D1904 — Guillain-barré M <38.50
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Guillain-Barré M <38.50 (HCPCS D1904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D1904?code_type=HCPCS
MLA (9th ed.)
“Guillain-Barré M <38.50 (HCPCS D1904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D1904?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Guillain-Barré M <38.50 (HCPCS D1904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D1904?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $46,389–$53,427 (25th–75th percentile) across 122 hospitals · 287 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D1904 — 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 |
|---|---|---|---|---|---|---|---|
| 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 | Humana Insurance Company | Medicare HMO | — | — | — | 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 | CareSource Ohio | MyCare Ohio | — | — | — | 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 | Aetna Better Health dba Aetna Better Health 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 | CareSource Ohio | Medicare Advantage HMO | — | — | — | 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 | Aetna Better Health dba Aetna Better Health of Ohio | Medicare | — | — | — | 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 | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage HMO | — | — | — | 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 | 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 | Humana Insurance Company | MyCare Ohio DSNP | — | — | — | 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 PPO | — | — | — | 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 | Molina Healthcare of Ohio | Medicaid 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 | CareSource Ohio | Health Insurance Exchange (ACA) | — | — | — | 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 | Molina Healthcare of Ohio | Molina Medicare Options Plus | — | — | — | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Prisma Health | — | $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 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY 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 BAPTIST PARKRIDGE | 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 ↗ |
| 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 OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | 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 GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | 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 GREER MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $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 RICHLAND HOSPITAL | Aetna Prisma Health | — | $17,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $18,681.58 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $18,681.58 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $20,415.16 | $49,431.37 | $49,431.37 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $20,916.94 | $60,523.54 | $60,523.54 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $21,267.97 | $60,523.54 | $60,523.54 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $21,679.53 | $60,523.54 | $60,523.54 | 2026-03-17 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Flower Mound Inpatient | Uhc Railroad | Uhc Railroad | $23,691.58 | $61,750.00 | $30,000.00 | 2026-07-18 | MRF ↗ |
| Weatherford Rehabilitation Hospital Llc Inpatient | Uhc Railroad | Uhc Railroad | $23,865.99 | $60,725.00 | $30,000.00 | 2026-07-18 | 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 TUOMEY 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 ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-10-02 | 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 GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Whole Health Of Sc | — | $25,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | 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 BAPTIST EASLEY 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 HILLCREST HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Cigna Local Plus | — | $26,450.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN PPO HMO POS CPC | DEAN PPO HMO POS | $26,497.40 | $49,995.09 | $49,995.09 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | DEAN HEALTH PLAN CPC | DEAN HEALTH PLAN | $26,497.40 | $49,995.09 | $49,995.09 | 2026-03-16 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | MEDICA DEAN CPC | MEDICA DEAN | $26,497.40 | $49,995.09 | $49,995.09 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $26,554.18 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Aetna | Aetna Commercial | $26,554.18 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| Clearsky Rehabilitation Hospital Of Rio Rancho Llc Inpatient | Uhc Railroad | Commerical | $26,940.00 | $56,125.00 | $30,000.00 | 2026-07-18 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Anthem | Commercial | $27,614.16 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Anthem | Commercial | $27,614.16 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | Multiplan | $27,833.51 | $46,389.18 | $46,389.18 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Multiplan | PPO | $28,313.50 | $47,189.16 | $47,189.16 | 2025-08-08 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | CareSource Network Partners | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | CareSource Network Partners | Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | CareSource Network Partners | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | CareSource Network Partners | Indiana Marketplace (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Aetna Network Services | Medicare-Medicaid Product (MMP) | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Select | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance fka IU Health | Commercial | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Humana Government Business dba Humana Military | TRICARE | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance fka IU Health | Select Network | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance fka IU Health | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Aetna Network Services | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Elevance fka Anthem Blue Cross and Blue Shield | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | MDWise Excel Network | Healthy Indiana Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | MDWise Excel Network | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Humana Insurance Company | Medicare Network PFFS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Coordinated Care Corporation dba Managed Health Services | Medicare Advantage (MA) | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | UnitedHealthcare Insurance dba Optum | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Coordinated Care Corporation dba Managed Health Services | Medicare Advantage Prescription Drug (MA-PD) | — | — | — | 2026-03-17 | MRF ↗ |
| Lafayette Regional Rehabilitation Hospital Inpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Magellan Behavioral Health | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Magellan Behavioral Health | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna Sc Preferred | — | $30,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | Fed Med | $30,152.97 | $46,389.18 | $46,389.18 | 2026-03-16 | MRF ↗ |
| Lancaster Rehabilitation Hospital Inpatient | Fed Med | PPO | $30,672.96 | $47,189.16 | $47,189.16 | 2025-08-08 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $31,216.01 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $31,216.01 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Healthsmart (formerly Emerald) | Commercial | $31,216.01 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Ohio Health Choice - Preferred Choice Plus | Commercial | $31,216.01 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $31,550.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | CIGNA | CIGNA PPO | $31,596.90 | $49,995.09 | $49,995.09 | 2026-03-16 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | TIRCARE HMO/PPO | Percent of Charges | $31,753.97 | $52,923.28 | $52,923.28 | 2025-08-11 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $31,774.86 | $60,523.54 | $60,523.54 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $32,064.18 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Blue Preferred | $32,064.18 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $32,307.59 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | FirstHealth Network | FirstHealth Network | $32,307.59 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $32,350.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | ALLIANCE HEALTH NETWORK CPC | Alliance Health Network | $32,496.81 | $49,995.09 | $49,995.09 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $32,988.83 | $51,545.05 | $51,545.05 | 2025-08-08 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $33,035.44 | $44,047.25 | $44,047.25 | 2025-08-08 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Cigna Hmo Ppo | — | $33,150.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Cigna Hmo Ppo | — | $33,150.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna | — | $33,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna | — | $33,500.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $33,635.30 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | Blue Cross Blue Shield | Traditional Anthem BCBS | $33,635.30 | $44,256.97 | $44,256.97 | 2025-08-11 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore | Encore | $33,897.77 | $52,965.27 | $52,965.27 | 2026-03-24 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $33,949.42 | $45,265.89 | $45,265.89 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Oklahoma City Inpatient | Healthcare Highways | Healthcare Highways | $33,962.85 | $45,283.81 | $45,283.81 | 2026-03-16 | MRF ↗ |
| Baptist Memorial Rehabilitation Hospital Inpatient | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | QUALCHOICE (HMO) / QCA HEALTH PLAN, INC | $34,437.10 | $45,916.13 | $45,916.13 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $34,746.56 | $60,523.54 | $60,523.54 | 2026-03-17 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Waxahachie Inpatient | Humana | Medicare Replacement | $34,754.84 | — | — | 2026-03-02 | MRF ↗ |
| ClearSky Rehabilitation Hospital of Mansfield Inpatient | Humana | Medicare Replacement | $34,754.84 | — | — | 2026-03-02 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | First Health-Aetna Rental Network | — | $35,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna | — | $35,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $35,102.18 | $51,545.05 | $51,545.05 | 2025-08-08 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $35,102.18 | $51,545.05 | $51,545.05 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Zurich American - Workers Comp | Zurich American - Workers Comp | $35,124.85 | $46,833.13 | $46,833.13 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | MT State Fund - Workers Comp | MT State Fund - Workers Comp | $35,124.85 | $46,833.13 | $46,833.13 | 2026-03-16 | MRF ↗ |
| Rehabilitation Hospital Of Montana Inpatient | Sedgwick - Workers Comp | Sedgwick - Workers Comp | $35,124.85 | $46,833.13 | $46,833.13 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $35,538.22 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $35,538.22 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Occunet fka Health Ohio Network | Commercial | $35,538.22 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Clarity Health (Enterprise Group Planning will be listed on ID card as well) | Commercial | $35,538.22 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna | — | $36,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna | — | $36,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | Paramount | Commercial | $36,018.47 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Paramount | Commercial | $36,018.47 | $48,024.62 | $48,024.62 | 2026-03-16 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | UMR | UMR | $36,069.35 | $52,965.27 | $52,965.27 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | United Healthcare | United Healthcare | $36,069.35 | $52,965.27 | $52,965.27 | 2026-03-24 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $36,081.54 | $51,545.05 | $51,545.05 | 2025-08-08 | MRF ↗ |
| Uw Health Rehabilitation Hospital Inpatient | HEALTH PARTNERS CPC | HEALTH PARTNERS | $36,246.44 | $49,995.09 | $49,995.09 | 2026-03-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-10-02 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $37,000.00 | $50,000.00 | $32,500.00 | 2026-05-28 | MRF ↗ |
| Mercy Rehabilitation Hospital Northwest Arkansas Inpatient | PHCS | PHCS | $37,003.47 | $46,839.83 | $46,839.83 | 2026-03-16 | MRF ↗ |
| Methodist Rehabilitation Hospital Inpatient | Humana | PPO | $37,022.81 | $49,363.74 | $49,363.74 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (WC) | Percent of Charges | $37,046.30 | $52,923.28 | $52,923.28 | 2025-08-11 | MRF ↗ |
| Texas Rehabilitation Hospital Inpatient | CORVEL HEALTHCARE (ACCIDENT & HEALTH) | Percent of Charges | $37,046.30 | $52,923.28 | $52,923.28 | 2025-08-11 | MRF ↗ |
| Community Health Network Rehabilitation Hospital Inpatient | Encore Combined | Encore Combined | $37,075.69 | $52,965.27 | $52,965.27 | 2026-03-24 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Ppo | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Carelink By Aetna Exchange | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Ppo | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Carelink By Aetna Exchange | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Ppo | — | $37,500.00 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| Mercy Rehabilitation Hospital Springfield Inpatient | HealthLink | HealthLink WorkComp | $37,618.43 | $44,256.97 | $44,256.97 | 2025-08-11 | 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.