CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Mercyone Waterloo Medical Center
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $244
- Cash Discount Price: $1,220
- vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Mercyone Waterloo Medical Center is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,220. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.07x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$1,220
Average discount available for prompt cash payment at this facility.
Insurance Median
$244
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$3,342.87
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $3,342.87 (100%)
Cash / Self-Pay: $1,220 (36%)
Insurance Median: $244 (7%)
Cash: $1,220 (36% of Medicare)
Ins. Median: $244 (7% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $3,342.87 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 |
|---|---|---|
| Avera | $58 - $546 | 2% |
| Humana | $60 - $561 | 2% |
| Medical Associates | $62 - $585 | 2% |
| Ambetter / Centene | $64 - $5,284 | 2% |
| Sanford Health Plan | $66 - $619 | 2% |
| Health Partners | $67 - $862 | 2% |
| Lucent Health | $67 - $4,889 | 2% |
| Health Smart | $69 - $649 | 2% |
| Ucare | $69 - $643 | 2% |
| Oscar | $70 - $4,827 | 2% |
| Quiktrip | $73 - $684 | 2% |
| Usa Managed Care | $73 - $680 | 2% |
| Centivo | $75 - $5,222 | 2% |
| Claimdoc | $78 - $6,322 | 2% |
| The Alliance | $79 - $736 | 2% |
| Multiplan | $81 - $812 | 2% |
| Bcn Domestic | $85 - $3,343 | 3% |
| Blue Benefit Administrators Of Massachusetts | $85 - $3,343 | 3% |
| Blue Care Network | $85 - $3,343 | 3% |
| Blue Cross Blue Shield | $85 - $3,343 | 3% |
| Blue Distinction Transplant | $85 - $3,343 | 3% |
| Blue Shield - Ca | $85 - $3,343 | 3% |
| Blue Shield - Id (Regence) | $85 - $3,343 | 3% |
| Blue Shield - Ny Highmark Northeastern | $85 - $3,343 | 3% |
| Blue Shield - Ny Highmark Western | $85 - $3,343 | 3% |
| Blue Shield - Pa (Highmark) | $85 - $3,343 | 3% |
| Blue Shield - Wa (Regence) | $85 - $3,343 | 3% |
| Global Excel | $85 - $792 | 3% |
| Health Choices | $85 - $1,100 | 3% |
| Kaiser Domestic | $85 - $3,343 | 3% |
| Pre-Employment | $85 - $3,343 | 3% |
| Wc Domestic | $85 - $3,343 | 3% |
| Preferred One | $87 - $816 | 3% |
| Velocity | $88 - $824 | 3% |
| Iowa Dept Of Public Health | $98 - $1,220 | 3% |
| Medicaid / KanCare | $98 - $3,178 | 3% |
| Nebraska Total Care | $98 - $1,220 | 3% |
| UnitedHealthcare | $98 - $3,144 | 3% |
| Geha | $99 - $927 | 3% |
| Newton Correctional Facility | $127 - $1,586 | 4% |
| Aetna | $135 - $4,889 | 4% |
| Meritain | $135 - $4,889 | 4% |
| Genex Wc | $146 - $1,830 | 4% |
| Allied Benefit Systems | $147 - $4,889 | 4% |
| Auxiant | $147 - $1,100 | 4% |
| Cigna | $147 - $1,100 | 4% |
| First Choice Health | $147 - $1,100 | 4% |
| Group Administrators | $147 - $1,100 | 4% |
| Midlands | $147 - $1,100 | 4% |
| Midlands Choice | $147 - $1,100 | 4% |
| Wc Align Network | $156 - $1,952 | 5% |
| Wc Praxis Health Network | $166 - $2,074 | 5% |
| Wc Reny Company | $170 - $2,123 | 5% |
| Wc Velocity | $170 - $2,123 | 5% |
| Auto Velocity | $176 - $2,196 | 5% |
| Wc O'Hara Corp | $176 - $2,196 | 5% |
| Andrie Inc | $195 - $2,440 | 6% |
| East Greenbush Central School District | $195 - $2,440 | 6% |
| Healthsmart Workers Comp | $195 - $2,440 | 6% |
| Jag Source | $195 - $2,440 | 6% |
| New York State Insurance Fund | $195 - $2,440 | 6% |
| Njm Insurance Group | $195 - $2,440 | 6% |
| Rx Heatlhcomp | $195 - $2,440 | 6% |
| Rx Restat | $195 - $2,440 | 6% |
| Rx Saif Opdp Wc | $195 - $2,440 | 6% |
| Rx Worker'S Comp | $195 - $2,440 | 6% |
| Wc Accident Fund | $195 - $2,440 | 6% |
| Wc Ace | $195 - $2,440 | 6% |
| Wc Acs Federal Employees | $195 - $2,440 | 6% |
| Wc Acuity | $195 - $2,440 | 6% |
| Wc Advantage | $195 - $2,440 | 6% |
| Wc Aegis | $195 - $2,440 | 6% |
| Wc Aig | $195 - $2,440 | 6% |
| Wc Aims | $195 - $2,440 | 6% |
| Wc Alaska National Ins | $195 - $2,440 | 6% |
| Wc Allied | $195 - $2,440 | 6% |
| Wc Am Trust N America | $195 - $2,440 | 6% |
| Wc American Claims Mgmt | $195 - $2,440 | 6% |
| Wc Amerisure | $195 - $2,440 | 6% |
| Wc Amtrust | $195 - $2,440 | 6% |
| Wc Asu Risk Mgt | $195 - $2,440 | 6% |
| Wc Benetech | $195 - $2,440 | 6% |
| Wc Berkley Admin | $195 - $2,440 | 6% |
| Wc Broadspire | $195 - $2,440 | 6% |
| Wc Broward County | $195 - $2,440 | 6% |
| Wc Bunch & Associates | $195 - $2,440 | 6% |
| Wc California State Comp Ins | $195 - $2,440 | 6% |
| Wc California State Ins Fund | $195 - $2,440 | 6% |
| Wc Capitol Area Health Consortium | $195 - $2,440 | 6% |
| Wc Ccmsi | $195 - $2,440 | 6% |
| Wc Chartis | $195 - $2,440 | 6% |
| Wc Chubb | $195 - $2,440 | 6% |
| Wc Cirma | $195 - $2,440 | 6% |
| Wc City Of Albany | $195 - $2,440 | 6% |
| Wc City Of Sioux City | $195 - $2,440 | 6% |
| Wc Claims Mgmt Inc | $195 - $2,440 | 6% |
| Wc Cna | $195 - $2,440 | 6% |
| Wc Comp One Admin C/O Manageability | $195 - $2,440 | 6% |
| Wc Compone Admin | $195 - $2,440 | 6% |
| Wc Ct Healthcare Trust | $195 - $2,440 | 6% |
| Wc Donegal Insurance Group | $195 - $2,440 | 6% |
| Wc Emc Insurance Company | $195 - $2,440 | 6% |
| Wc Employee Mutual | $195 - $2,440 | 6% |
| Wc Enablecomp | $195 - $2,440 | 6% |
| Wc Encore Health Network | $195 - $2,440 | 6% |
| Wc Erie | $195 - $2,440 | 6% |
| Wc Esis | $195 - $2,440 | 6% |
| Wc Evolutions | $195 - $2,440 | 6% |
| Wc Fcci | $195 - $2,440 | 6% |
| Wc Fed Ex | $195 - $2,440 | 6% |
| Wc Federal Black Lung | $195 - $2,440 | 6% |
| Wc Federated | $195 - $2,440 | 6% |
| Wc Finley Occupational Health | $195 - $2,440 | 6% |
| Wc First Agency/Occunet | $195 - $2,440 | 6% |
| Wc Ford Motor | $195 - $2,440 | 6% |
| Wc Fresno Unified Emp | $195 - $2,440 | 6% |
| Wc Gallagher Bassett | $195 - $2,440 | 6% |
| Wc General Motors | $195 - $2,440 | 6% |
| Wc Generic | $195 - $2,440 | 6% |
| Wc Genex Care For Ohio | $195 - $2,440 | 6% |
| Wc Great West Casualty | $195 - $2,440 | 6% |
| Wc Guarantee Insurance | $195 - $2,440 | 6% |
| Wc Guard Insurance Company | $195 - $2,440 | 6% |
| Wc Hab | $195 - $2,440 | 6% |
| Wc Hartford | $195 - $2,440 | 6% |
| Wc Hastings | $195 - $2,440 | 6% |
| Wc Health Management | $195 - $2,440 | 6% |
| Wc Heritage Summit | $195 - $2,440 | 6% |
| Wc Hireright | $195 - $2,440 | 6% |
| Wc Horizon | $195 - $2,440 | 6% |
| Wc Icw Group | $195 - $2,440 | 6% |
| Wc Idaho State Ins Fund | $195 - $2,440 | 6% |
| Wc Intercare Insurance | $195 - $2,440 | 6% |
| Wc Intermountain | $195 - $2,440 | 6% |
| Wc Johns Eastern | $195 - $2,440 | 6% |
| Wc Kemberton | $195 - $2,440 | 6% |
| Wc Key Ins & Benefit Solutions | $195 - $2,440 | 6% |
| Wc Liberty Mutual | $195 - $2,440 | 6% |
| Wc Mac Risk Management | $195 - $2,440 | 6% |
| Wc Massachusetts | $195 - $2,440 | 6% |
| Wc Mdia | $195 - $2,440 | 6% |
| Wc Meadowbrook Claim | $195 - $2,440 | 6% |
| Wc Medical Administrators | $195 - $2,440 | 6% |
| Wc Meijers | $195 - $2,440 | 6% |
| Wc Memic | $195 - $2,440 | 6% |
| Wc Mercy Workcare | $195 - $2,440 | 6% |
| Wc Michigan | $195 - $2,440 | 6% |
| Wc Michigan Millers Mutual | $195 - $2,440 | 6% |
| Wc Mitchell Frankenmuth | $195 - $2,440 | 6% |
| Wc Mra | $195 - $2,440 | 6% |
| Wc Nationwide | $195 - $2,440 | 6% |
| Wc Nca Comp | $195 - $2,440 | 6% |
| Wc New York | $195 - $2,440 | 6% |
| Wc New York Special Funds | $195 - $2,440 | 6% |
| Wc North American Rishces | $195 - $2,440 | 6% |
| Wc Northeast Health | $195 - $2,440 | 6% |
| Wc Notre Dame | $195 - $2,440 | 6% |
| Wc Novanet | $195 - $2,440 | 6% |
| Wc Occ Health Allen | $195 - $2,440 | 6% |
| Wc Ohio Bureau | $195 - $2,440 | 6% |
| Wc One Call Medical | $195 - $2,440 | 6% |
| Wc Paradigm | $195 - $2,440 | 6% |
| Wc Peerless | $195 - $2,440 | 6% |
| Wc Pma | $195 - $2,440 | 6% |
| Wc Price Chopper | $195 - $2,440 | 6% |
| Wc Procura Management | $195 - $2,440 | 6% |
| Wc Qualcare | $195 - $2,440 | 6% |
| Wc Quiktrip | $195 - $2,440 | 6% |
| Wc Rev Claims | $195 - $2,440 | 6% |
| Wc Risico | $195 - $2,440 | 6% |
| Wc Rural Mutual | $195 - $2,440 | 6% |
| Wc Saif Oregon | $195 - $2,440 | 6% |
| Wc Secura | $195 - $2,440 | 6% |
| Wc Sedgwick | $195 - $2,440 | 6% |
| Wc Sentry | $195 - $2,440 | 6% |
| Wc Sheakley Unicomp | $195 - $2,440 | 6% |
| Wc Smile Lodge | $195 - $2,440 | 6% |
| Wc Society | $195 - $2,440 | 6% |
| Wc Srs | $195 - $2,440 | 6% |
| Wc Taconic (Mro) | $195 - $2,440 | 6% |
| Wc Taconic Farms | $195 - $2,440 | 6% |
| Wc Travelers | $195 - $2,440 | 6% |
| Wc Triad Group | $195 - $2,440 | 6% |
| Wc Tristar | $195 - $2,440 | 6% |
| Wc Troy Ny | $195 - $2,440 | 6% |
| Wc Tyson | $195 - $2,440 | 6% |
| Wc Unified Health Services | $195 - $2,440 | 6% |
| Wc United Heartland | $195 - $2,440 | 6% |
| Wc Us Dept Of Labor | $195 - $2,440 | 6% |
| Wc Walmart | $195 - $2,440 | 6% |
| Wc West Bend | $195 - $2,440 | 6% |
| Wc West Bend Mutual/Argent | $195 - $2,440 | 6% |
| Wc Winnebago Industries | $195 - $2,440 | 6% |
| Wc Yankee Trails | $195 - $2,440 | 6% |
| Wc York Risk | $195 - $2,440 | 6% |
| Wc Zenith | $195 - $2,440 | 6% |
| Wc Zurich | $195 - $2,440 | 6% |
| Wc Corvel | $222 - $333 | 7% |
| Align Senior Care | $229 - $344 | 7% |
| Ally Align Care Adv | $229 - $344 | 7% |
| American Health Advantage Of Idaho | $229 - $344 | 7% |
| Aurora Special Needs | $229 - $344 | 7% |
| Blue Care Network Advantage | $229 - $344 | 7% |
| Blue Shield - De (Highmark) Medciare Advantage | $229 - $344 | 7% |
| Care Dimensions | $229 - $344 | 7% |
| Care Improvement Plus | $229 - $344 | 7% |
| Care Resources Pace | $229 - $344 | 7% |
| Careplus Health Plans | $229 - $344 | 7% |
| Cca - Zing Health | $229 - $344 | 7% |
| Cca Senior Care Options | $229 - $344 | 7% |
| Central Valley Medical Services Corp Pace | $229 - $344 | 7% |
| Champion Health Plan Mcr Advantage | $229 - $344 | 7% |
| Clear Spring Health | $229 - $344 | 7% |
| Clover Health | $229 - $344 | 7% |
| Commonwealth Care Alliance | $229 - $344 | 7% |
| Community Pace At Home | $229 - $344 | 7% |
| Eddy Senior Care-Pace | $229 - $344 | 7% |
| Eddy Seniorcare Pace | $229 - $344 | 7% |
| Elementcare | $229 - $344 | 7% |
| Evercare | $229 - $344 | 7% |
| Everence | $229 - $344 | 7% |
| Gateway Health Plan | $229 - $344 | 7% |
| Genesys Pace Of Genesee County | $229 - $344 | 7% |
| Georgia Health Advantage | $229 - $344 | 7% |
| Gold Advantage | $229 - $344 | 7% |
| Gpa Croell Redi Mix | $229 - $344 | 7% |
| Health America Advantra | $229 - $344 | 7% |
| Highmark Health Options Dual Plan | $229 - $344 | 7% |
| Hope Select Pace | $229 - $344 | 7% |
| Horizon Nj Total Care | $229 - $344 | 7% |
| Hudson Headwaters Pace | $229 - $344 | 7% |
| Huron Valley Pace | $229 - $344 | 7% |
| Innovative Integrated Health Community Plans | $229 - $344 | 7% |
| Johns Hopkins Advantage Md | $229 - $344 | 7% |
| Lasso Healthcare Msa | $229 - $344 | 7% |
| Life St Marys Pace | $229 - $344 | 7% |
| Lifecircles Pace | $229 - $344 | 7% |
| Longevity Health Plan | $229 - $344 | 7% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $229 - $344 | 7% |
| Martins Point Generations Advantage | $229 - $344 | 7% |
| Mass General Brigham Mcr Adv | $229 - $344 | 7% |
| Medicare (plans) | $229 - $3,208 | 7% |
| Medipak Advantage | $229 - $344 | 7% |
| Mercy Life | $229 - $344 | 7% |
| Mercyone Cedar Valley | $229 - $344 | 7% |
| Meridian Complete | $229 - $344 | 7% |
| Michigan Complete Health | $229 - $344 | 7% |
| Nascentia Health Plus | $229 - $344 | 7% |
| New Centry Health Careplus | $229 - $344 | 7% |
| Osu Prime Care Advantage | $229 - $344 | 7% |
| Pace Cny | $229 - $344 | 7% |
| Pace Iowa Immanuel Pathways | $229 - $344 | 7% |
| Pace Of Southwest Michigan | $229 - $366 | 7% |
| Pace Southeast | $229 - $344 | 7% |
| Pace-Trinity Health | $229 - $344 | 7% |
| Peak Pace Solutions | $229 - $344 | 7% |
| Perennial Advantage | $229 - $344 | 7% |
| Preferred Care Partners | $229 - $344 | 7% |
| Presbyterian Senior Plan | $229 - $344 | 7% |
| Provider Partners Health Plan Of Illinois | $229 - $344 | 7% |
| Provider Partners Health Plan Of Indiana | $229 - $344 | 7% |
| Pruitthealth Premier | $229 - $344 | 7% |
| Reliance Community Care Partners Care Resources Pace | $229 - $344 | 7% |
| Rx Allwin | $229 - $344 | 7% |
| Rx Grane Grnmedd | $229 - $344 | 7% |
| Rx Retiree Rx Care | $229 - $344 | 7% |
| Scan Health Plan Mcr Ipa Meritage Oon | $229 - $344 | 7% |
| Secure Horizons Ma Pffs | $229 - $344 | 7% |
| Serenity Pace | $229 - $344 | 7% |
| Siouxland Pace | $229 - $344 | 7% |
| Solis Health Plans | $229 - $344 | 7% |
| Sunnyview-Pace Finance Dept | $229 - $344 | 7% |
| Texan Plus | $229 - $344 | 7% |
| The Health Plan | $229 - $344 | 7% |
| Thome Pace | $229 - $344 | 7% |
| Todays Options | $229 - $344 | 7% |
| Tribute Health Plans | $229 - $344 | 7% |
| Um Health Advantage | $229 - $344 | 7% |
| Union Health Service | $229 - $344 | 7% |
| Welbe Health | $229 - $344 | 7% |
| Wellmed | $229 - $344 | 7% |
| Veterans Administration | $234 - $351 | 7% |
| American Health Plan | $240 - $361 | 7% |
| Iowa Health Advantage | $240 - $361 | 7% |
| Albany County Correctional Facility | $244 - $366 | 7% |
| Amish Mennonite | $244 - $366 | 7% |
| Ascension St. Vincent Public Safety Medical | $244 - $366 | 7% |
| Bcccp-Michigan | $244 - $366 | 7% |
| Bccp | $244 - $366 | 7% |
| Bmc Healthnet | $244 - $366 | 7% |
| Breast Grant-Connecticut | $244 - $366 | 7% |
| Broward County Dept Of Health | $244 - $366 | 7% |
| California Health And Wellness | $244 - $366 | 7% |
| Can Community Health Inc | $244 - $366 | 7% |
| Cardinal Innovations Lme | $244 - $366 | 7% |
| Care Connections Of Northern Iowa | $244 - $366 | 7% |
| Care Oregon Ohp | $244 - $366 | 7% |
| Cencal Health Plan | $244 - $366 | 7% |
| Cenpatico | $244 - $366 | 7% |
| Chhuny | $244 - $366 | 7% |
| Childrens Comm Health Plan | $244 - $366 | 7% |
| Childrens Medical Services Title 19 | $244 - $366 | 7% |
| City Of Philadelphia | $244 - $366 | 7% |
| Cmh Allegan County | $244 - $366 | 7% |
| Cmh Ausable Valley | $244 - $366 | 7% |
| Cmh Barry County | $244 - $366 | 7% |
| Cmh Bay-Arenac County | $244 - $366 | 7% |
| Cmh Berrien County | $244 - $366 | 7% |
| Cmh Cass County | $244 - $366 | 7% |
| Cmh Central Mi County | $244 - $366 | 7% |
| Cmh Clinton-Eaton-Ingham County | $244 - $366 | 7% |
| Cmh Detroit Wayne Integrated Health Network | $244 - $366 | 7% |
| Cmh Genesee County | $244 - $366 | 7% |
| Cmh Ionia County | $244 - $366 | 7% |
| Cmh Jackson County/Lifeways | $244 - $366 | 7% |
| Cmh Kalamazoo | $244 - $366 | 7% |
| Cmh Kent County | $244 - $366 | 7% |
| Cmh Lenawee County | $244 - $366 | 7% |
| Cmh Livingston County | $244 - $366 | 7% |
| Cmh Macomb | $244 - $366 | 7% |
| Cmh Misc | $244 - $366 | 7% |
| Cmh Monroe County | $244 - $366 | 7% |
| Cmh Montcalm County | $244 - $366 | 7% |
| Cmh Muskegon County | $244 - $366 | 7% |
| Cmh Newaygo County | $244 - $366 | 7% |
| Cmh North Country | $244 - $366 | 7% |
| Cmh Northern Lakes County | $244 - $366 | 7% |
| Cmh Oakland County | $244 - $366 | 7% |
| Cmh Ottawa County | $244 - $366 | 7% |
| Cmh Van Buren County | $244 - $366 | 7% |
| Cmh Washtenaw County | $244 - $366 | 7% |
| Cmh Wayne County/Carelink | $244 - $366 | 7% |
| Cmh Wayne Cty/Com Liv Svcs | $244 - $366 | 7% |
| Cmh West Mi County | $244 - $366 | 7% |
| Community Benefit Health | $244 - $366 | 7% |
| Community Care Behavorial Health | $244 - $366 | 7% |
| Community Care Partners | $244 - $366 | 7% |
| Community Health Choice | $244 - $366 | 7% |
| Connections Csp | $244 - $366 | 7% |
| County Coroner | $244 - $366 | 7% |
| County Funding Generic | $244 - $366 | 7% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $244 - $366 | 7% |
| Dean Wi Badgercare | $244 - $366 | 7% |
| Delaware County Department Of Health | $244 - $366 | 7% |
| Delaware First Health | $244 - $366 | 7% |
| Delta Dental Nj | $244 - $366 | 7% |
| Dph Tb Program | $244 - $366 | 7% |
| Dscc | $244 - $366 | 7% |
| Eastpointe Lme | $244 - $366 | 7% |
| Family Health Network | $244 - $366 | 7% |
| Freedom First Healthcare | $244 - $366 | 7% |
| Fresno County Ccs | $244 - $366 | 7% |
| Ghc Scw Wi Badgercare | $244 - $366 | 7% |
| Harbor Health | $244 - $366 | 7% |
| Health Safety Net | $244 - $366 | 7% |
| Healthy Blue Ne | $244 - $366 | 7% |
| Hennepin Health | $244 - $366 | 7% |
| Id County Ada | $244 - $366 | 7% |
| Id County Canyon | $244 - $366 | 7% |
| Id County Cat Fund | $244 - $366 | 7% |
| Id County Other | $244 - $366 | 7% |
| Id County Payette | $244 - $366 | 7% |
| Idaho Dept Health And Wellfare | $244 - $366 | 7% |
| Idaho Womens Health Check | $244 - $366 | 7% |
| Indiana Breast Cervical Cancer | $244 - $366 | 7% |
| Inland Empire Health Plan | $244 - $366 | 7% |
| Intercommunity Health Ohp | $244 - $366 | 7% |
| Jai Medical System | $244 - $366 | 7% |
| Kern Family Health Plan | $244 - $366 | 7% |
| Keystone First | $244 - $366 | 7% |
| Keystone First Chip | $244 - $366 | 7% |
| La Care Health Plan | $244 - $366 | 7% |
| Lakeland Care Inc | $244 - $366 | 7% |
| Managed Health Services - Indiana | $244 - $366 | 7% |
| Maryland Breast & Cervical Program | $244 - $366 | 7% |
| Maryland Healthy Smiles - Scion Dental | $244 - $366 | 7% |
| Maryland Physicians Care | $244 - $366 | 7% |
| Massachusetts Behavioral Health Partnership | $244 - $366 | 7% |
| Mdwise | $244 - $366 | 7% |
| Medi-Cal | $244 - $366 | 7% |
| Medi-Cal Healthnet | $244 - $366 | 7% |
| Medstar Dc Healthy Family | $244 - $366 | 7% |
| Medstar Md Health Choice | $244 - $366 | 7% |
| Mo Home State Health Plan | $244 - $366 | 7% |
| Molina Centennial Care | $244 - $366 | 7% |
| Nascentia Health Options | $244 - $366 | 7% |
| New York Cancer Services Program | $244 - $366 | 7% |
| Nextlevel Health | $244 - $366 | 7% |
| Oregon Screenwise | $244 - $366 | 7% |
| Paramount Advantage | $244 - $366 | 7% |
| Parkland Community Health Plan | $244 - $366 | 7% |
| Partners Behavioral Lme | $244 - $366 | 7% |
| Peach State Healthplan | $244 - $366 | 7% |
| Philadelphia County Funding | $244 - $366 | 7% |
| Presbyterian Centennial Care | $244 - $366 | 7% |
| Prestige Health Choice | $244 - $366 | 7% |
| Priority Partners | $244 - $366 | 7% |
| Robert F Sing Program | $244 - $366 | 7% |
| Rx 340B Pass Along | $244 - $366 | 7% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $244 - $366 | 7% |
| Rx Medi-Cal | $244 - $366 | 7% |
| Rx Meridian Rx | $244 - $366 | 7% |
| Ryan White Florida Mssrp | $244 - $366 | 7% |
| Sandhills Center Lme | $244 - $366 | 7% |
| Screening For Life | $244 - $366 | 7% |
| St Joseph County Hlth Dpt | $244 - $366 | 7% |
| Sunshine State Health Plan | $244 - $366 | 7% |
| Superior Health | $244 - $366 | 7% |
| Tenncare | $244 - $366 | 7% |
| Texas Children'S Health Plan | $244 - $366 | 7% |
| Trillium Community Ohp | $244 - $366 | 7% |
| Tufts Health Public Plans | $244 - $366 | 7% |
| Vaya Health Lme | $244 - $366 | 7% |
| Washtenaw Health Plan | $244 - $366 | 7% |
| Wellsense Health Plan | $244 - $366 | 7% |
| Wi Womens Wellness | $244 - $366 | 7% |
| Champva | $245 - $368 | 7% |
| Tricare | $245 - $368 | 7% |
| Triwest Health Alliance | $245 - $368 | 7% |
| Us Family Health Plan | $245 - $368 | 7% |
| Veterans Eval Services | $245 - $368 | 7% |
| Iowa Total Care | $249 - $3,135 | 7% |
| Wellpoint | $251 - $377 | 8% |
| Stephenson Cty Health | $290 - $435 | 9% |
| Amish Hospital Aid | $311 - $4,184 | 9% |
| Amps | $316 - $473 | 9% |
| Asr Health Benefits | $4,889 | 146% |
| Christian Brother Services | $4,889 | 146% |
| Coventry | $4,889 | 146% |
| First Health | $4,889 | 146% |
| Luminare Health | $4,889 | 146% |
| Medical Mutual | $4,889 | 146% |
| Webtpa | $4,889 | 146% |
| Nova | $6,322 | 189% |