CMS Price Transparency Data
Psychological testing evaluation
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 96136 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96136
- Insurance Median: $50
- Cash Discount Price: $85
- vs. Medicare Baseline: 0.37x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Trinity Health Ann Arbor Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.37x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$85
Average discount available for prompt cash payment at this facility.
Insurance Median
$50
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$135.93
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $135.93 (100%)
Cash / Self-Pay: $85 (63%)
Insurance Median: $50 (37%)
Cash: $85 (63% of Medicare)
Ins. Median: $50 (37% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $135.93 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 | $27 - $73 | 20% |
| Albany County Correctional Facility | $27 | 20% |
| Ambetter / Centene | $27 | 20% |
| Amish Mennonite | $27 | 20% |
| Ascension St. Vincent Public Safety Medical | $27 | 20% |
| Bccp | $27 | 20% |
| Blue Cross Blue Shield | $27 - $57 | 20% |
| Bmc Healthnet | $27 | 20% |
| Breast Grant-Connecticut | $27 | 20% |
| Broward County Dept Of Health | $27 | 20% |
| California Health And Wellness | $27 | 20% |
| Cardinal Innovations Lme | $27 | 20% |
| Care Connections Of Northern Iowa | $27 | 20% |
| Care Oregon Ohp | $27 | 20% |
| Cencal Health Plan | $27 | 20% |
| Cenpatico | $27 | 20% |
| Chhuny | $27 | 20% |
| Childrens Comm Health Plan | $27 | 20% |
| Childrens Medical Services Title 19 | $27 | 20% |
| Cigna | $27 - $101 | 20% |
| City Of Philadelphia | $27 | 20% |
| Cmh Allegan County | $27 | 20% |
| Cmh Ausable Valley | $27 | 20% |
| Cmh Barry County | $27 | 20% |
| Cmh Bay-Arenac County | $27 | 20% |
| Cmh Berrien County | $27 | 20% |
| Cmh Cass County | $27 | 20% |
| Cmh Central Mi County | $27 | 20% |
| Cmh Clinton-Eaton-Ingham County | $27 | 20% |
| Cmh Detroit Wayne Integrated Health Network | $27 - $130 | 20% |
| Cmh Genesee County | $27 | 20% |
| Cmh Ionia County | $27 | 20% |
| Cmh Jackson County/Lifeways | $27 | 20% |
| Cmh Kalamazoo | $27 | 20% |
| Cmh Kent County | $27 | 20% |
| Cmh Lenawee County | $27 - $130 | 20% |
| Cmh Livingston County | $27 - $130 | 20% |
| Cmh Macomb | $27 | 20% |
| Cmh Misc | $27 - $130 | 20% |
| Cmh Monroe County | $27 - $130 | 20% |
| Cmh Montcalm County | $27 | 20% |
| Cmh Muskegon County | $27 | 20% |
| Cmh Newaygo County | $27 | 20% |
| Cmh North Country | $27 | 20% |
| Cmh Northern Lakes County | $27 | 20% |
| Cmh Oakland County | $27 | 20% |
| Cmh Ottawa County | $27 | 20% |
| Cmh Van Buren County | $27 | 20% |
| Cmh Washtenaw County | $27 - $130 | 20% |
| Cmh Wayne County/Carelink | $27 | 20% |
| Cmh Wayne Cty/Com Liv Svcs | $27 | 20% |
| Cmh West Mi County | $27 | 20% |
| Community Benefit Health | $27 | 20% |
| Community Care Behavorial Health | $27 | 20% |
| Community Care Partners | $27 | 20% |
| Community Health Choice | $27 | 20% |
| Connections Csp | $27 | 20% |
| County Coroner | $27 | 20% |
| County Funding Generic | $27 | 20% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $27 | 20% |
| Dean Wi Badgercare | $27 | 20% |
| Delaware County Department Of Health | $27 | 20% |
| Delaware First Health | $27 | 20% |
| Delta Dental Nj | $27 | 20% |
| Dph Tb Program | $27 | 20% |
| Dscc | $27 | 20% |
| Eastpointe Lme | $27 | 20% |
| Family Health Network | $27 | 20% |
| Freedom First Healthcare | $27 | 20% |
| Fresno County Ccs | $27 | 20% |
| Ghc Scw Wi Badgercare | $27 | 20% |
| Harbor Health | $27 | 20% |
| Health Safety Net | $27 | 20% |
| Healthy Blue Ne | $27 | 20% |
| Hennepin Health | $27 | 20% |
| Humana | $27 - $100 | 20% |
| Id County Ada | $27 | 20% |
| Id County Canyon | $27 | 20% |
| Id County Cat Fund | $27 | 20% |
| Id County Other | $27 | 20% |
| Id County Payette | $27 | 20% |
| Idaho Dept Health And Wellfare | $27 | 20% |
| Idaho Womens Health Check | $27 | 20% |
| Indiana Breast Cervical Cancer | $27 | 20% |
| Inland Empire Health Plan | $27 | 20% |
| Intercommunity Health Ohp | $27 | 20% |
| Iowa Total Care | $27 | 20% |
| Jai Medical System | $27 | 20% |
| Kern Family Health Plan | $27 | 20% |
| Keystone First | $27 | 20% |
| Keystone First Chip | $27 | 20% |
| La Care Health Plan | $27 | 20% |
| Lakeland Care Inc | $27 | 20% |
| Managed Health Services - Indiana | $27 | 20% |
| Maryland Breast & Cervical Program | $27 | 20% |
| Maryland Healthy Smiles - Scion Dental | $27 | 20% |
| Maryland Physicians Care | $27 | 20% |
| Massachusetts Behavioral Health Partnership | $27 | 20% |
| Mdwise | $27 | 20% |
| Medi-Cal | $27 | 20% |
| Medi-Cal Healthnet | $27 | 20% |
| Medicaid / KanCare | $27 - $87 | 20% |
| Medstar Dc Healthy Family | $27 | 20% |
| Medstar Md Health Choice | $27 | 20% |
| Mo Home State Health Plan | $27 | 20% |
| Molina Centennial Care | $27 | 20% |
| Nascentia Health Options | $27 | 20% |
| Nebraska Total Care | $27 | 20% |
| New York Cancer Services Program | $27 | 20% |
| Nextlevel Health | $27 | 20% |
| Oregon Screenwise | $27 | 20% |
| Pace Of Southwest Michigan | $27 - $42 | 20% |
| Paramount Advantage | $27 | 20% |
| Parkland Community Health Plan | $27 | 20% |
| Partners Behavioral Lme | $27 | 20% |
| Peach State Healthplan | $27 | 20% |
| Philadelphia County Funding | $27 | 20% |
| Presbyterian Centennial Care | $27 | 20% |
| Prestige Health Choice | $27 | 20% |
| Priority Partners | $27 | 20% |
| Robert F Sing Program | $27 | 20% |
| Rx 340B Pass Along | $27 | 20% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $27 | 20% |
| Rx Medi-Cal | $27 | 20% |
| Rx Meridian Rx | $27 | 20% |
| Ryan White Florida Mssrp | $27 | 20% |
| Sandhills Center Lme | $27 | 20% |
| Screening For Life | $27 | 20% |
| St Joseph County Hlth Dpt | $27 | 20% |
| Stephenson Cty Health | $27 | 20% |
| Sunshine State Health Plan | $27 | 20% |
| Superior Health | $27 | 20% |
| Tenncare | $27 | 20% |
| Texas Children'S Health Plan | $27 | 20% |
| Trillium Community Ohp | $27 | 20% |
| Tufts Health Public Plans | $27 | 20% |
| UnitedHealthcare | $27 - $117 | 20% |
| Vaya Health Lme | $27 | 20% |
| Washtenaw Health Plan | $27 | 20% |
| Wellsense Health Plan | $27 | 20% |
| Wi Womens Wellness | $27 | 20% |
| Point Comfort Underwriters | $32 | 24% |
| Wc Accident Fund | $38 - $58 | 28% |
| Wc Advantage | $38 - $58 | 28% |
| Wc Aig | $38 - $58 | 28% |
| Wc Allied | $38 - $58 | 28% |
| Wc Amerisure | $38 - $58 | 28% |
| Wc Amtrust | $38 - $58 | 28% |
| Wc Asu Risk Mgt | $38 - $58 | 28% |
| Wc Berkley Admin | $38 - $58 | 28% |
| Wc Broadspire | $38 - $58 | 28% |
| Wc Bunch & Associates | $38 - $58 | 28% |
| Wc Ccmsi | $38 - $58 | 28% |
| Wc Emc Insurance Company | $38 - $58 | 28% |
| Wc Esis | $38 - $58 | 28% |
| Wc Fcci | $38 - $58 | 28% |
| Wc Federated | $38 - $58 | 28% |
| Wc Gallagher Bassett | $38 - $58 | 28% |
| Wc Genex Care For Ohio | $38 - $58 | 28% |
| Wc Guard Insurance Company | $38 - $58 | 28% |
| Wc Hartford | $38 - $58 | 28% |
| Wc Liberty Mutual | $38 - $58 | 28% |
| Wc Meijers | $38 - $58 | 28% |
| Wc Michigan | $38 - $58 | 28% |
| Wc Mitchell Frankenmuth | $38 - $58 | 28% |
| Wc Pma | $38 - $58 | 28% |
| Wc Sedgwick | $38 - $58 | 28% |
| Wc Sentry | $38 - $58 | 28% |
| Wc Travelers | $38 - $58 | 28% |
| Wc Tristar | $38 - $58 | 28% |
| Wc Walmart | $38 - $58 | 28% |
| Wc Zurich | $38 - $58 | 28% |
| Champva | $40 | 29% |
| Tricare | $40 | 29% |
| Triwest Health Alliance | $40 | 29% |
| Us Family Health Plan | $40 | 29% |
| Veterans Eval Services | $40 | 29% |
| Ally Align Care Adv | $42 | 31% |
| American Health Advantage Of Idaho | $42 | 31% |
| American Health Plan | $42 | 31% |
| Aurora Special Needs | $42 | 31% |
| Blue Care Network Advantage | $42 | 31% |
| Blue Shield - De (Highmark) Medciare Advantage | $42 | 31% |
| Care Dimensions | $42 | 31% |
| Care Improvement Plus | $42 | 31% |
| Care Resources Pace | $42 | 31% |
| Careplus Health Plans | $42 | 31% |
| Cca Senior Care Options | $42 | 31% |
| Central Valley Medical Services Corp Pace | $42 | 31% |
| Champion Health Plan Mcr Advantage | $42 | 31% |
| Clear Spring Health | $42 | 31% |
| Clover Health | $42 | 31% |
| Commonwealth Care Alliance | $42 | 31% |
| Community Pace At Home | $42 | 31% |
| Eddy Senior Care-Pace | $42 | 31% |
| Eddy Seniorcare Pace | $42 | 31% |
| Elementcare | $42 | 31% |
| Evercare | $42 | 31% |
| Everence | $42 | 31% |
| Gateway Health Plan | $42 | 31% |
| Genesys Pace Of Genesee County | $42 | 31% |
| Georgia Health Advantage | $42 | 31% |
| Gold Advantage | $42 | 31% |
| Gpa Croell Redi Mix | $42 | 31% |
| Health America Advantra | $42 | 31% |
| Highmark Health Options Dual Plan | $42 | 31% |
| Hope Select Pace | $42 | 31% |
| Horizon Nj Total Care | $42 | 31% |
| Hudson Headwaters Pace | $42 | 31% |
| Huron Valley Pace | $42 | 31% |
| Innovative Integrated Health Community Plans | $42 | 31% |
| Iowa Health Advantage | $42 | 31% |
| Johns Hopkins Advantage Md | $42 | 31% |
| Lasso Healthcare Msa | $42 | 31% |
| Life St Marys Pace | $42 | 31% |
| Lifecircles Pace | $42 | 31% |
| Longevity Health Plan | $42 | 31% |
| Martins Point Generations Advantage | $42 | 31% |
| Mass General Brigham Mcr Adv | $42 | 31% |
| Medicare (plans) | $42 - $45 | 31% |
| Medipak Advantage | $42 | 31% |
| Mercy Life | $42 | 31% |
| Mercyone Cedar Valley | $42 | 31% |
| Meridian Complete | $42 | 31% |
| Michigan Complete Health | $42 | 31% |
| Nascentia Health Plus | $42 | 31% |
| New Centry Health Careplus | $42 | 31% |
| Osu Prime Care Advantage | $42 | 31% |
| Pace Cny | $42 | 31% |
| Pace Iowa Immanuel Pathways | $42 | 31% |
| Pace Southeast | $42 | 31% |
| Pace-Trinity Health | $42 | 31% |
| Peak Pace Solutions | $42 | 31% |
| Perennial Advantage | $42 | 31% |
| Preferred Care Partners | $42 | 31% |
| Presbyterian Senior Plan | $42 | 31% |
| Provider Partners Health Plan Of Illinois | $42 | 31% |
| Provider Partners Health Plan Of Indiana | $42 | 31% |
| Pruitthealth Premier | $42 | 31% |
| Reliance Community Care Partners Care Resources Pace | $42 | 31% |
| Rx Allwin | $42 | 31% |
| Rx Grane Grnmedd | $42 | 31% |
| Rx Retiree Rx Care | $42 | 31% |
| Scan Health Plan Mcr Ipa Meritage Oon | $42 | 31% |
| Secure Horizons Ma Pffs | $42 | 31% |
| Serenity Pace | $42 | 31% |
| Siouxland Pace | $42 | 31% |
| Solis Health Plans | $42 | 31% |
| Sunnyview-Pace Finance Dept | $42 | 31% |
| Texan Plus | $42 | 31% |
| The Health Plan | $42 - $60 | 31% |
| Thome Pace | $42 | 31% |
| Todays Options | $42 | 31% |
| Tribute Health Plans | $42 | 31% |
| Um Health Advantage | $42 | 31% |
| Union Health Service | $42 | 31% |
| Welbe Health | $42 | 31% |
| Wellmed | $42 | 31% |
| Align Senior Care | $43 | 32% |
| Veterans Administration | $43 | 32% |
| Bcn Domestic | $47 | 35% |
| Blue Benefit Administrators Of Massachusetts | $47 - $57 | 35% |
| Blue Care Network | $47 - $63 | 35% |
| Blue Distinction Transplant | $47 - $57 | 35% |
| Blue Shield - Ca | $47 - $57 | 35% |
| Blue Shield - Id (Regence) | $47 - $57 | 35% |
| Blue Shield - Ny Highmark Northeastern | $47 - $57 | 35% |
| Blue Shield - Ny Highmark Western | $47 - $57 | 35% |
| Blue Shield - Pa (Highmark) | $47 - $57 | 35% |
| Blue Shield - Wa (Regence) | $47 - $57 | 35% |
| Cca - Zing Health | $47 | 35% |
| Health Choices | $47 - $100 | 35% |
| Kaiser Domestic | $47 | 35% |
| Asr Health Benefits | $49 - $114 | 36% |
| Hap | $49 - $114 | 36% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $49 | 36% |
| Varipro | $49 - $114 | 36% |
| Acclaim | $50 - $100 | 37% |
| Administrative Concepts | $50 - $100 | 37% |
| Allegeant | $50 - $100 | 37% |
| Allied Benefit Systems | $50 - $60 | 37% |
| American Family | $50 - $100 | 37% |
| American Healthcare Alliance | $50 - $100 | 37% |
| American Republic | $50 - $100 | 37% |
| Aultcare | $50 - $100 | 37% |
| Automated Benefit Services | $50 - $100 | 37% |
| Benefit Administrative Systems,Llc | $50 - $100 | 37% |
| Boon Chapman | $50 - $100 | 37% |
| Cam Administrative Services | $50 - $100 | 37% |
| Christian Brother Services | $50 - $100 | 37% |
| Claimchoice Adminstrators | $50 - $60 | 37% |
| Comprehensive Benefits | $50 - $100 | 37% |
| Consociate | $50 - $60 | 37% |
| Continental Life Insurance | $50 - $100 | 37% |
| Coventry | $50 - $100 | 37% |
| Custom Benefit Administrators | $50 - $100 | 37% |
| Cypress Benefit Administrators | $50 - $60 | 37% |
| Employee Benefit Concepts | $50 - $100 | 37% |
| Employee Benefit Management | $50 - $100 | 37% |
| Forest County Potawatomi | $50 - $60 | 37% |
| Freedom Life Insurance Company | $50 - $100 | 37% |
| Group Administrators | $50 - $100 | 37% |
| Group Marketing Services | $50 - $100 | 37% |
| Group Pension Administrators | $50 - $100 | 37% |
| Health Smart | $50 - $60 | 37% |
| Healthez | $50 - $100 | 37% |
| Healthgram | $50 - $60 | 37% |
| Healthscope | $50 - $60 | 37% |
| Insight | $50 - $100 | 37% |
| Jfp Benefit Management | $50 - $100 | 37% |
| Jp Farley Corporation | $50 - $100 | 37% |
| Luminare Health | $50 - $100 | 37% |
| Magnacare | $50 - $100 | 37% |
| Medcost | $50 - $100 | 37% |
| Medical Mutual | $50 - $100 | 37% |
| Mutual Of Omaha | $50 - $100 | 37% |
| Nippon Life Ins | $50 - $100 | 37% |
| Painters Union Insurance Fund | $50 - $100 | 37% |
| Physicians Mutual | $50 - $100 | 37% |
| Plumbers Local 98 Insurance Fund | $50 - $100 | 37% |
| Prairie States | $50 - $100 | 37% |
| Preferred One | $50 - $100 | 37% |
| Primary Physician Care | $50 - $100 | 37% |
| Professional Benefit Administrators | $50 - $100 | 37% |
| Secureone Preferred United Plans | $50 - $60 | 37% |
| The Loomis Company | $50 - $100 | 37% |
| Trustmark Small Business Benefits | $50 - $60 | 37% |
| Unicare | $50 - $100 | 37% |
| Unified Group Services | $50 - $60 | 37% |
| Valenz | $50 - $100 | 37% |
| Webtpa | $50 - $60 | 37% |
| Western & Southern Financial Group | $50 - $100 | 37% |
| Wps | $50 - $100 | 37% |
| Access Health | $53 - $100 | 39% |
| Ameriben | $53 - $100 | 39% |
| American National | $53 - $100 | 39% |
| Amerihealth | $53 - $100 | 39% |
| Auxiant | $53 - $100 | 39% |
| Christian Brothers Holy Cross | $53 - $100 | 39% |
| Enterprise Group Planning | $53 - $100 | 39% |
| First Health | $53 - $103 | 39% |
| Guardian | $53 - $100 | 39% |
| Health America | $53 - $100 | 39% |
| Healthcare Management Admin | $53 - $100 | 39% |
| Intercare | $53 - $100 | 39% |
| Key Benefit Administrator | $53 - $100 | 39% |
| Liberty Union Life Assurance Co | $53 - $100 | 39% |
| Lucent Health | $53 - $100 | 39% |
| Luminare Health (Detroit) | $53 - $100 | 39% |
| Medben | $53 - $100 | 39% |
| Mutual Health Services | $53 - $100 | 39% |
| Ncas | $53 - $100 | 39% |
| Nova | $53 - $100 | 39% |
| Siho Insurance Services | $53 - $100 | 39% |
| Sisco Benefits | $53 - $60 | 39% |
| Us Health And Life | $53 - $100 | 39% |
| 1199 National Benefit Fund | $59 - $100 | 43% |
| Allied National Global Care | $59 - $100 | 43% |
| American Postal Workers Secondary | $59 | 43% |
| Asrm - Reliance Standard Life Insurance | $59 - $100 | 43% |
| Christian Care Ministry | $59 - $100 | 43% |
| Dean Health | $59 - $100 | 43% |
| Fallon Health | $59 - $100 | 43% |
| Family Life Insurance Company | $59 - $100 | 43% |
| International Benefit Administrators | $59 - $100 | 43% |
| Lifetime Benefit Solutions | $59 - $100 | 43% |
| Manhattan Life | $59 - $100 | 43% |
| Molina Marketplace | $59 | 43% |
| Multiplan | $59 - $100 | 43% |
| Mvp | $59 - $100 | 43% |
| Pai | $59 - $100 | 43% |
| Pan-American Life | $59 - $100 | 43% |
| Phcs | $59 - $100 | 43% |
| Trinity Health Share | $59 - $100 | 43% |
| Wellpath | $59 | 43% |
| Acs Benefit Services | $60 | 44% |
| Andrie Inc | $61 | 45% |
| East Greenbush Central School District | $61 | 45% |
| Genex Wc | $61 | 45% |
| Healthsmart Workers Comp | $61 | 45% |
| Jag Source | $61 | 45% |
| New York State Insurance Fund | $61 | 45% |
| Njm Insurance Group | $61 | 45% |
| Rx Heatlhcomp | $61 | 45% |
| Rx Restat | $61 | 45% |
| Rx Saif Opdp Wc | $61 | 45% |
| Rx Worker'S Comp | $61 | 45% |
| Wc Ace | $61 | 45% |
| Wc Acs Federal Employees | $61 | 45% |
| Wc Acuity | $61 | 45% |
| Wc Aegis | $61 | 45% |
| Wc Aims | $61 | 45% |
| Wc Alaska National Ins | $61 | 45% |
| Wc Align Network | $61 | 45% |
| Wc Am Trust N America | $61 | 45% |
| Wc American Claims Mgmt | $61 | 45% |
| Wc Benetech | $61 | 45% |
| Wc Broward County | $61 | 45% |
| Wc California State Comp Ins | $61 | 45% |
| Wc California State Ins Fund | $61 | 45% |
| Wc Capitol Area Health Consortium | $61 | 45% |
| Wc Chartis | $61 | 45% |
| Wc Chubb | $61 | 45% |
| Wc Cirma | $61 | 45% |
| Wc City Of Albany | $61 | 45% |
| Wc City Of Sioux City | $61 | 45% |
| Wc Claims Mgmt Inc | $61 | 45% |
| Wc Cna | $61 | 45% |
| Wc Comp One Admin C/O Manageability | $61 | 45% |
| Wc Compone Admin | $61 | 45% |
| Wc Corvel | $61 | 45% |
| Wc Ct Healthcare Trust | $61 | 45% |
| Wc Donegal Insurance Group | $61 | 45% |
| Wc Employee Mutual | $61 | 45% |
| Wc Enablecomp | $61 | 45% |
| Wc Encore Health Network | $61 | 45% |
| Wc Erie | $61 | 45% |
| Wc Evolutions | $61 | 45% |
| Wc Fed Ex | $61 | 45% |
| Wc Federal Black Lung | $61 | 45% |
| Wc Finley Occupational Health | $61 | 45% |
| Wc First Agency/Occunet | $61 | 45% |
| Wc Ford Motor | $61 | 45% |
| Wc Fresno Unified Emp | $61 | 45% |
| Wc General Motors | $61 | 45% |
| Wc Generic | $61 | 45% |
| Wc Great West Casualty | $61 | 45% |
| Wc Guarantee Insurance | $61 | 45% |
| Wc Hab | $61 | 45% |
| Wc Hastings | $61 | 45% |
| Wc Health Management | $61 | 45% |
| Wc Heritage Summit | $61 | 45% |
| Wc Hireright | $61 | 45% |
| Wc Horizon | $61 | 45% |
| Wc Icw Group | $61 | 45% |
| Wc Idaho State Ins Fund | $61 | 45% |
| Wc Intercare Insurance | $61 | 45% |
| Wc Intermountain | $61 | 45% |
| Wc Johns Eastern | $61 | 45% |
| Wc Kemberton | $61 | 45% |
| Wc Key Ins & Benefit Solutions | $61 | 45% |
| Wc Mac Risk Management | $61 | 45% |
| Wc Massachusetts | $61 | 45% |
| Wc Mdia | $61 | 45% |
| Wc Meadowbrook Claim | $61 | 45% |
| Wc Medical Administrators | $61 | 45% |
| Wc Memic | $61 | 45% |
| Wc Mercy Workcare | $61 | 45% |
| Wc Michigan Millers Mutual | $61 | 45% |
| Wc Mra | $61 | 45% |
| Wc Nationwide | $61 | 45% |
| Wc Nca Comp | $61 | 45% |
| Wc New York | $61 | 45% |
| Wc New York Special Funds | $61 | 45% |
| Wc North American Rishces | $61 | 45% |
| Wc Northeast Health | $61 | 45% |
| Wc Notre Dame | $61 | 45% |
| Wc Novanet | $61 | 45% |
| Wc O'Hara Corp | $61 | 45% |
| Wc Occ Health Allen | $61 | 45% |
| Wc Ohio Bureau | $61 | 45% |
| Wc One Call Medical | $61 | 45% |
| Wc Paradigm | $61 | 45% |
| Wc Peerless | $61 | 45% |
| Wc Praxis Health Network | $61 | 45% |
| Wc Price Chopper | $61 | 45% |
| Wc Procura Management | $61 | 45% |
| Wc Qualcare | $61 | 45% |
| Wc Quiktrip | $61 | 45% |
| Wc Reny Company | $61 | 45% |
| Wc Rev Claims | $61 | 45% |
| Wc Risico | $61 | 45% |
| Wc Rural Mutual | $61 | 45% |
| Wc Saif Oregon | $61 | 45% |
| Wc Secura | $61 | 45% |
| Wc Sheakley Unicomp | $61 | 45% |
| Wc Smile Lodge | $61 | 45% |
| Wc Society | $61 | 45% |
| Wc Srs | $61 | 45% |
| Wc Taconic (Mro) | $61 | 45% |
| Wc Taconic Farms | $61 | 45% |
| Wc Triad Group | $61 | 45% |
| Wc Troy Ny | $61 | 45% |
| Wc Tyson | $61 | 45% |
| Wc Unified Health Services | $61 | 45% |
| Wc United Heartland | $61 | 45% |
| Wc Us Dept Of Labor | $61 | 45% |
| Wc Velocity | $61 | 45% |
| Wc West Bend | $61 | 45% |
| Wc West Bend Mutual/Argent | $61 | 45% |
| Wc Winnebago Industries | $61 | 45% |
| Wc Yankee Trails | $61 | 45% |
| Wc York Risk | $61 | 45% |
| Wc Zenith | $61 | 45% |
| Partners Direct Health - Brio | $63 | 46% |
| Priority Health | $63 - $85 | 46% |
| Claimdoc | $67 | 49% |
| Kent County Jail | $67 | 49% |
| Muskegon County Jail | $67 | 49% |
| Meritain | $70 - $73 | 51% |
| Geha | $73 - $95 | 54% |
| Health Partners | $79 - $100 | 58% |
| Tufts Health Plan | $79 - $100 | 58% |
| U Of M Health Plan | $83 - $87 | 61% |
| Bcccp-Michigan | $87 - $130 | 64% |
| Ghc Scw | $100 | 74% |
| Medi Share | $100 | 74% |
| Paramount Hmo | $100 | 74% |
| Prime Health Services | $104 | 77% |
| Caresource | $114 | 84% |
| Correctional Healthcare Consultants | $117 | 86% |
| Three Rivers Provider Network | $117 | 86% |
| Crime Victim Assistance | $130 | 96% |