CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Mercy Health Saint Mary's
Billing Code: 45378 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45378
- Insurance Median: $126
- Cash Discount Price: $3,566
- vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Mercy Health Saint Mary's is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,566. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.13x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$3,566
Average discount available for prompt cash payment at this facility.
Insurance Median
$126
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$950.1
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $950.1 (100%)
Cash / Self-Pay: $3,566 (375%)
Insurance Median: $126 (13%)
Cash: $3,566 (375% of Medicare)
Ins. Median: $126 (13% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $950.1 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 | $53 - $908 | 6% |
| Albany County Correctional Facility | $53 | 6% |
| Ambetter / Centene | $53 | 6% |
| Amish Mennonite | $53 | 6% |
| Ascension St. Vincent Public Safety Medical | $53 | 6% |
| Bccp | $53 | 6% |
| Blue Cross Blue Shield | $53 - $926 | 6% |
| Bmc Healthnet | $53 | 6% |
| Breast Grant-Connecticut | $53 | 6% |
| Broward County Dept Of Health | $53 | 6% |
| California Health And Wellness | $53 | 6% |
| Cardinal Innovations Lme | $53 | 6% |
| Care Connections Of Northern Iowa | $53 | 6% |
| Care Oregon Ohp | $53 | 6% |
| Cencal Health Plan | $53 | 6% |
| Cenpatico | $53 | 6% |
| Chhuny | $53 | 6% |
| Childrens Comm Health Plan | $53 | 6% |
| Childrens Medical Services Title 19 | $53 | 6% |
| Cigna | $53 - $154 | 6% |
| City Of Philadelphia | $53 | 6% |
| Cmh Allegan County | $53 | 6% |
| Cmh Ausable Valley | $53 | 6% |
| Cmh Barry County | $53 | 6% |
| Cmh Bay-Arenac County | $53 | 6% |
| Cmh Berrien County | $53 | 6% |
| Cmh Cass County | $53 | 6% |
| Cmh Central Mi County | $53 | 6% |
| Cmh Clinton-Eaton-Ingham County | $53 | 6% |
| Cmh Detroit Wayne Integrated Health Network | $53 | 6% |
| Cmh Genesee County | $53 | 6% |
| Cmh Ionia County | $53 | 6% |
| Cmh Jackson County/Lifeways | $53 | 6% |
| Cmh Kalamazoo | $53 | 6% |
| Cmh Kent County | $53 | 6% |
| Cmh Lenawee County | $53 | 6% |
| Cmh Livingston County | $53 | 6% |
| Cmh Macomb | $53 | 6% |
| Cmh Misc | $53 | 6% |
| Cmh Monroe County | $53 | 6% |
| Cmh Montcalm County | $53 | 6% |
| Cmh Muskegon County | $53 | 6% |
| Cmh Newaygo County | $53 | 6% |
| Cmh North Country | $53 | 6% |
| Cmh Northern Lakes County | $53 | 6% |
| Cmh Oakland County | $53 | 6% |
| Cmh Ottawa County | $53 | 6% |
| Cmh Van Buren County | $53 | 6% |
| Cmh Washtenaw County | $53 | 6% |
| Cmh Wayne County/Carelink | $53 | 6% |
| Cmh Wayne Cty/Com Liv Svcs | $53 | 6% |
| Cmh West Mi County | $53 | 6% |
| Community Benefit Health | $53 | 6% |
| Community Care Behavorial Health | $53 | 6% |
| Community Care Partners | $53 | 6% |
| Community Health Choice | $53 | 6% |
| Connections Csp | $53 | 6% |
| County Coroner | $53 | 6% |
| County Funding Generic | $53 | 6% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $53 | 6% |
| Dean Wi Badgercare | $53 | 6% |
| Delaware County Department Of Health | $53 | 6% |
| Delaware First Health | $53 | 6% |
| Delta Dental Nj | $53 | 6% |
| Dph Tb Program | $53 | 6% |
| Dscc | $53 | 6% |
| Eastpointe Lme | $53 | 6% |
| Family Health Network | $53 | 6% |
| Freedom First Healthcare | $53 | 6% |
| Fresno County Ccs | $53 | 6% |
| Ghc Scw Wi Badgercare | $53 | 6% |
| Harbor Health | $53 | 6% |
| Health Safety Net | $53 | 6% |
| Healthy Blue Ne | $53 | 6% |
| Hennepin Health | $53 | 6% |
| Humana | $53 - $343 | 6% |
| Id County Ada | $53 | 6% |
| Id County Canyon | $53 | 6% |
| Id County Cat Fund | $53 | 6% |
| Id County Other | $53 | 6% |
| Id County Payette | $53 | 6% |
| Idaho Dept Health And Wellfare | $53 | 6% |
| Idaho Womens Health Check | $53 | 6% |
| Indiana Breast Cervical Cancer | $53 | 6% |
| Inland Empire Health Plan | $53 | 6% |
| Intercommunity Health Ohp | $53 | 6% |
| Iowa Total Care | $53 | 6% |
| Jai Medical System | $53 | 6% |
| Kern Family Health Plan | $53 | 6% |
| Keystone First | $53 | 6% |
| Keystone First Chip | $53 | 6% |
| La Care Health Plan | $53 | 6% |
| Lakeland Care Inc | $53 | 6% |
| Managed Health Services - Indiana | $53 | 6% |
| Maryland Breast & Cervical Program | $53 | 6% |
| Maryland Healthy Smiles - Scion Dental | $53 | 6% |
| Maryland Physicians Care | $53 | 6% |
| Massachusetts Behavioral Health Partnership | $53 | 6% |
| Mdwise | $53 | 6% |
| Medi-Cal | $53 | 6% |
| Medi-Cal Healthnet | $53 | 6% |
| Medicaid / KanCare | $53 - $530 | 6% |
| Medstar Dc Healthy Family | $53 | 6% |
| Medstar Md Health Choice | $53 | 6% |
| Mo Home State Health Plan | $53 | 6% |
| Molina Centennial Care | $53 | 6% |
| Nascentia Health Options | $53 | 6% |
| Nebraska Total Care | $53 | 6% |
| New York Cancer Services Program | $53 | 6% |
| Nextlevel Health | $53 | 6% |
| Oregon Screenwise | $53 | 6% |
| Pace Of Southwest Michigan | $53 - $80 | 6% |
| Paramount Advantage | $53 | 6% |
| Parkland Community Health Plan | $53 | 6% |
| Partners Behavioral Lme | $53 | 6% |
| Peach State Healthplan | $53 | 6% |
| Philadelphia County Funding | $53 | 6% |
| Presbyterian Centennial Care | $53 | 6% |
| Prestige Health Choice | $53 | 6% |
| Priority Partners | $53 | 6% |
| Robert F Sing Program | $53 | 6% |
| Rx 340B Pass Along | $53 | 6% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $53 | 6% |
| Rx Medi-Cal | $53 | 6% |
| Rx Meridian Rx | $53 | 6% |
| Ryan White Florida Mssrp | $53 | 6% |
| Sandhills Center Lme | $53 | 6% |
| Screening For Life | $53 | 6% |
| St Joseph County Hlth Dpt | $53 | 6% |
| Stephenson Cty Health | $53 | 6% |
| Sunshine State Health Plan | $53 | 6% |
| Superior Health | $53 | 6% |
| Tenncare | $53 | 6% |
| Texas Children'S Health Plan | $53 | 6% |
| Trillium Community Ohp | $53 | 6% |
| Tufts Health Public Plans | $53 | 6% |
| UnitedHealthcare | $53 - $954 | 6% |
| Vaya Health Lme | $53 | 6% |
| Washtenaw Health Plan | $53 | 6% |
| Wellsense Health Plan | $53 | 6% |
| Wi Womens Wellness | $53 | 6% |
| Ally Align Care Adv | $80 | 8% |
| American Health Advantage Of Idaho | $80 | 8% |
| American Health Plan | $80 | 8% |
| Aurora Special Needs | $80 | 8% |
| Blue Care Network Advantage | $80 - $908 | 8% |
| Blue Shield - De (Highmark) Medciare Advantage | $80 | 8% |
| Care Dimensions | $80 | 8% |
| Care Improvement Plus | $80 | 8% |
| Care Resources Pace | $80 | 8% |
| Careplus Health Plans | $80 | 8% |
| Cca Senior Care Options | $80 | 8% |
| Central Valley Medical Services Corp Pace | $80 | 8% |
| Champion Health Plan Mcr Advantage | $80 | 8% |
| Clear Spring Health | $80 | 8% |
| Clover Health | $80 | 8% |
| Commonwealth Care Alliance | $80 | 8% |
| Community Pace At Home | $80 | 8% |
| Eddy Senior Care-Pace | $80 | 8% |
| Eddy Seniorcare Pace | $80 | 8% |
| Elementcare | $80 | 8% |
| Evercare | $80 | 8% |
| Everence | $80 | 8% |
| Gateway Health Plan | $80 | 8% |
| Genesys Pace Of Genesee County | $80 | 8% |
| Georgia Health Advantage | $80 | 8% |
| Gold Advantage | $80 | 8% |
| Gpa Croell Redi Mix | $80 | 8% |
| Health America Advantra | $80 | 8% |
| Highmark Health Options Dual Plan | $80 | 8% |
| Hope Select Pace | $80 | 8% |
| Horizon Nj Total Care | $80 | 8% |
| Hudson Headwaters Pace | $80 | 8% |
| Huron Valley Pace | $80 | 8% |
| Innovative Integrated Health Community Plans | $80 | 8% |
| Iowa Health Advantage | $80 | 8% |
| Johns Hopkins Advantage Md | $80 | 8% |
| Lasso Healthcare Msa | $80 | 8% |
| Life St Marys Pace | $80 | 8% |
| Lifecircles Pace | $80 | 8% |
| Longevity Health Plan | $80 | 8% |
| Martins Point Generations Advantage | $80 | 8% |
| Mass General Brigham Mcr Adv | $80 | 8% |
| Medicare (plans) | $80 - $908 | 8% |
| Medipak Advantage | $80 | 8% |
| Mercy Life | $80 | 8% |
| Mercyone Cedar Valley | $80 | 8% |
| Meridian Complete | $80 | 8% |
| Michigan Complete Health | $80 | 8% |
| Nascentia Health Plus | $80 | 8% |
| New Centry Health Careplus | $80 | 8% |
| Osu Prime Care Advantage | $80 | 8% |
| Pace Cny | $80 | 8% |
| Pace Iowa Immanuel Pathways | $80 | 8% |
| Pace Southeast | $80 | 8% |
| Pace-Trinity Health | $80 | 8% |
| Peak Pace Solutions | $80 | 8% |
| Perennial Advantage | $80 | 8% |
| Preferred Care Partners | $80 | 8% |
| Presbyterian Senior Plan | $80 | 8% |
| Provider Partners Health Plan Of Illinois | $80 | 8% |
| Provider Partners Health Plan Of Indiana | $80 | 8% |
| Pruitthealth Premier | $80 | 8% |
| Reliance Community Care Partners Care Resources Pace | $80 | 8% |
| Rx Allwin | $80 | 8% |
| Rx Grane Grnmedd | $80 | 8% |
| Rx Retiree Rx Care | $80 | 8% |
| Scan Health Plan Mcr Ipa Meritage Oon | $80 | 8% |
| Secure Horizons Ma Pffs | $80 | 8% |
| Serenity Pace | $80 | 8% |
| Siouxland Pace | $80 | 8% |
| Solis Health Plans | $80 | 8% |
| Sunnyview-Pace Finance Dept | $80 | 8% |
| Texan Plus | $80 | 8% |
| The Health Plan | $80 - $343 | 8% |
| Thome Pace | $80 | 8% |
| Todays Options | $80 | 8% |
| Tribute Health Plans | $80 | 8% |
| Um Health Advantage | $80 | 8% |
| Union Health Service | $80 | 8% |
| Welbe Health | $80 | 8% |
| Wellmed | $80 | 8% |
| Align Senior Care | $81 - $927 | 9% |
| Veterans Administration | $81 | 9% |
| Champva | $86 | 9% |
| Tricare | $86 | 9% |
| Triwest Health Alliance | $86 | 9% |
| Us Family Health Plan | $86 | 9% |
| Veterans Eval Services | $86 | 9% |
| Cca - Zing Health | $88 | 9% |
| Access Health | $91 - $649 | 10% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $92 - $1,044 | 10% |
| 1199 National Benefit Fund | $110 | 12% |
| Allied National Global Care | $110 | 12% |
| Asrm - Reliance Standard Life Insurance | $110 | 12% |
| Christian Care Ministry | $110 | 12% |
| Dean Health | $110 | 12% |
| Fallon Health | $110 | 12% |
| Family Life Insurance Company | $110 | 12% |
| International Benefit Administrators | $110 | 12% |
| Lifetime Benefit Solutions | $110 | 12% |
| Manhattan Life | $110 | 12% |
| Molina Marketplace | $110 - $1,205 | 12% |
| Multiplan | $110 | 12% |
| Mvp | $110 | 12% |
| Oscar | $110 - $1,186 | 12% |
| Pai | $110 | 12% |
| Pan-American Life | $110 | 12% |
| Phcs | $110 | 12% |
| Trinity Health Share | $110 | 12% |
| Wellpath | $110 - $1,436 | 12% |
| Partners Direct Health - Brio | $118 | 12% |
| Claimdoc | $126 | 13% |
| Kent County Jail | $126 | 13% |
| Muskegon County Jail | $126 | 13% |
| Nomi Health | $126 | 13% |
| Wc Accident Fund | $131 | 14% |
| Wc Advantage | $131 | 14% |
| Wc Aig | $131 | 14% |
| Wc Allied | $131 | 14% |
| Wc Amerisure | $131 | 14% |
| Wc Amtrust | $131 | 14% |
| Wc Asu Risk Mgt | $131 | 14% |
| Wc Berkley Admin | $131 | 14% |
| Wc Broadspire | $131 | 14% |
| Wc Bunch & Associates | $131 | 14% |
| Wc Ccmsi | $131 | 14% |
| Wc Emc Insurance Company | $131 | 14% |
| Wc Esis | $131 | 14% |
| Wc Fcci | $131 | 14% |
| Wc Federated | $131 | 14% |
| Wc Gallagher Bassett | $131 | 14% |
| Wc Genex Care For Ohio | $131 | 14% |
| Wc Guard Insurance Company | $131 | 14% |
| Wc Hartford | $131 | 14% |
| Wc Liberty Mutual | $131 | 14% |
| Wc Meijers | $131 | 14% |
| Wc Michigan | $131 | 14% |
| Wc Mitchell Frankenmuth | $131 | 14% |
| Wc Pma | $131 | 14% |
| Wc Sedgwick | $131 | 14% |
| Wc Sentry | $131 | 14% |
| Wc Travelers | $131 | 14% |
| Wc Tristar | $131 | 14% |
| Wc Walmart | $131 | 14% |
| Wc Zurich | $131 | 14% |
| Andrie Inc | $138 | 15% |
| East Greenbush Central School District | $138 | 15% |
| Geha | $138 | 15% |
| Genex Wc | $138 | 15% |
| Healthsmart Workers Comp | $138 | 15% |
| Jag Source | $138 | 15% |
| New York State Insurance Fund | $138 | 15% |
| Njm Insurance Group | $138 | 15% |
| Rx Heatlhcomp | $138 | 15% |
| Rx Restat | $138 | 15% |
| Rx Saif Opdp Wc | $138 | 15% |
| Rx Worker'S Comp | $138 | 15% |
| Wc Ace | $138 | 15% |
| Wc Acs Federal Employees | $138 | 15% |
| Wc Acuity | $138 | 15% |
| Wc Aegis | $138 | 15% |
| Wc Aims | $138 | 15% |
| Wc Alaska National Ins | $138 | 15% |
| Wc Align Network | $138 | 15% |
| Wc Am Trust N America | $138 | 15% |
| Wc American Claims Mgmt | $138 | 15% |
| Wc Benetech | $138 | 15% |
| Wc Broward County | $138 | 15% |
| Wc California State Comp Ins | $138 | 15% |
| Wc California State Ins Fund | $138 | 15% |
| Wc Capitol Area Health Consortium | $138 | 15% |
| Wc Chartis | $138 | 15% |
| Wc Chubb | $138 | 15% |
| Wc Cirma | $138 | 15% |
| Wc City Of Albany | $138 | 15% |
| Wc City Of Sioux City | $138 | 15% |
| Wc Claims Mgmt Inc | $138 | 15% |
| Wc Cna | $138 | 15% |
| Wc Comp One Admin C/O Manageability | $138 | 15% |
| Wc Compone Admin | $138 | 15% |
| Wc Corvel | $138 | 15% |
| Wc Ct Healthcare Trust | $138 | 15% |
| Wc Donegal Insurance Group | $138 | 15% |
| Wc Employee Mutual | $138 | 15% |
| Wc Enablecomp | $138 | 15% |
| Wc Encore Health Network | $138 | 15% |
| Wc Erie | $138 | 15% |
| Wc Evolutions | $138 | 15% |
| Wc Fed Ex | $138 | 15% |
| Wc Federal Black Lung | $138 | 15% |
| Wc Finley Occupational Health | $138 | 15% |
| Wc First Agency/Occunet | $138 | 15% |
| Wc Ford Motor | $138 | 15% |
| Wc Fresno Unified Emp | $138 | 15% |
| Wc General Motors | $138 | 15% |
| Wc Generic | $138 | 15% |
| Wc Great West Casualty | $138 | 15% |
| Wc Guarantee Insurance | $138 | 15% |
| Wc Hab | $138 | 15% |
| Wc Hastings | $138 | 15% |
| Wc Health Management | $138 | 15% |
| Wc Heritage Summit | $138 | 15% |
| Wc Hireright | $138 | 15% |
| Wc Horizon | $138 | 15% |
| Wc Icw Group | $138 | 15% |
| Wc Idaho State Ins Fund | $138 | 15% |
| Wc Intercare Insurance | $138 | 15% |
| Wc Intermountain | $138 | 15% |
| Wc Johns Eastern | $138 | 15% |
| Wc Kemberton | $138 | 15% |
| Wc Key Ins & Benefit Solutions | $138 | 15% |
| Wc Mac Risk Management | $138 | 15% |
| Wc Massachusetts | $138 | 15% |
| Wc Mdia | $138 | 15% |
| Wc Meadowbrook Claim | $138 | 15% |
| Wc Medical Administrators | $138 | 15% |
| Wc Memic | $138 | 15% |
| Wc Mercy Workcare | $138 | 15% |
| Wc Michigan Millers Mutual | $138 | 15% |
| Wc Mra | $138 | 15% |
| Wc Nationwide | $138 | 15% |
| Wc Nca Comp | $138 | 15% |
| Wc New York | $138 | 15% |
| Wc New York Special Funds | $138 | 15% |
| Wc North American Rishces | $138 | 15% |
| Wc Northeast Health | $138 | 15% |
| Wc Notre Dame | $138 | 15% |
| Wc Novanet | $138 | 15% |
| Wc O'Hara Corp | $138 | 15% |
| Wc Occ Health Allen | $138 | 15% |
| Wc Ohio Bureau | $138 | 15% |
| Wc One Call Medical | $138 | 15% |
| Wc Paradigm | $138 | 15% |
| Wc Peerless | $138 | 15% |
| Wc Praxis Health Network | $138 | 15% |
| Wc Price Chopper | $138 | 15% |
| Wc Procura Management | $138 | 15% |
| Wc Qualcare | $138 | 15% |
| Wc Quiktrip | $138 | 15% |
| Wc Reny Company | $138 | 15% |
| Wc Rev Claims | $138 | 15% |
| Wc Risico | $138 | 15% |
| Wc Rural Mutual | $138 | 15% |
| Wc Saif Oregon | $138 | 15% |
| Wc Secura | $138 | 15% |
| Wc Sheakley Unicomp | $138 | 15% |
| Wc Smile Lodge | $138 | 15% |
| Wc Society | $138 | 15% |
| Wc Srs | $138 | 15% |
| Wc Taconic (Mro) | $138 | 15% |
| Wc Taconic Farms | $138 | 15% |
| Wc Triad Group | $138 | 15% |
| Wc Troy Ny | $138 | 15% |
| Wc Tyson | $138 | 15% |
| Wc Unified Health Services | $138 | 15% |
| Wc United Heartland | $138 | 15% |
| Wc Us Dept Of Labor | $138 | 15% |
| Wc Velocity | $138 | 15% |
| Wc West Bend | $138 | 15% |
| Wc West Bend Mutual/Argent | $138 | 15% |
| Wc Winnebago Industries | $138 | 15% |
| Wc Yankee Trails | $138 | 15% |
| Wc York Risk | $138 | 15% |
| Wc Zenith | $138 | 15% |
| Blue Care Network | $139 - $926 | 15% |
| Blue Benefit Administrators Of Massachusetts | $146 - $926 | 15% |
| Blue Distinction Transplant | $146 - $926 | 15% |
| Blue Shield - Ca | $146 - $926 | 15% |
| Blue Shield - Id (Regence) | $146 - $926 | 15% |
| Blue Shield - Ny Highmark Northeastern | $146 - $926 | 15% |
| Blue Shield - Ny Highmark Western | $146 - $926 | 15% |
| Blue Shield - Pa (Highmark) | $146 - $926 | 15% |
| Blue Shield - Wa (Regence) | $146 - $926 | 15% |
| American Postal Workers Secondary | $154 | 16% |
| Us Health And Life | $161 - $180 | 17% |
| Priority Health | $164 - $2,202 | 17% |
| Hap | $168 - $211 | 18% |
| Varipro | $168 | 18% |
| Asr Health Benefits | $171 | 18% |
| Meritain | $200 | 21% |
| U Of M Health Plan | $203 - $700 | 21% |
| Health Partners | $211 | 22% |
| Tufts Health Plan | $211 | 22% |
| Bcccp-Michigan | $225 - $296 | 24% |
| Acclaim | $261 - $343 | 27% |
| Administrative Concepts | $261 - $343 | 27% |
| Allegeant | $261 - $343 | 27% |
| Allied Benefit Systems | $261 - $343 | 27% |
| Ameriben | $261 - $343 | 27% |
| American Family | $261 - $343 | 27% |
| American Healthcare Alliance | $261 - $343 | 27% |
| American National | $261 - $343 | 27% |
| American Republic | $261 - $343 | 27% |
| Amerihealth | $261 - $343 | 27% |
| Aultcare | $261 - $343 | 27% |
| Automated Benefit Services | $261 - $343 | 27% |
| Auxiant | $261 - $343 | 27% |
| Benefit Administrative Systems,Llc | $261 - $343 | 27% |
| Boon Chapman | $261 - $343 | 27% |
| Cam Administrative Services | $261 - $343 | 27% |
| Christian Brother Services | $261 - $343 | 27% |
| Christian Brothers Holy Cross | $261 - $343 | 27% |
| Claimchoice Adminstrators | $261 - $343 | 27% |
| Comprehensive Benefits | $261 - $343 | 27% |
| Consociate | $261 - $343 | 27% |
| Continental Life Insurance | $261 - $343 | 27% |
| Coventry | $261 - $343 | 27% |
| Custom Benefit Administrators | $261 - $343 | 27% |
| Cypress Benefit Administrators | $261 - $343 | 27% |
| Employee Benefit Concepts | $261 - $343 | 27% |
| Employee Benefit Management | $261 - $343 | 27% |
| Enterprise Group Planning | $261 - $343 | 27% |
| First Health | $261 - $343 | 27% |
| Forest County Potawatomi | $261 - $343 | 27% |
| Freedom Life Insurance Company | $261 - $343 | 27% |
| Group Administrators | $261 - $343 | 27% |
| Group Marketing Services | $261 - $343 | 27% |
| Group Pension Administrators | $261 - $343 | 27% |
| Guardian | $261 - $343 | 27% |
| Health America | $261 - $343 | 27% |
| Health Choices | $261 - $926 | 27% |
| Health Smart | $261 - $343 | 27% |
| Healthcare Management Admin | $261 - $343 | 27% |
| Healthez | $261 - $343 | 27% |
| Healthgram | $261 - $343 | 27% |
| Healthscope | $261 - $343 | 27% |
| Insight | $261 - $343 | 27% |
| Jfp Benefit Management | $261 - $343 | 27% |
| Jp Farley Corporation | $261 - $343 | 27% |
| Key Benefit Administrator | $261 - $343 | 27% |
| Liberty Union Life Assurance Co | $261 - $343 | 27% |
| Lucent Health | $261 - $343 | 27% |
| Luminare Health | $261 - $343 | 27% |
| Luminare Health (Detroit) | $261 - $343 | 27% |
| Magnacare | $261 - $343 | 27% |
| Medben | $261 - $343 | 27% |
| Medcost | $261 - $343 | 27% |
| Medical Mutual | $261 - $343 | 27% |
| Mutual Health Services | $261 - $343 | 27% |
| Mutual Of Omaha | $261 - $343 | 27% |
| Ncas | $261 - $343 | 27% |
| Nippon Life Ins | $261 - $343 | 27% |
| Nova | $261 - $343 | 27% |
| Painters Union Insurance Fund | $261 - $343 | 27% |
| Physicians Mutual | $261 - $343 | 27% |
| Plumbers Local 98 Insurance Fund | $261 - $343 | 27% |
| Prairie States | $261 - $343 | 27% |
| Preferred One | $261 - $343 | 27% |
| Primary Physician Care | $261 - $343 | 27% |
| Professional Benefit Administrators | $261 - $343 | 27% |
| Secureone Preferred United Plans | $261 - $343 | 27% |
| Siho Insurance Services | $261 - $343 | 27% |
| Sisco Benefits | $261 - $343 | 27% |
| The Loomis Company | $261 - $343 | 27% |
| Trustmark Small Business Benefits | $261 - $343 | 27% |
| Unicare | $261 - $343 | 27% |
| Unified Group Services | $261 - $343 | 27% |
| Valenz | $261 - $343 | 27% |
| Webtpa | $261 - $343 | 27% |
| Western & Southern Financial Group | $261 - $343 | 27% |
| Wps | $261 - $343 | 27% |
| Bcn Domestic | $926 | 97% |
| Kaiser Domestic | $926 | 97% |
| Correctional Recovery | $927 | 98% |
| Hospice Faith | $927 | 98% |
| Hospice Of Holland | $927 | 98% |
| Vitalcore | $1,436 | 151% |