CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Mercyone Des Moines Medical Center
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $544
- Cash Discount Price: $1,785
- vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mercyone Des Moines Medical Center is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,785. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.62x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$1,785
Average discount available for prompt cash payment at this facility.
Insurance Median
$544
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$877.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $1,785 (203%)
Insurance Median: $544 (62%)
Cash: $1,785 (203% of Medicare)
Ins. Median: $544 (62% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $877.34 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 | $76 - $2,543 | 9% |
| Aetna | $79 - $3,205 | 9% |
| Champva | $108 - $559 | 12% |
| Humana | $108 - $991 | 12% |
| Tricare | $108 - $559 | 12% |
| Triwest Health Alliance | $108 - $559 | 12% |
| Us Family Health Plan | $108 - $559 | 12% |
| Veterans Eval Services | $108 - $559 | 12% |
| Wc Corvel | $109 - $588 | 12% |
| Align Senior Care | $112 - $607 | 13% |
| Ally Align Care Adv | $112 - $607 | 13% |
| American Health Advantage Of Idaho | $112 - $607 | 13% |
| Aurora Special Needs | $112 - $607 | 13% |
| Blue Care Network Advantage | $112 - $607 | 13% |
| Blue Cross Blue Shield | $112 - $1,477 | 13% |
| Blue Shield - De (Highmark) Medciare Advantage | $112 - $607 | 13% |
| Care Dimensions | $112 - $607 | 13% |
| Care Improvement Plus | $112 - $607 | 13% |
| Care Resources Pace | $112 - $607 | 13% |
| Careplus Health Plans | $112 - $607 | 13% |
| Cca - Zing Health | $112 - $607 | 13% |
| Cca Senior Care Options | $112 - $607 | 13% |
| Central Valley Medical Services Corp Pace | $112 - $607 | 13% |
| Champion Health Plan Mcr Advantage | $112 - $607 | 13% |
| Cigna | $112 - $5,542 | 13% |
| Clear Spring Health | $112 - $607 | 13% |
| Clover Health | $112 - $607 | 13% |
| Commonwealth Care Alliance | $112 - $607 | 13% |
| Community Pace At Home | $112 - $607 | 13% |
| Eddy Senior Care-Pace | $112 - $607 | 13% |
| Eddy Seniorcare Pace | $112 - $607 | 13% |
| Elementcare | $112 - $607 | 13% |
| Evercare | $112 - $607 | 13% |
| Everence | $112 - $607 | 13% |
| Gateway Health Plan | $112 - $607 | 13% |
| Genesys Pace Of Genesee County | $112 - $607 | 13% |
| Georgia Health Advantage | $112 - $607 | 13% |
| Gold Advantage | $112 - $607 | 13% |
| Gpa Croell Redi Mix | $112 - $607 | 13% |
| Health America Advantra | $112 - $607 | 13% |
| Highmark Health Options Dual Plan | $112 - $607 | 13% |
| Hope Select Pace | $112 - $607 | 13% |
| Horizon Nj Total Care | $112 - $607 | 13% |
| Hudson Headwaters Pace | $112 - $607 | 13% |
| Huron Valley Pace | $112 - $607 | 13% |
| Innovative Integrated Health Community Plans | $112 - $607 | 13% |
| Johns Hopkins Advantage Md | $112 - $607 | 13% |
| Lasso Healthcare Msa | $112 - $607 | 13% |
| Life St Marys Pace | $112 - $607 | 13% |
| Lifecircles Pace | $112 - $607 | 13% |
| Longevity Health Plan | $112 - $607 | 13% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $112 - $607 | 13% |
| Martins Point Generations Advantage | $112 - $607 | 13% |
| Mass General Brigham Mcr Adv | $112 - $607 | 13% |
| Medicare (plans) | $112 - $846 | 13% |
| Medipak Advantage | $112 - $607 | 13% |
| Mercy Life | $112 - $607 | 13% |
| Mercyone Cedar Valley | $112 - $607 | 13% |
| Meridian Complete | $112 - $607 | 13% |
| Michigan Complete Health | $112 - $607 | 13% |
| Nascentia Health Plus | $112 - $607 | 13% |
| New Centry Health Careplus | $112 - $607 | 13% |
| Osu Prime Care Advantage | $112 - $607 | 13% |
| Pace Cny | $112 - $607 | 13% |
| Pace Iowa Immanuel Pathways | $112 - $607 | 13% |
| Pace Of Southwest Michigan | $112 - $607 | 13% |
| Pace Southeast | $112 - $607 | 13% |
| Pace-Trinity Health | $112 - $607 | 13% |
| Peak Pace Solutions | $112 - $607 | 13% |
| Perennial Advantage | $112 - $607 | 13% |
| Preferred Care Partners | $112 - $607 | 13% |
| Presbyterian Senior Plan | $112 - $607 | 13% |
| Provider Partners Health Plan Of Illinois | $112 - $607 | 13% |
| Provider Partners Health Plan Of Indiana | $112 - $607 | 13% |
| Pruitthealth Premier | $112 - $607 | 13% |
| Reliance Community Care Partners Care Resources Pace | $112 - $607 | 13% |
| Rx Allwin | $112 - $607 | 13% |
| Rx Grane Grnmedd | $112 - $607 | 13% |
| Rx Retiree Rx Care | $112 - $607 | 13% |
| Scan Health Plan Mcr Ipa Meritage Oon | $112 - $607 | 13% |
| Secure Horizons Ma Pffs | $112 - $607 | 13% |
| Serenity Pace | $112 - $607 | 13% |
| Siouxland Pace | $112 - $607 | 13% |
| Solis Health Plans | $112 - $607 | 13% |
| Sunnyview-Pace Finance Dept | $112 - $607 | 13% |
| Texan Plus | $112 - $607 | 13% |
| The Health Plan | $112 - $607 | 13% |
| Thome Pace | $112 - $607 | 13% |
| Todays Options | $112 - $607 | 13% |
| Tribute Health Plans | $112 - $607 | 13% |
| Um Health Advantage | $112 - $607 | 13% |
| Union Health Service | $112 - $607 | 13% |
| UnitedHealthcare | $112 - $9,236 | 13% |
| Welbe Health | $112 - $607 | 13% |
| Wellmed | $112 - $607 | 13% |
| Veterans Administration | $114 - $619 | 13% |
| American Health Plan | $118 - $637 | 13% |
| Iowa Health Advantage | $118 - $637 | 13% |
| Stephenson Cty Health | $125 - $689 | 14% |
| Amish Hospital Aid | $152 - $1,103 | 17% |
| Amps | $154 - $836 | 18% |
| Avera | $176 - $1,003 | 20% |
| Albany County Correctional Facility | $188 - $544 | 21% |
| Ambetter / Centene | $188 - $1,393 | 21% |
| Amish Mennonite | $188 - $544 | 21% |
| Ascension St. Vincent Public Safety Medical | $188 - $544 | 21% |
| Bcccp-Michigan | $188 - $544 | 21% |
| Bccp | $188 - $544 | 21% |
| Bmc Healthnet | $188 - $544 | 21% |
| Breast Grant-Connecticut | $188 - $544 | 21% |
| Broward County Dept Of Health | $188 - $544 | 21% |
| California Health And Wellness | $188 - $544 | 21% |
| Can Community Health Inc | $188 - $544 | 21% |
| Cardinal Innovations Lme | $188 - $544 | 21% |
| Care Connections Of Northern Iowa | $188 - $544 | 21% |
| Care Oregon Ohp | $188 - $544 | 21% |
| Cencal Health Plan | $188 - $544 | 21% |
| Cenpatico | $188 - $544 | 21% |
| Chhuny | $188 - $544 | 21% |
| Childrens Comm Health Plan | $188 - $544 | 21% |
| Childrens Medical Services Title 19 | $188 - $544 | 21% |
| City Of Philadelphia | $188 - $544 | 21% |
| Cmh Allegan County | $188 - $544 | 21% |
| Cmh Ausable Valley | $188 - $544 | 21% |
| Cmh Barry County | $188 - $544 | 21% |
| Cmh Bay-Arenac County | $188 - $544 | 21% |
| Cmh Berrien County | $188 - $544 | 21% |
| Cmh Cass County | $188 - $544 | 21% |
| Cmh Central Mi County | $188 - $544 | 21% |
| Cmh Clinton-Eaton-Ingham County | $188 - $544 | 21% |
| Cmh Detroit Wayne Integrated Health Network | $188 - $544 | 21% |
| Cmh Genesee County | $188 - $544 | 21% |
| Cmh Ionia County | $188 - $544 | 21% |
| Cmh Jackson County/Lifeways | $188 - $544 | 21% |
| Cmh Kalamazoo | $188 - $544 | 21% |
| Cmh Kent County | $188 - $544 | 21% |
| Cmh Lenawee County | $188 - $544 | 21% |
| Cmh Livingston County | $188 - $544 | 21% |
| Cmh Macomb | $188 - $544 | 21% |
| Cmh Misc | $188 - $544 | 21% |
| Cmh Monroe County | $188 - $544 | 21% |
| Cmh Montcalm County | $188 - $544 | 21% |
| Cmh Muskegon County | $188 - $544 | 21% |
| Cmh Newaygo County | $188 - $544 | 21% |
| Cmh North Country | $188 - $544 | 21% |
| Cmh Northern Lakes County | $188 - $544 | 21% |
| Cmh Oakland County | $188 - $544 | 21% |
| Cmh Ottawa County | $188 - $544 | 21% |
| Cmh Van Buren County | $188 - $544 | 21% |
| Cmh Washtenaw County | $188 - $544 | 21% |
| Cmh Wayne County/Carelink | $188 - $544 | 21% |
| Cmh Wayne Cty/Com Liv Svcs | $188 - $544 | 21% |
| Cmh West Mi County | $188 - $544 | 21% |
| Community Benefit Health | $188 - $544 | 21% |
| Community Care Behavorial Health | $188 - $544 | 21% |
| Community Care Partners | $188 - $544 | 21% |
| Community Health Choice | $188 - $544 | 21% |
| Connections Csp | $188 - $544 | 21% |
| County Coroner | $188 - $544 | 21% |
| County Funding Generic | $188 - $544 | 21% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $188 - $544 | 21% |
| Dean Wi Badgercare | $188 - $544 | 21% |
| Delaware County Department Of Health | $188 - $544 | 21% |
| Delaware First Health | $188 - $544 | 21% |
| Delta Dental Nj | $188 - $544 | 21% |
| Dph Tb Program | $188 - $544 | 21% |
| Dscc | $188 - $544 | 21% |
| Eastpointe Lme | $188 - $544 | 21% |
| Family Health Network | $188 - $544 | 21% |
| Freedom First Healthcare | $188 - $544 | 21% |
| Fresno County Ccs | $188 - $544 | 21% |
| Ghc Scw Wi Badgercare | $188 - $544 | 21% |
| Harbor Health | $188 - $544 | 21% |
| Health Safety Net | $188 - $544 | 21% |
| Healthy Blue Ne | $188 - $544 | 21% |
| Hennepin Health | $188 - $544 | 21% |
| Id County Ada | $188 - $544 | 21% |
| Id County Canyon | $188 - $544 | 21% |
| Id County Cat Fund | $188 - $544 | 21% |
| Id County Other | $188 - $544 | 21% |
| Id County Payette | $188 - $544 | 21% |
| Idaho Dept Health And Wellfare | $188 - $544 | 21% |
| Idaho Womens Health Check | $188 - $544 | 21% |
| Indiana Breast Cervical Cancer | $188 - $544 | 21% |
| Inland Empire Health Plan | $188 - $544 | 21% |
| Intercommunity Health Ohp | $188 - $544 | 21% |
| Jai Medical System | $188 - $544 | 21% |
| Kern Family Health Plan | $188 - $544 | 21% |
| Keystone First | $188 - $544 | 21% |
| Keystone First Chip | $188 - $544 | 21% |
| La Care Health Plan | $188 - $544 | 21% |
| Lakeland Care Inc | $188 - $544 | 21% |
| Managed Health Services - Indiana | $188 - $544 | 21% |
| Maryland Breast & Cervical Program | $188 - $544 | 21% |
| Maryland Healthy Smiles - Scion Dental | $188 - $544 | 21% |
| Maryland Physicians Care | $188 - $544 | 21% |
| Massachusetts Behavioral Health Partnership | $188 - $544 | 21% |
| Mdwise | $188 - $544 | 21% |
| Medi-Cal | $188 - $544 | 21% |
| Medi-Cal Healthnet | $188 - $544 | 21% |
| Medstar Dc Healthy Family | $188 - $544 | 21% |
| Medstar Md Health Choice | $188 - $544 | 21% |
| Mo Home State Health Plan | $188 - $544 | 21% |
| Molina Centennial Care | $188 - $544 | 21% |
| Nascentia Health Options | $188 - $544 | 21% |
| New York Cancer Services Program | $188 - $544 | 21% |
| Nextlevel Health | $188 - $544 | 21% |
| Oregon Screenwise | $188 - $544 | 21% |
| Paramount Advantage | $188 - $544 | 21% |
| Parkland Community Health Plan | $188 - $544 | 21% |
| Partners Behavioral Lme | $188 - $544 | 21% |
| Peach State Healthplan | $188 - $544 | 21% |
| Philadelphia County Funding | $188 - $544 | 21% |
| Presbyterian Centennial Care | $188 - $544 | 21% |
| Prestige Health Choice | $188 - $544 | 21% |
| Priority Partners | $188 - $544 | 21% |
| Robert F Sing Program | $188 - $544 | 21% |
| Rx 340B Pass Along | $188 - $544 | 21% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $188 - $544 | 21% |
| Rx Medi-Cal | $188 - $544 | 21% |
| Rx Meridian Rx | $188 - $544 | 21% |
| Ryan White Florida Mssrp | $188 - $544 | 21% |
| Sandhills Center Lme | $188 - $544 | 21% |
| Screening For Life | $188 - $544 | 21% |
| St Joseph County Hlth Dpt | $188 - $544 | 21% |
| Sunshine State Health Plan | $188 - $544 | 21% |
| Superior Health | $188 - $544 | 21% |
| Tenncare | $188 - $544 | 21% |
| Texas Children'S Health Plan | $188 - $544 | 21% |
| Trillium Community Ohp | $188 - $544 | 21% |
| Tufts Health Public Plans | $188 - $544 | 21% |
| Vaya Health Lme | $188 - $544 | 21% |
| Washtenaw Health Plan | $188 - $544 | 21% |
| Wellsense Health Plan | $188 - $544 | 21% |
| Wi Womens Wellness | $188 - $544 | 21% |
| Newton Correctional Facility | $190 - $1,653 | 22% |
| Iowa Total Care | $191 - $811 | 22% |
| Medical Associates | $191 - $1,856 | 22% |
| Sanford Health Plan | $191 - $1,079 | 22% |
| Wellpoint | $193 - $560 | 22% |
| Lucent Health | $206 - $3,205 | 23% |
| Ucare | $206 - $1,199 | 23% |
| Genex Wc | $219 - $1,907 | 25% |
| Usa Managed Care | $222 - $7,851 | 25% |
| Centivo | $223 - $1,207 | 25% |
| Oscar | $223 - $1,206 | 25% |
| Quiktrip | $223 - $1,208 | 25% |
| Bcn Domestic | $232 - $1,255 | 26% |
| Blue Benefit Administrators Of Massachusetts | $232 - $1,255 | 26% |
| Blue Care Network | $232 - $1,255 | 26% |
| Blue Distinction Transplant | $232 - $1,255 | 26% |
| Blue Shield - Ca | $232 - $1,255 | 26% |
| Blue Shield - Id (Regence) | $232 - $1,255 | 26% |
| Blue Shield - Ny Highmark Northeastern | $232 - $1,255 | 26% |
| Blue Shield - Ny Highmark Western | $232 - $1,255 | 26% |
| Blue Shield - Pa (Highmark) | $232 - $1,255 | 26% |
| Blue Shield - Wa (Regence) | $232 - $1,255 | 26% |
| Health Choices | $232 - $1,856 | 26% |
| Kaiser Domestic | $232 - $1,255 | 26% |
| Pre-Employment | $232 - $1,255 | 26% |
| Wc Domestic | $232 - $1,255 | 26% |
| Health Partners | $233 - $5,865 | 27% |
| Wc Align Network | $234 - $2,034 | 27% |
| Preferred One | $236 - $1,222 | 27% |
| Claimdoc | $239 - $1,667 | 27% |
| The Alliance | $240 - $1,301 | 27% |
| Meritain | $245 - $3,205 | 28% |
| Wc Praxis Health Network | $248 - $2,162 | 28% |
| Wc Reny Company | $254 - $2,212 | 29% |
| Wc Velocity | $254 - $2,212 | 29% |
| Global Excel | $259 - $1,400 | 30% |
| Auto Velocity | $263 - $2,289 | 30% |
| Health Smart | $263 - $2,289 | 30% |
| Wc O'Hara Corp | $263 - $2,289 | 30% |
| Velocity | $269 - $1,456 | 31% |
| Allied Benefit Systems | $292 - $3,205 | 33% |
| Andrie Inc | $292 - $2,543 | 33% |
| Auxiant | $292 - $6,003 | 33% |
| East Greenbush Central School District | $292 - $2,543 | 33% |
| First Choice Health | $292 - $1,605 | 33% |
| Geha | $292 - $2,984 | 33% |
| Group Administrators | $292 - $1,605 | 33% |
| Healthsmart Workers Comp | $292 - $2,543 | 33% |
| Iowa Dept Of Public Health | $292 - $9,236 | 33% |
| Jag Source | $292 - $2,543 | 33% |
| Midlands | $292 - $6,003 | 33% |
| Midlands Choice | $292 - $6,003 | 33% |
| Multiplan | $292 - $2,102 | 33% |
| Nebraska Total Care | $292 - $2,543 | 33% |
| New York State Insurance Fund | $292 - $2,543 | 33% |
| Njm Insurance Group | $292 - $2,543 | 33% |
| Rx Heatlhcomp | $292 - $2,543 | 33% |
| Rx Restat | $292 - $2,543 | 33% |
| Rx Saif Opdp Wc | $292 - $2,543 | 33% |
| Rx Worker'S Comp | $292 - $2,543 | 33% |
| Wc Accident Fund | $292 - $2,543 | 33% |
| Wc Ace | $292 - $2,543 | 33% |
| Wc Acs Federal Employees | $292 - $2,543 | 33% |
| Wc Acuity | $292 - $2,543 | 33% |
| Wc Advantage | $292 - $2,543 | 33% |
| Wc Aegis | $292 - $2,543 | 33% |
| Wc Aig | $292 - $2,543 | 33% |
| Wc Aims | $292 - $2,543 | 33% |
| Wc Alaska National Ins | $292 - $2,543 | 33% |
| Wc Allied | $292 - $2,543 | 33% |
| Wc Am Trust N America | $292 - $2,543 | 33% |
| Wc American Claims Mgmt | $292 - $2,543 | 33% |
| Wc Amerisure | $292 - $2,543 | 33% |
| Wc Amtrust | $292 - $2,543 | 33% |
| Wc Asu Risk Mgt | $292 - $2,543 | 33% |
| Wc Benetech | $292 - $2,543 | 33% |
| Wc Berkley Admin | $292 - $2,543 | 33% |
| Wc Broadspire | $292 - $2,543 | 33% |
| Wc Broward County | $292 - $2,543 | 33% |
| Wc Bunch & Associates | $292 - $2,543 | 33% |
| Wc California State Comp Ins | $292 - $2,543 | 33% |
| Wc California State Ins Fund | $292 - $2,543 | 33% |
| Wc Capitol Area Health Consortium | $292 - $2,543 | 33% |
| Wc Ccmsi | $292 - $2,543 | 33% |
| Wc Chartis | $292 - $2,543 | 33% |
| Wc Chubb | $292 - $2,543 | 33% |
| Wc Cirma | $292 - $2,543 | 33% |
| Wc City Of Albany | $292 - $2,543 | 33% |
| Wc City Of Sioux City | $292 - $2,543 | 33% |
| Wc Claims Mgmt Inc | $292 - $2,543 | 33% |
| Wc Cna | $292 - $2,543 | 33% |
| Wc Comp One Admin C/O Manageability | $292 - $2,543 | 33% |
| Wc Compone Admin | $292 - $2,543 | 33% |
| Wc Ct Healthcare Trust | $292 - $2,543 | 33% |
| Wc Donegal Insurance Group | $292 - $2,543 | 33% |
| Wc Emc Insurance Company | $292 - $2,543 | 33% |
| Wc Employee Mutual | $292 - $2,543 | 33% |
| Wc Enablecomp | $292 - $2,543 | 33% |
| Wc Encore Health Network | $292 - $2,543 | 33% |
| Wc Erie | $292 - $2,543 | 33% |
| Wc Esis | $292 - $2,543 | 33% |
| Wc Evolutions | $292 - $2,543 | 33% |
| Wc Fcci | $292 - $2,543 | 33% |
| Wc Fed Ex | $292 - $2,543 | 33% |
| Wc Federal Black Lung | $292 - $2,543 | 33% |
| Wc Federated | $292 - $2,543 | 33% |
| Wc Finley Occupational Health | $292 - $2,543 | 33% |
| Wc First Agency/Occunet | $292 - $2,543 | 33% |
| Wc Ford Motor | $292 - $2,543 | 33% |
| Wc Fresno Unified Emp | $292 - $2,543 | 33% |
| Wc Gallagher Bassett | $292 - $2,543 | 33% |
| Wc General Motors | $292 - $2,543 | 33% |
| Wc Generic | $292 - $2,543 | 33% |
| Wc Genex Care For Ohio | $292 - $2,543 | 33% |
| Wc Great West Casualty | $292 - $2,543 | 33% |
| Wc Guarantee Insurance | $292 - $2,543 | 33% |
| Wc Guard Insurance Company | $292 - $2,543 | 33% |
| Wc Hab | $292 - $2,543 | 33% |
| Wc Hartford | $292 - $2,543 | 33% |
| Wc Hastings | $292 - $2,543 | 33% |
| Wc Health Management | $292 - $2,543 | 33% |
| Wc Heritage Summit | $292 - $2,543 | 33% |
| Wc Hireright | $292 - $2,543 | 33% |
| Wc Horizon | $292 - $2,543 | 33% |
| Wc Icw Group | $292 - $2,543 | 33% |
| Wc Idaho State Ins Fund | $292 - $2,543 | 33% |
| Wc Intercare Insurance | $292 - $2,543 | 33% |
| Wc Intermountain | $292 - $2,543 | 33% |
| Wc Johns Eastern | $292 - $2,543 | 33% |
| Wc Kemberton | $292 - $2,543 | 33% |
| Wc Key Ins & Benefit Solutions | $292 - $2,543 | 33% |
| Wc Liberty Mutual | $292 - $2,543 | 33% |
| Wc Mac Risk Management | $292 - $2,543 | 33% |
| Wc Massachusetts | $292 - $2,543 | 33% |
| Wc Mdia | $292 - $2,543 | 33% |
| Wc Meadowbrook Claim | $292 - $2,543 | 33% |
| Wc Medical Administrators | $292 - $2,543 | 33% |
| Wc Meijers | $292 - $2,543 | 33% |
| Wc Memic | $292 - $2,543 | 33% |
| Wc Mercy Workcare | $292 - $2,543 | 33% |
| Wc Michigan | $292 - $2,543 | 33% |
| Wc Michigan Millers Mutual | $292 - $2,543 | 33% |
| Wc Mitchell Frankenmuth | $292 - $2,543 | 33% |
| Wc Mra | $292 - $2,543 | 33% |
| Wc Nationwide | $292 - $2,543 | 33% |
| Wc Nca Comp | $292 - $2,543 | 33% |
| Wc New York | $292 - $2,543 | 33% |
| Wc New York Special Funds | $292 - $2,543 | 33% |
| Wc North American Rishces | $292 - $2,543 | 33% |
| Wc Northeast Health | $292 - $2,543 | 33% |
| Wc Notre Dame | $292 - $2,543 | 33% |
| Wc Novanet | $292 - $2,543 | 33% |
| Wc Occ Health Allen | $292 - $2,543 | 33% |
| Wc Ohio Bureau | $292 - $2,543 | 33% |
| Wc One Call Medical | $292 - $2,543 | 33% |
| Wc Paradigm | $292 - $2,543 | 33% |
| Wc Peerless | $292 - $2,543 | 33% |
| Wc Pma | $292 - $2,543 | 33% |
| Wc Price Chopper | $292 - $2,543 | 33% |
| Wc Procura Management | $292 - $2,543 | 33% |
| Wc Qualcare | $292 - $2,543 | 33% |
| Wc Quiktrip | $292 - $2,543 | 33% |
| Wc Rev Claims | $292 - $2,543 | 33% |
| Wc Risico | $292 - $2,543 | 33% |
| Wc Rural Mutual | $292 - $2,543 | 33% |
| Wc Saif Oregon | $292 - $2,543 | 33% |
| Wc Secura | $292 - $2,543 | 33% |
| Wc Sedgwick | $292 - $2,543 | 33% |
| Wc Sentry | $292 - $2,543 | 33% |
| Wc Sheakley Unicomp | $292 - $2,543 | 33% |
| Wc Smile Lodge | $292 - $2,543 | 33% |
| Wc Society | $292 - $2,543 | 33% |
| Wc Srs | $292 - $2,543 | 33% |
| Wc Taconic (Mro) | $292 - $2,543 | 33% |
| Wc Taconic Farms | $292 - $2,543 | 33% |
| Wc Travelers | $292 - $2,543 | 33% |
| Wc Triad Group | $292 - $2,543 | 33% |
| Wc Tristar | $292 - $2,543 | 33% |
| Wc Troy Ny | $292 - $2,543 | 33% |
| Wc Tyson | $292 - $2,543 | 33% |
| Wc Unified Health Services | $292 - $2,543 | 33% |
| Wc United Heartland | $292 - $2,543 | 33% |
| Wc Us Dept Of Labor | $292 - $2,543 | 33% |
| Wc Walmart | $292 - $2,543 | 33% |
| Wc West Bend | $292 - $2,543 | 33% |
| Wc West Bend Mutual/Argent | $292 - $2,543 | 33% |
| Wc Winnebago Industries | $292 - $2,543 | 33% |
| Wc Yankee Trails | $292 - $2,543 | 33% |
| Wc York Risk | $292 - $2,543 | 33% |
| Wc Zenith | $292 - $2,543 | 33% |
| Wc Zurich | $292 - $2,543 | 33% |
| Nova | $1,667 | 190% |
| 1199 National Benefit Fund | $3,205 | 365% |
| Asr Health Benefits | $3,205 | 365% |
| Christian Brother Services | $3,205 | 365% |
| Coventry | $3,205 | 365% |
| First Health | $3,205 | 365% |
| Luminare Health | $3,205 | 365% |
| Medical Mutual | $3,205 | 365% |
| Trustmark Small Business Benefits | $3,205 | 365% |
| Webtpa | $3,205 | 365% |
| Medica | $6,003 | 684% |
| Crime Victim Assistance | $9,236 | 1053% |