CMS Price Transparency Data
Bunion correction surgery
Facility: Mercy Health Saint Mary's
Billing Code: 28296 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 28296
- Insurance Median: $318
- Cash Discount Price: $22,262
- vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Mercy Health Saint Mary's is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,262. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.10x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$22,262
Average discount available for prompt cash payment at this facility.
Insurance Median
$318
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$3,342.87
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $3,342.87 (100%)
Cash / Self-Pay: $22,262 (666%)
Insurance Median: $318 (10%)
Cash: $22,262 (666% of Medicare)
Ins. Median: $318 (10% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $3,342.87 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 |
|---|---|---|
| Aetna | $154 - $3,195 | 5% |
| Albany County Correctional Facility | $154 | 5% |
| Ambetter / Centene | $154 | 5% |
| Amish Mennonite | $154 | 5% |
| Ascension St. Vincent Public Safety Medical | $154 | 5% |
| Bccp | $154 | 5% |
| Blue Cross Blue Shield | $154 - $3,195 | 5% |
| Bmc Healthnet | $154 | 5% |
| Breast Grant-Connecticut | $154 | 5% |
| Broward County Dept Of Health | $154 | 5% |
| California Health And Wellness | $154 | 5% |
| Cardinal Innovations Lme | $154 | 5% |
| Care Connections Of Northern Iowa | $154 | 5% |
| Care Oregon Ohp | $154 | 5% |
| Cencal Health Plan | $154 | 5% |
| Cenpatico | $154 | 5% |
| Chhuny | $154 | 5% |
| Childrens Comm Health Plan | $154 | 5% |
| Childrens Medical Services Title 19 | $154 | 5% |
| Cigna | $154 - $382 | 5% |
| City Of Philadelphia | $154 | 5% |
| Cmh Allegan County | $154 | 5% |
| Cmh Ausable Valley | $154 | 5% |
| Cmh Barry County | $154 | 5% |
| Cmh Bay-Arenac County | $154 | 5% |
| Cmh Berrien County | $154 | 5% |
| Cmh Cass County | $154 | 5% |
| Cmh Central Mi County | $154 | 5% |
| Cmh Clinton-Eaton-Ingham County | $154 | 5% |
| Cmh Detroit Wayne Integrated Health Network | $154 | 5% |
| Cmh Genesee County | $154 | 5% |
| Cmh Ionia County | $154 | 5% |
| Cmh Jackson County/Lifeways | $154 | 5% |
| Cmh Kalamazoo | $154 | 5% |
| Cmh Kent County | $154 | 5% |
| Cmh Lenawee County | $154 | 5% |
| Cmh Livingston County | $154 | 5% |
| Cmh Macomb | $154 | 5% |
| Cmh Misc | $154 | 5% |
| Cmh Monroe County | $154 | 5% |
| Cmh Montcalm County | $154 | 5% |
| Cmh Muskegon County | $154 | 5% |
| Cmh Newaygo County | $154 | 5% |
| Cmh North Country | $154 | 5% |
| Cmh Northern Lakes County | $154 | 5% |
| Cmh Oakland County | $154 | 5% |
| Cmh Ottawa County | $154 | 5% |
| Cmh Van Buren County | $154 | 5% |
| Cmh Washtenaw County | $154 | 5% |
| Cmh Wayne County/Carelink | $154 | 5% |
| Cmh Wayne Cty/Com Liv Svcs | $154 | 5% |
| Cmh West Mi County | $154 | 5% |
| Community Benefit Health | $154 | 5% |
| Community Care Behavorial Health | $154 | 5% |
| Community Care Partners | $154 | 5% |
| Community Health Choice | $154 | 5% |
| Connections Csp | $154 | 5% |
| County Coroner | $154 | 5% |
| County Funding Generic | $154 | 5% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $154 | 5% |
| Dean Wi Badgercare | $154 | 5% |
| Delaware County Department Of Health | $154 | 5% |
| Delaware First Health | $154 | 5% |
| Delta Dental Nj | $154 | 5% |
| Dph Tb Program | $154 | 5% |
| Dscc | $154 | 5% |
| Eastpointe Lme | $154 | 5% |
| Family Health Network | $154 | 5% |
| Freedom First Healthcare | $154 | 5% |
| Fresno County Ccs | $154 | 5% |
| Ghc Scw Wi Badgercare | $154 | 5% |
| Harbor Health | $154 | 5% |
| Health Safety Net | $154 | 5% |
| Healthy Blue Ne | $154 | 5% |
| Hennepin Health | $154 | 5% |
| Humana | $154 - $870 | 5% |
| Id County Ada | $154 | 5% |
| Id County Canyon | $154 | 5% |
| Id County Cat Fund | $154 | 5% |
| Id County Other | $154 | 5% |
| Id County Payette | $154 | 5% |
| Idaho Dept Health And Wellfare | $154 | 5% |
| Idaho Womens Health Check | $154 | 5% |
| Indiana Breast Cervical Cancer | $154 | 5% |
| Inland Empire Health Plan | $154 | 5% |
| Intercommunity Health Ohp | $154 | 5% |
| Iowa Total Care | $154 | 5% |
| Jai Medical System | $154 | 5% |
| Kern Family Health Plan | $154 | 5% |
| Keystone First | $154 | 5% |
| Keystone First Chip | $154 | 5% |
| La Care Health Plan | $154 | 5% |
| Lakeland Care Inc | $154 | 5% |
| Managed Health Services - Indiana | $154 | 5% |
| Maryland Breast & Cervical Program | $154 | 5% |
| Maryland Healthy Smiles - Scion Dental | $154 | 5% |
| Maryland Physicians Care | $154 | 5% |
| Massachusetts Behavioral Health Partnership | $154 | 5% |
| Mdwise | $154 | 5% |
| Medi-Cal | $154 | 5% |
| Medi-Cal Healthnet | $154 | 5% |
| Medicaid / KanCare | $154 - $1,863 | 5% |
| Medstar Dc Healthy Family | $154 | 5% |
| Medstar Md Health Choice | $154 | 5% |
| Mo Home State Health Plan | $154 | 5% |
| Molina Centennial Care | $154 | 5% |
| Nascentia Health Options | $154 | 5% |
| Nebraska Total Care | $154 | 5% |
| New York Cancer Services Program | $154 | 5% |
| Nextlevel Health | $154 | 5% |
| Oregon Screenwise | $154 | 5% |
| Pace Of Southwest Michigan | $154 - $231 | 5% |
| Paramount Advantage | $154 | 5% |
| Parkland Community Health Plan | $154 | 5% |
| Partners Behavioral Lme | $154 | 5% |
| Peach State Healthplan | $154 | 5% |
| Philadelphia County Funding | $154 | 5% |
| Presbyterian Centennial Care | $154 | 5% |
| Prestige Health Choice | $154 | 5% |
| Priority Partners | $154 | 5% |
| Robert F Sing Program | $154 | 5% |
| Rx 340B Pass Along | $154 | 5% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $154 | 5% |
| Rx Medi-Cal | $154 | 5% |
| Rx Meridian Rx | $154 | 5% |
| Ryan White Florida Mssrp | $154 | 5% |
| Sandhills Center Lme | $154 | 5% |
| Screening For Life | $154 | 5% |
| St Joseph County Hlth Dpt | $154 | 5% |
| Stephenson Cty Health | $154 | 5% |
| Sunshine State Health Plan | $154 | 5% |
| Superior Health | $154 | 5% |
| Tenncare | $154 | 5% |
| Texas Children'S Health Plan | $154 | 5% |
| Trillium Community Ohp | $154 | 5% |
| Tufts Health Public Plans | $154 | 5% |
| UnitedHealthcare | $154 - $3,358 | 5% |
| Vaya Health Lme | $154 | 5% |
| Washtenaw Health Plan | $154 | 5% |
| Wellsense Health Plan | $154 | 5% |
| Wi Womens Wellness | $154 | 5% |
| Ally Align Care Adv | $231 | 7% |
| American Health Advantage Of Idaho | $231 | 7% |
| American Health Plan | $231 | 7% |
| Aurora Special Needs | $231 | 7% |
| Blue Care Network Advantage | $231 - $3,195 | 7% |
| Blue Shield - De (Highmark) Medciare Advantage | $231 | 7% |
| Care Dimensions | $231 | 7% |
| Care Improvement Plus | $231 | 7% |
| Care Resources Pace | $231 | 7% |
| Careplus Health Plans | $231 | 7% |
| Cca Senior Care Options | $231 | 7% |
| Central Valley Medical Services Corp Pace | $231 | 7% |
| Champion Health Plan Mcr Advantage | $231 | 7% |
| Clear Spring Health | $231 | 7% |
| Clover Health | $231 | 7% |
| Commonwealth Care Alliance | $231 | 7% |
| Community Pace At Home | $231 | 7% |
| Eddy Senior Care-Pace | $231 | 7% |
| Eddy Seniorcare Pace | $231 | 7% |
| Elementcare | $231 | 7% |
| Evercare | $231 | 7% |
| Everence | $231 | 7% |
| Gateway Health Plan | $231 | 7% |
| Genesys Pace Of Genesee County | $231 | 7% |
| Georgia Health Advantage | $231 | 7% |
| Gold Advantage | $231 | 7% |
| Gpa Croell Redi Mix | $231 | 7% |
| Health America Advantra | $231 | 7% |
| Highmark Health Options Dual Plan | $231 | 7% |
| Hope Select Pace | $231 | 7% |
| Horizon Nj Total Care | $231 | 7% |
| Hudson Headwaters Pace | $231 | 7% |
| Huron Valley Pace | $231 | 7% |
| Innovative Integrated Health Community Plans | $231 | 7% |
| Iowa Health Advantage | $231 | 7% |
| Johns Hopkins Advantage Md | $231 | 7% |
| Lasso Healthcare Msa | $231 | 7% |
| Life St Marys Pace | $231 | 7% |
| Lifecircles Pace | $231 | 7% |
| Longevity Health Plan | $231 | 7% |
| Martins Point Generations Advantage | $231 | 7% |
| Mass General Brigham Mcr Adv | $231 | 7% |
| Medicare (plans) | $231 - $3,195 | 7% |
| Medipak Advantage | $231 | 7% |
| Mercy Life | $231 | 7% |
| Mercyone Cedar Valley | $231 | 7% |
| Meridian Complete | $231 | 7% |
| Michigan Complete Health | $231 | 7% |
| Nascentia Health Plus | $231 | 7% |
| New Centry Health Careplus | $231 | 7% |
| Osu Prime Care Advantage | $231 | 7% |
| Pace Cny | $231 | 7% |
| Pace Iowa Immanuel Pathways | $231 | 7% |
| Pace Southeast | $231 | 7% |
| Pace-Trinity Health | $231 | 7% |
| Peak Pace Solutions | $231 | 7% |
| Perennial Advantage | $231 | 7% |
| Preferred Care Partners | $231 | 7% |
| Presbyterian Senior Plan | $231 | 7% |
| Provider Partners Health Plan Of Illinois | $231 | 7% |
| Provider Partners Health Plan Of Indiana | $231 | 7% |
| Pruitthealth Premier | $231 | 7% |
| Reliance Community Care Partners Care Resources Pace | $231 | 7% |
| Rx Allwin | $231 | 7% |
| Rx Grane Grnmedd | $231 | 7% |
| Rx Retiree Rx Care | $231 | 7% |
| Scan Health Plan Mcr Ipa Meritage Oon | $231 | 7% |
| Secure Horizons Ma Pffs | $231 | 7% |
| Serenity Pace | $231 | 7% |
| Siouxland Pace | $231 | 7% |
| Solis Health Plans | $231 | 7% |
| Sunnyview-Pace Finance Dept | $231 | 7% |
| Texan Plus | $231 | 7% |
| The Health Plan | $231 - $870 | 7% |
| Thome Pace | $231 | 7% |
| Todays Options | $231 | 7% |
| Tribute Health Plans | $231 | 7% |
| Um Health Advantage | $231 | 7% |
| Union Health Service | $231 | 7% |
| Welbe Health | $231 | 7% |
| Wellmed | $231 | 7% |
| Align Senior Care | $236 - $3,260 | 7% |
| Veterans Administration | $236 | 7% |
| Champva | $242 | 7% |
| Tricare | $242 | 7% |
| Triwest Health Alliance | $242 | 7% |
| Us Family Health Plan | $242 | 7% |
| Veterans Eval Services | $242 | 7% |
| Cca - Zing Health | $254 | 8% |
| Access Health | $264 - $2,282 | 8% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $266 - $3,674 | 8% |
| Geha | $315 | 9% |
| 1199 National Benefit Fund | $318 | 10% |
| Allied National Global Care | $318 | 10% |
| Asrm - Reliance Standard Life Insurance | $318 | 10% |
| Christian Care Ministry | $318 | 10% |
| Dean Health | $318 | 10% |
| Fallon Health | $318 | 10% |
| Family Life Insurance Company | $318 | 10% |
| International Benefit Administrators | $318 | 10% |
| Lifetime Benefit Solutions | $318 | 10% |
| Manhattan Life | $318 | 10% |
| Molina Marketplace | $318 - $4,238 | 10% |
| Multiplan | $318 | 10% |
| Mvp | $318 | 10% |
| Oscar | $318 - $4,173 | 10% |
| Pai | $318 | 10% |
| Pan-American Life | $318 | 10% |
| Phcs | $318 | 10% |
| Trinity Health Share | $318 | 10% |
| Wellpath | $318 - $5,053 | 10% |
| Partners Direct Health - Brio | $342 | 10% |
| Claimdoc | $365 | 11% |
| Kent County Jail | $365 | 11% |
| Muskegon County Jail | $365 | 11% |
| Nomi Health | $365 | 11% |
| Hap | $369 - $400 | 11% |
| Health Partners | $369 | 11% |
| Tufts Health Plan | $369 | 11% |
| Wc Accident Fund | $369 | 11% |
| Wc Advantage | $369 | 11% |
| Wc Aig | $369 | 11% |
| Wc Allied | $369 | 11% |
| Wc Amerisure | $369 | 11% |
| Wc Amtrust | $369 | 11% |
| Wc Asu Risk Mgt | $369 | 11% |
| Wc Berkley Admin | $369 | 11% |
| Wc Broadspire | $369 | 11% |
| Wc Bunch & Associates | $369 | 11% |
| Wc Ccmsi | $369 | 11% |
| Wc Emc Insurance Company | $369 | 11% |
| Wc Esis | $369 | 11% |
| Wc Fcci | $369 | 11% |
| Wc Federated | $369 | 11% |
| Wc Gallagher Bassett | $369 | 11% |
| Wc Genex Care For Ohio | $369 | 11% |
| Wc Guard Insurance Company | $369 | 11% |
| Wc Hartford | $369 | 11% |
| Wc Liberty Mutual | $369 | 11% |
| Wc Meijers | $369 | 11% |
| Wc Michigan | $369 | 11% |
| Wc Mitchell Frankenmuth | $369 | 11% |
| Wc Pma | $369 | 11% |
| Wc Sedgwick | $369 | 11% |
| Wc Sentry | $369 | 11% |
| Wc Travelers | $369 | 11% |
| Wc Tristar | $369 | 11% |
| Wc Walmart | $369 | 11% |
| Wc Zurich | $369 | 11% |
| American Postal Workers Secondary | $382 | 11% |
| Andrie Inc | $388 | 12% |
| East Greenbush Central School District | $388 | 12% |
| Genex Wc | $388 | 12% |
| Healthsmart Workers Comp | $388 | 12% |
| Jag Source | $388 | 12% |
| New York State Insurance Fund | $388 | 12% |
| Njm Insurance Group | $388 | 12% |
| Rx Heatlhcomp | $388 | 12% |
| Rx Restat | $388 | 12% |
| Rx Saif Opdp Wc | $388 | 12% |
| Rx Worker'S Comp | $388 | 12% |
| Wc Ace | $388 | 12% |
| Wc Acs Federal Employees | $388 | 12% |
| Wc Acuity | $388 | 12% |
| Wc Aegis | $388 | 12% |
| Wc Aims | $388 | 12% |
| Wc Alaska National Ins | $388 | 12% |
| Wc Align Network | $388 | 12% |
| Wc Am Trust N America | $388 | 12% |
| Wc American Claims Mgmt | $388 | 12% |
| Wc Benetech | $388 | 12% |
| Wc Broward County | $388 | 12% |
| Wc California State Comp Ins | $388 | 12% |
| Wc California State Ins Fund | $388 | 12% |
| Wc Capitol Area Health Consortium | $388 | 12% |
| Wc Chartis | $388 | 12% |
| Wc Chubb | $388 | 12% |
| Wc Cirma | $388 | 12% |
| Wc City Of Albany | $388 | 12% |
| Wc City Of Sioux City | $388 | 12% |
| Wc Claims Mgmt Inc | $388 | 12% |
| Wc Cna | $388 | 12% |
| Wc Comp One Admin C/O Manageability | $388 | 12% |
| Wc Compone Admin | $388 | 12% |
| Wc Corvel | $388 | 12% |
| Wc Ct Healthcare Trust | $388 | 12% |
| Wc Donegal Insurance Group | $388 | 12% |
| Wc Employee Mutual | $388 | 12% |
| Wc Enablecomp | $388 | 12% |
| Wc Encore Health Network | $388 | 12% |
| Wc Erie | $388 | 12% |
| Wc Evolutions | $388 | 12% |
| Wc Fed Ex | $388 | 12% |
| Wc Federal Black Lung | $388 | 12% |
| Wc Finley Occupational Health | $388 | 12% |
| Wc First Agency/Occunet | $388 | 12% |
| Wc Ford Motor | $388 | 12% |
| Wc Fresno Unified Emp | $388 | 12% |
| Wc General Motors | $388 | 12% |
| Wc Generic | $388 | 12% |
| Wc Great West Casualty | $388 | 12% |
| Wc Guarantee Insurance | $388 | 12% |
| Wc Hab | $388 | 12% |
| Wc Hastings | $388 | 12% |
| Wc Health Management | $388 | 12% |
| Wc Heritage Summit | $388 | 12% |
| Wc Hireright | $388 | 12% |
| Wc Horizon | $388 | 12% |
| Wc Icw Group | $388 | 12% |
| Wc Idaho State Ins Fund | $388 | 12% |
| Wc Intercare Insurance | $388 | 12% |
| Wc Intermountain | $388 | 12% |
| Wc Johns Eastern | $388 | 12% |
| Wc Kemberton | $388 | 12% |
| Wc Key Ins & Benefit Solutions | $388 | 12% |
| Wc Mac Risk Management | $388 | 12% |
| Wc Massachusetts | $388 | 12% |
| Wc Mdia | $388 | 12% |
| Wc Meadowbrook Claim | $388 | 12% |
| Wc Medical Administrators | $388 | 12% |
| Wc Memic | $388 | 12% |
| Wc Mercy Workcare | $388 | 12% |
| Wc Michigan Millers Mutual | $388 | 12% |
| Wc Mra | $388 | 12% |
| Wc Nationwide | $388 | 12% |
| Wc Nca Comp | $388 | 12% |
| Wc New York | $388 | 12% |
| Wc New York Special Funds | $388 | 12% |
| Wc North American Rishces | $388 | 12% |
| Wc Northeast Health | $388 | 12% |
| Wc Notre Dame | $388 | 12% |
| Wc Novanet | $388 | 12% |
| Wc O'Hara Corp | $388 | 12% |
| Wc Occ Health Allen | $388 | 12% |
| Wc Ohio Bureau | $388 | 12% |
| Wc One Call Medical | $388 | 12% |
| Wc Paradigm | $388 | 12% |
| Wc Peerless | $388 | 12% |
| Wc Praxis Health Network | $388 | 12% |
| Wc Price Chopper | $388 | 12% |
| Wc Procura Management | $388 | 12% |
| Wc Qualcare | $388 | 12% |
| Wc Quiktrip | $388 | 12% |
| Wc Reny Company | $388 | 12% |
| Wc Rev Claims | $388 | 12% |
| Wc Risico | $388 | 12% |
| Wc Rural Mutual | $388 | 12% |
| Wc Saif Oregon | $388 | 12% |
| Wc Secura | $388 | 12% |
| Wc Sheakley Unicomp | $388 | 12% |
| Wc Smile Lodge | $388 | 12% |
| Wc Society | $388 | 12% |
| Wc Srs | $388 | 12% |
| Wc Taconic (Mro) | $388 | 12% |
| Wc Taconic Farms | $388 | 12% |
| Wc Triad Group | $388 | 12% |
| Wc Troy Ny | $388 | 12% |
| Wc Tyson | $388 | 12% |
| Wc Unified Health Services | $388 | 12% |
| Wc United Heartland | $388 | 12% |
| Wc Us Dept Of Labor | $388 | 12% |
| Wc Velocity | $388 | 12% |
| Wc West Bend | $388 | 12% |
| Wc West Bend Mutual/Argent | $388 | 12% |
| Wc Winnebago Industries | $388 | 12% |
| Wc Yankee Trails | $388 | 12% |
| Wc York Risk | $388 | 12% |
| Wc Zenith | $388 | 12% |
| Blue Care Network | $391 - $3,142 | 12% |
| Us Health And Life | $391 - $491 | 12% |
| Varipro | $400 | 12% |
| Priority Health | $405 - $7,812 | 12% |
| Asr Health Benefits | $413 | 12% |
| Blue Benefit Administrators Of Massachusetts | $418 - $3,142 | 13% |
| Blue Distinction Transplant | $418 - $3,142 | 13% |
| Blue Shield - Ca | $418 - $3,142 | 13% |
| Blue Shield - Id (Regence) | $418 - $3,142 | 13% |
| Blue Shield - Ny Highmark Northeastern | $418 - $3,142 | 13% |
| Blue Shield - Ny Highmark Western | $418 - $3,142 | 13% |
| Blue Shield - Pa (Highmark) | $418 - $3,142 | 13% |
| Blue Shield - Wa (Regence) | $418 - $3,142 | 13% |
| Meritain | $432 | 13% |
| U Of M Health Plan | $565 - $1,810 | 17% |
| Bcccp-Michigan | $622 - $750 | 19% |
| Acclaim | $721 - $870 | 22% |
| Administrative Concepts | $721 - $870 | 22% |
| Allegeant | $721 - $870 | 22% |
| Allied Benefit Systems | $721 - $870 | 22% |
| Ameriben | $721 - $870 | 22% |
| American Family | $721 - $870 | 22% |
| American Healthcare Alliance | $721 - $870 | 22% |
| American National | $721 - $870 | 22% |
| American Republic | $721 - $870 | 22% |
| Amerihealth | $721 - $870 | 22% |
| Aultcare | $721 - $870 | 22% |
| Automated Benefit Services | $721 - $870 | 22% |
| Auxiant | $721 - $870 | 22% |
| Benefit Administrative Systems,Llc | $721 - $870 | 22% |
| Boon Chapman | $721 - $870 | 22% |
| Cam Administrative Services | $721 - $870 | 22% |
| Christian Brother Services | $721 - $870 | 22% |
| Christian Brothers Holy Cross | $721 - $870 | 22% |
| Claimchoice Adminstrators | $721 - $870 | 22% |
| Comprehensive Benefits | $721 - $870 | 22% |
| Consociate | $721 - $870 | 22% |
| Continental Life Insurance | $721 - $870 | 22% |
| Coventry | $721 - $870 | 22% |
| Custom Benefit Administrators | $721 - $870 | 22% |
| Cypress Benefit Administrators | $721 - $870 | 22% |
| Employee Benefit Concepts | $721 - $870 | 22% |
| Employee Benefit Management | $721 - $870 | 22% |
| Enterprise Group Planning | $721 - $870 | 22% |
| First Health | $721 - $870 | 22% |
| Forest County Potawatomi | $721 - $870 | 22% |
| Freedom Life Insurance Company | $721 - $870 | 22% |
| Group Administrators | $721 - $870 | 22% |
| Group Marketing Services | $721 - $870 | 22% |
| Group Pension Administrators | $721 - $870 | 22% |
| Guardian | $721 - $870 | 22% |
| Health America | $721 - $870 | 22% |
| Health Choices | $721 - $3,142 | 22% |
| Health Smart | $721 - $870 | 22% |
| Healthcare Management Admin | $721 - $870 | 22% |
| Healthez | $721 - $870 | 22% |
| Healthgram | $721 - $870 | 22% |
| Healthscope | $721 - $870 | 22% |
| Insight | $721 - $870 | 22% |
| Intercare | $721 - $870 | 22% |
| Jfp Benefit Management | $721 - $870 | 22% |
| Jp Farley Corporation | $721 - $870 | 22% |
| Key Benefit Administrator | $721 - $870 | 22% |
| Liberty Union Life Assurance Co | $721 - $870 | 22% |
| Lucent Health | $721 - $870 | 22% |
| Luminare Health | $721 - $870 | 22% |
| Luminare Health (Detroit) | $721 - $870 | 22% |
| Magnacare | $721 - $870 | 22% |
| Medben | $721 - $870 | 22% |
| Medcost | $721 - $870 | 22% |
| Medical Mutual | $721 - $870 | 22% |
| Mutual Health Services | $721 - $870 | 22% |
| Mutual Of Omaha | $721 - $870 | 22% |
| Ncas | $721 - $870 | 22% |
| Nippon Life Ins | $721 - $870 | 22% |
| Nova | $721 - $870 | 22% |
| Painters Union Insurance Fund | $721 - $870 | 22% |
| Physicians Mutual | $721 - $870 | 22% |
| Plumbers Local 98 Insurance Fund | $721 - $870 | 22% |
| Prairie States | $721 - $870 | 22% |
| Preferred One | $721 - $870 | 22% |
| Primary Physician Care | $721 - $870 | 22% |
| Professional Benefit Administrators | $721 - $870 | 22% |
| Secureone Preferred United Plans | $721 - $870 | 22% |
| Siho Insurance Services | $721 - $870 | 22% |
| Sisco Benefits | $721 - $870 | 22% |
| The Loomis Company | $721 - $870 | 22% |
| Trustmark Small Business Benefits | $721 - $870 | 22% |
| Unicare | $721 - $870 | 22% |
| Unified Group Services | $721 - $870 | 22% |
| Valenz | $721 - $870 | 22% |
| Webtpa | $721 - $870 | 22% |
| Western & Southern Financial Group | $721 - $870 | 22% |
| Wps | $721 - $870 | 22% |
| Bcn Domestic | $3,142 | 94% |
| Kaiser Domestic | $3,142 | 94% |
| Correctional Recovery | $3,260 | 98% |
| Hospice Faith | $3,260 | 98% |
| Hospice Of Holland | $3,260 | 98% |
| Vitalcore | $5,053 | 151% |