CMS Price Transparency Data
Vaginal delivery (full package)
Facility: Saint Mary's Hospital
Billing Code: 59400 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 59400
- Insurance Median: $1,306
- Cash Discount Price: $5,416
- vs. Medicare Baseline: 0.59x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Saint Mary's Hospital is $1,306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,416. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.59x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$5,416
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,306
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$2,214.42
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $2,214.42 (100%)
Cash / Self-Pay: $5,416 (245%)
Insurance Median: $1,306 (59%)
Cash: $5,416 (245% of Medicare)
Ins. Median: $1,306 (59% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $2,214.42 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 | $518 - $3,039 | 23% |
| Albany County Correctional Facility | $518 - $1,306 | 23% |
| Ambetter / Centene | $518 - $1,306 | 23% |
| Amish Mennonite | $518 - $1,306 | 23% |
| Ascension St. Vincent Public Safety Medical | $518 - $1,306 | 23% |
| Bcccp-Michigan | $518 - $1,306 | 23% |
| Bccp | $518 - $1,306 | 23% |
| Blue Cross Blue Shield | $518 - $2,225 | 23% |
| Bmc Healthnet | $518 - $1,306 | 23% |
| Breast Grant-Connecticut | $518 - $1,306 | 23% |
| Broward County Dept of Health | $518 - $1,306 | 23% |
| California Health and Wellness | $518 - $1,306 | 23% |
| Can Community Health Inc | $518 - $1,306 | 23% |
| Cardinal Innovations Lme | $518 - $1,306 | 23% |
| Care Connections of Northern Iowa | $518 - $1,306 | 23% |
| Care Oregon Ohp | $518 - $1,306 | 23% |
| Cencal Health Plan | $518 - $1,306 | 23% |
| Cenpatico | $518 - $1,306 | 23% |
| Chhuny | $518 - $1,306 | 23% |
| Childrens Comm Health Plan | $518 - $1,306 | 23% |
| Childrens Medical Services Title 19 | $518 - $1,306 | 23% |
| Cigna | $518 - $1,306 | 23% |
| City of Philadelphia | $518 - $1,306 | 23% |
| Cmh Allegan County | $518 - $1,306 | 23% |
| Cmh Ausable Valley | $518 - $1,306 | 23% |
| Cmh Barry County | $518 - $1,306 | 23% |
| Cmh Bay-Arenac County | $518 - $1,306 | 23% |
| Cmh Berrien County | $518 - $1,306 | 23% |
| Cmh Cass County | $518 - $1,306 | 23% |
| Cmh Central Mi County | $518 - $1,306 | 23% |
| Cmh Clinton-Eaton-Ingham County | $518 - $1,306 | 23% |
| Cmh Detroit Wayne Integrated Health Network | $518 - $1,306 | 23% |
| Cmh Genesee County | $518 - $1,306 | 23% |
| Cmh Ionia County | $518 - $1,306 | 23% |
| Cmh Jackson County/Lifeways | $518 - $1,306 | 23% |
| Cmh Kalamazoo | $518 - $1,306 | 23% |
| Cmh Kent County | $518 - $1,306 | 23% |
| Cmh Lenawee County | $518 - $1,306 | 23% |
| Cmh Livingston County | $518 - $1,306 | 23% |
| Cmh Macomb | $518 - $1,306 | 23% |
| Cmh Misc | $518 - $1,306 | 23% |
| Cmh Monroe County | $518 - $1,306 | 23% |
| Cmh Montcalm County | $518 - $1,306 | 23% |
| Cmh Muskegon County | $518 - $1,306 | 23% |
| Cmh Newaygo County | $518 - $1,306 | 23% |
| Cmh North Country | $518 - $1,306 | 23% |
| Cmh Northern Lakes County | $518 - $1,306 | 23% |
| Cmh Oakland County | $518 - $1,306 | 23% |
| Cmh Ottawa County | $518 - $1,306 | 23% |
| Cmh Van Buren County | $518 - $1,306 | 23% |
| Cmh Washtenaw County | $518 - $1,306 | 23% |
| Cmh Wayne County/Carelink | $518 - $1,306 | 23% |
| Cmh Wayne Cty/Com Liv Svcs | $518 - $1,306 | 23% |
| Cmh West Mi County | $518 - $1,306 | 23% |
| Community Benefit Health | $518 - $1,306 | 23% |
| Community Care Behavorial Health | $518 - $1,306 | 23% |
| Community Care Partners | $518 - $1,306 | 23% |
| Community Health Choice | $518 - $1,306 | 23% |
| Connections Csp | $518 - $1,306 | 23% |
| County Coroner | $518 - $1,306 | 23% |
| County Funding Generic | $518 - $1,306 | 23% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $518 - $1,306 | 23% |
| Dean Wi Badgercare | $518 - $1,306 | 23% |
| Delaware County Department of Health | $518 - $1,306 | 23% |
| Delaware First Health | $518 - $1,306 | 23% |
| Dph Tb Program | $518 - $1,306 | 23% |
| Dscc | $518 - $1,306 | 23% |
| Eastpointe Lme | $518 - $1,306 | 23% |
| Family Health Network | $518 - $1,306 | 23% |
| Freedom First Healthcare | $518 - $1,306 | 23% |
| Fresno County Ccs | $518 - $1,306 | 23% |
| Ghc Scw Wi Badgercare | $518 - $1,306 | 23% |
| Harbor Health | $518 - $1,306 | 23% |
| Health Safety Net | $518 - $1,306 | 23% |
| Healthy Blue Ne | $518 - $1,306 | 23% |
| Hennepin Health | $518 - $1,306 | 23% |
| Humana | $518 - $1,306 | 23% |
| Id County Ada | $518 - $1,306 | 23% |
| Id County Canyon | $518 - $1,306 | 23% |
| Id County Cat Fund | $518 - $1,306 | 23% |
| Id County Other | $518 - $1,306 | 23% |
| Id County Payette | $518 - $1,306 | 23% |
| Idaho Dept Health and Wellfare | $518 - $1,306 | 23% |
| Idaho Womens Health Check | $518 - $1,306 | 23% |
| Indiana Breast Cervical Cancer | $518 - $1,306 | 23% |
| Inland Empire Health Plan | $518 - $1,306 | 23% |
| Intercommunity Health Ohp | $518 - $1,306 | 23% |
| Iowa Total Care | $518 - $1,306 | 23% |
| Jai Medical System | $518 - $1,306 | 23% |
| Kern Family Health Plan | $518 - $1,306 | 23% |
| Keystone First | $518 - $1,306 | 23% |
| Keystone First Chip | $518 - $1,306 | 23% |
| La Care Health Plan | $518 - $1,306 | 23% |
| Lakeland Care Inc | $518 - $1,306 | 23% |
| Managed Health Services - Indiana | $518 - $1,306 | 23% |
| Maryland Breast & Cervical Program | $518 - $1,306 | 23% |
| Maryland Healthy Smiles - Scion Dental | $518 - $1,306 | 23% |
| Maryland Physicians Care | $518 - $1,306 | 23% |
| Massachusetts Behavioral Health Partnership | $518 - $1,306 | 23% |
| Mdwise | $518 - $1,306 | 23% |
| Medi-Cal | $518 - $1,306 | 23% |
| Medi-Cal Healthnet | $518 - $1,306 | 23% |
| Medicaid / KanCare | $518 - $2,778 | 23% |
| Medstar Dc Healthy Family | $518 - $1,306 | 23% |
| Medstar Md Health Choice | $518 - $1,306 | 23% |
| Mo Home State Health Plan | $518 - $1,306 | 23% |
| Molina Centennial Care | $518 - $1,306 | 23% |
| Nascentia Health Options | $518 - $1,306 | 23% |
| Nebraska Total Care | $518 - $1,306 | 23% |
| New York Cancer Services Program | $518 - $1,306 | 23% |
| Nextlevel Health | $518 - $1,306 | 23% |
| Oregon Screenwise | $518 - $1,306 | 23% |
| Pace of Southwest Michigan | $518 - $1,306 | 23% |
| Paramount Advantage | $518 - $1,306 | 23% |
| Parkland Community Health Plan | $518 - $1,306 | 23% |
| Partners Behavioral Lme | $518 - $1,306 | 23% |
| Peach State Healthplan | $518 - $1,306 | 23% |
| Philadelphia County Funding | $518 - $1,306 | 23% |
| Presbyterian Centennial Care | $518 - $1,306 | 23% |
| Prestige Health Choice | $518 - $1,306 | 23% |
| Priority Partners | $518 - $1,306 | 23% |
| Robert F Sing Program | $518 - $1,306 | 23% |
| Rx 340B Pass Along | $518 - $1,306 | 23% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $518 - $1,306 | 23% |
| Rx Medi-Cal | $518 - $1,306 | 23% |
| Rx Meridian Rx | $518 - $1,306 | 23% |
| Ryan White Florida Mssrp | $518 - $1,306 | 23% |
| Sandhills Center Lme | $518 - $1,306 | 23% |
| Screening for Life | $518 - $1,306 | 23% |
| St Joseph County Hlth Dpt | $518 - $1,306 | 23% |
| Stephenson Cty Health | $518 - $1,306 | 23% |
| Sunshine State Health Plan | $518 - $1,306 | 23% |
| Superior Health | $518 - $1,306 | 23% |
| Tenncare | $518 - $1,306 | 23% |
| Texas Children's Health Plan | $518 - $1,306 | 23% |
| Trillium Community Ohp | $518 - $1,306 | 23% |
| Tufts Health Public Plans | $518 - $1,306 | 23% |
| UnitedHealthcare | $518 - $2,086 | 23% |
| Vaya Health Lme | $518 - $1,306 | 23% |
| Washtenaw Health Plan | $518 - $1,306 | 23% |
| Wellsense Health Plan | $518 - $1,306 | 23% |
| Wi Womens Wellness | $518 - $1,306 | 23% |
| Medicare (plans) | $1,153 - $1,240 | 52% |
| Align Senior Care | $1,157 | 52% |
| Ally Align Care Adv | $1,157 | 52% |
| American Health Advantage of Idaho | $1,157 | 52% |
| American Health Plan | $1,157 | 52% |
| Aurora Special Needs | $1,157 | 52% |
| Blue Care Network Advantage | $1,157 | 52% |
| Blue Shield - De (Highmark) Medciare Advantage | $1,157 | 52% |
| Care Dimensions | $1,157 | 52% |
| Care Improvement Plus | $1,157 | 52% |
| Care Resources Pace | $1,157 | 52% |
| Careplus Health Plans | $1,157 | 52% |
| Cca - Zing Health | $1,157 | 52% |
| Central Valley Medical Services Corp Pace | $1,157 | 52% |
| Champion Health Plan McR Advantage | $1,157 | 52% |
| Clear Spring Health | $1,157 | 52% |
| Clover Health | $1,157 | 52% |
| Commonwealth Care Alliance | $1,157 - $1,197 | 52% |
| Community Pace at Home | $1,157 | 52% |
| Eddy Senior Care-Pace | $1,157 | 52% |
| Eddy Seniorcare Pace | $1,157 | 52% |
| Elementcare | $1,157 | 52% |
| Evercare | $1,157 | 52% |
| Everence | $1,157 | 52% |
| Gateway Health Plan | $1,157 | 52% |
| Genesys Pace of Genesee County | $1,157 | 52% |
| Georgia Health Advantage | $1,157 | 52% |
| Gold Advantage | $1,157 | 52% |
| Gpa Croell Redi Mix | $1,157 | 52% |
| Health America Advantra | $1,157 | 52% |
| Highmark Health Options Dual Plan | $1,157 | 52% |
| Hope Select Pace | $1,157 | 52% |
| Horizon Nj Total Care | $1,157 | 52% |
| Hudson Headwaters Pace | $1,157 | 52% |
| Huron Valley Pace | $1,157 | 52% |
| Innovative Integrated Health Community Plans | $1,157 | 52% |
| Iowa Health Advantage | $1,157 | 52% |
| Johns Hopkins Advantage Md | $1,157 | 52% |
| Lasso Healthcare Msa | $1,157 | 52% |
| Life St Marys Pace | $1,157 | 52% |
| Lifecircles Pace | $1,157 | 52% |
| Longevity Health Plan | $1,157 | 52% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $1,157 | 52% |
| Martins Point Generations Advantage | $1,157 | 52% |
| Mass General Brigham McR Adv | $1,157 | 52% |
| Medipak Advantage | $1,157 | 52% |
| Mercy Life | $1,157 | 52% |
| Mercyone Cedar Valley | $1,157 | 52% |
| Meridian Complete | $1,157 | 52% |
| Michigan Complete Health | $1,157 | 52% |
| Nascentia Health Plus | $1,157 | 52% |
| New Centry Health Careplus | $1,157 | 52% |
| Osu Prime Care Advantage | $1,157 | 52% |
| Pace Cny | $1,157 | 52% |
| Pace Iowa Immanuel Pathways | $1,157 | 52% |
| Pace Southeast | $1,157 | 52% |
| Pace-Trinity Health | $1,157 | 52% |
| Peak Pace Solutions | $1,157 | 52% |
| Perennial Advantage | $1,157 | 52% |
| Preferred Care Partners | $1,157 | 52% |
| Presbyterian Senior Plan | $1,157 | 52% |
| Provider Partners Health Plan of Illinois | $1,157 | 52% |
| Provider Partners Health Plan of Indiana | $1,157 | 52% |
| Pruitthealth Premier | $1,157 | 52% |
| Reliance Community Care Partners Care Resources Pace | $1,157 | 52% |
| Rx Allwin | $1,157 | 52% |
| Rx Grane Grnmedd | $1,157 | 52% |
| Rx Retiree Rx Care | $1,157 | 52% |
| Scan Health Plan McR IPA Meritage Oon | $1,157 | 52% |
| Secure Horizons Ma Pffs | $1,157 | 52% |
| Serenity Pace | $1,157 | 52% |
| Siouxland Pace | $1,157 | 52% |
| Solis Health Plans | $1,157 | 52% |
| Sunnyview-Pace Finance Dept | $1,157 | 52% |
| Texan Plus | $1,157 | 52% |
| The Health Plan | $1,157 | 52% |
| Thome Pace | $1,157 | 52% |
| Todays Options | $1,157 | 52% |
| Tribute Health Plans | $1,157 | 52% |
| Um Health Advantage | $1,157 | 52% |
| Union Health Service | $1,157 | 52% |
| Welbe Health | $1,157 | 52% |
| Wellmed | $1,157 | 52% |
| Cca Senior Care Options | $1,173 | 53% |
| Veterans Administration | $1,180 | 53% |
| Champva | $1,254 | 57% |
| Tricare | $1,254 | 57% |
| Triwest Health Alliance | $1,254 | 57% |
| Veterans Eval Services | $1,254 | 57% |
| Us Family Health Plan | $1,306 - $2,509 | 59% |
| Health New England | $1,360 - $2,671 | 61% |
| Fallon Health | $1,427 - $2,328 | 64% |
| Mass General Brigham Health Plan | $1,802 - $2,637 | 81% |
| Unicare | $1,808 - $1,984 | 82% |
| Wellpoint | $1,808 - $1,984 | 82% |
| Multiplan | $2,064 | 93% |
| Claimdoc | $2,066 | 93% |
| Innovative Health Plan II | $2,066 | 93% |
| Bcn Domestic | $2,225 | 100% |
| Blue Benefit Administrators of Massachusetts | $2,225 | 100% |
| Blue Care Network | $2,225 | 100% |
| Blue Distinction Transplant | $2,225 | 100% |
| Blue Shield - Ca | $2,225 | 100% |
| Blue Shield - Id (Regence) | $2,225 | 100% |
| Blue Shield - Ny Highmark Northeastern | $2,225 | 100% |
| Blue Shield - Ny Highmark Western | $2,225 | 100% |
| Blue Shield - PA (Highmark) | $2,225 | 100% |
| Blue Shield - Wa (Regence) | $2,225 | 100% |
| Health Choices | $2,225 | 100% |
| Kaiser Domestic | $2,225 | 100% |
| Pre-Employment | $2,225 | 100% |
| Wc Domestic | $2,225 | 100% |
| Connecticare | $2,239 - $2,699 | 101% |
| Healthscope | $2,480 | 112% |
| Tufts Health Plan | $2,509 | 113% |
| Coventry | $2,644 | 119% |
| First Health | $2,644 | 119% |
| Guardian | $2,644 | 119% |
| Meritain | $2,644 | 119% |
| Harvard Pilgrim Healthcare | $2,711 | 122% |
| Centivo | $2,715 | 123% |
| Prime Health Services | $2,833 | 128% |
| Andrie Inc | $3,039 | 137% |
| East Greenbush Central School District | $3,039 | 137% |
| Genex Wc | $3,039 | 137% |
| Healthsmart Workers Comp | $3,039 | 137% |
| Jag Source | $3,039 | 137% |
| New York State Insurance Fund | $3,039 | 137% |
| Njm Insurance Group | $3,039 | 137% |
| Rx Heatlhcomp | $3,039 | 137% |
| Rx Restat | $3,039 | 137% |
| Rx Saif Opdp Wc | $3,039 | 137% |
| Rx Worker's Comp | $3,039 | 137% |
| Wc Accident Fund | $3,039 | 137% |
| Wc Ace | $3,039 | 137% |
| Wc Acs Federal Employees | $3,039 | 137% |
| Wc Acuity | $3,039 | 137% |
| Wc Advantage | $3,039 | 137% |
| Wc Aegis | $3,039 | 137% |
| Wc Aig | $3,039 | 137% |
| Wc Aims | $3,039 | 137% |
| Wc Alaska National Ins | $3,039 | 137% |
| Wc Align Network | $3,039 | 137% |
| Wc Allied | $3,039 | 137% |
| Wc Am Trust N America | $3,039 | 137% |
| Wc American Claims Mgmt | $3,039 | 137% |
| Wc Amerisure | $3,039 | 137% |
| Wc Amtrust | $3,039 | 137% |
| Wc Asu Risk Mgt | $3,039 | 137% |
| Wc Benetech | $3,039 | 137% |
| Wc Berkley Admin | $3,039 | 137% |
| Wc Broadspire | $3,039 | 137% |
| Wc Broward County | $3,039 | 137% |
| Wc Bunch & Associates | $3,039 | 137% |
| Wc California State Comp Ins | $3,039 | 137% |
| Wc California State Ins Fund | $3,039 | 137% |
| Wc Capitol Area Health Consortium | $3,039 | 137% |
| Wc Ccmsi | $3,039 | 137% |
| Wc Chartis | $3,039 | 137% |
| Wc Chubb | $3,039 | 137% |
| Wc Cirma | $3,039 | 137% |
| Wc City of Albany | $3,039 | 137% |
| Wc City of Sioux City | $3,039 | 137% |
| Wc Claims Mgmt Inc | $3,039 | 137% |
| Wc Cna | $3,039 | 137% |
| Wc Comp One Admin C/O Manageability | $3,039 | 137% |
| Wc Compone Admin | $3,039 | 137% |
| Wc Ct Healthcare Trust | $3,039 | 137% |
| Wc Donegal Insurance Group | $3,039 | 137% |
| Wc Emc Insurance Company | $3,039 | 137% |
| Wc Employee Mutual | $3,039 | 137% |
| Wc Enablecomp | $3,039 | 137% |
| Wc Encore Health Network | $3,039 | 137% |
| Wc Erie | $3,039 | 137% |
| Wc Esis | $3,039 | 137% |
| Wc Evolutions | $3,039 | 137% |
| Wc Fcci | $3,039 | 137% |
| Wc Fed Ex | $3,039 | 137% |
| Wc Federal Black Lung | $3,039 | 137% |
| Wc Federated | $3,039 | 137% |
| Wc Finley Occupational Health | $3,039 | 137% |
| Wc First Agency/Occunet | $3,039 | 137% |
| Wc Ford Motor | $3,039 | 137% |
| Wc Fresno Unified Emp | $3,039 | 137% |
| Wc Gallagher Bassett | $3,039 | 137% |
| Wc General Motors | $3,039 | 137% |
| Wc Generic | $3,039 | 137% |
| Wc Genex Care for Ohio | $3,039 | 137% |
| Wc Great West Casualty | $3,039 | 137% |
| Wc Guarantee Insurance | $3,039 | 137% |
| Wc Guard Insurance Company | $3,039 | 137% |
| Wc Hab | $3,039 | 137% |
| Wc Hartford | $3,039 | 137% |
| Wc Hastings | $3,039 | 137% |
| Wc Health Management | $3,039 | 137% |
| Wc Heritage Summit | $3,039 | 137% |
| Wc Hireright | $3,039 | 137% |
| Wc Horizon | $3,039 | 137% |
| Wc Icw Group | $3,039 | 137% |
| Wc Idaho State Ins Fund | $3,039 | 137% |
| Wc Intercare Insurance | $3,039 | 137% |
| Wc Intermountain | $3,039 | 137% |
| Wc Johns Eastern | $3,039 | 137% |
| Wc Kemberton | $3,039 | 137% |
| Wc Key Ins & Benefit Solutions | $3,039 | 137% |
| Wc Liberty Mutual | $3,039 | 137% |
| Wc Mac Risk Management | $3,039 | 137% |
| Wc Massachusetts | $3,039 | 137% |
| Wc Mdia | $3,039 | 137% |
| Wc Meadowbrook Claim | $3,039 | 137% |
| Wc Medical Administrators | $3,039 | 137% |
| Wc Meijers | $3,039 | 137% |
| Wc Memic | $3,039 | 137% |
| Wc Mercy Workcare | $3,039 | 137% |
| Wc Michigan | $3,039 | 137% |
| Wc Michigan Millers Mutual | $3,039 | 137% |
| Wc Mitchell Frankenmuth | $3,039 | 137% |
| Wc Mra | $3,039 | 137% |
| Wc Nationwide | $3,039 | 137% |
| Wc Nca Comp | $3,039 | 137% |
| Wc New York | $3,039 | 137% |
| Wc New York Special Funds | $3,039 | 137% |
| Wc North American Rishces | $3,039 | 137% |
| Wc Northeast Health | $3,039 | 137% |
| Wc Notre Dame | $3,039 | 137% |
| Wc Novanet | $3,039 | 137% |
| Wc O'Hara Corp | $3,039 | 137% |
| Wc Occ Health Allen | $3,039 | 137% |
| Wc Ohio Bureau | $3,039 | 137% |
| Wc One Call Medical | $3,039 | 137% |
| Wc Paradigm | $3,039 | 137% |
| Wc Peerless | $3,039 | 137% |
| Wc Pma | $3,039 | 137% |
| Wc Praxis Health Network | $3,039 | 137% |
| Wc Price Chopper | $3,039 | 137% |
| Wc Procura Management | $3,039 | 137% |
| Wc Qualcare | $3,039 | 137% |
| Wc Quiktrip | $3,039 | 137% |
| Wc Reny Company | $3,039 | 137% |
| Wc Rev Claims | $3,039 | 137% |
| Wc Risico | $3,039 | 137% |
| Wc Rural Mutual | $3,039 | 137% |
| Wc Saif Oregon | $3,039 | 137% |
| Wc Secura | $3,039 | 137% |
| Wc Sedgwick | $3,039 | 137% |
| Wc Sentry | $3,039 | 137% |
| Wc Sheakley Unicomp | $3,039 | 137% |
| Wc Smile Lodge | $3,039 | 137% |
| Wc Society | $3,039 | 137% |
| Wc Srs | $3,039 | 137% |
| Wc Taconic (Mro) | $3,039 | 137% |
| Wc Taconic Farms | $3,039 | 137% |
| Wc Travelers | $3,039 | 137% |
| Wc Triad Group | $3,039 | 137% |
| Wc Tristar | $3,039 | 137% |
| Wc Troy Ny | $3,039 | 137% |
| Wc Tyson | $3,039 | 137% |
| Wc Unified Health Services | $3,039 | 137% |
| Wc United Heartland | $3,039 | 137% |
| Wc Us Dept of Labor | $3,039 | 137% |
| Wc Velocity | $3,039 | 137% |
| Wc Walmart | $3,039 | 137% |
| Wc West Bend | $3,039 | 137% |
| Wc West Bend Mutual/Argent | $3,039 | 137% |
| Wc Winnebago Industries | $3,039 | 137% |
| Wc Yankee Trails | $3,039 | 137% |
| Wc York Risk | $3,039 | 137% |
| Wc Zenith | $3,039 | 137% |
| Wc Zurich | $3,039 | 137% |
| Health Smart | $4,485 - $4,722 | 203% |
| Wc Corvel | $4,485 - $4,722 | 203% |
| Delta Dental Ga | $5,277 - $5,555 | 238% |
| Delta Dental Mi | $5,277 - $5,555 | 238% |
| Delta Dental Mo | $5,277 - $5,555 | 238% |
| Delta Dental Nj | $5,277 - $5,555 | 238% |
| Delta Dental Ny | $5,277 - $5,555 | 238% |
| Delta Dental Oh | $5,277 - $5,555 | 238% |
| Delta Dental Or | $5,277 - $5,555 | 238% |
| Delta Dental PA | $5,277 - $5,555 | 238% |
| Delta Dental VA | $5,277 - $5,555 | 238% |
| Delta Dental Wa | $5,277 - $5,555 | 238% |
| Liberty Dental | $5,277 - $5,555 | 238% |