CMS Price Transparency Data
Ultrasound, pelvis
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 76856 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76856
- Insurance Median: $48
- Cash Discount Price: $1,147
- vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Trinity Health Ann Arbor Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,147. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.45x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$1,147
Average discount available for prompt cash payment at this facility.
Insurance Median
$48
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,147 (1074%)
Insurance Median: $48 (45%)
Cash: $1,147 (1074% of Medicare)
Ins. Median: $48 (45% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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 | $21 - $565 | 20% |
| Albany County Correctional Facility | $21 | 20% |
| Ambetter / Centene | $21 | 20% |
| Amish Mennonite | $21 | 20% |
| Ascension St. Vincent Public Safety Medical | $21 | 20% |
| Bccp | $21 | 20% |
| Blue Cross Blue Shield | $21 - $116 | 20% |
| Bmc Healthnet | $21 | 20% |
| Breast Grant-Connecticut | $21 | 20% |
| Broward County Dept Of Health | $21 | 20% |
| California Health And Wellness | $21 | 20% |
| Cardinal Innovations Lme | $21 | 20% |
| Care Connections Of Northern Iowa | $21 | 20% |
| Care Oregon Ohp | $21 | 20% |
| Cencal Health Plan | $21 | 20% |
| Cenpatico | $21 | 20% |
| Chhuny | $21 | 20% |
| Childrens Comm Health Plan | $21 | 20% |
| Childrens Medical Services Title 19 | $21 | 20% |
| Cigna | $21 - $938 | 20% |
| City Of Philadelphia | $21 | 20% |
| Cmh Allegan County | $21 | 20% |
| Cmh Ausable Valley | $21 | 20% |
| Cmh Barry County | $21 | 20% |
| Cmh Bay-Arenac County | $21 | 20% |
| Cmh Berrien County | $21 | 20% |
| Cmh Cass County | $21 | 20% |
| Cmh Central Mi County | $21 | 20% |
| Cmh Clinton-Eaton-Ingham County | $21 | 20% |
| Cmh Detroit Wayne Integrated Health Network | $21 - $1,208 | 20% |
| Cmh Genesee County | $21 | 20% |
| Cmh Ionia County | $21 | 20% |
| Cmh Jackson County/Lifeways | $21 | 20% |
| Cmh Kalamazoo | $21 | 20% |
| Cmh Kent County | $21 | 20% |
| Cmh Lenawee County | $21 - $1,208 | 20% |
| Cmh Livingston County | $21 - $1,208 | 20% |
| Cmh Macomb | $21 | 20% |
| Cmh Misc | $21 - $1,208 | 20% |
| Cmh Monroe County | $21 - $1,208 | 20% |
| Cmh Montcalm County | $21 | 20% |
| Cmh Muskegon County | $21 | 20% |
| Cmh Newaygo County | $21 | 20% |
| Cmh North Country | $21 | 20% |
| Cmh Northern Lakes County | $21 | 20% |
| Cmh Oakland County | $21 | 20% |
| Cmh Ottawa County | $21 | 20% |
| Cmh Van Buren County | $21 | 20% |
| Cmh Washtenaw County | $21 - $1,208 | 20% |
| Cmh Wayne County/Carelink | $21 | 20% |
| Cmh Wayne Cty/Com Liv Svcs | $21 | 20% |
| Cmh West Mi County | $21 | 20% |
| Community Benefit Health | $21 | 20% |
| Community Care Behavorial Health | $21 | 20% |
| Community Care Partners | $21 | 20% |
| Community Health Choice | $21 | 20% |
| Connections Csp | $21 | 20% |
| County Coroner | $21 | 20% |
| County Funding Generic | $21 | 20% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $21 | 20% |
| Dean Wi Badgercare | $21 | 20% |
| Delaware County Department Of Health | $21 | 20% |
| Delaware First Health | $21 | 20% |
| Delta Dental Nj | $21 | 20% |
| Dph Tb Program | $21 | 20% |
| Dscc | $21 | 20% |
| Eastpointe Lme | $21 | 20% |
| Family Health Network | $21 | 20% |
| Freedom First Healthcare | $21 | 20% |
| Fresno County Ccs | $21 | 20% |
| Ghc Scw Wi Badgercare | $21 | 20% |
| Harbor Health | $21 | 20% |
| Health Safety Net | $21 | 20% |
| Healthy Blue Ne | $21 | 20% |
| Hennepin Health | $21 | 20% |
| Humana | $21 - $930 | 20% |
| Id County Ada | $21 | 20% |
| Id County Canyon | $21 | 20% |
| Id County Cat Fund | $21 | 20% |
| Id County Other | $21 | 20% |
| Id County Payette | $21 | 20% |
| Idaho Dept Health And Wellfare | $21 | 20% |
| Idaho Womens Health Check | $21 | 20% |
| Indiana Breast Cervical Cancer | $21 | 20% |
| Inland Empire Health Plan | $21 | 20% |
| Intercommunity Health Ohp | $21 | 20% |
| Iowa Total Care | $21 | 20% |
| Jai Medical System | $21 | 20% |
| Kern Family Health Plan | $21 | 20% |
| Keystone First | $21 | 20% |
| Keystone First Chip | $21 | 20% |
| La Care Health Plan | $21 | 20% |
| Lakeland Care Inc | $21 | 20% |
| Managed Health Services - Indiana | $21 | 20% |
| Maryland Breast & Cervical Program | $21 | 20% |
| Maryland Healthy Smiles - Scion Dental | $21 | 20% |
| Maryland Physicians Care | $21 | 20% |
| Massachusetts Behavioral Health Partnership | $21 | 20% |
| Mdwise | $21 | 20% |
| Medi-Cal | $21 | 20% |
| Medi-Cal Healthnet | $21 | 20% |
| Medicaid / KanCare | $21 - $114 | 20% |
| Medstar Dc Healthy Family | $21 | 20% |
| Medstar Md Health Choice | $21 | 20% |
| Mo Home State Health Plan | $21 | 20% |
| Molina Centennial Care | $21 | 20% |
| Nascentia Health Options | $21 | 20% |
| Nebraska Total Care | $21 | 20% |
| New York Cancer Services Program | $21 | 20% |
| Nextlevel Health | $21 | 20% |
| Oregon Screenwise | $21 | 20% |
| Pace Of Southwest Michigan | $21 - $32 | 20% |
| Paramount Advantage | $21 | 20% |
| Parkland Community Health Plan | $21 | 20% |
| Partners Behavioral Lme | $21 | 20% |
| Peach State Healthplan | $21 | 20% |
| Philadelphia County Funding | $21 | 20% |
| Presbyterian Centennial Care | $21 | 20% |
| Prestige Health Choice | $21 | 20% |
| Priority Partners | $21 | 20% |
| Robert F Sing Program | $21 | 20% |
| Rx 340B Pass Along | $21 | 20% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $21 | 20% |
| Rx Medi-Cal | $21 | 20% |
| Rx Meridian Rx | $21 | 20% |
| Ryan White Florida Mssrp | $21 | 20% |
| Sandhills Center Lme | $21 | 20% |
| Screening For Life | $21 | 20% |
| St Joseph County Hlth Dpt | $21 | 20% |
| Stephenson Cty Health | $21 | 20% |
| Sunshine State Health Plan | $21 | 20% |
| Superior Health | $21 | 20% |
| Tenncare | $21 | 20% |
| Texas Children'S Health Plan | $21 | 20% |
| Trillium Community Ohp | $21 | 20% |
| Tufts Health Public Plans | $21 | 20% |
| UnitedHealthcare | $21 - $1,087 | 20% |
| Vaya Health Lme | $21 | 20% |
| Washtenaw Health Plan | $21 | 20% |
| Wellsense Health Plan | $21 | 20% |
| Wi Womens Wellness | $21 | 20% |
| Asr Health Benefits | $28 - $180 | 26% |
| Hap | $28 - $930 | 26% |
| Varipro | $28 - $180 | 26% |
| Ally Align Care Adv | $32 | 30% |
| American Health Advantage Of Idaho | $32 | 30% |
| American Health Plan | $32 | 30% |
| Aurora Special Needs | $32 | 30% |
| Blue Care Network Advantage | $32 - $102 | 30% |
| Blue Shield - De (Highmark) Medciare Advantage | $32 | 30% |
| Care Dimensions | $32 | 30% |
| Care Improvement Plus | $32 | 30% |
| Care Resources Pace | $32 | 30% |
| Careplus Health Plans | $32 | 30% |
| Cca Senior Care Options | $32 | 30% |
| Central Valley Medical Services Corp Pace | $32 | 30% |
| Champion Health Plan Mcr Advantage | $32 | 30% |
| Clear Spring Health | $32 | 30% |
| Clover Health | $32 | 30% |
| Commonwealth Care Alliance | $32 | 30% |
| Community Pace At Home | $32 | 30% |
| Eddy Senior Care-Pace | $32 | 30% |
| Eddy Seniorcare Pace | $32 | 30% |
| Elementcare | $32 | 30% |
| Evercare | $32 | 30% |
| Everence | $32 | 30% |
| Gateway Health Plan | $32 | 30% |
| Genesys Pace Of Genesee County | $32 | 30% |
| Georgia Health Advantage | $32 | 30% |
| Gold Advantage | $32 | 30% |
| Gpa Croell Redi Mix | $32 | 30% |
| Health America Advantra | $32 | 30% |
| Highmark Health Options Dual Plan | $32 | 30% |
| Hope Select Pace | $32 | 30% |
| Horizon Nj Total Care | $32 | 30% |
| Hudson Headwaters Pace | $32 | 30% |
| Huron Valley Pace | $32 - $99 | 30% |
| Innovative Integrated Health Community Plans | $32 | 30% |
| Iowa Health Advantage | $32 | 30% |
| Johns Hopkins Advantage Md | $32 | 30% |
| Lasso Healthcare Msa | $32 | 30% |
| Life St Marys Pace | $32 | 30% |
| Lifecircles Pace | $32 | 30% |
| Longevity Health Plan | $32 | 30% |
| Martins Point Generations Advantage | $32 | 30% |
| Mass General Brigham Mcr Adv | $32 | 30% |
| Medicare (plans) | $32 - $105 | 30% |
| Medipak Advantage | $32 | 30% |
| Mercy Life | $32 | 30% |
| Mercyone Cedar Valley | $32 | 30% |
| Meridian Complete | $32 | 30% |
| Michigan Complete Health | $32 | 30% |
| Nascentia Health Plus | $32 | 30% |
| New Centry Health Careplus | $32 | 30% |
| Osu Prime Care Advantage | $32 | 30% |
| Pace Cny | $32 | 30% |
| Pace Iowa Immanuel Pathways | $32 | 30% |
| Pace Southeast | $32 | 30% |
| Pace-Trinity Health | $32 | 30% |
| Peak Pace Solutions | $32 | 30% |
| Perennial Advantage | $32 | 30% |
| Preferred Care Partners | $32 | 30% |
| Presbyterian Senior Plan | $32 | 30% |
| Provider Partners Health Plan Of Illinois | $32 | 30% |
| Provider Partners Health Plan Of Indiana | $32 | 30% |
| Pruitthealth Premier | $32 | 30% |
| Reliance Community Care Partners Care Resources Pace | $32 | 30% |
| Rx Allwin | $32 | 30% |
| Rx Grane Grnmedd | $32 | 30% |
| Rx Retiree Rx Care | $32 | 30% |
| Scan Health Plan Mcr Ipa Meritage Oon | $32 | 30% |
| Secure Horizons Ma Pffs | $32 | 30% |
| Serenity Pace | $32 | 30% |
| Siouxland Pace | $32 | 30% |
| Solis Health Plans | $32 | 30% |
| Sunnyview-Pace Finance Dept | $32 | 30% |
| Texan Plus | $32 | 30% |
| The Health Plan | $32 - $562 | 30% |
| Thome Pace | $32 | 30% |
| Todays Options | $32 | 30% |
| Tribute Health Plans | $32 | 30% |
| Um Health Advantage | $32 | 30% |
| Union Health Service | $32 | 30% |
| Welbe Health | $32 | 30% |
| Wellmed | $32 | 30% |
| Align Senior Care | $33 - $105 | 31% |
| Veterans Administration | $33 | 31% |
| Cca - Zing Health | $36 - $111 | 34% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $37 - $118 | 35% |
| 1199 National Benefit Fund | $45 - $930 | 42% |
| Allied National Global Care | $45 - $930 | 42% |
| American Postal Workers Secondary | $45 | 42% |
| Asrm - Reliance Standard Life Insurance | $45 - $930 | 42% |
| Christian Care Ministry | $45 - $930 | 42% |
| Dean Health | $45 - $930 | 42% |
| Fallon Health | $45 - $930 | 42% |
| Family Life Insurance Company | $45 - $930 | 42% |
| International Benefit Administrators | $45 - $930 | 42% |
| Lifetime Benefit Solutions | $45 - $930 | 42% |
| Manhattan Life | $45 - $930 | 42% |
| Molina Marketplace | $45 - $136 | 42% |
| Multiplan | $45 - $930 | 42% |
| Mvp | $45 - $930 | 42% |
| Pai | $45 - $930 | 42% |
| Pan-American Life | $45 - $930 | 42% |
| Phcs | $45 - $930 | 42% |
| Trinity Health Share | $45 - $930 | 42% |
| Wc Accident Fund | $45 - $350 | 42% |
| Wc Advantage | $45 - $350 | 42% |
| Wc Aig | $45 - $350 | 42% |
| Wc Allied | $45 - $350 | 42% |
| Wc Amerisure | $45 - $350 | 42% |
| Wc Amtrust | $45 - $350 | 42% |
| Wc Asu Risk Mgt | $45 - $350 | 42% |
| Wc Berkley Admin | $45 - $350 | 42% |
| Wc Broadspire | $45 - $350 | 42% |
| Wc Bunch & Associates | $45 - $350 | 42% |
| Wc Ccmsi | $45 - $350 | 42% |
| Wc Emc Insurance Company | $45 - $350 | 42% |
| Wc Esis | $45 - $350 | 42% |
| Wc Fcci | $45 - $350 | 42% |
| Wc Federated | $45 - $350 | 42% |
| Wc Gallagher Bassett | $45 - $350 | 42% |
| Wc Genex Care For Ohio | $45 - $350 | 42% |
| Wc Guard Insurance Company | $45 - $350 | 42% |
| Wc Hartford | $45 - $350 | 42% |
| Wc Liberty Mutual | $45 - $350 | 42% |
| Wc Meijers | $45 - $350 | 42% |
| Wc Michigan | $45 - $350 | 42% |
| Wc Mitchell Frankenmuth | $45 - $350 | 42% |
| Wc Pma | $45 - $350 | 42% |
| Wc Sedgwick | $45 - $350 | 42% |
| Wc Sentry | $45 - $350 | 42% |
| Wc Travelers | $45 - $350 | 42% |
| Wc Tristar | $45 - $350 | 42% |
| Wc Walmart | $45 - $350 | 42% |
| Wc Zurich | $45 - $350 | 42% |
| Wellpath | $45 - $162 | 42% |
| Andrie Inc | $48 | 45% |
| Blue Care Network | $48 - $116 | 45% |
| East Greenbush Central School District | $48 | 45% |
| Genex Wc | $48 | 45% |
| Healthsmart Workers Comp | $48 | 45% |
| Jag Source | $48 | 45% |
| New York State Insurance Fund | $48 | 45% |
| Njm Insurance Group | $48 | 45% |
| Partners Direct Health - Brio | $48 | 45% |
| Priority Health | $48 - $176 | 45% |
| Rx Heatlhcomp | $48 | 45% |
| Rx Restat | $48 | 45% |
| Rx Saif Opdp Wc | $48 | 45% |
| Rx Worker'S Comp | $48 | 45% |
| Wc Ace | $48 | 45% |
| Wc Acs Federal Employees | $48 | 45% |
| Wc Acuity | $48 | 45% |
| Wc Aegis | $48 | 45% |
| Wc Aims | $48 | 45% |
| Wc Alaska National Ins | $48 | 45% |
| Wc Align Network | $48 | 45% |
| Wc Am Trust N America | $48 | 45% |
| Wc American Claims Mgmt | $48 | 45% |
| Wc Benetech | $48 | 45% |
| Wc Broward County | $48 | 45% |
| Wc California State Comp Ins | $48 | 45% |
| Wc California State Ins Fund | $48 | 45% |
| Wc Capitol Area Health Consortium | $48 | 45% |
| Wc Chartis | $48 | 45% |
| Wc Chubb | $48 | 45% |
| Wc Cirma | $48 | 45% |
| Wc City Of Albany | $48 | 45% |
| Wc City Of Sioux City | $48 | 45% |
| Wc Claims Mgmt Inc | $48 | 45% |
| Wc Cna | $48 | 45% |
| Wc Comp One Admin C/O Manageability | $48 | 45% |
| Wc Compone Admin | $48 | 45% |
| Wc Corvel | $48 | 45% |
| Wc Ct Healthcare Trust | $48 | 45% |
| Wc Donegal Insurance Group | $48 | 45% |
| Wc Employee Mutual | $48 | 45% |
| Wc Enablecomp | $48 | 45% |
| Wc Encore Health Network | $48 | 45% |
| Wc Erie | $48 | 45% |
| Wc Evolutions | $48 | 45% |
| Wc Fed Ex | $48 | 45% |
| Wc Federal Black Lung | $48 | 45% |
| Wc Finley Occupational Health | $48 | 45% |
| Wc First Agency/Occunet | $48 | 45% |
| Wc Ford Motor | $48 | 45% |
| Wc Fresno Unified Emp | $48 | 45% |
| Wc General Motors | $48 | 45% |
| Wc Generic | $48 | 45% |
| Wc Great West Casualty | $48 | 45% |
| Wc Guarantee Insurance | $48 | 45% |
| Wc Hab | $48 | 45% |
| Wc Hastings | $48 | 45% |
| Wc Health Management | $48 | 45% |
| Wc Heritage Summit | $48 | 45% |
| Wc Hireright | $48 | 45% |
| Wc Horizon | $48 | 45% |
| Wc Icw Group | $48 | 45% |
| Wc Idaho State Ins Fund | $48 | 45% |
| Wc Intercare Insurance | $48 | 45% |
| Wc Intermountain | $48 | 45% |
| Wc Johns Eastern | $48 | 45% |
| Wc Kemberton | $48 | 45% |
| Wc Key Ins & Benefit Solutions | $48 | 45% |
| Wc Mac Risk Management | $48 | 45% |
| Wc Massachusetts | $48 | 45% |
| Wc Mdia | $48 | 45% |
| Wc Meadowbrook Claim | $48 | 45% |
| Wc Medical Administrators | $48 | 45% |
| Wc Memic | $48 | 45% |
| Wc Mercy Workcare | $48 | 45% |
| Wc Michigan Millers Mutual | $48 | 45% |
| Wc Mra | $48 | 45% |
| Wc Nationwide | $48 | 45% |
| Wc Nca Comp | $48 | 45% |
| Wc New York | $48 | 45% |
| Wc New York Special Funds | $48 | 45% |
| Wc North American Rishces | $48 | 45% |
| Wc Northeast Health | $48 | 45% |
| Wc Notre Dame | $48 | 45% |
| Wc Novanet | $48 | 45% |
| Wc O'Hara Corp | $48 | 45% |
| Wc Occ Health Allen | $48 | 45% |
| Wc Ohio Bureau | $48 | 45% |
| Wc One Call Medical | $48 | 45% |
| Wc Paradigm | $48 | 45% |
| Wc Peerless | $48 | 45% |
| Wc Praxis Health Network | $48 | 45% |
| Wc Price Chopper | $48 | 45% |
| Wc Procura Management | $48 | 45% |
| Wc Qualcare | $48 | 45% |
| Wc Quiktrip | $48 | 45% |
| Wc Reny Company | $48 | 45% |
| Wc Rev Claims | $48 | 45% |
| Wc Risico | $48 | 45% |
| Wc Rural Mutual | $48 | 45% |
| Wc Saif Oregon | $48 | 45% |
| Wc Secura | $48 | 45% |
| Wc Sheakley Unicomp | $48 | 45% |
| Wc Smile Lodge | $48 | 45% |
| Wc Society | $48 | 45% |
| Wc Srs | $48 | 45% |
| Wc Taconic (Mro) | $48 | 45% |
| Wc Taconic Farms | $48 | 45% |
| Wc Triad Group | $48 | 45% |
| Wc Troy Ny | $48 | 45% |
| Wc Tyson | $48 | 45% |
| Wc Unified Health Services | $48 | 45% |
| Wc United Heartland | $48 | 45% |
| Wc Us Dept Of Labor | $48 | 45% |
| Wc Velocity | $48 | 45% |
| Wc West Bend | $48 | 45% |
| Wc West Bend Mutual/Argent | $48 | 45% |
| Wc Winnebago Industries | $48 | 45% |
| Wc Yankee Trails | $48 | 45% |
| Wc York Risk | $48 | 45% |
| Wc Zenith | $48 | 45% |
| Claimdoc | $51 | 48% |
| Kent County Jail | $51 | 48% |
| Meritain | $51 - $82 | 48% |
| Muskegon County Jail | $51 | 48% |
| Blue Benefit Administrators Of Massachusetts | $52 - $116 | 49% |
| Blue Distinction Transplant | $52 - $116 | 49% |
| Blue Shield - Ca | $52 - $116 | 49% |
| Blue Shield - Id (Regence) | $52 - $116 | 49% |
| Blue Shield - Ny Highmark Northeastern | $52 - $116 | 49% |
| Blue Shield - Ny Highmark Western | $52 - $116 | 49% |
| Blue Shield - Pa (Highmark) | $52 - $116 | 49% |
| Blue Shield - Wa (Regence) | $52 - $116 | 49% |
| Acclaim | $66 - $930 | 62% |
| Administrative Concepts | $66 - $930 | 62% |
| Allegeant | $66 - $930 | 62% |
| Allied Benefit Systems | $66 - $562 | 62% |
| Ameriben | $66 - $930 | 62% |
| American Family | $66 - $930 | 62% |
| American Healthcare Alliance | $66 - $930 | 62% |
| American National | $66 - $930 | 62% |
| American Republic | $66 - $930 | 62% |
| Amerihealth | $66 - $930 | 62% |
| Aultcare | $66 - $930 | 62% |
| Automated Benefit Services | $66 - $930 | 62% |
| Auxiant | $66 - $930 | 62% |
| Benefit Administrative Systems,Llc | $66 - $930 | 62% |
| Boon Chapman | $66 - $930 | 62% |
| Cam Administrative Services | $66 - $930 | 62% |
| Christian Brother Services | $66 - $930 | 62% |
| Christian Brothers Holy Cross | $66 - $930 | 62% |
| Claimchoice Adminstrators | $66 - $562 | 62% |
| Comprehensive Benefits | $66 - $930 | 62% |
| Consociate | $66 - $562 | 62% |
| Continental Life Insurance | $66 - $930 | 62% |
| Coventry | $66 - $930 | 62% |
| Custom Benefit Administrators | $66 - $930 | 62% |
| Cypress Benefit Administrators | $66 - $562 | 62% |
| Employee Benefit Concepts | $66 - $930 | 62% |
| Employee Benefit Management | $66 - $930 | 62% |
| Enterprise Group Planning | $66 - $930 | 62% |
| First Health | $66 - $953 | 62% |
| Forest County Potawatomi | $66 - $562 | 62% |
| Freedom Life Insurance Company | $66 - $930 | 62% |
| Group Administrators | $66 - $930 | 62% |
| Group Marketing Services | $66 - $930 | 62% |
| Group Pension Administrators | $66 - $930 | 62% |
| Guardian | $66 - $930 | 62% |
| Health America | $66 - $930 | 62% |
| Health Choices | $66 - $930 | 62% |
| Health Smart | $66 - $562 | 62% |
| Healthcare Management Admin | $66 - $930 | 62% |
| Healthez | $66 - $930 | 62% |
| Healthgram | $66 - $562 | 62% |
| Healthscope | $66 - $562 | 62% |
| Insight | $66 - $930 | 62% |
| Intercare | $66 - $930 | 62% |
| Jfp Benefit Management | $66 - $930 | 62% |
| Jp Farley Corporation | $66 - $930 | 62% |
| Key Benefit Administrator | $66 - $930 | 62% |
| Liberty Union Life Assurance Co | $66 - $930 | 62% |
| Lucent Health | $66 - $930 | 62% |
| Luminare Health | $66 - $930 | 62% |
| Luminare Health (Detroit) | $66 - $930 | 62% |
| Magnacare | $66 - $930 | 62% |
| Medben | $66 - $930 | 62% |
| Medcost | $66 - $930 | 62% |
| Medical Mutual | $66 - $930 | 62% |
| Mutual Health Services | $66 - $930 | 62% |
| Mutual Of Omaha | $66 - $930 | 62% |
| Ncas | $66 - $930 | 62% |
| Nippon Life Ins | $66 - $930 | 62% |
| Nova | $66 - $930 | 62% |
| Painters Union Insurance Fund | $66 - $930 | 62% |
| Physicians Mutual | $66 - $930 | 62% |
| Plumbers Local 98 Insurance Fund | $66 - $930 | 62% |
| Prairie States | $66 - $930 | 62% |
| Preferred One | $66 - $930 | 62% |
| Primary Physician Care | $66 - $930 | 62% |
| Professional Benefit Administrators | $66 - $930 | 62% |
| Secureone Preferred United Plans | $66 - $562 | 62% |
| Siho Insurance Services | $66 - $930 | 62% |
| Sisco Benefits | $66 - $562 | 62% |
| The Loomis Company | $66 - $930 | 62% |
| Trustmark Small Business Benefits | $66 - $562 | 62% |
| Unicare | $66 - $930 | 62% |
| Unified Group Services | $66 - $562 | 62% |
| Us Health And Life | $66 - $930 | 62% |
| Valenz | $66 - $930 | 62% |
| Webtpa | $66 - $562 | 62% |
| Western & Southern Financial Group | $66 - $930 | 62% |
| Wps | $66 - $930 | 62% |
| U Of M Health Plan | $75 - $229 | 70% |
| Geha | $82 - $884 | 77% |
| Champva | $91 | 85% |
| Tricare | $91 | 85% |
| Triwest Health Alliance | $91 | 85% |
| Us Family Health Plan | $91 | 85% |
| Veterans Eval Services | $91 | 85% |
| Health Partners | $104 - $930 | 97% |
| Tufts Health Plan | $104 - $930 | 97% |
| Angela Hospice | $105 | 98% |
| Hospice Advantage | $105 | 98% |
| Bcccp-Michigan | $114 - $1,208 | 107% |
| Bcn Domestic | $116 | 109% |
| Kaiser Domestic | $116 | 109% |
| Health Cost Solutions | $162 | 152% |
| Vitalcore | $162 | 152% |
| Caresource | $180 | 169% |
| Employee Benefit Logistic | $235 | 220% |
| Point Comfort Underwriters | $302 | 283% |
| Acs Benefit Services | $562 | 526% |
| Access Health | $930 | 871% |
| Ghc Scw | $930 | 871% |
| Medi Share | $930 | 871% |
| Paramount Hmo | $930 | 871% |
| Prime Health Services | $966 | 904% |
| Correctional Healthcare Consultants | $1,084 | 1015% |
| Three Rivers Provider Network | $1,087 | 1018% |
| Crime Victim Assistance | $1,208 | 1131% |