CMS Price Transparency Data
X-ray, pelvis
Facility: St Francis Hospital & Medical Center
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $18
- Cash Discount Price: $106
- vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at St Francis Hospital & Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.17x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$106
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $106 (99%)
Insurance Median: $18 (17%)
Cash: $106 (99% of Medicare)
Ins. Median: $18 (17% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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 |
|---|---|---|
| Aetna | $5 - $15,083 | 5% |
| Albany County Correctional Facility | $5 - $18 | 5% |
| Ambetter / Centene | $5 - $18 | 5% |
| Amish Mennonite | $5 - $18 | 5% |
| Ascension St. Vincent Public Safety Medical | $5 - $18 | 5% |
| Bcccp-Michigan | $5 - $18 | 5% |
| Bccp | $5 - $18 | 5% |
| Blue Cross Blue Shield | $5 - $53,492 | 5% |
| Bmc Healthnet | $5 - $18 | 5% |
| Breast Grant-Connecticut | $5 - $18 | 5% |
| Broward County Dept of Health | $5 - $18 | 5% |
| California Health and Wellness | $5 - $18 | 5% |
| Can Community Health Inc | $5 - $18 | 5% |
| Cardinal Innovations Lme | $5 - $18 | 5% |
| Care Connections of Northern Iowa | $5 - $18 | 5% |
| Care Oregon Ohp | $5 - $18 | 5% |
| Cencal Health Plan | $5 - $18 | 5% |
| Cenpatico | $5 - $18 | 5% |
| Chhuny | $5 - $18 | 5% |
| Childrens Comm Health Plan | $5 - $18 | 5% |
| Childrens Medical Services Title 19 | $5 - $18 | 5% |
| Cigna | $5 - $34,638 | 5% |
| City of Philadelphia | $5 - $18 | 5% |
| Cmh Allegan County | $5 - $18 | 5% |
| Cmh Ausable Valley | $5 - $18 | 5% |
| Cmh Barry County | $5 - $18 | 5% |
| Cmh Bay-Arenac County | $5 - $18 | 5% |
| Cmh Berrien County | $5 - $18 | 5% |
| Cmh Cass County | $5 - $18 | 5% |
| Cmh Central Mi County | $5 - $18 | 5% |
| Cmh Clinton-Eaton-Ingham County | $5 - $18 | 5% |
| Cmh Detroit Wayne Integrated Health Network | $5 - $18 | 5% |
| Cmh Genesee County | $5 - $18 | 5% |
| Cmh Ionia County | $5 - $18 | 5% |
| Cmh Jackson County/Lifeways | $5 - $18 | 5% |
| Cmh Kalamazoo | $5 - $18 | 5% |
| Cmh Kent County | $5 - $18 | 5% |
| Cmh Lenawee County | $5 - $18 | 5% |
| Cmh Livingston County | $5 - $18 | 5% |
| Cmh Macomb | $5 - $18 | 5% |
| Cmh Misc | $5 - $18 | 5% |
| Cmh Monroe County | $5 - $18 | 5% |
| Cmh Montcalm County | $5 - $18 | 5% |
| Cmh Muskegon County | $5 - $18 | 5% |
| Cmh Newaygo County | $5 - $18 | 5% |
| Cmh North Country | $5 - $18 | 5% |
| Cmh Northern Lakes County | $5 - $18 | 5% |
| Cmh Oakland County | $5 - $18 | 5% |
| Cmh Ottawa County | $5 - $18 | 5% |
| Cmh Van Buren County | $5 - $18 | 5% |
| Cmh Washtenaw County | $5 - $18 | 5% |
| Cmh Wayne County/Carelink | $5 - $18 | 5% |
| Cmh Wayne Cty/Com Liv Svcs | $5 - $18 | 5% |
| Cmh West Mi County | $5 - $18 | 5% |
| Community Benefit Health | $5 - $18 | 5% |
| Community Care Behavorial Health | $5 - $18 | 5% |
| Community Care Partners | $5 - $18 | 5% |
| Community Health Choice | $5 - $18 | 5% |
| Connections Csp | $5 - $18 | 5% |
| County Coroner | $5 - $18 | 5% |
| County Funding Generic | $5 - $18 | 5% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $5 - $18 | 5% |
| Dean Wi Badgercare | $5 - $18 | 5% |
| Delaware County Department of Health | $5 - $18 | 5% |
| Delaware First Health | $5 - $18 | 5% |
| Dph Tb Program | $5 - $18 | 5% |
| Dscc | $5 - $18 | 5% |
| Eastpointe Lme | $5 - $18 | 5% |
| Family Health Network | $5 - $18 | 5% |
| Freedom First Healthcare | $5 - $18 | 5% |
| Fresno County Ccs | $5 - $18 | 5% |
| Ghc Scw Wi Badgercare | $5 - $18 | 5% |
| Harbor Health | $5 - $18 | 5% |
| Health Safety Net | $5 - $18 | 5% |
| Healthy Blue Ne | $5 - $18 | 5% |
| Hennepin Health | $5 - $18 | 5% |
| Humana | $5 - $29 | 5% |
| Id County Ada | $5 - $18 | 5% |
| Id County Canyon | $5 - $18 | 5% |
| Id County Cat Fund | $5 - $18 | 5% |
| Id County Other | $5 - $18 | 5% |
| Id County Payette | $5 - $18 | 5% |
| Idaho Dept Health and Wellfare | $5 - $18 | 5% |
| Idaho Womens Health Check | $5 - $18 | 5% |
| Indiana Breast Cervical Cancer | $5 - $18 | 5% |
| Inland Empire Health Plan | $5 - $18 | 5% |
| Intercommunity Health Ohp | $5 - $18 | 5% |
| Iowa Total Care | $5 - $18 | 5% |
| Jai Medical System | $5 - $18 | 5% |
| Kern Family Health Plan | $5 - $18 | 5% |
| Keystone First | $5 - $18 | 5% |
| Keystone First Chip | $5 - $18 | 5% |
| La Care Health Plan | $5 - $18 | 5% |
| Lakeland Care Inc | $5 - $18 | 5% |
| Managed Health Services - Indiana | $5 - $18 | 5% |
| Maryland Breast & Cervical Program | $5 - $18 | 5% |
| Maryland Healthy Smiles - Scion Dental | $5 - $18 | 5% |
| Maryland Physicians Care | $5 - $18 | 5% |
| Massachusetts Behavioral Health Partnership | $5 - $18 | 5% |
| Mdwise | $5 - $18 | 5% |
| Medi-Cal | $5 - $18 | 5% |
| Medi-Cal Healthnet | $5 - $18 | 5% |
| Medicaid / KanCare | $5 - $141 | 5% |
| Medstar Dc Healthy Family | $5 - $18 | 5% |
| Medstar Md Health Choice | $5 - $18 | 5% |
| Mo Home State Health Plan | $5 - $18 | 5% |
| Molina Centennial Care | $5 - $18 | 5% |
| Nascentia Health Options | $5 - $18 | 5% |
| Nebraska Total Care | $5 - $18 | 5% |
| New York Cancer Services Program | $5 - $18 | 5% |
| Nextlevel Health | $5 - $18 | 5% |
| Oregon Screenwise | $5 - $18 | 5% |
| Pace of Southwest Michigan | $5 - $29 | 5% |
| Paramount Advantage | $5 - $18 | 5% |
| Parkland Community Health Plan | $5 - $18 | 5% |
| Partners Behavioral Lme | $5 - $18 | 5% |
| Peach State Healthplan | $5 - $18 | 5% |
| Philadelphia County Funding | $5 - $18 | 5% |
| Presbyterian Centennial Care | $5 - $18 | 5% |
| Prestige Health Choice | $5 - $18 | 5% |
| Priority Partners | $5 - $18 | 5% |
| Robert F Sing Program | $5 - $18 | 5% |
| Rx 340B Pass Along | $5 - $18 | 5% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $5 - $18 | 5% |
| Rx Medi-Cal | $5 - $18 | 5% |
| Rx Meridian Rx | $5 - $18 | 5% |
| Ryan White Florida Mssrp | $5 - $18 | 5% |
| Sandhills Center Lme | $5 - $18 | 5% |
| Screening for Life | $5 - $18 | 5% |
| St Joseph County Hlth Dpt | $5 - $18 | 5% |
| Stephenson Cty Health | $5 - $18 | 5% |
| Sunshine State Health Plan | $5 - $18 | 5% |
| Superior Health | $5 - $18 | 5% |
| Tenncare | $5 - $18 | 5% |
| Texas Children's Health Plan | $5 - $18 | 5% |
| Trillium Community Ohp | $5 - $18 | 5% |
| Tufts Health Public Plans | $5 - $18 | 5% |
| UnitedHealthcare | $5 - $15,385 | 5% |
| Vaya Health Lme | $5 - $18 | 5% |
| Washtenaw Health Plan | $5 - $18 | 5% |
| Wellsense Health Plan | $5 - $18 | 5% |
| Wi Womens Wellness | $5 - $18 | 5% |
| Cca Senior Care Options | $8 - $15,385 | 7% |
| Champva | $8 - $28 | 7% |
| Health New England | $8 - $250 | 7% |
| Medicare (plans) | $8 - $15,853 | 7% |
| Tricare | $8 - $28 | 7% |
| Triwest Health Alliance | $8 - $28 | 7% |
| Us Family Health Plan | $8 - $67 | 7% |
| Veterans Eval Services | $8 - $28 | 7% |
| Align Senior Care | $9 - $29 | 8% |
| Ally Align Care Adv | $9 - $29 | 8% |
| American Health Advantage of Idaho | $9 - $29 | 8% |
| American Health Plan | $9 - $29 | 8% |
| Aurora Special Needs | $9 - $29 | 8% |
| Blue Care Network Advantage | $9 - $29 | 8% |
| Blue Shield - De (Highmark) Medciare Advantage | $9 - $29 | 8% |
| Care Dimensions | $9 - $29 | 8% |
| Care Improvement Plus | $9 - $29 | 8% |
| Care Resources Pace | $9 - $29 | 8% |
| Careplus Health Plans | $9 - $29 | 8% |
| Cca - Zing Health | $9 - $29 | 8% |
| Central Valley Medical Services Corp Pace | $9 - $29 | 8% |
| Champion Health Plan McR Advantage | $9 - $29 | 8% |
| Clear Spring Health | $9 - $29 | 8% |
| Clover Health | $9 - $29 | 8% |
| Commonwealth Care Alliance | $9 - $30 | 8% |
| Community Pace at Home | $9 - $29 | 8% |
| Eddy Senior Care-Pace | $9 - $29 | 8% |
| Eddy Seniorcare Pace | $9 - $29 | 8% |
| Elementcare | $9 - $29 | 8% |
| Evercare | $9 - $29 | 8% |
| Everence | $9 - $29 | 8% |
| Gateway Health Plan | $9 - $29 | 8% |
| Genesys Pace of Genesee County | $9 - $29 | 8% |
| Georgia Health Advantage | $9 - $29 | 8% |
| Gold Advantage | $9 - $29 | 8% |
| Gpa Croell Redi Mix | $9 - $29 | 8% |
| Health America Advantra | $9 - $29 | 8% |
| Highmark Health Options Dual Plan | $9 - $29 | 8% |
| Hope Select Pace | $9 - $29 | 8% |
| Horizon Nj Total Care | $9 - $29 | 8% |
| Hudson Headwaters Pace | $9 - $29 | 8% |
| Huron Valley Pace | $9 - $29 | 8% |
| Innovative Integrated Health Community Plans | $9 - $29 | 8% |
| Iowa Health Advantage | $9 - $29 | 8% |
| Johns Hopkins Advantage Md | $9 - $29 | 8% |
| Lasso Healthcare Msa | $9 - $29 | 8% |
| Life St Marys Pace | $9 - $29 | 8% |
| Lifecircles Pace | $9 - $29 | 8% |
| Longevity Health Plan | $9 - $29 | 8% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $9 - $29 | 8% |
| Martins Point Generations Advantage | $9 - $29 | 8% |
| Mass General Brigham McR Adv | $9 - $29 | 8% |
| Medipak Advantage | $9 - $29 | 8% |
| Mercy Life | $9 - $29 | 8% |
| Mercyone Cedar Valley | $9 - $29 | 8% |
| Meridian Complete | $9 - $29 | 8% |
| Michigan Complete Health | $9 - $29 | 8% |
| Nascentia Health Plus | $9 - $29 | 8% |
| New Centry Health Careplus | $9 - $29 | 8% |
| Osu Prime Care Advantage | $9 - $29 | 8% |
| Pace Cny | $9 - $29 | 8% |
| Pace Iowa Immanuel Pathways | $9 - $29 | 8% |
| Pace Southeast | $9 - $29 | 8% |
| Pace-Trinity Health | $9 - $29 | 8% |
| Peak Pace Solutions | $9 - $29 | 8% |
| Perennial Advantage | $9 - $29 | 8% |
| Preferred Care Partners | $9 - $29 | 8% |
| Presbyterian Senior Plan | $9 - $29 | 8% |
| Provider Partners Health Plan of Illinois | $9 - $29 | 8% |
| Provider Partners Health Plan of Indiana | $9 - $29 | 8% |
| Pruitthealth Premier | $9 - $29 | 8% |
| Reliance Community Care Partners Care Resources Pace | $9 - $29 | 8% |
| Rx Allwin | $9 - $29 | 8% |
| Rx Grane Grnmedd | $9 - $29 | 8% |
| Rx Retiree Rx Care | $9 - $29 | 8% |
| Scan Health Plan McR IPA Meritage Oon | $9 - $29 | 8% |
| Secure Horizons Ma Pffs | $9 - $29 | 8% |
| Serenity Pace | $9 - $29 | 8% |
| Siouxland Pace | $9 - $29 | 8% |
| Solis Health Plans | $9 - $29 | 8% |
| Sunnyview-Pace Finance Dept | $9 - $29 | 8% |
| Texan Plus | $9 - $29 | 8% |
| The Health Plan | $9 - $29 | 8% |
| Thome Pace | $9 - $29 | 8% |
| Todays Options | $9 - $29 | 8% |
| Tribute Health Plans | $9 - $29 | 8% |
| Um Health Advantage | $9 - $29 | 8% |
| Union Health Service | $9 - $29 | 8% |
| Veterans Administration | $9 - $30 | 8% |
| Welbe Health | $9 - $29 | 8% |
| Wellmed | $9 - $29 | 8% |
| Fallon Health | $11 - $20,009 | 10% |
| Mass General Brigham Health Plan | $12 - $67 | 11% |
| Bcn Domestic | $14 - $53,492 | 13% |
| Blue Benefit Administrators of Massachusetts | $14 - $53,492 | 13% |
| Blue Care Network | $14 - $53,492 | 13% |
| Blue Distinction Transplant | $14 - $53,492 | 13% |
| Blue Shield - Ca | $14 - $53,492 | 13% |
| Blue Shield - Id (Regence) | $14 - $53,492 | 13% |
| Blue Shield - Ny Highmark Northeastern | $14 - $53,492 | 13% |
| Blue Shield - Ny Highmark Western | $14 - $53,492 | 13% |
| Blue Shield - PA (Highmark) | $14 - $53,492 | 13% |
| Blue Shield - Wa (Regence) | $14 - $53,492 | 13% |
| Connecticare | $14 - $88 | 13% |
| Health Choices | $14 - $53,492 | 13% |
| Kaiser Domestic | $14 - $53,492 | 13% |
| Pre-Employment | $14 - $53,492 | 13% |
| Unicare | $14 - $53,492 | 13% |
| Wc Domestic | $14 - $53,492 | 13% |
| Wellpoint | $14 - $53,492 | 13% |
| Claimdoc | $15 - $52 | 14% |
| Health Smart | $15 - $385 | 14% |
| Innovative Health Plan II | $15 - $32,322 | 14% |
| Wc Corvel | $15 - $120 | 14% |
| Multiplan | $17 - $308 | 16% |
| Andrie Inc | $18 - $65 | 17% |
| Centivo | $18 - $251 | 17% |
| Coventry | $18 - $68 | 17% |
| Delta Dental Ga | $18 - $141 | 17% |
| Delta Dental Mi | $18 - $141 | 17% |
| Delta Dental Mo | $18 - $141 | 17% |
| Delta Dental Nj | $18 - $141 | 17% |
| Delta Dental Ny | $18 - $141 | 17% |
| Delta Dental Oh | $18 - $141 | 17% |
| Delta Dental Or | $18 - $141 | 17% |
| Delta Dental PA | $18 - $141 | 17% |
| Delta Dental VA | $18 - $141 | 17% |
| Delta Dental Wa | $18 - $141 | 17% |
| East Greenbush Central School District | $18 - $65 | 17% |
| First Health | $18 - $68 | 17% |
| Genex Wc | $18 - $65 | 17% |
| Guardian | $18 - $68 | 17% |
| Harvard Pilgrim Healthcare | $18 - $179 | 17% |
| Healthscope | $18 - $63 | 17% |
| Healthsmart Workers Comp | $18 - $65 | 17% |
| Jag Source | $18 - $65 | 17% |
| Liberty Dental | $18 - $141 | 17% |
| Meritain | $18 - $68 | 17% |
| New York State Insurance Fund | $18 - $65 | 17% |
| Njm Insurance Group | $18 - $65 | 17% |
| Prime Health Services | $18 - $317 | 17% |
| Rx Heatlhcomp | $18 - $65 | 17% |
| Rx Restat | $18 - $65 | 17% |
| Rx Saif Opdp Wc | $18 - $65 | 17% |
| Rx Worker's Comp | $18 - $65 | 17% |
| Tufts Health Plan | $18 - $67 | 17% |
| Wc Accident Fund | $18 - $65 | 17% |
| Wc Ace | $18 - $65 | 17% |
| Wc Acs Federal Employees | $18 - $65 | 17% |
| Wc Acuity | $18 - $65 | 17% |
| Wc Advantage | $18 - $65 | 17% |
| Wc Aegis | $18 - $65 | 17% |
| Wc Aig | $18 - $65 | 17% |
| Wc Aims | $18 - $65 | 17% |
| Wc Alaska National Ins | $18 - $65 | 17% |
| Wc Align Network | $18 - $65 | 17% |
| Wc Allied | $18 - $65 | 17% |
| Wc Am Trust N America | $18 - $65 | 17% |
| Wc American Claims Mgmt | $18 - $65 | 17% |
| Wc Amerisure | $18 - $65 | 17% |
| Wc Amtrust | $18 - $65 | 17% |
| Wc Asu Risk Mgt | $18 - $65 | 17% |
| Wc Benetech | $18 - $65 | 17% |
| Wc Berkley Admin | $18 - $65 | 17% |
| Wc Broadspire | $18 - $65 | 17% |
| Wc Broward County | $18 - $65 | 17% |
| Wc Bunch & Associates | $18 - $65 | 17% |
| Wc California State Comp Ins | $18 - $65 | 17% |
| Wc California State Ins Fund | $18 - $65 | 17% |
| Wc Capitol Area Health Consortium | $18 - $65 | 17% |
| Wc Ccmsi | $18 - $65 | 17% |
| Wc Chartis | $18 - $65 | 17% |
| Wc Chubb | $18 - $65 | 17% |
| Wc Cirma | $18 - $65 | 17% |
| Wc City of Albany | $18 - $65 | 17% |
| Wc City of Sioux City | $18 - $65 | 17% |
| Wc Claims Mgmt Inc | $18 - $65 | 17% |
| Wc Cna | $18 - $65 | 17% |
| Wc Comp One Admin C/O Manageability | $18 - $65 | 17% |
| Wc Compone Admin | $18 - $65 | 17% |
| Wc Ct Healthcare Trust | $18 - $65 | 17% |
| Wc Donegal Insurance Group | $18 - $65 | 17% |
| Wc Emc Insurance Company | $18 - $65 | 17% |
| Wc Employee Mutual | $18 - $65 | 17% |
| Wc Enablecomp | $18 - $65 | 17% |
| Wc Encore Health Network | $18 - $65 | 17% |
| Wc Erie | $18 - $65 | 17% |
| Wc Esis | $18 - $65 | 17% |
| Wc Evolutions | $18 - $65 | 17% |
| Wc Fcci | $18 - $65 | 17% |
| Wc Fed Ex | $18 - $65 | 17% |
| Wc Federal Black Lung | $18 - $65 | 17% |
| Wc Federated | $18 - $65 | 17% |
| Wc Finley Occupational Health | $18 - $65 | 17% |
| Wc First Agency/Occunet | $18 - $65 | 17% |
| Wc Ford Motor | $18 - $65 | 17% |
| Wc Fresno Unified Emp | $18 - $65 | 17% |
| Wc Gallagher Bassett | $18 - $65 | 17% |
| Wc General Motors | $18 - $65 | 17% |
| Wc Generic | $18 - $65 | 17% |
| Wc Genex Care for Ohio | $18 - $65 | 17% |
| Wc Great West Casualty | $18 - $65 | 17% |
| Wc Guarantee Insurance | $18 - $65 | 17% |
| Wc Guard Insurance Company | $18 - $65 | 17% |
| Wc Hab | $18 - $65 | 17% |
| Wc Hartford | $18 - $65 | 17% |
| Wc Hastings | $18 - $65 | 17% |
| Wc Health Management | $18 - $65 | 17% |
| Wc Heritage Summit | $18 - $65 | 17% |
| Wc Hireright | $18 - $65 | 17% |
| Wc Horizon | $18 - $65 | 17% |
| Wc Icw Group | $18 - $65 | 17% |
| Wc Idaho State Ins Fund | $18 - $65 | 17% |
| Wc Intercare Insurance | $18 - $65 | 17% |
| Wc Intermountain | $18 - $65 | 17% |
| Wc Johns Eastern | $18 - $65 | 17% |
| Wc Kemberton | $18 - $65 | 17% |
| Wc Key Ins & Benefit Solutions | $18 - $65 | 17% |
| Wc Liberty Mutual | $18 - $65 | 17% |
| Wc Mac Risk Management | $18 - $65 | 17% |
| Wc Massachusetts | $18 - $65 | 17% |
| Wc Mdia | $18 - $65 | 17% |
| Wc Meadowbrook Claim | $18 - $65 | 17% |
| Wc Medical Administrators | $18 - $65 | 17% |
| Wc Meijers | $18 - $65 | 17% |
| Wc Memic | $18 - $65 | 17% |
| Wc Mercy Workcare | $18 - $65 | 17% |
| Wc Michigan | $18 - $65 | 17% |
| Wc Michigan Millers Mutual | $18 - $65 | 17% |
| Wc Mitchell Frankenmuth | $18 - $65 | 17% |
| Wc Mra | $18 - $65 | 17% |
| Wc Nationwide | $18 - $65 | 17% |
| Wc Nca Comp | $18 - $65 | 17% |
| Wc New York | $18 - $65 | 17% |
| Wc New York Special Funds | $18 - $65 | 17% |
| Wc North American Rishces | $18 - $65 | 17% |
| Wc Northeast Health | $18 - $65 | 17% |
| Wc Notre Dame | $18 - $65 | 17% |
| Wc Novanet | $18 - $65 | 17% |
| Wc O'Hara Corp | $18 - $65 | 17% |
| Wc Occ Health Allen | $18 - $65 | 17% |
| Wc Ohio Bureau | $18 - $65 | 17% |
| Wc One Call Medical | $18 - $65 | 17% |
| Wc Paradigm | $18 - $65 | 17% |
| Wc Peerless | $18 - $65 | 17% |
| Wc Pma | $18 - $65 | 17% |
| Wc Praxis Health Network | $18 - $65 | 17% |
| Wc Price Chopper | $18 - $65 | 17% |
| Wc Procura Management | $18 - $65 | 17% |
| Wc Qualcare | $18 - $65 | 17% |
| Wc Quiktrip | $18 - $65 | 17% |
| Wc Reny Company | $18 - $65 | 17% |
| Wc Rev Claims | $18 - $65 | 17% |
| Wc Risico | $18 - $65 | 17% |
| Wc Rural Mutual | $18 - $65 | 17% |
| Wc Saif Oregon | $18 - $65 | 17% |
| Wc Secura | $18 - $65 | 17% |
| Wc Sedgwick | $18 - $65 | 17% |
| Wc Sentry | $18 - $65 | 17% |
| Wc Sheakley Unicomp | $18 - $65 | 17% |
| Wc Smile Lodge | $18 - $65 | 17% |
| Wc Society | $18 - $65 | 17% |
| Wc Srs | $18 - $65 | 17% |
| Wc Taconic (Mro) | $18 - $65 | 17% |
| Wc Taconic Farms | $18 - $65 | 17% |
| Wc Travelers | $18 - $65 | 17% |
| Wc Triad Group | $18 - $65 | 17% |
| Wc Tristar | $18 - $65 | 17% |
| Wc Troy Ny | $18 - $65 | 17% |
| Wc Tyson | $18 - $65 | 17% |
| Wc Unified Health Services | $18 - $65 | 17% |
| Wc United Heartland | $18 - $65 | 17% |
| Wc Us Dept of Labor | $18 - $65 | 17% |
| Wc Velocity | $18 - $65 | 17% |
| Wc Walmart | $18 - $65 | 17% |
| Wc West Bend | $18 - $65 | 17% |
| Wc West Bend Mutual/Argent | $18 - $65 | 17% |
| Wc Winnebago Industries | $18 - $65 | 17% |
| Wc Yankee Trails | $18 - $65 | 17% |
| Wc York Risk | $18 - $65 | 17% |
| Wc Zenith | $18 - $65 | 17% |
| Wc Zurich | $18 - $65 | 17% |
| 1199 National Benefit Fund | $51 | 48% |
| Allied Benefit Systems | $51 | 48% |
| Gravie Admin Services | $51 | 48% |
| Hap | $51 | 48% |
| Luminare Health | $51 | 48% |
| Nippon Life Ins | $51 | 48% |
| Webtpa | $51 | 48% |
| Allegiance | $92 - $34,638 | 86% |
| Health Partners | $92 - $34,638 | 86% |
| Magnacare | $92 - $34,638 | 86% |
| Connecticut Dept of Correction | $116 - $14,215 | 109% |
| Geha | $179 | 168% |
| Allied National Global Care | $308 | 288% |
| Asrm - Reliance Standard Life Insurance | $308 | 288% |
| Christian Care Ministry | $308 | 288% |
| Dean Health | $308 | 288% |
| Family Life Insurance Company | $308 | 288% |
| Ghc Scw | $308 | 288% |
| International Benefit Administrators | $308 | 288% |
| Lifetime Benefit Solutions | $308 | 288% |
| Manhattan Life | $308 | 288% |
| Medi Share | $308 | 288% |
| Mvp | $308 | 288% |
| PHCS | $308 | 288% |
| Pai | $308 | 288% |
| Pan-American Life | $308 | 288% |
| Paramount HMO | $308 | 288% |
| Trinity Health Share | $308 | 288% |