CMS Price Transparency Data
Psychotherapy session (60 minutes)
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 90837 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90837
- Insurance Median: $143
- Cash Discount Price: $185
- vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Trinity Health Ann Arbor Hospital is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.79x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$185
Average discount available for prompt cash payment at this facility.
Insurance Median
$143
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$181.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $185 (102%)
Insurance Median: $143 (79%)
Cash: $185 (102% of Medicare)
Ins. Median: $143 (79% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $181.34 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 |
|---|---|---|
| Blue Cross Blue Shield | $68 - $170 | 37% |
| Point Comfort Underwriters | $71 | 39% |
| Wc Accident Fund | $82 - $189 | 45% |
| Wc Advantage | $82 - $189 | 45% |
| Wc Aig | $82 - $189 | 45% |
| Wc Allied | $82 - $189 | 45% |
| Wc Amerisure | $82 - $189 | 45% |
| Wc Amtrust | $82 - $189 | 45% |
| Wc Asu Risk Mgt | $82 - $189 | 45% |
| Wc Berkley Admin | $82 - $189 | 45% |
| Wc Broadspire | $82 - $189 | 45% |
| Wc Bunch & Associates | $82 - $189 | 45% |
| Wc Ccmsi | $82 - $189 | 45% |
| Wc Emc Insurance Company | $82 - $189 | 45% |
| Wc Esis | $82 - $189 | 45% |
| Wc Fcci | $82 - $189 | 45% |
| Wc Federated | $82 - $189 | 45% |
| Wc Gallagher Bassett | $82 - $189 | 45% |
| Wc Genex Care For Ohio | $82 - $189 | 45% |
| Wc Guard Insurance Company | $82 - $189 | 45% |
| Wc Hartford | $82 - $189 | 45% |
| Wc Liberty Mutual | $82 - $189 | 45% |
| Wc Meijers | $82 - $189 | 45% |
| Wc Michigan | $82 - $189 | 45% |
| Wc Mitchell Frankenmuth | $82 - $189 | 45% |
| Wc Pma | $82 - $189 | 45% |
| Wc Sedgwick | $82 - $189 | 45% |
| Wc Sentry | $82 - $189 | 45% |
| Wc Travelers | $82 - $189 | 45% |
| Wc Tristar | $82 - $189 | 45% |
| Wc Walmart | $82 - $189 | 45% |
| Wc Zurich | $82 - $189 | 45% |
| Aetna | $91 - $242 | 50% |
| Albany County Correctional Facility | $91 | 50% |
| Ambetter / Centene | $91 | 50% |
| Amish Mennonite | $91 | 50% |
| Ascension St. Vincent Public Safety Medical | $91 | 50% |
| Bccp | $91 | 50% |
| Bmc Healthnet | $91 | 50% |
| Breast Grant-Connecticut | $91 | 50% |
| Broward County Dept Of Health | $91 | 50% |
| California Health And Wellness | $91 | 50% |
| Cardinal Innovations Lme | $91 | 50% |
| Care Connections Of Northern Iowa | $91 | 50% |
| Care Oregon Ohp | $91 | 50% |
| Cencal Health Plan | $91 | 50% |
| Cenpatico | $91 | 50% |
| Chhuny | $91 | 50% |
| Childrens Comm Health Plan | $91 | 50% |
| Childrens Medical Services Title 19 | $91 | 50% |
| Cigna | $91 - $220 | 50% |
| City Of Philadelphia | $91 | 50% |
| Cmh Allegan County | $91 | 50% |
| Cmh Ausable Valley | $91 | 50% |
| Cmh Barry County | $91 | 50% |
| Cmh Bay-Arenac County | $91 | 50% |
| Cmh Berrien County | $91 | 50% |
| Cmh Cass County | $91 | 50% |
| Cmh Central Mi County | $91 | 50% |
| Cmh Clinton-Eaton-Ingham County | $91 | 50% |
| Cmh Detroit Wayne Integrated Health Network | $91 - $284 | 50% |
| Cmh Genesee County | $91 | 50% |
| Cmh Ionia County | $91 | 50% |
| Cmh Jackson County/Lifeways | $91 | 50% |
| Cmh Kalamazoo | $91 | 50% |
| Cmh Kent County | $91 | 50% |
| Cmh Lenawee County | $91 - $284 | 50% |
| Cmh Livingston County | $91 - $284 | 50% |
| Cmh Macomb | $91 | 50% |
| Cmh Misc | $91 - $284 | 50% |
| Cmh Monroe County | $91 - $284 | 50% |
| Cmh Montcalm County | $91 | 50% |
| Cmh Muskegon County | $91 | 50% |
| Cmh Newaygo County | $91 | 50% |
| Cmh North Country | $91 | 50% |
| Cmh Northern Lakes County | $91 | 50% |
| Cmh Oakland County | $91 | 50% |
| Cmh Ottawa County | $91 | 50% |
| Cmh Van Buren County | $91 | 50% |
| Cmh Washtenaw County | $91 - $284 | 50% |
| Cmh Wayne County/Carelink | $91 | 50% |
| Cmh Wayne Cty/Com Liv Svcs | $91 | 50% |
| Cmh West Mi County | $91 | 50% |
| Community Benefit Health | $91 | 50% |
| Community Care Behavorial Health | $91 | 50% |
| Community Care Partners | $91 | 50% |
| Community Health Choice | $91 | 50% |
| Connections Csp | $91 | 50% |
| County Coroner | $91 | 50% |
| County Funding Generic | $91 | 50% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $91 | 50% |
| Dean Wi Badgercare | $91 | 50% |
| Delaware County Department Of Health | $91 | 50% |
| Delaware First Health | $91 | 50% |
| Delta Dental Nj | $91 | 50% |
| Dph Tb Program | $91 | 50% |
| Dscc | $91 | 50% |
| Eastpointe Lme | $91 | 50% |
| Family Health Network | $91 | 50% |
| Freedom First Healthcare | $91 | 50% |
| Fresno County Ccs | $91 | 50% |
| Ghc Scw Wi Badgercare | $91 | 50% |
| Harbor Health | $91 | 50% |
| Health Safety Net | $91 | 50% |
| Healthy Blue Ne | $91 | 50% |
| Hennepin Health | $91 | 50% |
| Humana | $91 - $219 | 50% |
| Id County Ada | $91 | 50% |
| Id County Canyon | $91 | 50% |
| Id County Cat Fund | $91 | 50% |
| Id County Other | $91 | 50% |
| Id County Payette | $91 | 50% |
| Idaho Dept Health And Wellfare | $91 | 50% |
| Idaho Womens Health Check | $91 | 50% |
| Indiana Breast Cervical Cancer | $91 | 50% |
| Inland Empire Health Plan | $91 | 50% |
| Intercommunity Health Ohp | $91 | 50% |
| Iowa Total Care | $91 | 50% |
| Jai Medical System | $91 | 50% |
| Kern Family Health Plan | $91 | 50% |
| Keystone First | $91 | 50% |
| Keystone First Chip | $91 | 50% |
| La Care Health Plan | $91 | 50% |
| Lakeland Care Inc | $91 | 50% |
| Managed Health Services - Indiana | $91 | 50% |
| Maryland Breast & Cervical Program | $91 | 50% |
| Maryland Healthy Smiles - Scion Dental | $91 | 50% |
| Maryland Physicians Care | $91 | 50% |
| Massachusetts Behavioral Health Partnership | $91 | 50% |
| Mdwise | $91 | 50% |
| Medi-Cal | $91 | 50% |
| Medi-Cal Healthnet | $91 | 50% |
| Medicaid / KanCare | $91 - $247 | 50% |
| Medstar Dc Healthy Family | $91 | 50% |
| Medstar Md Health Choice | $91 | 50% |
| Mo Home State Health Plan | $91 | 50% |
| Molina Centennial Care | $91 | 50% |
| Nascentia Health Options | $91 | 50% |
| Nebraska Total Care | $91 | 50% |
| New York Cancer Services Program | $91 | 50% |
| Nextlevel Health | $91 | 50% |
| Oregon Screenwise | $91 | 50% |
| Pace Of Southwest Michigan | $91 - $122 | 50% |
| Paramount Advantage | $91 | 50% |
| Parkland Community Health Plan | $91 | 50% |
| Partners Behavioral Lme | $91 | 50% |
| Peach State Healthplan | $91 | 50% |
| Philadelphia County Funding | $91 | 50% |
| Presbyterian Centennial Care | $91 | 50% |
| Prestige Health Choice | $91 | 50% |
| Priority Partners | $91 | 50% |
| Robert F Sing Program | $91 | 50% |
| Rx 340B Pass Along | $91 | 50% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $91 | 50% |
| Rx Medi-Cal | $91 | 50% |
| Rx Meridian Rx | $91 | 50% |
| Ryan White Florida Mssrp | $91 | 50% |
| Sandhills Center Lme | $91 | 50% |
| Screening For Life | $91 | 50% |
| St Joseph County Hlth Dpt | $91 | 50% |
| Stephenson Cty Health | $91 | 50% |
| Sunshine State Health Plan | $91 | 50% |
| Superior Health | $91 | 50% |
| Tenncare | $91 | 50% |
| Texas Children'S Health Plan | $91 | 50% |
| Trillium Community Ohp | $91 | 50% |
| Tufts Health Public Plans | $91 | 50% |
| UnitedHealthcare | $91 - $256 | 50% |
| Vaya Health Lme | $91 | 50% |
| Washtenaw Health Plan | $91 | 50% |
| Wellsense Health Plan | $91 | 50% |
| Wi Womens Wellness | $91 | 50% |
| American Postal Workers Secondary | $97 | 53% |
| Bcn Domestic | $102 | 56% |
| Blue Benefit Administrators Of Massachusetts | $102 - $170 | 56% |
| Blue Care Network | $102 - $159 | 56% |
| Blue Distinction Transplant | $102 - $170 | 56% |
| Blue Shield - Ca | $102 - $170 | 56% |
| Blue Shield - Id (Regence) | $102 - $170 | 56% |
| Blue Shield - Ny Highmark Northeastern | $102 - $170 | 56% |
| Blue Shield - Ny Highmark Western | $102 - $170 | 56% |
| Blue Shield - Pa (Highmark) | $102 - $170 | 56% |
| Blue Shield - Wa (Regence) | $102 - $170 | 56% |
| Health Choices | $102 - $219 | 56% |
| Kaiser Domestic | $102 | 56% |
| Priority Health | $103 - $310 | 57% |
| Champva | $115 | 63% |
| Tricare | $115 | 63% |
| Triwest Health Alliance | $115 | 63% |
| Us Family Health Plan | $115 | 63% |
| Veterans Eval Services | $115 | 63% |
| Ally Align Care Adv | $122 | 67% |
| American Health Advantage Of Idaho | $122 | 67% |
| American Health Plan | $122 | 67% |
| Aurora Special Needs | $122 | 67% |
| Blue Care Network Advantage | $122 | 67% |
| Blue Shield - De (Highmark) Medciare Advantage | $122 | 67% |
| Care Dimensions | $122 | 67% |
| Care Improvement Plus | $122 | 67% |
| Care Resources Pace | $122 | 67% |
| Careplus Health Plans | $122 | 67% |
| Cca Senior Care Options | $122 | 67% |
| Central Valley Medical Services Corp Pace | $122 | 67% |
| Champion Health Plan Mcr Advantage | $122 | 67% |
| Clear Spring Health | $122 | 67% |
| Clover Health | $122 | 67% |
| Commonwealth Care Alliance | $122 | 67% |
| Community Pace At Home | $122 | 67% |
| Eddy Senior Care-Pace | $122 | 67% |
| Eddy Seniorcare Pace | $122 | 67% |
| Elementcare | $122 | 67% |
| Evercare | $122 | 67% |
| Everence | $122 | 67% |
| Gateway Health Plan | $122 | 67% |
| Genesys Pace Of Genesee County | $122 | 67% |
| Georgia Health Advantage | $122 | 67% |
| Gold Advantage | $122 | 67% |
| Gpa Croell Redi Mix | $122 | 67% |
| Health America Advantra | $122 | 67% |
| Highmark Health Options Dual Plan | $122 | 67% |
| Hope Select Pace | $122 | 67% |
| Horizon Nj Total Care | $122 | 67% |
| Hudson Headwaters Pace | $122 | 67% |
| Huron Valley Pace | $122 | 67% |
| Innovative Integrated Health Community Plans | $122 | 67% |
| Iowa Health Advantage | $122 | 67% |
| Johns Hopkins Advantage Md | $122 | 67% |
| Lasso Healthcare Msa | $122 | 67% |
| Life St Marys Pace | $122 | 67% |
| Lifecircles Pace | $122 | 67% |
| Longevity Health Plan | $122 | 67% |
| Martins Point Generations Advantage | $122 | 67% |
| Mass General Brigham Mcr Adv | $122 | 67% |
| Medicare (plans) | $122 - $138 | 67% |
| Medipak Advantage | $122 | 67% |
| Mercy Life | $122 | 67% |
| Mercyone Cedar Valley | $122 | 67% |
| Meridian Complete | $122 | 67% |
| Michigan Complete Health | $122 | 67% |
| Nascentia Health Plus | $122 | 67% |
| New Centry Health Careplus | $122 | 67% |
| Osu Prime Care Advantage | $122 | 67% |
| Pace Cny | $122 | 67% |
| Pace Iowa Immanuel Pathways | $122 | 67% |
| Pace Southeast | $122 | 67% |
| Pace-Trinity Health | $122 | 67% |
| Peak Pace Solutions | $122 | 67% |
| Perennial Advantage | $122 | 67% |
| Preferred Care Partners | $122 | 67% |
| Presbyterian Senior Plan | $122 | 67% |
| Provider Partners Health Plan Of Illinois | $122 | 67% |
| Provider Partners Health Plan Of Indiana | $122 | 67% |
| Pruitthealth Premier | $122 | 67% |
| Reliance Community Care Partners Care Resources Pace | $122 | 67% |
| Rx Allwin | $122 | 67% |
| Rx Grane Grnmedd | $122 | 67% |
| Rx Retiree Rx Care | $122 | 67% |
| Scan Health Plan Mcr Ipa Meritage Oon | $122 | 67% |
| Secure Horizons Ma Pffs | $122 | 67% |
| Serenity Pace | $122 | 67% |
| Siouxland Pace | $122 | 67% |
| Solis Health Plans | $122 | 67% |
| Sunnyview-Pace Finance Dept | $122 | 67% |
| Texan Plus | $122 | 67% |
| The Health Plan | $122 - $143 | 67% |
| Thome Pace | $122 | 67% |
| Todays Options | $122 | 67% |
| Tribute Health Plans | $122 | 67% |
| Um Health Advantage | $122 | 67% |
| Union Health Service | $122 | 67% |
| Welbe Health | $122 | 67% |
| Wellmed | $122 | 67% |
| Align Senior Care | $125 | 69% |
| Veterans Administration | $125 | 69% |
| Acs Benefit Services | $132 | 73% |
| Allied Benefit Systems | $132 - $143 | 73% |
| Claimchoice Adminstrators | $132 - $143 | 73% |
| Consociate | $132 - $143 | 73% |
| Cypress Benefit Administrators | $132 - $143 | 73% |
| Forest County Potawatomi | $132 - $143 | 73% |
| Health Smart | $132 - $143 | 73% |
| Healthgram | $132 - $143 | 73% |
| Healthscope | $132 - $143 | 73% |
| Secureone Preferred United Plans | $132 - $143 | 73% |
| Sisco Benefits | $132 - $143 | 73% |
| Trustmark Small Business Benefits | $132 - $143 | 73% |
| Unified Group Services | $132 - $143 | 73% |
| Webtpa | $132 - $143 | 73% |
| Geha | $133 - $159 | 73% |
| Cca - Zing Health | $134 | 74% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $140 | 77% |
| Acclaim | $143 - $219 | 79% |
| Administrative Concepts | $143 - $219 | 79% |
| Allegeant | $143 - $219 | 79% |
| Ameriben | $143 - $219 | 79% |
| American Family | $143 - $219 | 79% |
| American Healthcare Alliance | $143 - $219 | 79% |
| American National | $143 - $219 | 79% |
| American Republic | $143 - $219 | 79% |
| Amerihealth | $143 - $219 | 79% |
| Aultcare | $143 - $219 | 79% |
| Automated Benefit Services | $143 - $219 | 79% |
| Auxiant | $143 - $219 | 79% |
| Benefit Administrative Systems,Llc | $143 - $219 | 79% |
| Boon Chapman | $143 - $219 | 79% |
| Cam Administrative Services | $143 - $219 | 79% |
| Christian Brother Services | $143 - $219 | 79% |
| Christian Brothers Holy Cross | $143 - $219 | 79% |
| Comprehensive Benefits | $143 - $219 | 79% |
| Continental Life Insurance | $143 - $219 | 79% |
| Coventry | $143 - $219 | 79% |
| Custom Benefit Administrators | $143 - $219 | 79% |
| Employee Benefit Concepts | $143 - $219 | 79% |
| Employee Benefit Management | $143 - $219 | 79% |
| Enterprise Group Planning | $143 - $219 | 79% |
| First Health | $143 - $224 | 79% |
| Freedom Life Insurance Company | $143 - $219 | 79% |
| Group Administrators | $143 - $219 | 79% |
| Group Marketing Services | $143 - $219 | 79% |
| Group Pension Administrators | $143 - $219 | 79% |
| Guardian | $143 - $219 | 79% |
| Health America | $143 - $219 | 79% |
| Healthcare Management Admin | $143 - $219 | 79% |
| Healthez | $143 - $219 | 79% |
| Insight | $143 - $219 | 79% |
| Intercare | $143 - $219 | 79% |
| Jfp Benefit Management | $143 - $219 | 79% |
| Jp Farley Corporation | $143 - $219 | 79% |
| Key Benefit Administrator | $143 - $219 | 79% |
| Liberty Union Life Assurance Co | $143 - $219 | 79% |
| Lucent Health | $143 - $219 | 79% |
| Luminare Health | $143 - $219 | 79% |
| Luminare Health (Detroit) | $143 - $219 | 79% |
| Magnacare | $143 - $219 | 79% |
| Medben | $143 - $219 | 79% |
| Medcost | $143 - $219 | 79% |
| Medical Mutual | $143 - $219 | 79% |
| Mutual Health Services | $143 - $219 | 79% |
| Mutual Of Omaha | $143 - $219 | 79% |
| Ncas | $143 - $219 | 79% |
| Nippon Life Ins | $143 - $219 | 79% |
| Nova | $143 - $219 | 79% |
| Painters Union Insurance Fund | $143 - $219 | 79% |
| Physicians Mutual | $143 - $219 | 79% |
| Plumbers Local 98 Insurance Fund | $143 - $219 | 79% |
| Prairie States | $143 - $219 | 79% |
| Preferred One | $143 - $219 | 79% |
| Primary Physician Care | $143 - $219 | 79% |
| Professional Benefit Administrators | $143 - $219 | 79% |
| Siho Insurance Services | $143 - $219 | 79% |
| The Loomis Company | $143 - $219 | 79% |
| Unicare | $143 - $219 | 79% |
| Us Health And Life | $143 - $219 | 79% |
| Valenz | $143 - $219 | 79% |
| Western & Southern Financial Group | $143 - $219 | 79% |
| Wps | $143 - $219 | 79% |
| Asr Health Benefits | $147 - $343 | 81% |
| Hap | $147 - $343 | 81% |
| Varipro | $147 - $343 | 81% |
| Meritain | $159 - $242 | 88% |
| 1199 National Benefit Fund | $168 - $219 | 93% |
| Allied National Global Care | $168 - $219 | 93% |
| Asrm - Reliance Standard Life Insurance | $168 - $219 | 93% |
| Christian Care Ministry | $168 - $219 | 93% |
| Dean Health | $168 - $219 | 93% |
| Fallon Health | $168 - $219 | 93% |
| Family Life Insurance Company | $168 - $219 | 93% |
| International Benefit Administrators | $168 - $219 | 93% |
| Lifetime Benefit Solutions | $168 - $219 | 93% |
| Manhattan Life | $168 - $219 | 93% |
| Molina Marketplace | $168 | 93% |
| Multiplan | $168 - $219 | 93% |
| Mvp | $168 - $219 | 93% |
| Pai | $168 - $219 | 93% |
| Pan-American Life | $168 - $219 | 93% |
| Phcs | $168 - $219 | 93% |
| Trinity Health Share | $168 - $219 | 93% |
| Wellpath | $168 | 93% |
| Partners Direct Health - Brio | $181 | 100% |
| Kent County Jail | $193 | 106% |
| Muskegon County Jail | $193 | 106% |
| Claimdoc | $194 | 107% |
| Andrie Inc | $199 | 110% |
| East Greenbush Central School District | $199 | 110% |
| Genex Wc | $199 | 110% |
| Healthsmart Workers Comp | $199 | 110% |
| Jag Source | $199 | 110% |
| New York State Insurance Fund | $199 | 110% |
| Njm Insurance Group | $199 | 110% |
| Rx Heatlhcomp | $199 | 110% |
| Rx Restat | $199 | 110% |
| Rx Saif Opdp Wc | $199 | 110% |
| Rx Worker'S Comp | $199 | 110% |
| Wc Ace | $199 | 110% |
| Wc Acs Federal Employees | $199 | 110% |
| Wc Acuity | $199 | 110% |
| Wc Aegis | $199 | 110% |
| Wc Aims | $199 | 110% |
| Wc Alaska National Ins | $199 | 110% |
| Wc Align Network | $199 | 110% |
| Wc Am Trust N America | $199 | 110% |
| Wc American Claims Mgmt | $199 | 110% |
| Wc Benetech | $199 | 110% |
| Wc Broward County | $199 | 110% |
| Wc California State Comp Ins | $199 | 110% |
| Wc California State Ins Fund | $199 | 110% |
| Wc Capitol Area Health Consortium | $199 | 110% |
| Wc Chartis | $199 | 110% |
| Wc Chubb | $199 | 110% |
| Wc Cirma | $199 | 110% |
| Wc City Of Albany | $199 | 110% |
| Wc City Of Sioux City | $199 | 110% |
| Wc Claims Mgmt Inc | $199 | 110% |
| Wc Cna | $199 | 110% |
| Wc Comp One Admin C/O Manageability | $199 | 110% |
| Wc Compone Admin | $199 | 110% |
| Wc Corvel | $199 | 110% |
| Wc Ct Healthcare Trust | $199 | 110% |
| Wc Donegal Insurance Group | $199 | 110% |
| Wc Employee Mutual | $199 | 110% |
| Wc Enablecomp | $199 | 110% |
| Wc Encore Health Network | $199 | 110% |
| Wc Erie | $199 | 110% |
| Wc Evolutions | $199 | 110% |
| Wc Fed Ex | $199 | 110% |
| Wc Federal Black Lung | $199 | 110% |
| Wc Finley Occupational Health | $199 | 110% |
| Wc First Agency/Occunet | $199 | 110% |
| Wc Ford Motor | $199 | 110% |
| Wc Fresno Unified Emp | $199 | 110% |
| Wc General Motors | $199 | 110% |
| Wc Generic | $199 | 110% |
| Wc Great West Casualty | $199 | 110% |
| Wc Guarantee Insurance | $199 | 110% |
| Wc Hab | $199 | 110% |
| Wc Hastings | $199 | 110% |
| Wc Health Management | $199 | 110% |
| Wc Heritage Summit | $199 | 110% |
| Wc Hireright | $199 | 110% |
| Wc Horizon | $199 | 110% |
| Wc Icw Group | $199 | 110% |
| Wc Idaho State Ins Fund | $199 | 110% |
| Wc Intercare Insurance | $199 | 110% |
| Wc Intermountain | $199 | 110% |
| Wc Johns Eastern | $199 | 110% |
| Wc Kemberton | $199 | 110% |
| Wc Key Ins & Benefit Solutions | $199 | 110% |
| Wc Mac Risk Management | $199 | 110% |
| Wc Massachusetts | $199 | 110% |
| Wc Mdia | $199 | 110% |
| Wc Meadowbrook Claim | $199 | 110% |
| Wc Medical Administrators | $199 | 110% |
| Wc Memic | $199 | 110% |
| Wc Mercy Workcare | $199 | 110% |
| Wc Michigan Millers Mutual | $199 | 110% |
| Wc Mra | $199 | 110% |
| Wc Nationwide | $199 | 110% |
| Wc Nca Comp | $199 | 110% |
| Wc New York | $199 | 110% |
| Wc New York Special Funds | $199 | 110% |
| Wc North American Rishces | $199 | 110% |
| Wc Northeast Health | $199 | 110% |
| Wc Notre Dame | $199 | 110% |
| Wc Novanet | $199 | 110% |
| Wc O'Hara Corp | $199 | 110% |
| Wc Occ Health Allen | $199 | 110% |
| Wc Ohio Bureau | $199 | 110% |
| Wc One Call Medical | $199 | 110% |
| Wc Paradigm | $199 | 110% |
| Wc Peerless | $199 | 110% |
| Wc Praxis Health Network | $199 | 110% |
| Wc Price Chopper | $199 | 110% |
| Wc Procura Management | $199 | 110% |
| Wc Qualcare | $199 | 110% |
| Wc Quiktrip | $199 | 110% |
| Wc Reny Company | $199 | 110% |
| Wc Rev Claims | $199 | 110% |
| Wc Risico | $199 | 110% |
| Wc Rural Mutual | $199 | 110% |
| Wc Saif Oregon | $199 | 110% |
| Wc Secura | $199 | 110% |
| Wc Sheakley Unicomp | $199 | 110% |
| Wc Smile Lodge | $199 | 110% |
| Wc Society | $199 | 110% |
| Wc Srs | $199 | 110% |
| Wc Taconic (Mro) | $199 | 110% |
| Wc Taconic Farms | $199 | 110% |
| Wc Triad Group | $199 | 110% |
| Wc Troy Ny | $199 | 110% |
| Wc Tyson | $199 | 110% |
| Wc Unified Health Services | $199 | 110% |
| Wc United Heartland | $199 | 110% |
| Wc Us Dept Of Labor | $199 | 110% |
| Wc Velocity | $199 | 110% |
| Wc West Bend | $199 | 110% |
| Wc West Bend Mutual/Argent | $199 | 110% |
| Wc Winnebago Industries | $199 | 110% |
| Wc Yankee Trails | $199 | 110% |
| Wc York Risk | $199 | 110% |
| Wc Zenith | $199 | 110% |
| Access Health | $219 | 121% |
| Ghc Scw | $219 | 121% |
| Health Partners | $219 - $225 | 121% |
| Medi Share | $219 | 121% |
| Paramount Hmo | $219 | 121% |
| Tufts Health Plan | $219 - $225 | 121% |
| Prime Health Services | $227 | 125% |
| Bcccp-Michigan | $247 - $284 | 136% |
| U Of M Health Plan | $247 - $272 | 136% |
| Correctional Healthcare Consultants | $255 | 141% |
| Three Rivers Provider Network | $256 | 141% |
| Crime Victim Assistance | $284 | 157% |
| Caresource | $343 | 189% |