP | $31,039.70 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRHMO | $31,039.70 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | United | MCR | $31,071.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPOS | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | PFFS | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPPO | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | MCRHMO | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PFFS | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | POS | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Texas Independent Health Plan | MCR | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PPO | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | SNP | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | DualEligible | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRSNP | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRHMO | $31,264.69 | — | — | 2026-05-14 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Oscar | MCR | $31,313.20 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | BCBS | MCRPPO | $31,347.13 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PFFS | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | MCRHMO | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | POS | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PPO | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | SNP | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | DualEligible | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRHMO | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPOS | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPPO | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRSNP | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | PFFS | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MCRPPO | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MedicareAdvantageHMO | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Independent Health Plan | MCR | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | TriWest Healthcare Alliance | Veterans | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Kelsey Seybold | MGMCR | $31,353.24 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | WellMed | MGMCR | $31,381.14 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | WellMed | MGMCR | $31,381.14 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | American Health Plan | MCR | $31,398.24 | — | — | 2024-10-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | BCBS | MCRPPO | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | BCBS | MCRPPO | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Integranet | MGMCR | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Integranet | MGMCR | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $31,475.56 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Imperial Insurance Co | MCR | $31,697.27 | — | — | 2024-10-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Care N Care | MGMCR | $31,790.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Care N Care | MGMCR | $31,790.32 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Aetna | MCR | $32,096.03 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $32,105.07 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $32,105.07 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $32,105.07 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $32,105.07 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Aetna | MCR | $32,419.25 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Medicare HMO/PPO | Humana Medicare HMO/PPO | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare Medicare | United Healthcare Medicare | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Wellcare Medicare | Wellcare Medicare | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Allwell from MHS | Allwell from MHS | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Anthem Medicare Advantage HMO/PPO | Anthem Medicare Advantage HMO/PPO | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Military | Humana Military | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | MyTru Advantage | MyTru Advantage | $32,678.71 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | American Health Plan | MGMCR | $32,827.93 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | American Health Plan | MGMCR | $32,920.90 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | ProCare Advantge | MCR | $33,049.34 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | ProCare Advantge | MCR | $33,049.34 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Zing Medicare | Zing Medicare | $33,659.07 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | CareSource Marketplace | CareSource Marketplace | $44,116.26 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Ambetter from MHS Marketplace | Ambetter from MHS Marketplace | $44,116.26 | $32,678.71 | $32,678.71 | 2026-03-24 | MRF ↗ |