CMS Price Transparency Data
CT scan, sinuses
Facility: Mercyone Des Moines Medical Center
Billing Code: 70486 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70486
- Insurance Median: $55
- Cash Discount Price: $180
- vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Mercyone Des Moines Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.51x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$180
Average discount available for prompt cash payment at this facility.
Insurance Median
$55
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: $180 (169%)
Insurance Median: $55 (51%)
Cash: $180 (169% of Medicare)
Ins. Median: $55 (51% 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 |
|---|---|---|
| Medicaid / KanCare | $25 - $180 | 23% |
| Wc Corvel | $36 | 34% |
| Aetna | $37 - $622 | 35% |
| Align Senior Care | $37 | 35% |
| Ally Align Care Adv | $37 | 35% |
| American Health Advantage Of Idaho | $37 | 35% |
| Aurora Special Needs | $37 | 35% |
| Blue Care Network Advantage | $37 | 35% |
| Blue Cross Blue Shield | $37 - $107 | 35% |
| Blue Shield - De (Highmark) Medciare Advantage | $37 | 35% |
| Care Dimensions | $37 | 35% |
| Care Improvement Plus | $37 | 35% |
| Care Resources Pace | $37 | 35% |
| Careplus Health Plans | $37 | 35% |
| Cca - Zing Health | $37 | 35% |
| Cca Senior Care Options | $37 | 35% |
| Central Valley Medical Services Corp Pace | $37 | 35% |
| Champion Health Plan Mcr Advantage | $37 | 35% |
| Cigna | $37 - $1,076 | 35% |
| Clear Spring Health | $37 | 35% |
| Clover Health | $37 | 35% |
| Commonwealth Care Alliance | $37 | 35% |
| Community Pace At Home | $37 | 35% |
| Eddy Senior Care-Pace | $37 | 35% |
| Eddy Seniorcare Pace | $37 | 35% |
| Elementcare | $37 | 35% |
| Evercare | $37 | 35% |
| Everence | $37 | 35% |
| Gateway Health Plan | $37 | 35% |
| Genesys Pace Of Genesee County | $37 | 35% |
| Georgia Health Advantage | $37 | 35% |
| Gold Advantage | $37 | 35% |
| Gpa Croell Redi Mix | $37 | 35% |
| Health America Advantra | $37 | 35% |
| Highmark Health Options Dual Plan | $37 | 35% |
| Hope Select Pace | $37 | 35% |
| Horizon Nj Total Care | $37 | 35% |
| Hudson Headwaters Pace | $37 | 35% |
| Humana | $37 - $61 | 35% |
| Huron Valley Pace | $37 | 35% |
| Innovative Integrated Health Community Plans | $37 | 35% |
| Johns Hopkins Advantage Md | $37 | 35% |
| Lasso Healthcare Msa | $37 | 35% |
| Life St Marys Pace | $37 | 35% |
| Lifecircles Pace | $37 | 35% |
| Longevity Health Plan | $37 | 35% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $37 | 35% |
| Martins Point Generations Advantage | $37 | 35% |
| Mass General Brigham Mcr Adv | $37 | 35% |
| Medicare (plans) | $37 - $103 | 35% |
| Medipak Advantage | $37 | 35% |
| Mercy Life | $37 | 35% |
| Mercyone Cedar Valley | $37 | 35% |
| Meridian Complete | $37 | 35% |
| Michigan Complete Health | $37 | 35% |
| Nascentia Health Plus | $37 | 35% |
| New Centry Health Careplus | $37 | 35% |
| Osu Prime Care Advantage | $37 | 35% |
| Pace Cny | $37 | 35% |
| Pace Iowa Immanuel Pathways | $37 | 35% |
| Pace Of Southwest Michigan | $37 - $55 | 35% |
| Pace Southeast | $37 | 35% |
| Pace-Trinity Health | $37 | 35% |
| Peak Pace Solutions | $37 | 35% |
| Perennial Advantage | $37 | 35% |
| Preferred Care Partners | $37 | 35% |
| Presbyterian Senior Plan | $37 | 35% |
| Provider Partners Health Plan Of Illinois | $37 | 35% |
| Provider Partners Health Plan Of Indiana | $37 | 35% |
| Pruitthealth Premier | $37 | 35% |
| Reliance Community Care Partners Care Resources Pace | $37 | 35% |
| Rx Allwin | $37 | 35% |
| Rx Grane Grnmedd | $37 | 35% |
| Rx Retiree Rx Care | $37 | 35% |
| Scan Health Plan Mcr Ipa Meritage Oon | $37 | 35% |
| Secure Horizons Ma Pffs | $37 | 35% |
| Serenity Pace | $37 | 35% |
| Siouxland Pace | $37 | 35% |
| Solis Health Plans | $37 | 35% |
| Sunnyview-Pace Finance Dept | $37 | 35% |
| Texan Plus | $37 | 35% |
| The Health Plan | $37 | 35% |
| Thome Pace | $37 | 35% |
| Todays Options | $37 | 35% |
| Tribute Health Plans | $37 | 35% |
| Um Health Advantage | $37 | 35% |
| Union Health Service | $37 | 35% |
| UnitedHealthcare | $37 - $1,793 | 35% |
| Welbe Health | $37 | 35% |
| Wellmed | $37 | 35% |
| Champva | $38 | 36% |
| Tricare | $38 | 36% |
| Triwest Health Alliance | $38 | 36% |
| Us Family Health Plan | $38 | 36% |
| Veterans Administration | $38 | 36% |
| Veterans Eval Services | $38 | 36% |
| American Health Plan | $39 | 37% |
| Iowa Health Advantage | $39 | 37% |
| Stephenson Cty Health | $42 | 39% |
| Amish Hospital Aid | $50 - $134 | 47% |
| Amps | $51 | 48% |
| Albany County Correctional Facility | $55 | 51% |
| Ambetter / Centene | $55 - $170 | 51% |
| Amish Mennonite | $55 | 51% |
| Ascension St. Vincent Public Safety Medical | $55 | 51% |
| Bcccp-Michigan | $55 | 51% |
| Bccp | $55 | 51% |
| Bmc Healthnet | $55 | 51% |
| Breast Grant-Connecticut | $55 | 51% |
| Broward County Dept Of Health | $55 | 51% |
| California Health And Wellness | $55 | 51% |
| Can Community Health Inc | $55 | 51% |
| Cardinal Innovations Lme | $55 | 51% |
| Care Connections Of Northern Iowa | $55 | 51% |
| Care Oregon Ohp | $55 | 51% |
| Cencal Health Plan | $55 | 51% |
| Cenpatico | $55 | 51% |
| Chhuny | $55 | 51% |
| Childrens Comm Health Plan | $55 | 51% |
| Childrens Medical Services Title 19 | $55 | 51% |
| City Of Philadelphia | $55 | 51% |
| Cmh Allegan County | $55 | 51% |
| Cmh Ausable Valley | $55 | 51% |
| Cmh Barry County | $55 | 51% |
| Cmh Bay-Arenac County | $55 | 51% |
| Cmh Berrien County | $55 | 51% |
| Cmh Cass County | $55 | 51% |
| Cmh Central Mi County | $55 | 51% |
| Cmh Clinton-Eaton-Ingham County | $55 | 51% |
| Cmh Detroit Wayne Integrated Health Network | $55 | 51% |
| Cmh Genesee County | $55 | 51% |
| Cmh Ionia County | $55 | 51% |
| Cmh Jackson County/Lifeways | $55 | 51% |
| Cmh Kalamazoo | $55 | 51% |
| Cmh Kent County | $55 | 51% |
| Cmh Lenawee County | $55 | 51% |
| Cmh Livingston County | $55 | 51% |
| Cmh Macomb | $55 | 51% |
| Cmh Misc | $55 | 51% |
| Cmh Monroe County | $55 | 51% |
| Cmh Montcalm County | $55 | 51% |
| Cmh Muskegon County | $55 | 51% |
| Cmh Newaygo County | $55 | 51% |
| Cmh North Country | $55 | 51% |
| Cmh Northern Lakes County | $55 | 51% |
| Cmh Oakland County | $55 | 51% |
| Cmh Ottawa County | $55 | 51% |
| Cmh Van Buren County | $55 | 51% |
| Cmh Washtenaw County | $55 | 51% |
| Cmh Wayne County/Carelink | $55 | 51% |
| Cmh Wayne Cty/Com Liv Svcs | $55 | 51% |
| Cmh West Mi County | $55 | 51% |
| Community Benefit Health | $55 | 51% |
| Community Care Behavorial Health | $55 | 51% |
| Community Care Partners | $55 | 51% |
| Community Health Choice | $55 | 51% |
| Connections Csp | $55 | 51% |
| County Coroner | $55 | 51% |
| County Funding Generic | $55 | 51% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $55 | 51% |
| Dean Wi Badgercare | $55 | 51% |
| Delaware County Department Of Health | $55 | 51% |
| Delaware First Health | $55 | 51% |
| Delta Dental Nj | $55 | 51% |
| Dph Tb Program | $55 | 51% |
| Dscc | $55 | 51% |
| Eastpointe Lme | $55 | 51% |
| Family Health Network | $55 | 51% |
| Freedom First Healthcare | $55 | 51% |
| Fresno County Ccs | $55 | 51% |
| Ghc Scw Wi Badgercare | $55 | 51% |
| Harbor Health | $55 | 51% |
| Health Safety Net | $55 | 51% |
| Healthy Blue Ne | $55 | 51% |
| Hennepin Health | $55 | 51% |
| Id County Ada | $55 | 51% |
| Id County Canyon | $55 | 51% |
| Id County Cat Fund | $55 | 51% |
| Id County Other | $55 | 51% |
| Id County Payette | $55 | 51% |
| Idaho Dept Health And Wellfare | $55 | 51% |
| Idaho Womens Health Check | $55 | 51% |
| Indiana Breast Cervical Cancer | $55 | 51% |
| Inland Empire Health Plan | $55 | 51% |
| Intercommunity Health Ohp | $55 | 51% |
| Jai Medical System | $55 | 51% |
| Kern Family Health Plan | $55 | 51% |
| Keystone First | $55 | 51% |
| Keystone First Chip | $55 | 51% |
| La Care Health Plan | $55 | 51% |
| Lakeland Care Inc | $55 | 51% |
| Managed Health Services - Indiana | $55 | 51% |
| Maryland Breast & Cervical Program | $55 | 51% |
| Maryland Healthy Smiles - Scion Dental | $55 | 51% |
| Maryland Physicians Care | $55 | 51% |
| Massachusetts Behavioral Health Partnership | $55 | 51% |
| Mdwise | $55 | 51% |
| Medi-Cal | $55 | 51% |
| Medi-Cal Healthnet | $55 | 51% |
| Medstar Dc Healthy Family | $55 | 51% |
| Medstar Md Health Choice | $55 | 51% |
| Mo Home State Health Plan | $55 | 51% |
| Molina Centennial Care | $55 | 51% |
| Nascentia Health Options | $55 | 51% |
| New York Cancer Services Program | $55 | 51% |
| Nextlevel Health | $55 | 51% |
| Oregon Screenwise | $55 | 51% |
| Paramount Advantage | $55 | 51% |
| Parkland Community Health Plan | $55 | 51% |
| Partners Behavioral Lme | $55 | 51% |
| Peach State Healthplan | $55 | 51% |
| Philadelphia County Funding | $55 | 51% |
| Presbyterian Centennial Care | $55 | 51% |
| Prestige Health Choice | $55 | 51% |
| Priority Partners | $55 | 51% |
| Robert F Sing Program | $55 | 51% |
| Rx 340B Pass Along | $55 | 51% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $55 | 51% |
| Rx Medi-Cal | $55 | 51% |
| Rx Meridian Rx | $55 | 51% |
| Ryan White Florida Mssrp | $55 | 51% |
| Sandhills Center Lme | $55 | 51% |
| Screening For Life | $55 | 51% |
| St Joseph County Hlth Dpt | $55 | 51% |
| Sunshine State Health Plan | $55 | 51% |
| Superior Health | $55 | 51% |
| Tenncare | $55 | 51% |
| Texas Children'S Health Plan | $55 | 51% |
| Trillium Community Ohp | $55 | 51% |
| Tufts Health Public Plans | $55 | 51% |
| Vaya Health Lme | $55 | 51% |
| Washtenaw Health Plan | $55 | 51% |
| Wellsense Health Plan | $55 | 51% |
| Wi Womens Wellness | $55 | 51% |
| Iowa Total Care | $56 - $99 | 52% |
| Newton Correctional Facility | $57 - $117 | 53% |
| Wellpoint | $57 | 53% |
| Avera | $58 | 54% |
| Medical Associates | $63 - $360 | 59% |
| Sanford Health Plan | $64 | 60% |
| Genex Wc | $66 - $135 | 62% |
| Lucent Health | $68 - $622 | 64% |
| Oscar | $68 - $143 | 64% |
| Ucare | $68 | 64% |
| Wc Align Network | $70 - $144 | 66% |
| Centivo | $72 - $146 | 67% |
| Usa Managed Care | $73 - $1,524 | 68% |
| Quiktrip | $74 | 69% |
| Wc Praxis Health Network | $75 - $153 | 70% |
| Health Partners | $77 - $1,139 | 72% |
| Wc Reny Company | $77 - $157 | 72% |
| Wc Velocity | $77 - $157 | 72% |
| Bcn Domestic | $78 | 73% |
| Blue Benefit Administrators Of Massachusetts | $78 - $107 | 73% |
| Blue Care Network | $78 - $107 | 73% |
| Blue Distinction Transplant | $78 - $107 | 73% |
| Blue Shield - Ca | $78 - $107 | 73% |
| Blue Shield - Id (Regence) | $78 - $107 | 73% |
| Blue Shield - Ny Highmark Northeastern | $78 - $107 | 73% |
| Blue Shield - Ny Highmark Western | $78 - $107 | 73% |
| Blue Shield - Pa (Highmark) | $78 - $107 | 73% |
| Blue Shield - Wa (Regence) | $78 - $107 | 73% |
| Health Choices | $78 - $360 | 73% |
| Kaiser Domestic | $78 | 73% |
| Pre-Employment | $78 | 73% |
| Wc Domestic | $78 | 73% |
| Auto Velocity | $79 - $162 | 74% |
| Claimdoc | $79 - $203 | 74% |
| Health Smart | $79 - $162 | 74% |
| Wc O'Hara Corp | $79 - $162 | 74% |
| Meritain | $80 - $622 | 75% |
| The Alliance | $80 | 75% |
| Geha | $81 - $240 | 76% |
| Preferred One | $81 | 76% |
| Global Excel | $86 | 81% |
| Allied Benefit Systems | $88 - $622 | 82% |
| Andrie Inc | $88 - $180 | 82% |
| Auxiant | $88 - $1,165 | 82% |
| East Greenbush Central School District | $88 - $180 | 82% |
| First Choice Health | $88 - $110 | 82% |
| Group Administrators | $88 - $110 | 82% |
| Healthsmart Workers Comp | $88 - $180 | 82% |
| Iowa Dept Of Public Health | $88 - $1,793 | 82% |
| Jag Source | $88 - $180 | 82% |
| Midlands | $88 - $1,165 | 82% |
| Midlands Choice | $88 - $1,165 | 82% |
| Multiplan | $88 - $141 | 82% |
| Nebraska Total Care | $88 - $180 | 82% |
| New York State Insurance Fund | $88 - $180 | 82% |
| Njm Insurance Group | $88 - $180 | 82% |
| Rx Heatlhcomp | $88 - $180 | 82% |
| Rx Restat | $88 - $180 | 82% |
| Rx Saif Opdp Wc | $88 - $180 | 82% |
| Rx Worker'S Comp | $88 - $180 | 82% |
| Velocity | $88 - $89 | 82% |
| Wc Accident Fund | $88 - $180 | 82% |
| Wc Ace | $88 - $180 | 82% |
| Wc Acs Federal Employees | $88 - $180 | 82% |
| Wc Acuity | $88 - $180 | 82% |
| Wc Advantage | $88 - $180 | 82% |
| Wc Aegis | $88 - $180 | 82% |
| Wc Aig | $88 - $180 | 82% |
| Wc Aims | $88 - $180 | 82% |
| Wc Alaska National Ins | $88 - $180 | 82% |
| Wc Allied | $88 - $180 | 82% |
| Wc Am Trust N America | $88 - $180 | 82% |
| Wc American Claims Mgmt | $88 - $180 | 82% |
| Wc Amerisure | $88 - $180 | 82% |
| Wc Amtrust | $88 - $180 | 82% |
| Wc Asu Risk Mgt | $88 - $180 | 82% |
| Wc Benetech | $88 - $180 | 82% |
| Wc Berkley Admin | $88 - $180 | 82% |
| Wc Broadspire | $88 - $180 | 82% |
| Wc Broward County | $88 - $180 | 82% |
| Wc Bunch & Associates | $88 - $180 | 82% |
| Wc California State Comp Ins | $88 - $180 | 82% |
| Wc California State Ins Fund | $88 - $180 | 82% |
| Wc Capitol Area Health Consortium | $88 - $180 | 82% |
| Wc Ccmsi | $88 - $180 | 82% |
| Wc Chartis | $88 - $180 | 82% |
| Wc Chubb | $88 - $180 | 82% |
| Wc Cirma | $88 - $180 | 82% |
| Wc City Of Albany | $88 - $180 | 82% |
| Wc City Of Sioux City | $88 - $180 | 82% |
| Wc Claims Mgmt Inc | $88 - $180 | 82% |
| Wc Cna | $88 - $180 | 82% |
| Wc Comp One Admin C/O Manageability | $88 - $180 | 82% |
| Wc Compone Admin | $88 - $180 | 82% |
| Wc Ct Healthcare Trust | $88 - $180 | 82% |
| Wc Donegal Insurance Group | $88 - $180 | 82% |
| Wc Emc Insurance Company | $88 - $180 | 82% |
| Wc Employee Mutual | $88 - $180 | 82% |
| Wc Enablecomp | $88 - $180 | 82% |
| Wc Encore Health Network | $88 - $180 | 82% |
| Wc Erie | $88 - $180 | 82% |
| Wc Esis | $88 - $180 | 82% |
| Wc Evolutions | $88 - $180 | 82% |
| Wc Fcci | $88 - $180 | 82% |
| Wc Fed Ex | $88 - $180 | 82% |
| Wc Federal Black Lung | $88 - $180 | 82% |
| Wc Federated | $88 - $180 | 82% |
| Wc Finley Occupational Health | $88 - $180 | 82% |
| Wc First Agency/Occunet | $88 - $180 | 82% |
| Wc Ford Motor | $88 - $180 | 82% |
| Wc Fresno Unified Emp | $88 - $180 | 82% |
| Wc Gallagher Bassett | $88 - $180 | 82% |
| Wc General Motors | $88 - $180 | 82% |
| Wc Generic | $88 - $180 | 82% |
| Wc Genex Care For Ohio | $88 - $180 | 82% |
| Wc Great West Casualty | $88 - $180 | 82% |
| Wc Guarantee Insurance | $88 - $180 | 82% |
| Wc Guard Insurance Company | $88 - $180 | 82% |
| Wc Hab | $88 - $180 | 82% |
| Wc Hartford | $88 - $180 | 82% |
| Wc Hastings | $88 - $180 | 82% |
| Wc Health Management | $88 - $180 | 82% |
| Wc Heritage Summit | $88 - $180 | 82% |
| Wc Hireright | $88 - $180 | 82% |
| Wc Horizon | $88 - $180 | 82% |
| Wc Icw Group | $88 - $180 | 82% |
| Wc Idaho State Ins Fund | $88 - $180 | 82% |
| Wc Intercare Insurance | $88 - $180 | 82% |
| Wc Intermountain | $88 - $180 | 82% |
| Wc Johns Eastern | $88 - $180 | 82% |
| Wc Kemberton | $88 - $180 | 82% |
| Wc Key Ins & Benefit Solutions | $88 - $180 | 82% |
| Wc Liberty Mutual | $88 - $180 | 82% |
| Wc Mac Risk Management | $88 - $180 | 82% |
| Wc Massachusetts | $88 - $180 | 82% |
| Wc Mdia | $88 - $180 | 82% |
| Wc Meadowbrook Claim | $88 - $180 | 82% |
| Wc Medical Administrators | $88 - $180 | 82% |
| Wc Meijers | $88 - $180 | 82% |
| Wc Memic | $88 - $180 | 82% |
| Wc Mercy Workcare | $88 - $180 | 82% |
| Wc Michigan | $88 - $180 | 82% |
| Wc Michigan Millers Mutual | $88 - $180 | 82% |
| Wc Mitchell Frankenmuth | $88 - $180 | 82% |
| Wc Mra | $88 - $180 | 82% |
| Wc Nationwide | $88 - $180 | 82% |
| Wc Nca Comp | $88 - $180 | 82% |
| Wc New York | $88 - $180 | 82% |
| Wc New York Special Funds | $88 - $180 | 82% |
| Wc North American Rishces | $88 - $180 | 82% |
| Wc Northeast Health | $88 - $180 | 82% |
| Wc Notre Dame | $88 - $180 | 82% |
| Wc Novanet | $88 - $180 | 82% |
| Wc Occ Health Allen | $88 - $180 | 82% |
| Wc Ohio Bureau | $88 - $180 | 82% |
| Wc One Call Medical | $88 - $180 | 82% |
| Wc Paradigm | $88 - $180 | 82% |
| Wc Peerless | $88 - $180 | 82% |
| Wc Pma | $88 - $180 | 82% |
| Wc Price Chopper | $88 - $180 | 82% |
| Wc Procura Management | $88 - $180 | 82% |
| Wc Qualcare | $88 - $180 | 82% |
| Wc Quiktrip | $88 - $180 | 82% |
| Wc Rev Claims | $88 - $180 | 82% |
| Wc Risico | $88 - $180 | 82% |
| Wc Rural Mutual | $88 - $180 | 82% |
| Wc Saif Oregon | $88 - $180 | 82% |
| Wc Secura | $88 - $180 | 82% |
| Wc Sedgwick | $88 - $180 | 82% |
| Wc Sentry | $88 - $180 | 82% |
| Wc Sheakley Unicomp | $88 - $180 | 82% |
| Wc Smile Lodge | $88 - $180 | 82% |
| Wc Society | $88 - $180 | 82% |
| Wc Srs | $88 - $180 | 82% |
| Wc Taconic (Mro) | $88 - $180 | 82% |
| Wc Taconic Farms | $88 - $180 | 82% |
| Wc Travelers | $88 - $180 | 82% |
| Wc Triad Group | $88 - $180 | 82% |
| Wc Tristar | $88 - $180 | 82% |
| Wc Troy Ny | $88 - $180 | 82% |
| Wc Tyson | $88 - $180 | 82% |
| Wc Unified Health Services | $88 - $180 | 82% |
| Wc United Heartland | $88 - $180 | 82% |
| Wc Us Dept Of Labor | $88 - $180 | 82% |
| Wc Walmart | $88 - $180 | 82% |
| Wc West Bend | $88 - $180 | 82% |
| Wc West Bend Mutual/Argent | $88 - $180 | 82% |
| Wc Winnebago Industries | $88 - $180 | 82% |
| Wc Yankee Trails | $88 - $180 | 82% |
| Wc York Risk | $88 - $180 | 82% |
| Wc Zenith | $88 - $180 | 82% |
| Wc Zurich | $88 - $180 | 82% |
| Nova | $203 | 190% |
| 1199 National Benefit Fund | $622 | 582% |
| Asr Health Benefits | $622 | 582% |
| Christian Brother Services | $622 | 582% |
| Coventry | $622 | 582% |
| First Health | $622 | 582% |
| Luminare Health | $622 | 582% |
| Medical Mutual | $622 | 582% |
| Trustmark Small Business Benefits | $622 | 582% |
| Webtpa | $622 | 582% |
| Medica | $1,165 | 1091% |
| Crime Victim Assistance | $1,793 | 1679% |