CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: St Francis Hospital & Medical Center
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $531
- Cash Discount Price: $2,447
- vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at St Francis Hospital & Medical Center is $531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,447. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.61x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$2,447
Average discount available for prompt cash payment at this facility.
Insurance Median
$531
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$877.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $2,447 (279%)
Insurance Median: $531 (61%)
Cash: $2,447 (279% of Medicare)
Ins. Median: $531 (61% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $877.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $76 - $2,543 | 9% |
| Aetna | $104 - $4,479 | 12% |
| Albany County Correctional Facility | $104 - $531 | 12% |
| Ambetter / Centene | $104 - $531 | 12% |
| Amish Mennonite | $104 - $531 | 12% |
| Ascension St. Vincent Public Safety Medical | $104 - $531 | 12% |
| Bcccp-Michigan | $104 - $531 | 12% |
| Bccp | $104 - $531 | 12% |
| Blue Cross Blue Shield | $104 - $3,578 | 12% |
| Bmc Healthnet | $104 - $531 | 12% |
| Breast Grant-Connecticut | $104 - $531 | 12% |
| Broward County Dept of Health | $104 - $531 | 12% |
| California Health and Wellness | $104 - $531 | 12% |
| Can Community Health Inc | $104 - $531 | 12% |
| Cardinal Innovations Lme | $104 - $531 | 12% |
| Care Connections of Northern Iowa | $104 - $531 | 12% |
| Care Oregon Ohp | $104 - $531 | 12% |
| Cencal Health Plan | $104 - $531 | 12% |
| Cenpatico | $104 - $531 | 12% |
| Chhuny | $104 - $531 | 12% |
| Childrens Comm Health Plan | $104 - $531 | 12% |
| Childrens Medical Services Title 19 | $104 - $531 | 12% |
| Cigna | $104 - $4,731 | 12% |
| City of Philadelphia | $104 - $531 | 12% |
| Cmh Allegan County | $104 - $531 | 12% |
| Cmh Ausable Valley | $104 - $531 | 12% |
| Cmh Barry County | $104 - $531 | 12% |
| Cmh Bay-Arenac County | $104 - $531 | 12% |
| Cmh Berrien County | $104 - $531 | 12% |
| Cmh Cass County | $104 - $531 | 12% |
| Cmh Central Mi County | $104 - $531 | 12% |
| Cmh Clinton-Eaton-Ingham County | $104 - $531 | 12% |
| Cmh Detroit Wayne Integrated Health Network | $104 - $531 | 12% |
| Cmh Genesee County | $104 - $531 | 12% |
| Cmh Ionia County | $104 - $531 | 12% |
| Cmh Jackson County/Lifeways | $104 - $531 | 12% |
| Cmh Kalamazoo | $104 - $531 | 12% |
| Cmh Kent County | $104 - $531 | 12% |
| Cmh Lenawee County | $104 - $531 | 12% |
| Cmh Livingston County | $104 - $531 | 12% |
| Cmh Macomb | $104 - $531 | 12% |
| Cmh Misc | $104 - $531 | 12% |
| Cmh Monroe County | $104 - $531 | 12% |
| Cmh Montcalm County | $104 - $531 | 12% |
| Cmh Muskegon County | $104 - $531 | 12% |
| Cmh Newaygo County | $104 - $531 | 12% |
| Cmh North Country | $104 - $531 | 12% |
| Cmh Northern Lakes County | $104 - $531 | 12% |
| Cmh Oakland County | $104 - $531 | 12% |
| Cmh Ottawa County | $104 - $531 | 12% |
| Cmh Van Buren County | $104 - $531 | 12% |
| Cmh Washtenaw County | $104 - $531 | 12% |
| Cmh Wayne County/Carelink | $104 - $531 | 12% |
| Cmh Wayne Cty/Com Liv Svcs | $104 - $531 | 12% |
| Cmh West Mi County | $104 - $531 | 12% |
| Community Benefit Health | $104 - $531 | 12% |
| Community Care Behavorial Health | $104 - $531 | 12% |
| Community Care Partners | $104 - $531 | 12% |
| Community Health Choice | $104 - $531 | 12% |
| Connections Csp | $104 - $531 | 12% |
| County Coroner | $104 - $531 | 12% |
| County Funding Generic | $104 - $531 | 12% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $104 - $531 | 12% |
| Dean Wi Badgercare | $104 - $531 | 12% |
| Delaware County Department of Health | $104 - $531 | 12% |
| Delaware First Health | $104 - $531 | 12% |
| Dph Tb Program | $104 - $531 | 12% |
| Dscc | $104 - $531 | 12% |
| Eastpointe Lme | $104 - $531 | 12% |
| Family Health Network | $104 - $531 | 12% |
| Freedom First Healthcare | $104 - $531 | 12% |
| Fresno County Ccs | $104 - $531 | 12% |
| Ghc Scw Wi Badgercare | $104 - $531 | 12% |
| Harbor Health | $104 - $531 | 12% |
| Health Safety Net | $104 - $531 | 12% |
| Healthy Blue Ne | $104 - $531 | 12% |
| Hennepin Health | $104 - $531 | 12% |
| Humana | $104 - $708 | 12% |
| Id County Ada | $104 - $531 | 12% |
| Id County Canyon | $104 - $531 | 12% |
| Id County Cat Fund | $104 - $531 | 12% |
| Id County Other | $104 - $531 | 12% |
| Id County Payette | $104 - $531 | 12% |
| Idaho Dept Health and Wellfare | $104 - $531 | 12% |
| Idaho Womens Health Check | $104 - $531 | 12% |
| Indiana Breast Cervical Cancer | $104 - $531 | 12% |
| Inland Empire Health Plan | $104 - $531 | 12% |
| Intercommunity Health Ohp | $104 - $531 | 12% |
| Iowa Total Care | $104 - $531 | 12% |
| Jai Medical System | $104 - $531 | 12% |
| Kern Family Health Plan | $104 - $531 | 12% |
| Keystone First | $104 - $531 | 12% |
| Keystone First Chip | $104 - $531 | 12% |
| La Care Health Plan | $104 - $531 | 12% |
| Lakeland Care Inc | $104 - $531 | 12% |
| Managed Health Services - Indiana | $104 - $531 | 12% |
| Maryland Breast & Cervical Program | $104 - $531 | 12% |
| Maryland Healthy Smiles - Scion Dental | $104 - $531 | 12% |
| Maryland Physicians Care | $104 - $531 | 12% |
| Massachusetts Behavioral Health Partnership | $104 - $531 | 12% |
| Mdwise | $104 - $531 | 12% |
| Medi-Cal | $104 - $531 | 12% |
| Medi-Cal Healthnet | $104 - $531 | 12% |
| Medstar Dc Healthy Family | $104 - $531 | 12% |
| Medstar Md Health Choice | $104 - $531 | 12% |
| Mo Home State Health Plan | $104 - $531 | 12% |
| Molina Centennial Care | $104 - $531 | 12% |
| Nascentia Health Options | $104 - $531 | 12% |
| Nebraska Total Care | $104 - $531 | 12% |
| New York Cancer Services Program | $104 - $531 | 12% |
| Nextlevel Health | $104 - $531 | 12% |
| Oregon Screenwise | $104 - $531 | 12% |
| Pace of Southwest Michigan | $104 - $708 | 12% |
| Paramount Advantage | $104 - $531 | 12% |
| Parkland Community Health Plan | $104 - $531 | 12% |
| Partners Behavioral Lme | $104 - $531 | 12% |
| Peach State Healthplan | $104 - $531 | 12% |
| Philadelphia County Funding | $104 - $531 | 12% |
| Presbyterian Centennial Care | $104 - $531 | 12% |
| Prestige Health Choice | $104 - $531 | 12% |
| Priority Partners | $104 - $531 | 12% |
| Robert F Sing Program | $104 - $531 | 12% |
| Rx 340B Pass Along | $104 - $531 | 12% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $104 - $531 | 12% |
| Rx Medi-Cal | $104 - $531 | 12% |
| Rx Meridian Rx | $104 - $531 | 12% |
| Ryan White Florida Mssrp | $104 - $531 | 12% |
| Sandhills Center Lme | $104 - $531 | 12% |
| Screening for Life | $104 - $531 | 12% |
| St Joseph County Hlth Dpt | $104 - $531 | 12% |
| Stephenson Cty Health | $104 - $531 | 12% |
| Sunshine State Health Plan | $104 - $531 | 12% |
| Superior Health | $104 - $531 | 12% |
| Tenncare | $104 - $531 | 12% |
| Texas Children's Health Plan | $104 - $531 | 12% |
| Trillium Community Ohp | $104 - $531 | 12% |
| Tufts Health Public Plans | $104 - $531 | 12% |
| UnitedHealthcare | $104 - $5,632 | 12% |
| Vaya Health Lme | $104 - $531 | 12% |
| Washtenaw Health Plan | $104 - $531 | 12% |
| Wellsense Health Plan | $104 - $531 | 12% |
| Wi Womens Wellness | $104 - $531 | 12% |
| Health New England | $108 - $3,262 | 12% |
| Champva | $112 - $633 | 13% |
| Tricare | $112 - $633 | 13% |
| Triwest Health Alliance | $112 - $633 | 13% |
| Veterans Eval Services | $112 - $633 | 13% |
| Us Family Health Plan | $117 - $1,451 | 13% |
| Align Senior Care | $122 - $708 | 14% |
| Ally Align Care Adv | $122 - $708 | 14% |
| American Health Advantage of Idaho | $122 - $708 | 14% |
| American Health Plan | $122 - $708 | 14% |
| Aurora Special Needs | $122 - $708 | 14% |
| Blue Care Network Advantage | $122 - $708 | 14% |
| Blue Shield - De (Highmark) Medciare Advantage | $122 - $708 | 14% |
| Care Dimensions | $122 - $708 | 14% |
| Care Improvement Plus | $122 - $708 | 14% |
| Care Resources Pace | $122 - $708 | 14% |
| Careplus Health Plans | $122 - $708 | 14% |
| Cca - Zing Health | $122 - $708 | 14% |
| Central Valley Medical Services Corp Pace | $122 - $708 | 14% |
| Champion Health Plan McR Advantage | $122 - $708 | 14% |
| Clear Spring Health | $122 - $708 | 14% |
| Clover Health | $122 - $708 | 14% |
| Commonwealth Care Alliance | $122 - $768 | 14% |
| Community Pace at Home | $122 - $708 | 14% |
| Eddy Senior Care-Pace | $122 - $708 | 14% |
| Eddy Seniorcare Pace | $122 - $708 | 14% |
| Elementcare | $122 - $708 | 14% |
| Evercare | $122 - $708 | 14% |
| Everence | $122 - $708 | 14% |
| Gateway Health Plan | $122 - $708 | 14% |
| Genesys Pace of Genesee County | $122 - $708 | 14% |
| Georgia Health Advantage | $122 - $708 | 14% |
| Gold Advantage | $122 - $708 | 14% |
| Gpa Croell Redi Mix | $122 - $708 | 14% |
| Health America Advantra | $122 - $708 | 14% |
| Highmark Health Options Dual Plan | $122 - $708 | 14% |
| Hope Select Pace | $122 - $708 | 14% |
| Horizon Nj Total Care | $122 - $708 | 14% |
| Hudson Headwaters Pace | $122 - $708 | 14% |
| Huron Valley Pace | $122 - $708 | 14% |
| Innovative Integrated Health Community Plans | $122 - $708 | 14% |
| Iowa Health Advantage | $122 - $708 | 14% |
| Johns Hopkins Advantage Md | $122 - $708 | 14% |
| Lasso Healthcare Msa | $122 - $708 | 14% |
| Life St Marys Pace | $122 - $708 | 14% |
| Lifecircles Pace | $122 - $708 | 14% |
| Longevity Health Plan | $122 - $708 | 14% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $122 - $708 | 14% |
| Martins Point Generations Advantage | $122 - $708 | 14% |
| Mass General Brigham McR Adv | $122 - $708 | 14% |
| Medicare (plans) | $122 - $1,060 | 14% |
| Medipak Advantage | $122 - $708 | 14% |
| Mercy Life | $122 - $708 | 14% |
| Mercyone Cedar Valley | $122 - $708 | 14% |
| Meridian Complete | $122 - $708 | 14% |
| Michigan Complete Health | $122 - $708 | 14% |
| Nascentia Health Plus | $122 - $708 | 14% |
| New Centry Health Careplus | $122 - $708 | 14% |
| Osu Prime Care Advantage | $122 - $708 | 14% |
| Pace Cny | $122 - $708 | 14% |
| Pace Iowa Immanuel Pathways | $122 - $708 | 14% |
| Pace Southeast | $122 - $708 | 14% |
| Pace-Trinity Health | $122 - $708 | 14% |
| Peak Pace Solutions | $122 - $708 | 14% |
| Perennial Advantage | $122 - $708 | 14% |
| Preferred Care Partners | $122 - $708 | 14% |
| Presbyterian Senior Plan | $122 - $708 | 14% |
| Provider Partners Health Plan of Illinois | $122 - $708 | 14% |
| Provider Partners Health Plan of Indiana | $122 - $708 | 14% |
| Pruitthealth Premier | $122 - $708 | 14% |
| Reliance Community Care Partners Care Resources Pace | $122 - $708 | 14% |
| Rx Allwin | $122 - $708 | 14% |
| Rx Grane Grnmedd | $122 - $708 | 14% |
| Rx Retiree Rx Care | $122 - $708 | 14% |
| Scan Health Plan McR IPA Meritage Oon | $122 - $708 | 14% |
| Secure Horizons Ma Pffs | $122 - $708 | 14% |
| Serenity Pace | $122 - $708 | 14% |
| Siouxland Pace | $122 - $708 | 14% |
| Solis Health Plans | $122 - $708 | 14% |
| Sunnyview-Pace Finance Dept | $122 - $708 | 14% |
| Texan Plus | $122 - $708 | 14% |
| The Health Plan | $122 - $708 | 14% |
| Thome Pace | $122 - $708 | 14% |
| Todays Options | $122 - $708 | 14% |
| Tribute Health Plans | $122 - $708 | 14% |
| Um Health Advantage | $122 - $708 | 14% |
| Union Health Service | $122 - $708 | 14% |
| Welbe Health | $122 - $708 | 14% |
| Wellmed | $122 - $708 | 14% |
| Veterans Administration | $125 - $723 | 14% |
| Cca Senior Care Options | $130 - $1,029 | 15% |
| Fallon Health | $159 - $1,537 | 18% |
| Mass General Brigham Health Plan | $172 - $1,474 | 20% |
| Unicare | $199 - $3,578 | 23% |
| Wellpoint | $199 - $3,578 | 23% |
| Claimdoc | $218 - $1,265 | 25% |
| Innovative Health Plan II | $218 - $2,162 | 25% |
| Bcn Domestic | $227 - $3,578 | 26% |
| Blue Benefit Administrators of Massachusetts | $227 - $3,578 | 26% |
| Blue Care Network | $227 - $3,578 | 26% |
| Blue Distinction Transplant | $227 - $3,578 | 26% |
| Blue Shield - Ca | $227 - $3,578 | 26% |
| Blue Shield - Id (Regence) | $227 - $3,578 | 26% |
| Blue Shield - Ny Highmark Northeastern | $227 - $3,578 | 26% |
| Blue Shield - Ny Highmark Western | $227 - $3,578 | 26% |
| Blue Shield - PA (Highmark) | $227 - $3,578 | 26% |
| Blue Shield - Wa (Regence) | $227 - $3,578 | 26% |
| Health Choices | $227 - $3,578 | 26% |
| Kaiser Domestic | $227 - $3,578 | 26% |
| Pre-Employment | $227 - $3,578 | 26% |
| Wc Domestic | $227 - $3,578 | 26% |
| Andrie Inc | $235 - $1,281 | 27% |
| East Greenbush Central School District | $235 - $1,281 | 27% |
| Genex Wc | $235 - $1,281 | 27% |
| Healthsmart Workers Comp | $235 - $1,281 | 27% |
| Jag Source | $235 - $1,281 | 27% |
| New York State Insurance Fund | $235 - $1,281 | 27% |
| Njm Insurance Group | $235 - $1,281 | 27% |
| Rx Heatlhcomp | $235 - $1,281 | 27% |
| Rx Restat | $235 - $1,281 | 27% |
| Rx Saif Opdp Wc | $235 - $1,281 | 27% |
| Rx Worker's Comp | $235 - $1,281 | 27% |
| Wc Accident Fund | $235 - $1,281 | 27% |
| Wc Ace | $235 - $1,281 | 27% |
| Wc Acs Federal Employees | $235 - $1,281 | 27% |
| Wc Acuity | $235 - $1,281 | 27% |
| Wc Advantage | $235 - $1,281 | 27% |
| Wc Aegis | $235 - $1,281 | 27% |
| Wc Aig | $235 - $1,281 | 27% |
| Wc Aims | $235 - $1,281 | 27% |
| Wc Alaska National Ins | $235 - $1,281 | 27% |
| Wc Align Network | $235 - $1,281 | 27% |
| Wc Allied | $235 - $1,281 | 27% |
| Wc Am Trust N America | $235 - $1,281 | 27% |
| Wc American Claims Mgmt | $235 - $1,281 | 27% |
| Wc Amerisure | $235 - $1,281 | 27% |
| Wc Amtrust | $235 - $1,281 | 27% |
| Wc Asu Risk Mgt | $235 - $1,281 | 27% |
| Wc Benetech | $235 - $1,281 | 27% |
| Wc Berkley Admin | $235 - $1,281 | 27% |
| Wc Broadspire | $235 - $1,281 | 27% |
| Wc Broward County | $235 - $1,281 | 27% |
| Wc Bunch & Associates | $235 - $1,281 | 27% |
| Wc California State Comp Ins | $235 - $1,281 | 27% |
| Wc California State Ins Fund | $235 - $1,281 | 27% |
| Wc Capitol Area Health Consortium | $235 - $1,281 | 27% |
| Wc Ccmsi | $235 - $1,281 | 27% |
| Wc Chartis | $235 - $1,281 | 27% |
| Wc Chubb | $235 - $1,281 | 27% |
| Wc Cirma | $235 - $1,281 | 27% |
| Wc City of Albany | $235 - $1,281 | 27% |
| Wc City of Sioux City | $235 - $1,281 | 27% |
| Wc Claims Mgmt Inc | $235 - $1,281 | 27% |
| Wc Cna | $235 - $1,281 | 27% |
| Wc Comp One Admin C/O Manageability | $235 - $1,281 | 27% |
| Wc Compone Admin | $235 - $1,281 | 27% |
| Wc Ct Healthcare Trust | $235 - $1,281 | 27% |
| Wc Donegal Insurance Group | $235 - $1,281 | 27% |
| Wc Emc Insurance Company | $235 - $1,281 | 27% |
| Wc Employee Mutual | $235 - $1,281 | 27% |
| Wc Enablecomp | $235 - $1,281 | 27% |
| Wc Encore Health Network | $235 - $1,281 | 27% |
| Wc Erie | $235 - $1,281 | 27% |
| Wc Esis | $235 - $1,281 | 27% |
| Wc Evolutions | $235 - $1,281 | 27% |
| Wc Fcci | $235 - $1,281 | 27% |
| Wc Fed Ex | $235 - $1,281 | 27% |
| Wc Federal Black Lung | $235 - $1,281 | 27% |
| Wc Federated | $235 - $1,281 | 27% |
| Wc Finley Occupational Health | $235 - $1,281 | 27% |
| Wc First Agency/Occunet | $235 - $1,281 | 27% |
| Wc Ford Motor | $235 - $1,281 | 27% |
| Wc Fresno Unified Emp | $235 - $1,281 | 27% |
| Wc Gallagher Bassett | $235 - $1,281 | 27% |
| Wc General Motors | $235 - $1,281 | 27% |
| Wc Generic | $235 - $1,281 | 27% |
| Wc Genex Care for Ohio | $235 - $1,281 | 27% |
| Wc Great West Casualty | $235 - $1,281 | 27% |
| Wc Guarantee Insurance | $235 - $1,281 | 27% |
| Wc Guard Insurance Company | $235 - $1,281 | 27% |
| Wc Hab | $235 - $1,281 | 27% |
| Wc Hartford | $235 - $1,281 | 27% |
| Wc Hastings | $235 - $1,281 | 27% |
| Wc Health Management | $235 - $1,281 | 27% |
| Wc Heritage Summit | $235 - $1,281 | 27% |
| Wc Hireright | $235 - $1,281 | 27% |
| Wc Horizon | $235 - $1,281 | 27% |
| Wc Icw Group | $235 - $1,281 | 27% |
| Wc Idaho State Ins Fund | $235 - $1,281 | 27% |
| Wc Intercare Insurance | $235 - $1,281 | 27% |
| Wc Intermountain | $235 - $1,281 | 27% |
| Wc Johns Eastern | $235 - $1,281 | 27% |
| Wc Kemberton | $235 - $1,281 | 27% |
| Wc Key Ins & Benefit Solutions | $235 - $1,281 | 27% |
| Wc Liberty Mutual | $235 - $1,281 | 27% |
| Wc Mac Risk Management | $235 - $1,281 | 27% |
| Wc Massachusetts | $235 - $1,281 | 27% |
| Wc Mdia | $235 - $1,281 | 27% |
| Wc Meadowbrook Claim | $235 - $1,281 | 27% |
| Wc Medical Administrators | $235 - $1,281 | 27% |
| Wc Meijers | $235 - $1,281 | 27% |
| Wc Memic | $235 - $1,281 | 27% |
| Wc Mercy Workcare | $235 - $1,281 | 27% |
| Wc Michigan | $235 - $1,281 | 27% |
| Wc Michigan Millers Mutual | $235 - $1,281 | 27% |
| Wc Mitchell Frankenmuth | $235 - $1,281 | 27% |
| Wc Mra | $235 - $1,281 | 27% |
| Wc Nationwide | $235 - $1,281 | 27% |
| Wc Nca Comp | $235 - $1,281 | 27% |
| Wc New York | $235 - $1,281 | 27% |
| Wc New York Special Funds | $235 - $1,281 | 27% |
| Wc North American Rishces | $235 - $1,281 | 27% |
| Wc Northeast Health | $235 - $1,281 | 27% |
| Wc Notre Dame | $235 - $1,281 | 27% |
| Wc Novanet | $235 - $1,281 | 27% |
| Wc O'Hara Corp | $235 - $1,281 | 27% |
| Wc Occ Health Allen | $235 - $1,281 | 27% |
| Wc Ohio Bureau | $235 - $1,281 | 27% |
| Wc One Call Medical | $235 - $1,281 | 27% |
| Wc Paradigm | $235 - $1,281 | 27% |
| Wc Peerless | $235 - $1,281 | 27% |
| Wc Pma | $235 - $1,281 | 27% |
| Wc Praxis Health Network | $235 - $1,281 | 27% |
| Wc Price Chopper | $235 - $1,281 | 27% |
| Wc Procura Management | $235 - $1,281 | 27% |
| Wc Qualcare | $235 - $1,281 | 27% |
| Wc Quiktrip | $235 - $1,281 | 27% |
| Wc Reny Company | $235 - $1,281 | 27% |
| Wc Rev Claims | $235 - $1,281 | 27% |
| Wc Risico | $235 - $1,281 | 27% |
| Wc Rural Mutual | $235 - $1,281 | 27% |
| Wc Saif Oregon | $235 - $1,281 | 27% |
| Wc Secura | $235 - $1,281 | 27% |
| Wc Sedgwick | $235 - $1,281 | 27% |
| Wc Sentry | $235 - $1,281 | 27% |
| Wc Sheakley Unicomp | $235 - $1,281 | 27% |
| Wc Smile Lodge | $235 - $1,281 | 27% |
| Wc Society | $235 - $1,281 | 27% |
| Wc Srs | $235 - $1,281 | 27% |
| Wc Taconic (Mro) | $235 - $1,281 | 27% |
| Wc Taconic Farms | $235 - $1,281 | 27% |
| Wc Travelers | $235 - $1,281 | 27% |
| Wc Triad Group | $235 - $1,281 | 27% |
| Wc Tristar | $235 - $1,281 | 27% |
| Wc Troy Ny | $235 - $1,281 | 27% |
| Wc Tyson | $235 - $1,281 | 27% |
| Wc Unified Health Services | $235 - $1,281 | 27% |
| Wc United Heartland | $235 - $1,281 | 27% |
| Wc Us Dept of Labor | $235 - $1,281 | 27% |
| Wc Velocity | $235 - $1,281 | 27% |
| Wc Walmart | $235 - $1,281 | 27% |
| Wc West Bend | $235 - $1,281 | 27% |
| Wc West Bend Mutual/Argent | $235 - $1,281 | 27% |
| Wc Winnebago Industries | $235 - $1,281 | 27% |
| Wc Yankee Trails | $235 - $1,281 | 27% |
| Wc York Risk | $235 - $1,281 | 27% |
| Wc Zenith | $235 - $1,281 | 27% |
| Wc Zurich | $235 - $1,281 | 27% |
| Connecticare | $245 - $3,696 | 28% |
| Tufts Health Plan | $246 - $1,451 | 28% |
| Health Smart | $248 - $5,027 | 28% |
| Wc Corvel | $248 - $2,162 | 28% |
| Harvard Pilgrim Healthcare | $258 - $5,632 | 29% |
| Multiplan | $260 - $4,022 | 30% |
| Healthscope | $262 - $1,519 | 30% |
| Centivo | $287 - $2,059 | 33% |
| Coventry | $292 - $1,776 | 33% |
| Delta Dental Ga | $292 - $2,543 | 33% |
| Delta Dental Mi | $292 - $2,543 | 33% |
| Delta Dental Mo | $292 - $2,543 | 33% |
| Delta Dental Nj | $292 - $2,543 | 33% |
| Delta Dental Ny | $292 - $2,543 | 33% |
| Delta Dental Oh | $292 - $2,543 | 33% |
| Delta Dental Or | $292 - $2,543 | 33% |
| Delta Dental PA | $292 - $2,543 | 33% |
| Delta Dental VA | $292 - $2,543 | 33% |
| Delta Dental Wa | $292 - $2,543 | 33% |
| First Health | $292 - $1,776 | 33% |
| Guardian | $292 - $1,776 | 33% |
| Liberty Dental | $292 - $2,543 | 33% |
| Meritain | $292 - $4,479 | 33% |
| Prime Health Services | $292 - $4,140 | 33% |
| Connecticut Dept of Correction | $951 | 108% |
| Allegiance | $3,272 | 373% |
| Health Partners | $3,272 | 373% |
| Magnacare | $3,272 | 373% |
| Allied National Global Care | $4,022 | 458% |
| Asrm - Reliance Standard Life Insurance | $4,022 | 458% |
| Christian Care Ministry | $4,022 | 458% |
| Dean Health | $4,022 | 458% |
| Family Life Insurance Company | $4,022 | 458% |
| Ghc Scw | $4,022 | 458% |
| International Benefit Administrators | $4,022 | 458% |
| Lifetime Benefit Solutions | $4,022 | 458% |
| Manhattan Life | $4,022 | 458% |
| Medi Share | $4,022 | 458% |
| Mvp | $4,022 | 458% |
| PHCS | $4,022 | 458% |
| Pai | $4,022 | 458% |
| Pan-American Life | $4,022 | 458% |
| Paramount HMO | $4,022 | 458% |
| Trinity Health Share | $4,022 | 458% |
| 1199 National Benefit Fund | $4,479 | 511% |
| Allied Benefit Systems | $4,479 | 511% |
| Gravie Admin Services | $4,479 | 511% |
| Hap | $4,479 | 511% |
| Luminare Health | $4,479 | 511% |
| Nippon Life Ins | $4,479 | 511% |
| Webtpa | $4,479 | 511% |
| Geha | $5,632 | 642% |