CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 99203 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99203
- Insurance Median: $102
- Cash Discount Price: $207
- vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Saint Joseph Regional Medical Center - Plymouth is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.87x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$207
Average discount available for prompt cash payment at this facility.
Insurance Median
$102
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$117.57
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $207 (176%)
Insurance Median: $102 (87%)
Cash: $207 (176% of Medicare)
Ins. Median: $102 (87% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $117.57 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 | $54 - $102 | 46% |
| Aetna | $66 - $145 | 56% |
| Align Senior Care | $66 - $108 | 56% |
| Ally Align Care Adv | $66 - $108 | 56% |
| American Health Advantage Of Idaho | $66 - $108 | 56% |
| American Health Plan | $66 - $108 | 56% |
| Aurora Special Needs | $66 - $108 | 56% |
| Blue Care Network Advantage | $66 - $108 | 56% |
| Blue Cross Blue Shield | $66 - $129 | 56% |
| Blue Shield - De (Highmark) Medciare Advantage | $66 - $108 | 56% |
| Care Dimensions | $66 - $108 | 56% |
| Care Improvement Plus | $66 - $108 | 56% |
| Care Resources Pace | $66 - $108 | 56% |
| Careplus Health Plans | $66 - $108 | 56% |
| Cca - Zing Health | $66 - $108 | 56% |
| Cca Senior Care Options | $66 - $108 | 56% |
| Central Valley Medical Services Corp Pace | $66 - $108 | 56% |
| Champion Health Plan Mcr Advantage | $66 - $108 | 56% |
| Cigna | $66 - $164 | 56% |
| Clear Spring Health | $66 - $108 | 56% |
| Clover Health | $66 - $108 | 56% |
| Commonwealth Care Alliance | $66 - $108 | 56% |
| Community Pace At Home | $66 - $108 | 56% |
| Eddy Senior Care-Pace | $66 - $108 | 56% |
| Eddy Seniorcare Pace | $66 - $108 | 56% |
| Elementcare | $66 - $108 | 56% |
| Evercare | $66 - $108 | 56% |
| Everence | $66 - $108 | 56% |
| Gateway Health Plan | $66 - $108 | 56% |
| Genesys Pace Of Genesee County | $66 - $108 | 56% |
| Georgia Health Advantage | $66 - $108 | 56% |
| Gold Advantage | $66 - $108 | 56% |
| Gpa Croell Redi Mix | $66 - $108 | 56% |
| Health America Advantra | $66 - $108 | 56% |
| Highmark Health Options Dual Plan | $66 - $108 | 56% |
| Hope Select Pace | $66 - $108 | 56% |
| Horizon Nj Total Care | $66 - $108 | 56% |
| Hudson Headwaters Pace | $66 - $108 | 56% |
| Humana | $66 - $108 | 56% |
| Huron Valley Pace | $66 - $108 | 56% |
| Innovative Integrated Health Community Plans | $66 - $108 | 56% |
| Iowa Health Advantage | $66 - $108 | 56% |
| Johns Hopkins Advantage Md | $66 - $108 | 56% |
| Lasso Healthcare Msa | $66 - $108 | 56% |
| Life St Marys Pace | $66 - $108 | 56% |
| Lifecircles Pace | $66 - $108 | 56% |
| Longevity Health Plan | $66 - $108 | 56% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $66 - $108 | 56% |
| Martins Point Generations Advantage | $66 - $108 | 56% |
| Mass General Brigham Mcr Adv | $66 - $108 | 56% |
| Medicare (plans) | $66 - $113 | 56% |
| Medipak Advantage | $66 - $108 | 56% |
| Mercy Life | $66 - $108 | 56% |
| Mercyone Cedar Valley | $66 - $108 | 56% |
| Meridian Complete | $66 - $108 | 56% |
| Michigan Complete Health | $66 - $108 | 56% |
| Nascentia Health Plus | $66 - $108 | 56% |
| New Centry Health Careplus | $66 - $108 | 56% |
| Osu Prime Care Advantage | $66 - $108 | 56% |
| Pace Cny | $66 - $108 | 56% |
| Pace Iowa Immanuel Pathways | $66 - $108 | 56% |
| Pace Of Southwest Michigan | $66 - $108 | 56% |
| Pace Southeast | $66 - $108 | 56% |
| Pace-Trinity Health | $66 - $108 | 56% |
| Peak Pace Solutions | $66 - $108 | 56% |
| Perennial Advantage | $66 - $108 | 56% |
| Preferred Care Partners | $66 - $108 | 56% |
| Presbyterian Senior Plan | $66 - $108 | 56% |
| Provider Partners Health Plan Of Illinois | $66 - $108 | 56% |
| Pruitthealth Premier | $66 - $108 | 56% |
| Reliance Community Care Partners Care Resources Pace | $66 - $108 | 56% |
| Rx Allwin | $66 - $108 | 56% |
| Rx Grane Grnmedd | $66 - $108 | 56% |
| Rx Retiree Rx Care | $66 - $108 | 56% |
| Scan Health Plan Mcr Ipa Meritage Oon | $66 - $108 | 56% |
| Secure Horizons Ma Pffs | $66 - $108 | 56% |
| Serenity Pace | $66 - $108 | 56% |
| Siouxland Pace | $66 - $108 | 56% |
| Solis Health Plans | $66 - $108 | 56% |
| Sunnyview-Pace Finance Dept | $66 - $108 | 56% |
| Texan Plus | $66 - $108 | 56% |
| The Health Plan | $66 - $108 | 56% |
| Thome Pace | $66 - $108 | 56% |
| Todays Options | $66 - $108 | 56% |
| Tribute Health Plans | $66 - $108 | 56% |
| Um Health Advantage | $66 - $108 | 56% |
| Union Health Service | $66 - $108 | 56% |
| UnitedHealthcare | $66 - $156 | 56% |
| Welbe Health | $66 - $108 | 56% |
| Wellmed | $66 - $108 | 56% |
| Andrie Inc | $68 - $111 | 58% |
| East Greenbush Central School District | $68 - $111 | 58% |
| Genex Wc | $68 - $111 | 58% |
| Healthsmart Workers Comp | $68 - $111 | 58% |
| Jag Source | $68 - $111 | 58% |
| New York State Insurance Fund | $68 - $111 | 58% |
| Njm Insurance Group | $68 - $111 | 58% |
| Rx Heatlhcomp | $68 - $111 | 58% |
| Rx Restat | $68 - $111 | 58% |
| Rx Saif Opdp Wc | $68 - $111 | 58% |
| Rx Worker'S Comp | $68 - $111 | 58% |
| Veterans Administration | $68 - $111 | 58% |
| Wc Accident Fund | $68 - $111 | 58% |
| Wc Ace | $68 - $111 | 58% |
| Wc Acs Federal Employees | $68 - $111 | 58% |
| Wc Acuity | $68 - $111 | 58% |
| Wc Advantage | $68 - $111 | 58% |
| Wc Aegis | $68 - $111 | 58% |
| Wc Aig | $68 - $111 | 58% |
| Wc Aims | $68 - $111 | 58% |
| Wc Alaska National Ins | $68 - $111 | 58% |
| Wc Align Network | $68 - $111 | 58% |
| Wc Allied | $68 - $111 | 58% |
| Wc Am Trust N America | $68 - $111 | 58% |
| Wc American Claims Mgmt | $68 - $111 | 58% |
| Wc Amerisure | $68 - $111 | 58% |
| Wc Amtrust | $68 - $111 | 58% |
| Wc Asu Risk Mgt | $68 - $111 | 58% |
| Wc Benetech | $68 - $111 | 58% |
| Wc Berkley Admin | $68 - $111 | 58% |
| Wc Broadspire | $68 - $111 | 58% |
| Wc Broward County | $68 - $111 | 58% |
| Wc Bunch & Associates | $68 - $111 | 58% |
| Wc California State Comp Ins | $68 - $111 | 58% |
| Wc California State Ins Fund | $68 - $111 | 58% |
| Wc Capitol Area Health Consortium | $68 - $111 | 58% |
| Wc Ccmsi | $68 - $111 | 58% |
| Wc Chartis | $68 - $111 | 58% |
| Wc Chubb | $68 - $111 | 58% |
| Wc Cirma | $68 - $111 | 58% |
| Wc City Of Albany | $68 - $111 | 58% |
| Wc City Of Sioux City | $68 - $111 | 58% |
| Wc Claims Mgmt Inc | $68 - $111 | 58% |
| Wc Cna | $68 - $111 | 58% |
| Wc Comp One Admin C/O Manageability | $68 - $111 | 58% |
| Wc Compone Admin | $68 - $111 | 58% |
| Wc Corvel | $68 - $111 | 58% |
| Wc Ct Healthcare Trust | $68 - $111 | 58% |
| Wc Donegal Insurance Group | $68 - $111 | 58% |
| Wc Emc Insurance Company | $68 - $111 | 58% |
| Wc Employee Mutual | $68 - $111 | 58% |
| Wc Enablecomp | $68 - $111 | 58% |
| Wc Erie | $68 - $111 | 58% |
| Wc Esis | $68 - $111 | 58% |
| Wc Evolutions | $68 - $111 | 58% |
| Wc Fcci | $68 - $111 | 58% |
| Wc Fed Ex | $68 - $111 | 58% |
| Wc Federal Black Lung | $68 - $111 | 58% |
| Wc Federated | $68 - $111 | 58% |
| Wc Finley Occupational Health | $68 - $111 | 58% |
| Wc First Agency/Occunet | $68 - $111 | 58% |
| Wc Ford Motor | $68 - $111 | 58% |
| Wc Fresno Unified Emp | $68 - $111 | 58% |
| Wc Gallagher Bassett | $68 - $111 | 58% |
| Wc General Motors | $68 - $111 | 58% |
| Wc Generic | $68 - $111 | 58% |
| Wc Genex Care For Ohio | $68 - $111 | 58% |
| Wc Great West Casualty | $68 - $111 | 58% |
| Wc Guarantee Insurance | $68 - $111 | 58% |
| Wc Guard Insurance Company | $68 - $111 | 58% |
| Wc Hab | $68 - $111 | 58% |
| Wc Hartford | $68 - $111 | 58% |
| Wc Hastings | $68 - $111 | 58% |
| Wc Health Management | $68 - $111 | 58% |
| Wc Heritage Summit | $68 - $111 | 58% |
| Wc Hireright | $68 - $111 | 58% |
| Wc Horizon | $68 - $111 | 58% |
| Wc Icw Group | $68 - $111 | 58% |
| Wc Idaho State Ins Fund | $68 - $111 | 58% |
| Wc Intercare Insurance | $68 - $111 | 58% |
| Wc Intermountain | $68 - $111 | 58% |
| Wc Johns Eastern | $68 - $111 | 58% |
| Wc Kemberton | $68 - $111 | 58% |
| Wc Key Ins & Benefit Solutions | $68 - $111 | 58% |
| Wc Liberty Mutual | $68 - $111 | 58% |
| Wc Mac Risk Management | $68 - $111 | 58% |
| Wc Massachusetts | $68 - $111 | 58% |
| Wc Mdia | $68 - $111 | 58% |
| Wc Meadowbrook Claim | $68 - $111 | 58% |
| Wc Medical Administrators | $68 - $111 | 58% |
| Wc Meijers | $68 - $111 | 58% |
| Wc Memic | $68 - $111 | 58% |
| Wc Mercy Workcare | $68 - $111 | 58% |
| Wc Michigan | $68 - $111 | 58% |
| Wc Michigan Millers Mutual | $68 - $111 | 58% |
| Wc Mitchell Frankenmuth | $68 - $111 | 58% |
| Wc Mra | $68 - $111 | 58% |
| Wc Nationwide | $68 - $111 | 58% |
| Wc Nca Comp | $68 - $111 | 58% |
| Wc New York | $68 - $111 | 58% |
| Wc New York Special Funds | $68 - $111 | 58% |
| Wc North American Rishces | $68 - $111 | 58% |
| Wc Northeast Health | $68 - $111 | 58% |
| Wc Notre Dame | $68 - $111 | 58% |
| Wc Novanet | $68 - $111 | 58% |
| Wc O'Hara Corp | $68 - $111 | 58% |
| Wc Occ Health Allen | $68 - $111 | 58% |
| Wc Ohio Bureau | $68 - $111 | 58% |
| Wc One Call Medical | $68 - $111 | 58% |
| Wc Paradigm | $68 - $111 | 58% |
| Wc Peerless | $68 - $111 | 58% |
| Wc Pma | $68 - $111 | 58% |
| Wc Praxis Health Network | $68 - $111 | 58% |
| Wc Price Chopper | $68 - $111 | 58% |
| Wc Procura Management | $68 - $111 | 58% |
| Wc Qualcare | $68 - $111 | 58% |
| Wc Quiktrip | $68 - $111 | 58% |
| Wc Reny Company | $68 - $111 | 58% |
| Wc Rev Claims | $68 - $111 | 58% |
| Wc Risico | $68 - $111 | 58% |
| Wc Rural Mutual | $68 - $111 | 58% |
| Wc Saif Oregon | $68 - $111 | 58% |
| Wc Secura | $68 - $111 | 58% |
| Wc Sedgwick | $68 - $111 | 58% |
| Wc Sentry | $68 - $111 | 58% |
| Wc Sheakley Unicomp | $68 - $111 | 58% |
| Wc Smile Lodge | $68 - $111 | 58% |
| Wc Society | $68 - $111 | 58% |
| Wc Srs | $68 - $111 | 58% |
| Wc Taconic (Mro) | $68 - $111 | 58% |
| Wc Taconic Farms | $68 - $111 | 58% |
| Wc Travelers | $68 - $111 | 58% |
| Wc Triad Group | $68 - $111 | 58% |
| Wc Tristar | $68 - $111 | 58% |
| Wc Troy Ny | $68 - $111 | 58% |
| Wc Tyson | $68 - $111 | 58% |
| Wc Unified Health Services | $68 - $111 | 58% |
| Wc United Heartland | $68 - $111 | 58% |
| Wc Us Dept Of Labor | $68 - $111 | 58% |
| Wc Velocity | $68 - $111 | 58% |
| Wc Walmart | $68 - $111 | 58% |
| Wc West Bend | $68 - $111 | 58% |
| Wc West Bend Mutual/Argent | $68 - $111 | 58% |
| Wc Winnebago Industries | $68 - $111 | 58% |
| Wc Yankee Trails | $68 - $111 | 58% |
| Wc York Risk | $68 - $111 | 58% |
| Wc Zenith | $68 - $111 | 58% |
| Wc Zurich | $68 - $111 | 58% |
| Albany County Correctional Facility | $75 - $102 | 64% |
| Ambetter / Centene | $75 - $102 | 64% |
| Amish Mennonite | $75 - $102 | 64% |
| Ascension St. Vincent Public Safety Medical | $75 - $102 | 64% |
| Bcccp-Michigan | $75 - $102 | 64% |
| Bccp | $75 - $102 | 64% |
| Bmc Healthnet | $75 - $102 | 64% |
| Breast Grant-Connecticut | $75 - $102 | 64% |
| Broward County Dept Of Health | $75 - $102 | 64% |
| California Health And Wellness | $75 - $102 | 64% |
| Cardinal Innovations Lme | $75 - $102 | 64% |
| Care Connections Of Northern Iowa | $75 - $102 | 64% |
| Care Oregon Ohp | $75 - $102 | 64% |
| Cencal Health Plan | $75 - $102 | 64% |
| Cenpatico | $75 - $102 | 64% |
| Champva | $75 - $102 | 64% |
| Chhuny | $75 - $102 | 64% |
| Childrens Comm Health Plan | $75 - $102 | 64% |
| Childrens Medical Services Title 19 | $75 - $102 | 64% |
| City Of Philadelphia | $75 - $102 | 64% |
| Cmh Allegan County | $75 - $102 | 64% |
| Cmh Ausable Valley | $75 - $102 | 64% |
| Cmh Barry County | $75 - $102 | 64% |
| Cmh Bay-Arenac County | $75 - $102 | 64% |
| Cmh Berrien County | $75 - $102 | 64% |
| Cmh Cass County | $75 - $102 | 64% |
| Cmh Central Mi County | $75 - $102 | 64% |
| Cmh Clinton-Eaton-Ingham County | $75 - $102 | 64% |
| Cmh Detroit Wayne Integrated Health Network | $75 - $102 | 64% |
| Cmh Genesee County | $75 - $102 | 64% |
| Cmh Ionia County | $75 - $102 | 64% |
| Cmh Jackson County/Lifeways | $75 - $102 | 64% |
| Cmh Kalamazoo | $75 - $102 | 64% |
| Cmh Kent County | $75 - $102 | 64% |
| Cmh Lenawee County | $75 - $102 | 64% |
| Cmh Livingston County | $75 - $102 | 64% |
| Cmh Macomb | $75 - $102 | 64% |
| Cmh Misc | $75 - $102 | 64% |
| Cmh Monroe County | $75 - $102 | 64% |
| Cmh Montcalm County | $75 - $102 | 64% |
| Cmh Muskegon County | $75 - $102 | 64% |
| Cmh Newaygo County | $75 - $102 | 64% |
| Cmh North Country | $75 - $102 | 64% |
| Cmh Northern Lakes County | $75 - $102 | 64% |
| Cmh Oakland County | $75 - $102 | 64% |
| Cmh Ottawa County | $75 - $102 | 64% |
| Cmh Van Buren County | $75 - $102 | 64% |
| Cmh Washtenaw County | $75 - $102 | 64% |
| Cmh Wayne County/Carelink | $75 - $102 | 64% |
| Cmh Wayne Cty/Com Liv Svcs | $75 - $102 | 64% |
| Cmh West Mi County | $75 - $102 | 64% |
| Community Benefit Health | $75 - $102 | 64% |
| Community Care Behavorial Health | $75 - $102 | 64% |
| Community Care Partners | $75 - $102 | 64% |
| Community Health Choice | $75 - $102 | 64% |
| Connections Csp | $75 - $102 | 64% |
| County Coroner | $75 - $102 | 64% |
| County Funding Generic | $75 - $102 | 64% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $75 - $102 | 64% |
| Dean Wi Badgercare | $75 - $102 | 64% |
| Delaware County Department Of Health | $75 - $102 | 64% |
| Delaware First Health | $75 - $102 | 64% |
| Delta Dental Nj | $75 - $102 | 64% |
| Dph Tb Program | $75 - $102 | 64% |
| Dscc | $75 - $102 | 64% |
| Eastpointe Lme | $75 - $102 | 64% |
| Family Health Network | $75 - $102 | 64% |
| Freedom First Healthcare | $75 - $102 | 64% |
| Fresno County Ccs | $75 - $102 | 64% |
| Ghc Scw Wi Badgercare | $75 - $102 | 64% |
| Harbor Health | $75 - $102 | 64% |
| Health Safety Net | $75 - $102 | 64% |
| Healthy Blue Ne | $75 - $102 | 64% |
| Hennepin Health | $75 - $102 | 64% |
| Id County Ada | $75 - $102 | 64% |
| Id County Canyon | $75 - $102 | 64% |
| Id County Cat Fund | $75 - $102 | 64% |
| Id County Other | $75 - $102 | 64% |
| Id County Payette | $75 - $102 | 64% |
| Idaho Dept Health And Wellfare | $75 - $102 | 64% |
| Idaho Womens Health Check | $75 - $102 | 64% |
| Indiana Breast Cervical Cancer | $75 - $102 | 64% |
| Inland Empire Health Plan | $75 - $102 | 64% |
| Intercommunity Health Ohp | $75 - $102 | 64% |
| Iowa Total Care | $75 - $102 | 64% |
| Jai Medical System | $75 - $102 | 64% |
| Kern Family Health Plan | $75 - $102 | 64% |
| Keystone First | $75 - $102 | 64% |
| Keystone First Chip | $75 - $102 | 64% |
| La Care Health Plan | $75 - $102 | 64% |
| Lakeland Care Inc | $75 - $102 | 64% |
| Managed Health Services - Indiana | $75 - $102 | 64% |
| Maryland Breast & Cervical Program | $75 - $102 | 64% |
| Maryland Healthy Smiles - Scion Dental | $75 - $102 | 64% |
| Maryland Physicians Care | $75 - $102 | 64% |
| Massachusetts Behavioral Health Partnership | $75 - $102 | 64% |
| Mdwise | $75 - $102 | 64% |
| Medi-Cal | $75 - $102 | 64% |
| Medi-Cal Healthnet | $75 - $102 | 64% |
| Medstar Dc Healthy Family | $75 - $102 | 64% |
| Medstar Md Health Choice | $75 - $102 | 64% |
| Mo Home State Health Plan | $75 - $102 | 64% |
| Molina Centennial Care | $75 - $102 | 64% |
| Nascentia Health Options | $75 - $102 | 64% |
| Nebraska Total Care | $75 - $102 | 64% |
| New York Cancer Services Program | $75 - $102 | 64% |
| Nextlevel Health | $75 - $102 | 64% |
| Oregon Screenwise | $75 - $102 | 64% |
| Paramount Advantage | $75 - $102 | 64% |
| Parkland Community Health Plan | $75 - $102 | 64% |
| Partners Behavioral Lme | $75 - $102 | 64% |
| Peach State Healthplan | $75 - $102 | 64% |
| Philadelphia County Funding | $75 - $102 | 64% |
| Presbyterian Centennial Care | $75 - $102 | 64% |
| Prestige Health Choice | $75 - $102 | 64% |
| Priority Partners | $75 - $102 | 64% |
| Provider Partners Health Plan Of Indiana | $75 - $122 | 64% |
| Robert F Sing Program | $75 - $102 | 64% |
| Rx 340B Pass Along | $75 - $102 | 64% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $75 - $102 | 64% |
| Rx Medi-Cal | $75 - $102 | 64% |
| Rx Meridian Rx | $75 - $102 | 64% |
| Ryan White Florida Mssrp | $75 - $102 | 64% |
| Sandhills Center Lme | $75 - $102 | 64% |
| Screening For Life | $75 - $102 | 64% |
| St Joseph County Hlth Dpt | $75 - $102 | 64% |
| Stephenson Cty Health | $75 - $102 | 64% |
| Sunshine State Health Plan | $75 - $102 | 64% |
| Superior Health | $75 - $102 | 64% |
| Tenncare | $75 - $102 | 64% |
| Texas Children'S Health Plan | $75 - $102 | 64% |
| Tricare | $75 - $102 | 64% |
| Trillium Community Ohp | $75 - $102 | 64% |
| Triwest Health Alliance | $75 - $102 | 64% |
| Tufts Health Public Plans | $75 - $102 | 64% |
| Us Family Health Plan | $75 - $102 | 64% |
| Vaya Health Lme | $75 - $102 | 64% |
| Veterans Eval Services | $75 - $102 | 64% |
| Washtenaw Health Plan | $75 - $102 | 64% |
| Wellsense Health Plan | $75 - $102 | 64% |
| Wi Womens Wellness | $75 - $102 | 64% |
| Caresource | $88 - $144 | 75% |
| Christian Brother Services | $89 - $145 | 76% |
| Meritain | $89 - $145 | 76% |
| Preferred One | $89 - $145 | 76% |
| Ameriben | $102 - $143 | 87% |
| Geha | $111 - $156 | 94% |
| Allied Benefit Systems | $112 - $154 | 95% |
| Auxiant | $112 - $164 | 95% |
| Benefit Administrative Systems,Llc | $112 - $154 | 95% |
| Custom Design Benefits | $112 - $154 | 95% |
| Encore Health | $112 - $164 | 95% |
| Key Benefit Administrator | $112 - $154 | 95% |
| Luminare Health (Detroit) | $112 - $154 | 95% |
| Physicians Health Plan Northern Indiana Health Insurance | $112 - $154 | 95% |
| Community Health Alliance | $120 - $136 | 102% |
| Sagamore Health Network | $120 - $164 | 102% |
| Signature Care | $120 - $164 | 102% |
| Bcn Domestic | $124 - $129 | 105% |
| Blue Benefit Administrators Of Massachusetts | $124 - $129 | 105% |
| Blue Care Network | $124 - $129 | 105% |
| Blue Distinction Transplant | $124 - $129 | 105% |
| Blue Shield - Ca | $124 - $129 | 105% |
| Blue Shield - Id (Regence) | $124 - $129 | 105% |
| Blue Shield - Ny Highmark Northeastern | $124 - $129 | 105% |
| Blue Shield - Ny Highmark Western | $124 - $129 | 105% |
| Blue Shield - Pa (Highmark) | $124 - $129 | 105% |
| Blue Shield - Wa (Regence) | $124 - $129 | 105% |
| Health Choices | $124 - $129 | 105% |
| Kaiser Domestic | $124 - $129 | 105% |
| Pre-Employment | $124 - $129 | 105% |
| Wc Domestic | $124 - $129 | 105% |
| Phcs | $158 - $214 | 134% |
| Plain Church Group | $175 - $238 | 149% |
| Wc Encore Health Network | $175 | 149% |