CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Mercyone Waterloo Medical Center
Billing Code: 43239 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 43239
- Insurance Median: $74
- Cash Discount Price: $503
- vs. Medicare Baseline: 0.08x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Mercyone Waterloo Medical Center is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $503. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 0.08x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$503
Average discount available for prompt cash payment at this facility.
Insurance Median
$74
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$926.63
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $926.63 (100%)
Cash / Self-Pay: $503 (54%)
Insurance Median: $74 (8%)
Cash: $503 (54% of Medicare)
Ins. Median: $74 (8% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $926.63 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 | $50 - $881 | 5% |
| Wc Corvel | $55 | 6% |
| Aetna | $56 - $4,236 | 6% |
| Align Senior Care | $56 | 6% |
| Ally Align Care Adv | $56 | 6% |
| American Health Advantage Of Idaho | $56 | 6% |
| Aurora Special Needs | $56 | 6% |
| Blue Care Network Advantage | $56 | 6% |
| Blue Cross Blue Shield | $56 - $927 | 6% |
| Blue Shield - De (Highmark) Medciare Advantage | $56 | 6% |
| Care Dimensions | $56 | 6% |
| Care Improvement Plus | $56 | 6% |
| Care Resources Pace | $56 | 6% |
| Careplus Health Plans | $56 | 6% |
| Cca - Zing Health | $56 | 6% |
| Cca Senior Care Options | $56 | 6% |
| Central Valley Medical Services Corp Pace | $56 | 6% |
| Champion Health Plan Mcr Advantage | $56 | 6% |
| Cigna | $56 - $183 | 6% |
| Clear Spring Health | $56 | 6% |
| Clover Health | $56 | 6% |
| Commonwealth Care Alliance | $56 | 6% |
| Community Pace At Home | $56 | 6% |
| Eddy Senior Care-Pace | $56 | 6% |
| Eddy Seniorcare Pace | $56 | 6% |
| Elementcare | $56 | 6% |
| Evercare | $56 | 6% |
| Everence | $56 | 6% |
| Gateway Health Plan | $56 | 6% |
| Genesys Pace Of Genesee County | $56 | 6% |
| Georgia Health Advantage | $56 | 6% |
| Gold Advantage | $56 | 6% |
| Gpa Croell Redi Mix | $56 | 6% |
| Health America Advantra | $56 | 6% |
| Highmark Health Options Dual Plan | $56 | 6% |
| Hope Select Pace | $56 | 6% |
| Horizon Nj Total Care | $56 | 6% |
| Hudson Headwaters Pace | $56 | 6% |
| Humana | $56 - $92 | 6% |
| Huron Valley Pace | $56 | 6% |
| Innovative Integrated Health Community Plans | $56 | 6% |
| Johns Hopkins Advantage Md | $56 | 6% |
| Lasso Healthcare Msa | $56 | 6% |
| Life St Marys Pace | $56 | 6% |
| Lifecircles Pace | $56 | 6% |
| Longevity Health Plan | $56 | 6% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $56 | 6% |
| Martins Point Generations Advantage | $56 | 6% |
| Mass General Brigham Mcr Adv | $56 | 6% |
| Medicare (plans) | $56 - $889 | 6% |
| Medipak Advantage | $56 | 6% |
| Mercy Life | $56 | 6% |
| Mercyone Cedar Valley | $56 | 6% |
| Meridian Complete | $56 | 6% |
| Michigan Complete Health | $56 | 6% |
| Nascentia Health Plus | $56 | 6% |
| New Centry Health Careplus | $56 | 6% |
| Osu Prime Care Advantage | $56 | 6% |
| Pace Cny | $56 | 6% |
| Pace Iowa Immanuel Pathways | $56 | 6% |
| Pace Of Southwest Michigan | $56 - $74 | 6% |
| Pace Southeast | $56 | 6% |
| Pace-Trinity Health | $56 | 6% |
| Peak Pace Solutions | $56 | 6% |
| Perennial Advantage | $56 | 6% |
| Preferred Care Partners | $56 | 6% |
| Presbyterian Senior Plan | $56 | 6% |
| Provider Partners Health Plan Of Illinois | $56 | 6% |
| Provider Partners Health Plan Of Indiana | $56 | 6% |
| Pruitthealth Premier | $56 | 6% |
| Reliance Community Care Partners Care Resources Pace | $56 | 6% |
| Rx Allwin | $56 | 6% |
| Rx Grane Grnmedd | $56 | 6% |
| Rx Retiree Rx Care | $56 | 6% |
| Scan Health Plan Mcr Ipa Meritage Oon | $56 | 6% |
| Secure Horizons Ma Pffs | $56 | 6% |
| Serenity Pace | $56 | 6% |
| Siouxland Pace | $56 | 6% |
| Solis Health Plans | $56 | 6% |
| Sunnyview-Pace Finance Dept | $56 | 6% |
| Texan Plus | $56 | 6% |
| The Health Plan | $56 | 6% |
| Thome Pace | $56 | 6% |
| Todays Options | $56 | 6% |
| Tribute Health Plans | $56 | 6% |
| Um Health Advantage | $56 | 6% |
| Union Health Service | $56 | 6% |
| UnitedHealthcare | $56 - $872 | 6% |
| Welbe Health | $56 | 6% |
| Wellmed | $56 | 6% |
| Veterans Administration | $58 | 6% |
| American Health Plan | $59 | 6% |
| Iowa Health Advantage | $59 | 6% |
| Champva | $62 | 7% |
| Tricare | $62 | 7% |
| Triwest Health Alliance | $62 | 7% |
| Us Family Health Plan | $62 | 7% |
| Veterans Eval Services | $62 | 7% |
| Nebraska Total Care | $69 | 7% |
| Albany County Correctional Facility | $74 | 8% |
| Ambetter / Centene | $74 - $1,465 | 8% |
| Amish Mennonite | $74 | 8% |
| Ascension St. Vincent Public Safety Medical | $74 | 8% |
| Bcccp-Michigan | $74 | 8% |
| Bccp | $74 | 8% |
| Bmc Healthnet | $74 | 8% |
| Breast Grant-Connecticut | $74 | 8% |
| Broward County Dept Of Health | $74 | 8% |
| California Health And Wellness | $74 | 8% |
| Can Community Health Inc | $74 | 8% |
| Cardinal Innovations Lme | $74 | 8% |
| Care Connections Of Northern Iowa | $74 | 8% |
| Care Oregon Ohp | $74 | 8% |
| Cencal Health Plan | $74 | 8% |
| Cenpatico | $74 | 8% |
| Chhuny | $74 | 8% |
| Childrens Comm Health Plan | $74 | 8% |
| Childrens Medical Services Title 19 | $74 | 8% |
| City Of Philadelphia | $74 | 8% |
| Cmh Allegan County | $74 | 8% |
| Cmh Ausable Valley | $74 | 8% |
| Cmh Barry County | $74 | 8% |
| Cmh Bay-Arenac County | $74 | 8% |
| Cmh Berrien County | $74 | 8% |
| Cmh Cass County | $74 | 8% |
| Cmh Central Mi County | $74 | 8% |
| Cmh Clinton-Eaton-Ingham County | $74 | 8% |
| Cmh Detroit Wayne Integrated Health Network | $74 | 8% |
| Cmh Genesee County | $74 | 8% |
| Cmh Ionia County | $74 | 8% |
| Cmh Jackson County/Lifeways | $74 | 8% |
| Cmh Kalamazoo | $74 | 8% |
| Cmh Kent County | $74 | 8% |
| Cmh Lenawee County | $74 | 8% |
| Cmh Livingston County | $74 | 8% |
| Cmh Macomb | $74 | 8% |
| Cmh Misc | $74 | 8% |
| Cmh Monroe County | $74 | 8% |
| Cmh Montcalm County | $74 | 8% |
| Cmh Muskegon County | $74 | 8% |
| Cmh Newaygo County | $74 | 8% |
| Cmh North Country | $74 | 8% |
| Cmh Northern Lakes County | $74 | 8% |
| Cmh Oakland County | $74 | 8% |
| Cmh Ottawa County | $74 | 8% |
| Cmh Van Buren County | $74 | 8% |
| Cmh Washtenaw County | $74 | 8% |
| Cmh Wayne County/Carelink | $74 | 8% |
| Cmh Wayne Cty/Com Liv Svcs | $74 | 8% |
| Cmh West Mi County | $74 | 8% |
| Community Benefit Health | $74 | 8% |
| Community Care Behavorial Health | $74 | 8% |
| Community Care Partners | $74 | 8% |
| Community Health Choice | $74 | 8% |
| Connections Csp | $74 | 8% |
| County Coroner | $74 | 8% |
| County Funding Generic | $74 | 8% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $74 | 8% |
| Dean Wi Badgercare | $74 | 8% |
| Delaware County Department Of Health | $74 | 8% |
| Delaware First Health | $74 | 8% |
| Delta Dental Nj | $74 | 8% |
| Dph Tb Program | $74 | 8% |
| Dscc | $74 | 8% |
| Eastpointe Lme | $74 | 8% |
| Family Health Network | $74 | 8% |
| Freedom First Healthcare | $74 | 8% |
| Fresno County Ccs | $74 | 8% |
| Ghc Scw Wi Badgercare | $74 | 8% |
| Harbor Health | $74 | 8% |
| Health Safety Net | $74 | 8% |
| Healthy Blue Ne | $74 | 8% |
| Hennepin Health | $74 | 8% |
| Id County Ada | $74 | 8% |
| Id County Canyon | $74 | 8% |
| Id County Cat Fund | $74 | 8% |
| Id County Other | $74 | 8% |
| Id County Payette | $74 | 8% |
| Idaho Dept Health And Wellfare | $74 | 8% |
| Idaho Womens Health Check | $74 | 8% |
| Indiana Breast Cervical Cancer | $74 | 8% |
| Inland Empire Health Plan | $74 | 8% |
| Intercommunity Health Ohp | $74 | 8% |
| Jai Medical System | $74 | 8% |
| Kern Family Health Plan | $74 | 8% |
| Keystone First | $74 | 8% |
| Keystone First Chip | $74 | 8% |
| La Care Health Plan | $74 | 8% |
| Lakeland Care Inc | $74 | 8% |
| Managed Health Services - Indiana | $74 | 8% |
| Maryland Breast & Cervical Program | $74 | 8% |
| Maryland Healthy Smiles - Scion Dental | $74 | 8% |
| Maryland Physicians Care | $74 | 8% |
| Massachusetts Behavioral Health Partnership | $74 | 8% |
| Mdwise | $74 | 8% |
| Medi-Cal | $74 | 8% |
| Medi-Cal Healthnet | $74 | 8% |
| Medstar Dc Healthy Family | $74 | 8% |
| Medstar Md Health Choice | $74 | 8% |
| Mo Home State Health Plan | $74 | 8% |
| Molina Centennial Care | $74 | 8% |
| Nascentia Health Options | $74 | 8% |
| New York Cancer Services Program | $74 | 8% |
| Nextlevel Health | $74 | 8% |
| Oregon Screenwise | $74 | 8% |
| Paramount Advantage | $74 | 8% |
| Parkland Community Health Plan | $74 | 8% |
| Partners Behavioral Lme | $74 | 8% |
| Peach State Healthplan | $74 | 8% |
| Philadelphia County Funding | $74 | 8% |
| Presbyterian Centennial Care | $74 | 8% |
| Prestige Health Choice | $74 | 8% |
| Priority Partners | $74 | 8% |
| Robert F Sing Program | $74 | 8% |
| Rx 340B Pass Along | $74 | 8% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $74 | 8% |
| Rx Medi-Cal | $74 | 8% |
| Rx Meridian Rx | $74 | 8% |
| Ryan White Florida Mssrp | $74 | 8% |
| Sandhills Center Lme | $74 | 8% |
| Screening For Life | $74 | 8% |
| St Joseph County Hlth Dpt | $74 | 8% |
| Sunshine State Health Plan | $74 | 8% |
| Superior Health | $74 | 8% |
| Tenncare | $74 | 8% |
| Texas Children'S Health Plan | $74 | 8% |
| Trillium Community Ohp | $74 | 8% |
| Tufts Health Public Plans | $74 | 8% |
| Vaya Health Lme | $74 | 8% |
| Washtenaw Health Plan | $74 | 8% |
| Wellsense Health Plan | $74 | 8% |
| Wi Womens Wellness | $74 | 8% |
| Amish Hospital Aid | $76 - $1,160 | 8% |
| Iowa Total Care | $76 - $869 | 8% |
| Wellpoint | $77 | 8% |
| Amps | $78 | 8% |
| Avera | $88 | 9% |
| Medical Associates | $96 | 10% |
| Sanford Health Plan | $99 | 11% |
| Lucent Health | $104 - $4,236 | 11% |
| Ucare | $104 | 11% |
| Health Smart | $106 | 11% |
| Oscar | $108 - $1,338 | 12% |
| Usa Managed Care | $112 | 12% |
| Centivo | $115 - $1,447 | 12% |
| Health Partners | $118 - $149 | 13% |
| Claimdoc | $120 - $1,753 | 13% |
| The Alliance | $121 | 13% |
| Global Excel | $130 | 14% |
| Bcn Domestic | $132 - $927 | 14% |
| Blue Benefit Administrators Of Massachusetts | $132 - $927 | 14% |
| Blue Care Network | $132 - $927 | 14% |
| Blue Distinction Transplant | $132 - $927 | 14% |
| Blue Shield - Ca | $132 - $927 | 14% |
| Blue Shield - Id (Regence) | $132 - $927 | 14% |
| Blue Shield - Ny Highmark Northeastern | $132 - $927 | 14% |
| Blue Shield - Ny Highmark Western | $132 - $927 | 14% |
| Blue Shield - Pa (Highmark) | $132 - $927 | 14% |
| Blue Shield - Wa (Regence) | $132 - $927 | 14% |
| Health Choices | $132 - $183 | 14% |
| Kaiser Domestic | $132 - $927 | 14% |
| Pre-Employment | $132 - $927 | 14% |
| Wc Domestic | $132 - $927 | 14% |
| Velocity | $135 | 15% |
| Preferred One | $136 | 15% |
| Iowa Dept Of Public Health | $139 - $252 | 15% |
| Geha | $162 | 17% |
| Allied Benefit Systems | $183 - $4,236 | 20% |
| Auxiant | $183 | 20% |
| First Choice Health | $183 | 20% |
| Group Administrators | $183 | 20% |
| Midlands | $183 | 20% |
| Midlands Choice | $183 | 20% |
| Newton Correctional Facility | $196 - $327 | 21% |
| Stephenson Cty Health | $216 | 23% |
| Genex Wc | $226 - $377 | 24% |
| Meritain | $227 - $4,236 | 24% |
| Wc Align Network | $241 - $402 | 26% |
| Wc Praxis Health Network | $256 - $428 | 28% |
| Wc Reny Company | $262 - $438 | 28% |
| Wc Velocity | $262 - $438 | 28% |
| Auto Velocity | $271 - $453 | 29% |
| Wc O'Hara Corp | $271 - $453 | 29% |
| Andrie Inc | $301 - $503 | 32% |
| East Greenbush Central School District | $301 - $503 | 32% |
| Healthsmart Workers Comp | $301 - $503 | 32% |
| Jag Source | $301 - $503 | 32% |
| Multiplan | $301 - $438 | 32% |
| New York State Insurance Fund | $301 - $503 | 32% |
| Njm Insurance Group | $301 - $503 | 32% |
| Quiktrip | $301 - $376 | 32% |
| Rx Heatlhcomp | $301 - $503 | 32% |
| Rx Restat | $301 - $503 | 32% |
| Rx Saif Opdp Wc | $301 - $503 | 32% |
| Rx Worker'S Comp | $301 - $503 | 32% |
| Wc Accident Fund | $301 - $503 | 32% |
| Wc Ace | $301 - $503 | 32% |
| Wc Acs Federal Employees | $301 - $503 | 32% |
| Wc Acuity | $301 - $503 | 32% |
| Wc Advantage | $301 - $503 | 32% |
| Wc Aegis | $301 - $503 | 32% |
| Wc Aig | $301 - $503 | 32% |
| Wc Aims | $301 - $503 | 32% |
| Wc Alaska National Ins | $301 - $503 | 32% |
| Wc Allied | $301 - $503 | 32% |
| Wc Am Trust N America | $301 - $503 | 32% |
| Wc American Claims Mgmt | $301 - $503 | 32% |
| Wc Amerisure | $301 - $503 | 32% |
| Wc Amtrust | $301 - $503 | 32% |
| Wc Asu Risk Mgt | $301 - $503 | 32% |
| Wc Benetech | $301 - $503 | 32% |
| Wc Berkley Admin | $301 - $503 | 32% |
| Wc Broadspire | $301 - $503 | 32% |
| Wc Broward County | $301 - $503 | 32% |
| Wc Bunch & Associates | $301 - $503 | 32% |
| Wc California State Comp Ins | $301 - $503 | 32% |
| Wc California State Ins Fund | $301 - $503 | 32% |
| Wc Capitol Area Health Consortium | $301 - $503 | 32% |
| Wc Ccmsi | $301 - $503 | 32% |
| Wc Chartis | $301 - $503 | 32% |
| Wc Chubb | $301 - $503 | 32% |
| Wc Cirma | $301 - $503 | 32% |
| Wc City Of Albany | $301 - $503 | 32% |
| Wc City Of Sioux City | $301 - $503 | 32% |
| Wc Claims Mgmt Inc | $301 - $503 | 32% |
| Wc Cna | $301 - $503 | 32% |
| Wc Comp One Admin C/O Manageability | $301 - $503 | 32% |
| Wc Compone Admin | $301 - $503 | 32% |
| Wc Ct Healthcare Trust | $301 - $503 | 32% |
| Wc Donegal Insurance Group | $301 - $503 | 32% |
| Wc Emc Insurance Company | $301 - $503 | 32% |
| Wc Employee Mutual | $301 - $503 | 32% |
| Wc Enablecomp | $301 - $503 | 32% |
| Wc Encore Health Network | $301 - $503 | 32% |
| Wc Erie | $301 - $503 | 32% |
| Wc Esis | $301 - $503 | 32% |
| Wc Evolutions | $301 - $503 | 32% |
| Wc Fcci | $301 - $503 | 32% |
| Wc Fed Ex | $301 - $503 | 32% |
| Wc Federal Black Lung | $301 - $503 | 32% |
| Wc Federated | $301 - $503 | 32% |
| Wc Finley Occupational Health | $301 - $503 | 32% |
| Wc First Agency/Occunet | $301 - $503 | 32% |
| Wc Ford Motor | $301 - $503 | 32% |
| Wc Fresno Unified Emp | $301 - $503 | 32% |
| Wc Gallagher Bassett | $301 - $503 | 32% |
| Wc General Motors | $301 - $503 | 32% |
| Wc Generic | $301 - $503 | 32% |
| Wc Genex Care For Ohio | $301 - $503 | 32% |
| Wc Great West Casualty | $301 - $503 | 32% |
| Wc Guarantee Insurance | $301 - $503 | 32% |
| Wc Guard Insurance Company | $301 - $503 | 32% |
| Wc Hab | $301 - $503 | 32% |
| Wc Hartford | $301 - $503 | 32% |
| Wc Hastings | $301 - $503 | 32% |
| Wc Health Management | $301 - $503 | 32% |
| Wc Heritage Summit | $301 - $503 | 32% |
| Wc Hireright | $301 - $503 | 32% |
| Wc Horizon | $301 - $503 | 32% |
| Wc Icw Group | $301 - $503 | 32% |
| Wc Idaho State Ins Fund | $301 - $503 | 32% |
| Wc Intercare Insurance | $301 - $503 | 32% |
| Wc Intermountain | $301 - $503 | 32% |
| Wc Johns Eastern | $301 - $503 | 32% |
| Wc Kemberton | $301 - $503 | 32% |
| Wc Key Ins & Benefit Solutions | $301 - $503 | 32% |
| Wc Liberty Mutual | $301 - $503 | 32% |
| Wc Mac Risk Management | $301 - $503 | 32% |
| Wc Massachusetts | $301 - $503 | 32% |
| Wc Mdia | $301 - $503 | 32% |
| Wc Meadowbrook Claim | $301 - $503 | 32% |
| Wc Medical Administrators | $301 - $503 | 32% |
| Wc Meijers | $301 - $503 | 32% |
| Wc Memic | $301 - $503 | 32% |
| Wc Mercy Workcare | $301 - $503 | 32% |
| Wc Michigan | $301 - $503 | 32% |
| Wc Michigan Millers Mutual | $301 - $503 | 32% |
| Wc Mitchell Frankenmuth | $301 - $503 | 32% |
| Wc Mra | $301 - $503 | 32% |
| Wc Nationwide | $301 - $503 | 32% |
| Wc Nca Comp | $301 - $503 | 32% |
| Wc New York | $301 - $503 | 32% |
| Wc New York Special Funds | $301 - $503 | 32% |
| Wc North American Rishces | $301 - $503 | 32% |
| Wc Northeast Health | $301 - $503 | 32% |
| Wc Notre Dame | $301 - $503 | 32% |
| Wc Novanet | $301 - $503 | 32% |
| Wc Occ Health Allen | $301 - $503 | 32% |
| Wc Ohio Bureau | $301 - $503 | 32% |
| Wc One Call Medical | $301 - $503 | 32% |
| Wc Paradigm | $301 - $503 | 32% |
| Wc Peerless | $301 - $503 | 32% |
| Wc Pma | $301 - $503 | 32% |
| Wc Price Chopper | $301 - $503 | 32% |
| Wc Procura Management | $301 - $503 | 32% |
| Wc Qualcare | $301 - $503 | 32% |
| Wc Quiktrip | $301 - $503 | 32% |
| Wc Rev Claims | $301 - $503 | 32% |
| Wc Risico | $301 - $503 | 32% |
| Wc Rural Mutual | $301 - $503 | 32% |
| Wc Saif Oregon | $301 - $503 | 32% |
| Wc Secura | $301 - $503 | 32% |
| Wc Sedgwick | $301 - $503 | 32% |
| Wc Sentry | $301 - $503 | 32% |
| Wc Sheakley Unicomp | $301 - $503 | 32% |
| Wc Smile Lodge | $301 - $503 | 32% |
| Wc Society | $301 - $503 | 32% |
| Wc Srs | $301 - $503 | 32% |
| Wc Taconic (Mro) | $301 - $503 | 32% |
| Wc Taconic Farms | $301 - $503 | 32% |
| Wc Travelers | $301 - $503 | 32% |
| Wc Triad Group | $301 - $503 | 32% |
| Wc Tristar | $301 - $503 | 32% |
| Wc Troy Ny | $301 - $503 | 32% |
| Wc Tyson | $301 - $503 | 32% |
| Wc Unified Health Services | $301 - $503 | 32% |
| Wc United Heartland | $301 - $503 | 32% |
| Wc Us Dept Of Labor | $301 - $503 | 32% |
| Wc Walmart | $301 - $503 | 32% |
| Wc West Bend | $301 - $503 | 32% |
| Wc West Bend Mutual/Argent | $301 - $503 | 32% |
| Wc Winnebago Industries | $301 - $503 | 32% |
| Wc Yankee Trails | $301 - $503 | 32% |
| Wc York Risk | $301 - $503 | 32% |
| Wc Zenith | $301 - $503 | 32% |
| Wc Zurich | $301 - $503 | 32% |
| Nova | $1,753 | 189% |
| Asr Health Benefits | $4,236 | 457% |
| Christian Brother Services | $4,236 | 457% |
| Coventry | $4,236 | 457% |
| First Health | $4,236 | 457% |
| Luminare Health | $4,236 | 457% |
| Medical Mutual | $4,236 | 457% |
| Webtpa | $4,236 | 457% |