CMS Price Transparency Data
X-ray, shoulder
Facility: Mercyone Centerville Medical Center
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $28
- Cash Discount Price: $82
- vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Mercyone Centerville Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.31x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$82
Average discount available for prompt cash payment at this facility.
Insurance Median
$28
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: $82 (92%)
Insurance Median: $28 (31%)
Cash: $82 (92% of Medicare)
Ins. Median: $28 (31% 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 |
|---|---|---|
| Medicaid / KanCare | $6 - $167 | 7% |
| Aetna | $8 - $557 | 9% |
| Align Senior Care | $8 - $32 | 9% |
| Ally Align Care Adv | $8 - $32 | 9% |
| American Health Advantage Of Idaho | $8 - $32 | 9% |
| Aurora Special Needs | $8 - $32 | 9% |
| Blue Care Network Advantage | $8 - $32 | 9% |
| Blue Cross Blue Shield | $8 - $170 | 9% |
| Blue Shield - De (Highmark) Medciare Advantage | $8 - $32 | 9% |
| Care Dimensions | $8 - $32 | 9% |
| Care Improvement Plus | $8 - $32 | 9% |
| Care Resources Pace | $8 - $32 | 9% |
| Careplus Health Plans | $8 - $32 | 9% |
| Cca - Zing Health | $8 - $32 | 9% |
| Cca Senior Care Options | $8 - $32 | 9% |
| Central Valley Medical Services Corp Pace | $8 - $32 | 9% |
| Champion Health Plan Mcr Advantage | $8 - $32 | 9% |
| Champva | $8 - $31 | 9% |
| Cigna | $8 - $582 | 9% |
| Clear Spring Health | $8 - $32 | 9% |
| Clover Health | $8 - $32 | 9% |
| Commonwealth Care Alliance | $8 - $32 | 9% |
| Community Pace At Home | $8 - $32 | 9% |
| Eddy Senior Care-Pace | $8 - $32 | 9% |
| Eddy Seniorcare Pace | $8 - $32 | 9% |
| Elementcare | $8 - $32 | 9% |
| Evercare | $8 - $32 | 9% |
| Everence | $8 - $32 | 9% |
| Gateway Health Plan | $8 - $32 | 9% |
| Genesys Pace Of Genesee County | $8 - $32 | 9% |
| Georgia Health Advantage | $8 - $32 | 9% |
| Gold Advantage | $8 - $32 | 9% |
| Gpa Croell Redi Mix | $8 - $32 | 9% |
| Health America Advantra | $8 - $32 | 9% |
| Highmark Health Options Dual Plan | $8 - $32 | 9% |
| Hope Select Pace | $8 - $32 | 9% |
| Horizon Nj Total Care | $8 - $32 | 9% |
| Hudson Headwaters Pace | $8 - $32 | 9% |
| Humana | $8 - $53 | 9% |
| Huron Valley Pace | $8 - $32 | 9% |
| Innovative Integrated Health Community Plans | $8 - $32 | 9% |
| Johns Hopkins Advantage Md | $8 - $32 | 9% |
| Lasso Healthcare Msa | $8 - $32 | 9% |
| Life St Marys Pace | $8 - $32 | 9% |
| Lifecircles Pace | $8 - $32 | 9% |
| Longevity Health Plan | $8 - $32 | 9% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $8 - $32 | 9% |
| Martins Point Generations Advantage | $8 - $32 | 9% |
| Mass General Brigham Mcr Adv | $8 - $32 | 9% |
| Medicare (plans) | $8 - $179 | 9% |
| Medipak Advantage | $8 - $32 | 9% |
| Mercy Life | $8 - $32 | 9% |
| Mercyone Cedar Valley | $8 - $32 | 9% |
| Meridian Complete | $8 - $32 | 9% |
| Michigan Complete Health | $8 - $32 | 9% |
| Nascentia Health Plus | $8 - $32 | 9% |
| New Centry Health Careplus | $8 - $32 | 9% |
| Osu Prime Care Advantage | $8 - $32 | 9% |
| Pace Cny | $8 - $32 | 9% |
| Pace Iowa Immanuel Pathways | $8 - $32 | 9% |
| Pace Of Southwest Michigan | $8 - $32 | 9% |
| Pace Southeast | $8 - $32 | 9% |
| Pace-Trinity Health | $8 - $32 | 9% |
| Peak Pace Solutions | $8 - $32 | 9% |
| Perennial Advantage | $8 - $32 | 9% |
| Preferred Care Partners | $8 - $32 | 9% |
| Presbyterian Senior Plan | $8 - $32 | 9% |
| Provider Partners Health Plan Of Illinois | $8 - $32 | 9% |
| Provider Partners Health Plan Of Indiana | $8 - $32 | 9% |
| Pruitthealth Premier | $8 - $32 | 9% |
| Reliance Community Care Partners Care Resources Pace | $8 - $32 | 9% |
| Rx Allwin | $8 - $32 | 9% |
| Rx Grane Grnmedd | $8 - $32 | 9% |
| Rx Retiree Rx Care | $8 - $32 | 9% |
| Scan Health Plan Mcr Ipa Meritage Oon | $8 - $32 | 9% |
| Secure Horizons Ma Pffs | $8 - $32 | 9% |
| Serenity Pace | $8 - $32 | 9% |
| Siouxland Pace | $8 - $32 | 9% |
| Solis Health Plans | $8 - $32 | 9% |
| Sunnyview-Pace Finance Dept | $8 - $32 | 9% |
| Texan Plus | $8 - $32 | 9% |
| The Health Plan | $8 - $32 | 9% |
| Thome Pace | $8 - $32 | 9% |
| Todays Options | $8 - $32 | 9% |
| Tribute Health Plans | $8 - $32 | 9% |
| Tricare | $8 - $31 | 9% |
| Triwest Health Alliance | $8 - $31 | 9% |
| Um Health Advantage | $8 - $32 | 9% |
| Union Health Service | $8 - $32 | 9% |
| UnitedHealthcare | $8 - $594 | 9% |
| Us Family Health Plan | $8 - $31 | 9% |
| Veterans Eval Services | $8 - $31 | 9% |
| Wc Corvel | $8 - $31 | 9% |
| Welbe Health | $8 - $32 | 9% |
| Wellmed | $8 - $32 | 9% |
| Albany County Correctional Facility | $9 - $28 | 10% |
| Ambetter / Centene | $9 - $289 | 10% |
| American Health Plan | $9 - $34 | 10% |
| Amish Mennonite | $9 - $28 | 10% |
| Ascension St. Vincent Public Safety Medical | $9 - $28 | 10% |
| Bcccp-Michigan | $9 - $28 | 10% |
| Bccp | $9 - $28 | 10% |
| Bmc Healthnet | $9 - $28 | 10% |
| Breast Grant-Connecticut | $9 - $28 | 10% |
| Broward County Dept Of Health | $9 - $28 | 10% |
| California Health And Wellness | $9 - $28 | 10% |
| Can Community Health Inc | $9 - $28 | 10% |
| Cardinal Innovations Lme | $9 - $28 | 10% |
| Care Connections Of Northern Iowa | $9 - $28 | 10% |
| Care Oregon Ohp | $9 - $28 | 10% |
| Cencal Health Plan | $9 - $28 | 10% |
| Cenpatico | $9 - $28 | 10% |
| Chhuny | $9 - $28 | 10% |
| Childrens Comm Health Plan | $9 - $28 | 10% |
| Childrens Medical Services Title 19 | $9 - $28 | 10% |
| City Of Philadelphia | $9 - $28 | 10% |
| Cmh Allegan County | $9 - $28 | 10% |
| Cmh Ausable Valley | $9 - $28 | 10% |
| Cmh Barry County | $9 - $28 | 10% |
| Cmh Bay-Arenac County | $9 - $28 | 10% |
| Cmh Berrien County | $9 - $28 | 10% |
| Cmh Cass County | $9 - $28 | 10% |
| Cmh Central Mi County | $9 - $28 | 10% |
| Cmh Clinton-Eaton-Ingham County | $9 - $28 | 10% |
| Cmh Detroit Wayne Integrated Health Network | $9 - $28 | 10% |
| Cmh Genesee County | $9 - $28 | 10% |
| Cmh Ionia County | $9 - $28 | 10% |
| Cmh Jackson County/Lifeways | $9 - $28 | 10% |
| Cmh Kalamazoo | $9 - $28 | 10% |
| Cmh Kent County | $9 - $28 | 10% |
| Cmh Lenawee County | $9 - $28 | 10% |
| Cmh Livingston County | $9 - $28 | 10% |
| Cmh Macomb | $9 - $28 | 10% |
| Cmh Misc | $9 - $28 | 10% |
| Cmh Monroe County | $9 - $28 | 10% |
| Cmh Montcalm County | $9 - $28 | 10% |
| Cmh Muskegon County | $9 - $28 | 10% |
| Cmh Newaygo County | $9 - $28 | 10% |
| Cmh North Country | $9 - $28 | 10% |
| Cmh Northern Lakes County | $9 - $28 | 10% |
| Cmh Oakland County | $9 - $28 | 10% |
| Cmh Ottawa County | $9 - $28 | 10% |
| Cmh Van Buren County | $9 - $28 | 10% |
| Cmh Washtenaw County | $9 - $28 | 10% |
| Cmh Wayne County/Carelink | $9 - $28 | 10% |
| Cmh Wayne Cty/Com Liv Svcs | $9 - $28 | 10% |
| Cmh West Mi County | $9 - $28 | 10% |
| Community Benefit Health | $9 - $28 | 10% |
| Community Care Behavorial Health | $9 - $28 | 10% |
| Community Care Partners | $9 - $28 | 10% |
| Community Health Choice | $9 - $28 | 10% |
| Connections Csp | $9 - $28 | 10% |
| County Coroner | $9 - $28 | 10% |
| County Funding Generic | $9 - $28 | 10% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $9 - $28 | 10% |
| Dean Wi Badgercare | $9 - $28 | 10% |
| Delaware County Department Of Health | $9 - $28 | 10% |
| Delaware First Health | $9 - $28 | 10% |
| Delta Dental Nj | $9 - $28 | 10% |
| Dph Tb Program | $9 - $28 | 10% |
| Dscc | $9 - $28 | 10% |
| Eastpointe Lme | $9 - $28 | 10% |
| Family Health Network | $9 - $28 | 10% |
| Freedom First Healthcare | $9 - $28 | 10% |
| Fresno County Ccs | $9 - $28 | 10% |
| Ghc Scw Wi Badgercare | $9 - $28 | 10% |
| Harbor Health | $9 - $28 | 10% |
| Health Safety Net | $9 - $28 | 10% |
| Healthy Blue Ne | $9 - $28 | 10% |
| Hennepin Health | $9 - $28 | 10% |
| Id County Ada | $9 - $28 | 10% |
| Id County Canyon | $9 - $28 | 10% |
| Id County Cat Fund | $9 - $28 | 10% |
| Id County Other | $9 - $28 | 10% |
| Id County Payette | $9 - $28 | 10% |
| Idaho Dept Health And Wellfare | $9 - $28 | 10% |
| Idaho Womens Health Check | $9 - $28 | 10% |
| Indiana Breast Cervical Cancer | $9 - $28 | 10% |
| Inland Empire Health Plan | $9 - $28 | 10% |
| Intercommunity Health Ohp | $9 - $28 | 10% |
| Iowa Health Advantage | $9 - $34 | 10% |
| Iowa Total Care | $9 - $164 | 10% |
| Jai Medical System | $9 - $28 | 10% |
| Kern Family Health Plan | $9 - $28 | 10% |
| Keystone First | $9 - $28 | 10% |
| Keystone First Chip | $9 - $28 | 10% |
| La Care Health Plan | $9 - $28 | 10% |
| Lakeland Care Inc | $9 - $28 | 10% |
| Managed Health Services - Indiana | $9 - $28 | 10% |
| Maryland Breast & Cervical Program | $9 - $28 | 10% |
| Maryland Healthy Smiles - Scion Dental | $9 - $28 | 10% |
| Maryland Physicians Care | $9 - $28 | 10% |
| Massachusetts Behavioral Health Partnership | $9 - $28 | 10% |
| Mdwise | $9 - $28 | 10% |
| Medi-Cal | $9 - $28 | 10% |
| Medi-Cal Healthnet | $9 - $28 | 10% |
| Medstar Dc Healthy Family | $9 - $28 | 10% |
| Medstar Md Health Choice | $9 - $28 | 10% |
| Mo Home State Health Plan | $9 - $28 | 10% |
| Molina Centennial Care | $9 - $28 | 10% |
| Nascentia Health Options | $9 - $28 | 10% |
| New York Cancer Services Program | $9 - $28 | 10% |
| Nextlevel Health | $9 - $28 | 10% |
| Oregon Screenwise | $9 - $28 | 10% |
| Paramount Advantage | $9 - $28 | 10% |
| Parkland Community Health Plan | $9 - $28 | 10% |
| Partners Behavioral Lme | $9 - $28 | 10% |
| Peach State Healthplan | $9 - $28 | 10% |
| Philadelphia County Funding | $9 - $28 | 10% |
| Presbyterian Centennial Care | $9 - $28 | 10% |
| Prestige Health Choice | $9 - $28 | 10% |
| Priority Partners | $9 - $28 | 10% |
| Robert F Sing Program | $9 - $28 | 10% |
| Rx 340B Pass Along | $9 - $28 | 10% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $9 - $28 | 10% |
| Rx Medi-Cal | $9 - $28 | 10% |
| Rx Meridian Rx | $9 - $28 | 10% |
| Ryan White Florida Mssrp | $9 - $28 | 10% |
| Sandhills Center Lme | $9 - $28 | 10% |
| Screening For Life | $9 - $28 | 10% |
| St Joseph County Hlth Dpt | $9 - $28 | 10% |
| Sunshine State Health Plan | $9 - $28 | 10% |
| Superior Health | $9 - $28 | 10% |
| Tenncare | $9 - $28 | 10% |
| Texas Children'S Health Plan | $9 - $28 | 10% |
| Trillium Community Ohp | $9 - $28 | 10% |
| Tufts Health Public Plans | $9 - $28 | 10% |
| Vaya Health Lme | $9 - $28 | 10% |
| Veterans Administration | $9 - $33 | 10% |
| Washtenaw Health Plan | $9 - $28 | 10% |
| Wellpoint | $9 - $29 | 10% |
| Wellsense Health Plan | $9 - $28 | 10% |
| Wi Womens Wellness | $9 - $28 | 10% |
| Stephenson Cty Health | $10 - $37 | 11% |
| Amish Hospital Aid | $11 - $229 | 12% |
| Amps | $12 - $44 | 13% |
| Avera | $13 - $53 | 15% |
| Newton Correctional Facility | $13 - $63 | 15% |
| Medical Associates | $14 - $454 | 16% |
| Sanford Health Plan | $14 - $57 | 16% |
| Bcn Domestic | $15 - $59 | 17% |
| Blue Benefit Administrators Of Massachusetts | $15 - $59 | 17% |
| Blue Care Network | $15 - $59 | 17% |
| Blue Distinction Transplant | $15 - $59 | 17% |
| Blue Shield - Ca | $15 - $59 | 17% |
| Blue Shield - Id (Regence) | $15 - $59 | 17% |
| Blue Shield - Ny Highmark Northeastern | $15 - $59 | 17% |
| Blue Shield - Ny Highmark Western | $15 - $59 | 17% |
| Blue Shield - Pa (Highmark) | $15 - $59 | 17% |
| Blue Shield - Wa (Regence) | $15 - $59 | 17% |
| Genex Wc | $15 - $73 | 17% |
| Health Choices | $15 - $454 | 17% |
| Kaiser Domestic | $15 - $59 | 17% |
| Lucent Health | $15 - $557 | 17% |
| Oscar | $15 - $59 | 17% |
| Pre-Employment | $15 - $59 | 17% |
| Wc Domestic | $15 - $59 | 17% |
| Centivo | $16 - $62 | 18% |
| Health Partners | $16 - $571 | 18% |
| Health Smart | $16 - $61 | 18% |
| Meritain | $16 - $557 | 18% |
| Multiplan | $16 - $97 | 18% |
| Ucare | $16 - $63 | 18% |
| Wc Align Network | $16 - $78 | 18% |
| Quiktrip | $17 - $64 | 19% |
| Usa Managed Care | $17 - $64 | 19% |
| Wc Praxis Health Network | $17 - $82 | 19% |
| Wc Reny Company | $17 - $84 | 19% |
| Wc Velocity | $17 - $84 | 19% |
| Auto Velocity | $18 - $87 | 20% |
| Claimdoc | $18 - $346 | 20% |
| Geha | $18 - $428 | 20% |
| Preferred One | $18 - $68 | 20% |
| The Alliance | $18 - $69 | 20% |
| Wc O'Hara Corp | $18 - $87 | 20% |
| Global Excel | $19 - $74 | 21% |
| Allied Benefit Systems | $20 - $557 | 22% |
| Andrie Inc | $20 - $97 | 22% |
| Auxiant | $20 - $582 | 22% |
| East Greenbush Central School District | $20 - $97 | 22% |
| First Choice Health | $20 - $86 | 22% |
| Group Administrators | $20 - $86 | 22% |
| Healthsmart Workers Comp | $20 - $97 | 22% |
| Iowa Dept Of Public Health | $20 - $594 | 22% |
| Jag Source | $20 - $97 | 22% |
| Midlands | $20 - $582 | 22% |
| Midlands Choice | $20 - $582 | 22% |
| Nebraska Total Care | $20 - $82 | 22% |
| New York State Insurance Fund | $20 - $97 | 22% |
| Njm Insurance Group | $20 - $97 | 22% |
| Rx Heatlhcomp | $20 - $97 | 22% |
| Rx Restat | $20 - $97 | 22% |
| Rx Saif Opdp Wc | $20 - $97 | 22% |
| Rx Worker'S Comp | $20 - $97 | 22% |
| Velocity | $20 - $77 | 22% |
| Wc Accident Fund | $20 - $97 | 22% |
| Wc Ace | $20 - $97 | 22% |
| Wc Acs Federal Employees | $20 - $97 | 22% |
| Wc Acuity | $20 - $97 | 22% |
| Wc Advantage | $20 - $97 | 22% |
| Wc Aegis | $20 - $97 | 22% |
| Wc Aig | $20 - $97 | 22% |
| Wc Aims | $20 - $97 | 22% |
| Wc Alaska National Ins | $20 - $97 | 22% |
| Wc Allied | $20 - $97 | 22% |
| Wc Am Trust N America | $20 - $97 | 22% |
| Wc American Claims Mgmt | $20 - $97 | 22% |
| Wc Amerisure | $20 - $97 | 22% |
| Wc Amtrust | $20 - $97 | 22% |
| Wc Asu Risk Mgt | $20 - $97 | 22% |
| Wc Benetech | $20 - $97 | 22% |
| Wc Berkley Admin | $20 - $97 | 22% |
| Wc Broadspire | $20 - $97 | 22% |
| Wc Broward County | $20 - $97 | 22% |
| Wc Bunch & Associates | $20 - $97 | 22% |
| Wc California State Comp Ins | $20 - $97 | 22% |
| Wc California State Ins Fund | $20 - $97 | 22% |
| Wc Capitol Area Health Consortium | $20 - $97 | 22% |
| Wc Ccmsi | $20 - $97 | 22% |
| Wc Chartis | $20 - $97 | 22% |
| Wc Chubb | $20 - $97 | 22% |
| Wc Cirma | $20 - $97 | 22% |
| Wc City Of Albany | $20 - $97 | 22% |
| Wc City Of Sioux City | $20 - $97 | 22% |
| Wc Claims Mgmt Inc | $20 - $97 | 22% |
| Wc Cna | $20 - $97 | 22% |
| Wc Comp One Admin C/O Manageability | $20 - $97 | 22% |
| Wc Compone Admin | $20 - $97 | 22% |
| Wc Ct Healthcare Trust | $20 - $97 | 22% |
| Wc Donegal Insurance Group | $20 - $97 | 22% |
| Wc Emc Insurance Company | $20 - $97 | 22% |
| Wc Employee Mutual | $20 - $97 | 22% |
| Wc Enablecomp | $20 - $97 | 22% |
| Wc Encore Health Network | $20 - $97 | 22% |
| Wc Erie | $20 - $97 | 22% |
| Wc Esis | $20 - $97 | 22% |
| Wc Evolutions | $20 - $97 | 22% |
| Wc Fcci | $20 - $97 | 22% |
| Wc Fed Ex | $20 - $97 | 22% |
| Wc Federal Black Lung | $20 - $97 | 22% |
| Wc Federated | $20 - $97 | 22% |
| Wc Finley Occupational Health | $20 - $97 | 22% |
| Wc First Agency/Occunet | $20 - $97 | 22% |
| Wc Ford Motor | $20 - $97 | 22% |
| Wc Fresno Unified Emp | $20 - $97 | 22% |
| Wc Gallagher Bassett | $20 - $97 | 22% |
| Wc General Motors | $20 - $97 | 22% |
| Wc Generic | $20 - $97 | 22% |
| Wc Genex Care For Ohio | $20 - $97 | 22% |
| Wc Great West Casualty | $20 - $97 | 22% |
| Wc Guarantee Insurance | $20 - $97 | 22% |
| Wc Guard Insurance Company | $20 - $97 | 22% |
| Wc Hab | $20 - $97 | 22% |
| Wc Hartford | $20 - $97 | 22% |
| Wc Hastings | $20 - $97 | 22% |
| Wc Health Management | $20 - $97 | 22% |
| Wc Heritage Summit | $20 - $97 | 22% |
| Wc Hireright | $20 - $97 | 22% |
| Wc Horizon | $20 - $97 | 22% |
| Wc Icw Group | $20 - $97 | 22% |
| Wc Idaho State Ins Fund | $20 - $97 | 22% |
| Wc Intercare Insurance | $20 - $97 | 22% |
| Wc Intermountain | $20 - $97 | 22% |
| Wc Johns Eastern | $20 - $97 | 22% |
| Wc Kemberton | $20 - $97 | 22% |
| Wc Key Ins & Benefit Solutions | $20 - $97 | 22% |
| Wc Liberty Mutual | $20 - $97 | 22% |
| Wc Mac Risk Management | $20 - $97 | 22% |
| Wc Massachusetts | $20 - $97 | 22% |
| Wc Mdia | $20 - $97 | 22% |
| Wc Meadowbrook Claim | $20 - $97 | 22% |
| Wc Medical Administrators | $20 - $97 | 22% |
| Wc Meijers | $20 - $97 | 22% |
| Wc Memic | $20 - $97 | 22% |
| Wc Mercy Workcare | $20 - $97 | 22% |
| Wc Michigan | $20 - $97 | 22% |
| Wc Michigan Millers Mutual | $20 - $97 | 22% |
| Wc Mitchell Frankenmuth | $20 - $97 | 22% |
| Wc Mra | $20 - $97 | 22% |
| Wc Nationwide | $20 - $97 | 22% |
| Wc Nca Comp | $20 - $97 | 22% |
| Wc New York | $20 - $97 | 22% |
| Wc New York Special Funds | $20 - $97 | 22% |
| Wc North American Rishces | $20 - $97 | 22% |
| Wc Northeast Health | $20 - $97 | 22% |
| Wc Notre Dame | $20 - $97 | 22% |
| Wc Novanet | $20 - $97 | 22% |
| Wc Occ Health Allen | $20 - $97 | 22% |
| Wc Ohio Bureau | $20 - $97 | 22% |
| Wc One Call Medical | $20 - $97 | 22% |
| Wc Paradigm | $20 - $97 | 22% |
| Wc Peerless | $20 - $97 | 22% |
| Wc Pma | $20 - $97 | 22% |
| Wc Price Chopper | $20 - $97 | 22% |
| Wc Procura Management | $20 - $97 | 22% |
| Wc Qualcare | $20 - $97 | 22% |
| Wc Quiktrip | $20 - $97 | 22% |
| Wc Rev Claims | $20 - $97 | 22% |
| Wc Risico | $20 - $97 | 22% |
| Wc Rural Mutual | $20 - $97 | 22% |
| Wc Saif Oregon | $20 - $97 | 22% |
| Wc Secura | $20 - $97 | 22% |
| Wc Sedgwick | $20 - $97 | 22% |
| Wc Sentry | $20 - $97 | 22% |
| Wc Sheakley Unicomp | $20 - $97 | 22% |
| Wc Smile Lodge | $20 - $97 | 22% |
| Wc Society | $20 - $97 | 22% |
| Wc Srs | $20 - $97 | 22% |
| Wc Taconic (Mro) | $20 - $97 | 22% |
| Wc Taconic Farms | $20 - $97 | 22% |
| Wc Travelers | $20 - $97 | 22% |
| Wc Triad Group | $20 - $97 | 22% |
| Wc Tristar | $20 - $97 | 22% |
| Wc Troy Ny | $20 - $97 | 22% |
| Wc Tyson | $20 - $97 | 22% |
| Wc Unified Health Services | $20 - $97 | 22% |
| Wc United Heartland | $20 - $97 | 22% |
| Wc Us Dept Of Labor | $20 - $97 | 22% |
| Wc Walmart | $20 - $97 | 22% |
| Wc West Bend | $20 - $97 | 22% |
| Wc West Bend Mutual/Argent | $20 - $97 | 22% |
| Wc Winnebago Industries | $20 - $97 | 22% |
| Wc Yankee Trails | $20 - $97 | 22% |
| Wc York Risk | $20 - $97 | 22% |
| Wc Zenith | $20 - $97 | 22% |
| Wc Zurich | $20 - $97 | 22% |
| Nova | $231 - $346 | 260% |
| 1199 National Benefit Fund | $371 - $557 | 417% |
| Asr Health Benefits | $371 - $557 | 417% |
| Christian Brother Services | $371 - $557 | 417% |
| Coventry | $371 - $557 | 417% |
| First Health | $371 - $557 | 417% |
| Luminare Health | $371 - $557 | 417% |
| Medical Mutual | $371 - $557 | 417% |
| Trustmark Small Business Benefits | $371 - $557 | 417% |
| Webtpa | $371 - $557 | 417% |
| Medica | $388 - $582 | 436% |
| Crime Victim Assistance | $396 - $594 | 445% |