CMS Price Transparency Data
X-ray, chest (two views)
Facility: Saint Mary's Hospital
Billing Code: 71046 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71046
- Insurance Median: $10
- Cash Discount Price: $228
- vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Saint Mary's Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.11x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$228
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$88.91
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $228 (256%)
Insurance Median: $10 (11%)
Cash: $228 (256% of Medicare)
Ins. Median: $10 (11% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $88.91 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $3 - $3,710 | 3% |
| Albany County Correctional Facility | $3 - $7 | 3% |
| Ambetter / Centene | $3 - $7 | 3% |
| Amish Mennonite | $3 - $7 | 3% |
| Ascension St. Vincent Public Safety Medical | $3 - $7 | 3% |
| Bcccp-Michigan | $3 - $7 | 3% |
| Bccp | $3 - $7 | 3% |
| Blue Cross Blue Shield | $3 - $11,227 | 3% |
| Bmc Healthnet | $3 - $7 | 3% |
| Breast Grant-Connecticut | $3 - $7 | 3% |
| Broward County Dept of Health | $3 - $7 | 3% |
| California Health and Wellness | $3 - $7 | 3% |
| Can Community Health Inc | $3 - $7 | 3% |
| Cardinal Innovations Lme | $3 - $7 | 3% |
| Care Connections of Northern Iowa | $3 - $7 | 3% |
| Care Oregon Ohp | $3 - $7 | 3% |
| Cencal Health Plan | $3 - $7 | 3% |
| Cenpatico | $3 - $7 | 3% |
| Chhuny | $3 - $7 | 3% |
| Childrens Comm Health Plan | $3 - $7 | 3% |
| Childrens Medical Services Title 19 | $3 - $7 | 3% |
| Cigna | $3 - $3,821 | 3% |
| City of Philadelphia | $3 - $7 | 3% |
| Cmh Allegan County | $3 - $7 | 3% |
| Cmh Ausable Valley | $3 - $7 | 3% |
| Cmh Barry County | $3 - $7 | 3% |
| Cmh Bay-Arenac County | $3 - $7 | 3% |
| Cmh Berrien County | $3 - $7 | 3% |
| Cmh Cass County | $3 - $7 | 3% |
| Cmh Central Mi County | $3 - $7 | 3% |
| Cmh Clinton-Eaton-Ingham County | $3 - $7 | 3% |
| Cmh Detroit Wayne Integrated Health Network | $3 - $7 | 3% |
| Cmh Genesee County | $3 - $7 | 3% |
| Cmh Ionia County | $3 - $7 | 3% |
| Cmh Jackson County/Lifeways | $3 - $7 | 3% |
| Cmh Kalamazoo | $3 - $7 | 3% |
| Cmh Kent County | $3 - $7 | 3% |
| Cmh Lenawee County | $3 - $7 | 3% |
| Cmh Livingston County | $3 - $7 | 3% |
| Cmh Macomb | $3 - $7 | 3% |
| Cmh Misc | $3 - $7 | 3% |
| Cmh Monroe County | $3 - $7 | 3% |
| Cmh Montcalm County | $3 - $7 | 3% |
| Cmh Muskegon County | $3 - $7 | 3% |
| Cmh Newaygo County | $3 - $7 | 3% |
| Cmh North Country | $3 - $7 | 3% |
| Cmh Northern Lakes County | $3 - $7 | 3% |
| Cmh Oakland County | $3 - $7 | 3% |
| Cmh Ottawa County | $3 - $7 | 3% |
| Cmh Van Buren County | $3 - $7 | 3% |
| Cmh Washtenaw County | $3 - $7 | 3% |
| Cmh Wayne County/Carelink | $3 - $7 | 3% |
| Cmh Wayne Cty/Com Liv Svcs | $3 - $7 | 3% |
| Cmh West Mi County | $3 - $7 | 3% |
| Community Benefit Health | $3 - $7 | 3% |
| Community Care Behavorial Health | $3 - $7 | 3% |
| Community Care Partners | $3 - $7 | 3% |
| Community Health Choice | $3 - $7 | 3% |
| Connections Csp | $3 - $7 | 3% |
| County Coroner | $3 - $7 | 3% |
| County Funding Generic | $3 - $7 | 3% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $3 - $7 | 3% |
| Dean Wi Badgercare | $3 - $7 | 3% |
| Delaware County Department of Health | $3 - $7 | 3% |
| Delaware First Health | $3 - $7 | 3% |
| Dph Tb Program | $3 - $7 | 3% |
| Dscc | $3 - $7 | 3% |
| Eastpointe Lme | $3 - $7 | 3% |
| Family Health Network | $3 - $7 | 3% |
| Freedom First Healthcare | $3 - $7 | 3% |
| Fresno County Ccs | $3 - $7 | 3% |
| Ghc Scw Wi Badgercare | $3 - $7 | 3% |
| Harbor Health | $3 - $7 | 3% |
| Health Safety Net | $3 - $7 | 3% |
| Healthy Blue Ne | $3 - $7 | 3% |
| Hennepin Health | $3 - $7 | 3% |
| Humana | $3 - $10 | 3% |
| Id County Ada | $3 - $7 | 3% |
| Id County Canyon | $3 - $7 | 3% |
| Id County Cat Fund | $3 - $7 | 3% |
| Id County Other | $3 - $7 | 3% |
| Id County Payette | $3 - $7 | 3% |
| Idaho Dept Health and Wellfare | $3 - $7 | 3% |
| Idaho Womens Health Check | $3 - $7 | 3% |
| Indiana Breast Cervical Cancer | $3 - $7 | 3% |
| Inland Empire Health Plan | $3 - $7 | 3% |
| Intercommunity Health Ohp | $3 - $7 | 3% |
| Iowa Total Care | $3 - $7 | 3% |
| Jai Medical System | $3 - $7 | 3% |
| Kern Family Health Plan | $3 - $7 | 3% |
| Keystone First | $3 - $7 | 3% |
| Keystone First Chip | $3 - $7 | 3% |
| La Care Health Plan | $3 - $7 | 3% |
| Lakeland Care Inc | $3 - $7 | 3% |
| Managed Health Services - Indiana | $3 - $7 | 3% |
| Maryland Breast & Cervical Program | $3 - $7 | 3% |
| Maryland Healthy Smiles - Scion Dental | $3 - $7 | 3% |
| Maryland Physicians Care | $3 - $7 | 3% |
| Massachusetts Behavioral Health Partnership | $3 - $7 | 3% |
| Mdwise | $3 - $7 | 3% |
| Medi-Cal | $3 - $7 | 3% |
| Medi-Cal Healthnet | $3 - $7 | 3% |
| Medicaid / KanCare | $3 - $23 | 3% |
| Medstar Dc Healthy Family | $3 - $7 | 3% |
| Medstar Md Health Choice | $3 - $7 | 3% |
| Mo Home State Health Plan | $3 - $7 | 3% |
| Molina Centennial Care | $3 - $7 | 3% |
| Nascentia Health Options | $3 - $7 | 3% |
| Nebraska Total Care | $3 - $7 | 3% |
| New York Cancer Services Program | $3 - $7 | 3% |
| Nextlevel Health | $3 - $7 | 3% |
| Oregon Screenwise | $3 - $7 | 3% |
| Pace of Southwest Michigan | $3 - $10 | 3% |
| Paramount Advantage | $3 - $7 | 3% |
| Parkland Community Health Plan | $3 - $7 | 3% |
| Partners Behavioral Lme | $3 - $7 | 3% |
| Peach State Healthplan | $3 - $7 | 3% |
| Philadelphia County Funding | $3 - $7 | 3% |
| Presbyterian Centennial Care | $3 - $7 | 3% |
| Prestige Health Choice | $3 - $7 | 3% |
| Priority Partners | $3 - $7 | 3% |
| Robert F Sing Program | $3 - $7 | 3% |
| Rx 340B Pass Along | $3 - $7 | 3% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $3 - $7 | 3% |
| Rx Medi-Cal | $3 - $7 | 3% |
| Rx Meridian Rx | $3 - $7 | 3% |
| Ryan White Florida Mssrp | $3 - $7 | 3% |
| Sandhills Center Lme | $3 - $7 | 3% |
| Screening for Life | $3 - $7 | 3% |
| St Joseph County Hlth Dpt | $3 - $7 | 3% |
| Stephenson Cty Health | $3 - $7 | 3% |
| Sunshine State Health Plan | $3 - $7 | 3% |
| Superior Health | $3 - $7 | 3% |
| Tenncare | $3 - $7 | 3% |
| Texas Children's Health Plan | $3 - $7 | 3% |
| Trillium Community Ohp | $3 - $7 | 3% |
| Tufts Health Public Plans | $3 - $7 | 3% |
| UnitedHealthcare | $3 - $3,710 | 3% |
| Vaya Health Lme | $3 - $7 | 3% |
| Washtenaw Health Plan | $3 - $7 | 3% |
| Wellsense Health Plan | $3 - $7 | 3% |
| Wi Womens Wellness | $3 - $7 | 3% |
| Align Senior Care | $5 - $10 | 6% |
| Ally Align Care Adv | $5 - $10 | 6% |
| American Health Advantage of Idaho | $5 - $10 | 6% |
| American Health Plan | $5 - $10 | 6% |
| Aurora Special Needs | $5 - $10 | 6% |
| Blue Care Network Advantage | $5 - $10 | 6% |
| Blue Shield - De (Highmark) Medciare Advantage | $5 - $10 | 6% |
| Care Dimensions | $5 - $10 | 6% |
| Care Improvement Plus | $5 - $10 | 6% |
| Care Resources Pace | $5 - $10 | 6% |
| Careplus Health Plans | $5 - $10 | 6% |
| Cca - Zing Health | $5 - $10 | 6% |
| Cca Senior Care Options | $5 - $3,784 | 6% |
| Central Valley Medical Services Corp Pace | $5 - $10 | 6% |
| Champion Health Plan McR Advantage | $5 - $10 | 6% |
| Champva | $5 - $10 | 6% |
| Clear Spring Health | $5 - $10 | 6% |
| Clover Health | $5 - $10 | 6% |
| Commonwealth Care Alliance | $5 - $10 | 6% |
| Community Pace at Home | $5 - $10 | 6% |
| Eddy Senior Care-Pace | $5 - $10 | 6% |
| Eddy Seniorcare Pace | $5 - $10 | 6% |
| Elementcare | $5 - $10 | 6% |
| Evercare | $5 - $10 | 6% |
| Everence | $5 - $10 | 6% |
| Gateway Health Plan | $5 - $10 | 6% |
| Genesys Pace of Genesee County | $5 - $10 | 6% |
| Georgia Health Advantage | $5 - $10 | 6% |
| Gold Advantage | $5 - $10 | 6% |
| Gpa Croell Redi Mix | $5 - $10 | 6% |
| Health America Advantra | $5 - $10 | 6% |
| Health New England | $5 - $220 | 6% |
| Highmark Health Options Dual Plan | $5 - $10 | 6% |
| Hope Select Pace | $5 - $10 | 6% |
| Horizon Nj Total Care | $5 - $10 | 6% |
| Hudson Headwaters Pace | $5 - $10 | 6% |
| Huron Valley Pace | $5 - $10 | 6% |
| Innovative Integrated Health Community Plans | $5 - $10 | 6% |
| Iowa Health Advantage | $5 - $10 | 6% |
| Johns Hopkins Advantage Md | $5 - $10 | 6% |
| Lasso Healthcare Msa | $5 - $10 | 6% |
| Life St Marys Pace | $5 - $10 | 6% |
| Lifecircles Pace | $5 - $10 | 6% |
| Longevity Health Plan | $5 - $10 | 6% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $5 - $10 | 6% |
| Martins Point Generations Advantage | $5 - $10 | 6% |
| Mass General Brigham McR Adv | $5 - $10 | 6% |
| Medicare (plans) | $5 - $3,861 | 6% |
| Medipak Advantage | $5 - $10 | 6% |
| Mercy Life | $5 - $10 | 6% |
| Mercyone Cedar Valley | $5 - $10 | 6% |
| Meridian Complete | $5 - $10 | 6% |
| Michigan Complete Health | $5 - $10 | 6% |
| Nascentia Health Plus | $5 - $10 | 6% |
| New Centry Health Careplus | $5 - $10 | 6% |
| Osu Prime Care Advantage | $5 - $10 | 6% |
| Pace Cny | $5 - $10 | 6% |
| Pace Iowa Immanuel Pathways | $5 - $10 | 6% |
| Pace Southeast | $5 - $10 | 6% |
| Pace-Trinity Health | $5 - $10 | 6% |
| Peak Pace Solutions | $5 - $10 | 6% |
| Perennial Advantage | $5 - $10 | 6% |
| Preferred Care Partners | $5 - $10 | 6% |
| Presbyterian Senior Plan | $5 - $10 | 6% |
| Provider Partners Health Plan of Illinois | $5 - $10 | 6% |
| Provider Partners Health Plan of Indiana | $5 - $10 | 6% |
| Pruitthealth Premier | $5 - $10 | 6% |
| Reliance Community Care Partners Care Resources Pace | $5 - $10 | 6% |
| Rx Allwin | $5 - $10 | 6% |
| Rx Grane Grnmedd | $5 - $10 | 6% |
| Rx Retiree Rx Care | $5 - $10 | 6% |
| Scan Health Plan McR IPA Meritage Oon | $5 - $10 | 6% |
| Secure Horizons Ma Pffs | $5 - $10 | 6% |
| Serenity Pace | $5 - $10 | 6% |
| Siouxland Pace | $5 - $10 | 6% |
| Solis Health Plans | $5 - $10 | 6% |
| Sunnyview-Pace Finance Dept | $5 - $10 | 6% |
| Texan Plus | $5 - $10 | 6% |
| The Health Plan | $5 - $10 | 6% |
| Thome Pace | $5 - $10 | 6% |
| Todays Options | $5 - $10 | 6% |
| Tribute Health Plans | $5 - $10 | 6% |
| Tricare | $5 - $10 | 6% |
| Triwest Health Alliance | $5 - $10 | 6% |
| Um Health Advantage | $5 - $10 | 6% |
| Union Health Service | $5 - $10 | 6% |
| Us Family Health Plan | $5 - $10 | 6% |
| Veterans Administration | $5 - $10 | 6% |
| Veterans Eval Services | $5 - $10 | 6% |
| Welbe Health | $5 - $10 | 6% |
| Wellmed | $5 - $10 | 6% |
| Fallon Health | $7 - $319 | 8% |
| Mass General Brigham Health Plan | $8 - $22 | 9% |
| Bcn Domestic | $9 - $11,227 | 10% |
| Blue Benefit Administrators of Massachusetts | $9 - $11,227 | 10% |
| Blue Care Network | $9 - $11,227 | 10% |
| Blue Distinction Transplant | $9 - $11,227 | 10% |
| Blue Shield - Ca | $9 - $11,227 | 10% |
| Blue Shield - Id (Regence) | $9 - $11,227 | 10% |
| Blue Shield - Ny Highmark Northeastern | $9 - $11,227 | 10% |
| Blue Shield - Ny Highmark Western | $9 - $11,227 | 10% |
| Blue Shield - PA (Highmark) | $9 - $11,227 | 10% |
| Blue Shield - Wa (Regence) | $9 - $11,227 | 10% |
| Claimdoc | $9 - $7,949 | 10% |
| Connecticare | $9 - $102 | 10% |
| Health Choices | $9 - $11,227 | 10% |
| Innovative Health Plan II | $9 - $7,949 | 10% |
| Kaiser Domestic | $9 - $11,227 | 10% |
| Pre-Employment | $9 - $11,227 | 10% |
| Unicare | $9 - $11,227 | 10% |
| Wc Domestic | $9 - $11,227 | 10% |
| Wellpoint | $9 - $11,227 | 10% |
| Multiplan | $10 - $319 | 11% |
| Healthscope | $11 - $22 | 12% |
| Tufts Health Plan | $11 - $23 | 12% |
| Andrie Inc | $12 - $23 | 13% |
| Centivo | $12 - $7,570 | 13% |
| East Greenbush Central School District | $12 - $23 | 13% |
| Genex Wc | $12 - $23 | 13% |
| Harvard Pilgrim Healthcare | $12 - $128 | 13% |
| Healthsmart Workers Comp | $12 - $23 | 13% |
| Jag Source | $12 - $23 | 13% |
| New York State Insurance Fund | $12 - $23 | 13% |
| Njm Insurance Group | $12 - $23 | 13% |
| Rx Heatlhcomp | $12 - $23 | 13% |
| Rx Restat | $12 - $23 | 13% |
| Rx Saif Opdp Wc | $12 - $23 | 13% |
| Rx Worker's Comp | $12 - $23 | 13% |
| Wc Accident Fund | $12 - $23 | 13% |
| Wc Ace | $12 - $23 | 13% |
| Wc Acs Federal Employees | $12 - $23 | 13% |
| Wc Acuity | $12 - $23 | 13% |
| Wc Advantage | $12 - $23 | 13% |
| Wc Aegis | $12 - $23 | 13% |
| Wc Aig | $12 - $23 | 13% |
| Wc Aims | $12 - $23 | 13% |
| Wc Alaska National Ins | $12 - $23 | 13% |
| Wc Align Network | $12 - $23 | 13% |
| Wc Allied | $12 - $23 | 13% |
| Wc Am Trust N America | $12 - $23 | 13% |
| Wc American Claims Mgmt | $12 - $23 | 13% |
| Wc Amerisure | $12 - $23 | 13% |
| Wc Amtrust | $12 - $23 | 13% |
| Wc Asu Risk Mgt | $12 - $23 | 13% |
| Wc Benetech | $12 - $23 | 13% |
| Wc Berkley Admin | $12 - $23 | 13% |
| Wc Broadspire | $12 - $23 | 13% |
| Wc Broward County | $12 - $23 | 13% |
| Wc Bunch & Associates | $12 - $23 | 13% |
| Wc California State Comp Ins | $12 - $23 | 13% |
| Wc California State Ins Fund | $12 - $23 | 13% |
| Wc Capitol Area Health Consortium | $12 - $23 | 13% |
| Wc Ccmsi | $12 - $23 | 13% |
| Wc Chartis | $12 - $23 | 13% |
| Wc Chubb | $12 - $23 | 13% |
| Wc Cirma | $12 - $23 | 13% |
| Wc City of Albany | $12 - $23 | 13% |
| Wc City of Sioux City | $12 - $23 | 13% |
| Wc Claims Mgmt Inc | $12 - $23 | 13% |
| Wc Cna | $12 - $23 | 13% |
| Wc Comp One Admin C/O Manageability | $12 - $23 | 13% |
| Wc Compone Admin | $12 - $23 | 13% |
| Wc Ct Healthcare Trust | $12 - $23 | 13% |
| Wc Donegal Insurance Group | $12 - $23 | 13% |
| Wc Emc Insurance Company | $12 - $23 | 13% |
| Wc Employee Mutual | $12 - $23 | 13% |
| Wc Enablecomp | $12 - $23 | 13% |
| Wc Encore Health Network | $12 - $23 | 13% |
| Wc Erie | $12 - $23 | 13% |
| Wc Esis | $12 - $23 | 13% |
| Wc Evolutions | $12 - $23 | 13% |
| Wc Fcci | $12 - $23 | 13% |
| Wc Fed Ex | $12 - $23 | 13% |
| Wc Federal Black Lung | $12 - $23 | 13% |
| Wc Federated | $12 - $23 | 13% |
| Wc Finley Occupational Health | $12 - $23 | 13% |
| Wc First Agency/Occunet | $12 - $23 | 13% |
| Wc Ford Motor | $12 - $23 | 13% |
| Wc Fresno Unified Emp | $12 - $23 | 13% |
| Wc Gallagher Bassett | $12 - $23 | 13% |
| Wc General Motors | $12 - $23 | 13% |
| Wc Generic | $12 - $23 | 13% |
| Wc Genex Care for Ohio | $12 - $23 | 13% |
| Wc Great West Casualty | $12 - $23 | 13% |
| Wc Guarantee Insurance | $12 - $23 | 13% |
| Wc Guard Insurance Company | $12 - $23 | 13% |
| Wc Hab | $12 - $23 | 13% |
| Wc Hartford | $12 - $23 | 13% |
| Wc Hastings | $12 - $23 | 13% |
| Wc Health Management | $12 - $23 | 13% |
| Wc Heritage Summit | $12 - $23 | 13% |
| Wc Hireright | $12 - $23 | 13% |
| Wc Horizon | $12 - $23 | 13% |
| Wc Icw Group | $12 - $23 | 13% |
| Wc Idaho State Ins Fund | $12 - $23 | 13% |
| Wc Intercare Insurance | $12 - $23 | 13% |
| Wc Intermountain | $12 - $23 | 13% |
| Wc Johns Eastern | $12 - $23 | 13% |
| Wc Kemberton | $12 - $23 | 13% |
| Wc Key Ins & Benefit Solutions | $12 - $23 | 13% |
| Wc Liberty Mutual | $12 - $23 | 13% |
| Wc Mac Risk Management | $12 - $23 | 13% |
| Wc Massachusetts | $12 - $23 | 13% |
| Wc Mdia | $12 - $23 | 13% |
| Wc Meadowbrook Claim | $12 - $23 | 13% |
| Wc Medical Administrators | $12 - $23 | 13% |
| Wc Meijers | $12 - $23 | 13% |
| Wc Memic | $12 - $23 | 13% |
| Wc Mercy Workcare | $12 - $23 | 13% |
| Wc Michigan | $12 - $23 | 13% |
| Wc Michigan Millers Mutual | $12 - $23 | 13% |
| Wc Mitchell Frankenmuth | $12 - $23 | 13% |
| Wc Mra | $12 - $23 | 13% |
| Wc Nationwide | $12 - $23 | 13% |
| Wc Nca Comp | $12 - $23 | 13% |
| Wc New York | $12 - $23 | 13% |
| Wc New York Special Funds | $12 - $23 | 13% |
| Wc North American Rishces | $12 - $23 | 13% |
| Wc Northeast Health | $12 - $23 | 13% |
| Wc Notre Dame | $12 - $23 | 13% |
| Wc Novanet | $12 - $23 | 13% |
| Wc O'Hara Corp | $12 - $23 | 13% |
| Wc Occ Health Allen | $12 - $23 | 13% |
| Wc Ohio Bureau | $12 - $23 | 13% |
| Wc One Call Medical | $12 - $23 | 13% |
| Wc Paradigm | $12 - $23 | 13% |
| Wc Peerless | $12 - $23 | 13% |
| Wc Pma | $12 - $23 | 13% |
| Wc Praxis Health Network | $12 - $23 | 13% |
| Wc Price Chopper | $12 - $23 | 13% |
| Wc Procura Management | $12 - $23 | 13% |
| Wc Qualcare | $12 - $23 | 13% |
| Wc Quiktrip | $12 - $23 | 13% |
| Wc Reny Company | $12 - $23 | 13% |
| Wc Rev Claims | $12 - $23 | 13% |
| Wc Risico | $12 - $23 | 13% |
| Wc Rural Mutual | $12 - $23 | 13% |
| Wc Saif Oregon | $12 - $23 | 13% |
| Wc Secura | $12 - $23 | 13% |
| Wc Sedgwick | $12 - $23 | 13% |
| Wc Sentry | $12 - $23 | 13% |
| Wc Sheakley Unicomp | $12 - $23 | 13% |
| Wc Smile Lodge | $12 - $23 | 13% |
| Wc Society | $12 - $23 | 13% |
| Wc Srs | $12 - $23 | 13% |
| Wc Taconic (Mro) | $12 - $23 | 13% |
| Wc Taconic Farms | $12 - $23 | 13% |
| Wc Travelers | $12 - $23 | 13% |
| Wc Triad Group | $12 - $23 | 13% |
| Wc Tristar | $12 - $23 | 13% |
| Wc Troy Ny | $12 - $23 | 13% |
| Wc Tyson | $12 - $23 | 13% |
| Wc Unified Health Services | $12 - $23 | 13% |
| Wc United Heartland | $12 - $23 | 13% |
| Wc Us Dept of Labor | $12 - $23 | 13% |
| Wc Velocity | $12 - $23 | 13% |
| Wc Walmart | $12 - $23 | 13% |
| Wc West Bend | $12 - $23 | 13% |
| Wc West Bend Mutual/Argent | $12 - $23 | 13% |
| Wc Winnebago Industries | $12 - $23 | 13% |
| Wc Yankee Trails | $12 - $23 | 13% |
| Wc York Risk | $12 - $23 | 13% |
| Wc Zenith | $12 - $23 | 13% |
| Wc Zurich | $12 - $23 | 13% |
| Prime Health Services | $13 - $331 | 15% |
| Coventry | $15 - $23 | 17% |
| First Health | $15 - $23 | 17% |
| Guardian | $15 - $23 | 17% |
| Meritain | $15 - $64 | 17% |
| Health Smart | $20 - $352 | 22% |
| Wc Corvel | $20 | 22% |
| Delta Dental Ga | $23 | 26% |
| Delta Dental Mi | $23 | 26% |
| Delta Dental Mo | $23 | 26% |
| Delta Dental Nj | $23 | 26% |
| Delta Dental Ny | $23 | 26% |
| Delta Dental Oh | $23 | 26% |
| Delta Dental Or | $23 | 26% |
| Delta Dental PA | $23 | 26% |
| Delta Dental VA | $23 | 26% |
| Delta Dental Wa | $23 | 26% |
| Liberty Dental | $23 | 26% |
| 1199 National Benefit Fund | $64 | 72% |
| Allied Benefit Systems | $64 | 72% |
| Gravie Admin Services | $64 | 72% |
| Hap | $64 | 72% |
| Luminare Health | $64 | 72% |
| Nippon Life Ins | $64 | 72% |
| Webtpa | $64 | 72% |
| Connecticut Dept of Correction | $96 - $3,496 | 108% |
| Allegiance | $114 | 128% |
| Health Partners | $114 | 128% |
| Magnacare | $114 | 128% |
| Geha | $128 | 144% |
| Carelon Behavioral Health | $207 | 233% |
| Diversified Administrators | $219 - $7,949 | 246% |
| Allied National Global Care | $319 | 359% |
| Asrm - Reliance Standard Life Insurance | $319 | 359% |
| Christian Care Ministry | $319 | 359% |
| Dean Health | $319 | 359% |
| Family Life Insurance Company | $319 | 359% |
| Ghc Scw | $319 | 359% |
| International Benefit Administrators | $319 | 359% |
| Lifetime Benefit Solutions | $319 | 359% |
| Manhattan Life | $319 | 359% |
| Medi Share | $319 | 359% |
| Mvp | $319 | 359% |
| PHCS | $319 | 359% |
| Pai | $319 | 359% |
| Pan-American Life | $319 | 359% |
| Paramount HMO | $319 | 359% |
| Trinity Health Share | $319 | 359% |
| United Behavioral Health Eap | $414 | 466% |