D1004 — Amputation, Lower Extremity; M=39-45
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AMPUTATION, LOWER EXTREMITY; M=39-45 (CPT D1004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D1004?code_type=CPT
MLA (9th ed.)
“AMPUTATION, LOWER EXTREMITY; M=39-45 (CPT D1004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D1004?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“AMPUTATION, LOWER EXTREMITY; M=39-45 (CPT D1004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D1004?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32,514–$34,876 (25th–75th percentile) across 14 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS D1004 — 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 | $23,174.05 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $24,658.64 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $24,658.64 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $25,346.62 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BCBS | MGMCRHMO | $25,389.25 | — | — | 2026-03-01 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Humana Commercial, Medicare | — | $25,412.57 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | United Medicare | — | $26,412.21 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Acpn Medicare | — | $27,325.34 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Bcbs Dsnp Dual Plan | — | $27,325.34 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | La Health Connect Allwell Medicare | — | $27,325.34 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | United Medicare | — | $27,325.34 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Uhc Va Communicty Care Network | — | $27,325.34 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Wellcare Medicare | — | $27,325.34 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Aetna Better Health Medicare | — | $27,325.34 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Vantage Medicare | — | $27,802.33 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Aetna Medicare | — | $27,802.33 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Acpn Medicare | — | $27,802.33 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | La Health Connect Allwell Medicare | — | $27,802.33 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Uhc Va Communicty Care Network | — | $27,802.33 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Bcbs Dsnp Dual Plan And Blue Advantage | — | $27,802.33 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Wellcare Medicare Hmo And Ppo | — | $27,802.33 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Parkview Signature Care | Parkview Signature Care | $28,967.56 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Inpatient | Regence Blue Shield | MGMCR | $30,500.65 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | VACCN | $30,775.71 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | WellMed | MGMCR | $31,636.21 | — | — | 2024-10-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | United | VACCN | $31,693.26 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Ultimate Health Plan | MCR | $31,736.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Cigna HealthSpring | MCR | $31,736.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $31,736.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | WellCare | MCR | $31,736.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | United VA CCN | FED | $31,736.56 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | United | MCR | $31,831.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Aetna | MCR | $32,053.93 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | PFFS | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Texas Independent Health Plan | MCR | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRHMO | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | TriWest Healthcare Alliance | Veterans | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRHMO | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | MGMCRPPO | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRPPO | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MCRSNP | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Cigna HealthSpring | MMP | $32,514.09 | — | — | 2024-10-01 | MRF ↗ |
| Lafayette Physical Rehabilitation Hospital | Prime Health Medicare | — | $32,790.41 | $36,107.82 | $36,107.82 | 2026-05-17 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $33,006.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $33,006.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | BayCare Health Plans | MCR | $33,323.39 | — | — | 2026-03-01 | MRF ↗ |
| Covington - A M G Physical Rehabilitation Hospital | Prime Health Medicare | — | $33,362.79 | $38,459.50 | $38,459.50 | 2026-05-18 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRHMO | $33,456.52 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRPPO | $33,456.52 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | Aetna | MGMCRSNP | $33,456.52 | — | — | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantagePPOPFFS | $33,568.74 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Humana | MedicareAdvantageHMO | $33,568.74 | — | — | 2026-05-14 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Aetna | MCR | $33,619.56 | — | — | 2024-10-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantagePPOPFFS | $33,663.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Humana | MedicareAdvantageHMO | $33,663.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Oscar | MGMCR | $33,949.81 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Oscar | MGMCR | $34,045.96 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | United | MGMCR | $34,109.04 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | United | MGMCR | $34,109.04 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | American Health Plan | MCR | $34,139.79 | — | — | 2024-10-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Humana | MGMCR | $34,178.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Humana | MGMCR | $34,178.79 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRHMO | $34,296.24 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MMP | $34,296.24 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | PFFS | $34,296.24 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRSNP | $34,296.24 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Cigna HealthSpring | MCRPPO | $34,296.24 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | United | MCR | $34,330.88 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellMed | MGMCR | $34,386.67 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRSNP | $34,393.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRHMO | $34,393.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MCRPPO | $34,393.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | MMP | $34,393.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Cigna HealthSpring | PFFS | $34,393.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellMed | MGMCR | $34,393.36 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | United | MCR | $34,428.11 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Imperial Insurance Co | MCR | $34,464.93 | — | — | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | DualEligible | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | SNP | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | MCRHMO | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PFFS | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | POS | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | WellCare | PPO | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRHMO | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Texas Independent Health Plan | MCR | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRSNP | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPPO | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | MCRPOS | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | Superior Health Plan | PFFS | $34,642.66 | — | — | 2026-05-14 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Oscar | MCR | $34,696.42 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | BCBS | MCRPPO | $34,734.01 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PFFS | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | PPO | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | SNP | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | DualEligible | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRHMO | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPOS | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRPPO | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | MCRSNP | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Superior Health Plan | PFFS | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MCRPPO | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | BCBS | MedicareAdvantageHMO | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Independent Health Plan | MCR | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | TriWest Healthcare Alliance | Veterans | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Kelsey Seybold | MGMCR | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | MCRHMO | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | WellCare | POS | $34,740.77 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | WellMed | MGMCR | $34,771.69 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | WellMed | MGMCR | $34,771.69 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRDualEligible | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRHMO | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPFFS | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPOS | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRPPO | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Superior Health Plan | MGMCRSNP | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | BCBS | MCRPPO | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | BCBS | MCRPPO | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Integranet | MGMCR | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Integranet | MGMCR | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Mutual of Omaha | MGMCR | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Triwest Veterans | FEDERAL | $34,876.32 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Care N Care | MGMCR | $35,225.08 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Care N Care | MGMCR | $35,225.08 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Aetna | MCR | $35,563.83 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $35,573.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $35,573.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | Cigna Healthspring | MGMCR | $35,573.84 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $35,573.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Aetna | MCR | $35,921.96 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Medicare HMO/PPO | Humana Medicare HMO/PPO | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Anthem Medicare Advantage HMO/PPO | Anthem Medicare Advantage HMO/PPO | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Allwell from MHS | Allwell from MHS | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare Medicare | United Healthcare Medicare | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Wellcare Medicare | Wellcare Medicare | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | MyTru Advantage | MyTru Advantage | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Humana Military | Humana Military | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $36,209.46 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Inpatient | American Health Plan | MGMCR | $36,374.80 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | American Health Plan | MGMCR | $36,477.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Inpatient | ProCare Advantge | MCR | $36,620.13 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Inpatient | ProCare Advantge | MCR | $36,620.13 | — | — | 2026-03-01 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Zing Medicare | Zing Medicare | $37,295.74 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Ambetter from MHS Marketplace | Ambetter from MHS Marketplace | $48,882.77 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | CareSource Marketplace | CareSource Marketplace | $48,882.77 | $36,209.46 | $36,209.46 | 2026-03-24 | MRF ↗ |