CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Chelsea Hospital
Billing Code: 45380 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45380
- Insurance Median: $150
- Cash Discount Price: $6,422
- vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Chelsea Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,422. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.12x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$6,422
Average discount available for prompt cash payment at this facility.
Insurance Median
$150
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$1,222.56
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $1,222.56 (100%)
Cash / Self-Pay: $6,422 (525%)
Insurance Median: $150 (12%)
Cash: $6,422 (525% of Medicare)
Ins. Median: $150 (12% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $1,222.56 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 |
|---|---|---|
| Albany County Correctional Facility | $63 - $137 | 5% |
| Ambetter / Centene | $63 - $137 | 5% |
| Amish Mennonite | $63 - $137 | 5% |
| Ascension St. Vincent Public Safety Medical | $63 - $137 | 5% |
| Bccp | $63 - $137 | 5% |
| Blue Cross Blue Shield | $63 - $1,173 | 5% |
| Bmc Healthnet | $63 - $137 | 5% |
| Breast Grant-Connecticut | $63 - $137 | 5% |
| Broward County Dept Of Health | $63 - $137 | 5% |
| California Health And Wellness | $63 - $137 | 5% |
| Cardinal Innovations Lme | $63 - $137 | 5% |
| Care Connections Of Northern Iowa | $63 - $137 | 5% |
| Care Oregon Ohp | $63 - $137 | 5% |
| Cencal Health Plan | $63 - $137 | 5% |
| Cenpatico | $63 - $137 | 5% |
| Chhuny | $63 - $137 | 5% |
| Childrens Comm Health Plan | $63 - $137 | 5% |
| Childrens Medical Services Title 19 | $63 - $137 | 5% |
| Cigna | $63 - $234 | 5% |
| City Of Philadelphia | $63 - $137 | 5% |
| Cmh Allegan County | $63 - $137 | 5% |
| Cmh Ausable Valley | $63 - $137 | 5% |
| Cmh Barry County | $63 - $137 | 5% |
| Cmh Bay-Arenac County | $63 - $137 | 5% |
| Cmh Berrien County | $63 - $137 | 5% |
| Cmh Cass County | $63 - $137 | 5% |
| Cmh Central Mi County | $63 - $137 | 5% |
| Cmh Clinton-Eaton-Ingham County | $63 - $137 | 5% |
| Cmh Detroit Wayne Integrated Health Network | $63 - $137 | 5% |
| Cmh Genesee County | $63 - $137 | 5% |
| Cmh Ionia County | $63 - $137 | 5% |
| Cmh Jackson County/Lifeways | $63 - $137 | 5% |
| Cmh Kalamazoo | $63 - $137 | 5% |
| Cmh Kent County | $63 - $137 | 5% |
| Cmh Lenawee County | $63 - $137 | 5% |
| Cmh Livingston County | $63 - $137 | 5% |
| Cmh Macomb | $63 - $137 | 5% |
| Cmh Misc | $63 - $137 | 5% |
| Cmh Monroe County | $63 - $137 | 5% |
| Cmh Montcalm County | $63 - $137 | 5% |
| Cmh Muskegon County | $63 - $137 | 5% |
| Cmh Newaygo County | $63 - $137 | 5% |
| Cmh North Country | $63 - $137 | 5% |
| Cmh Northern Lakes County | $63 - $137 | 5% |
| Cmh Oakland County | $63 - $137 | 5% |
| Cmh Ottawa County | $63 - $137 | 5% |
| Cmh Van Buren County | $63 - $137 | 5% |
| Cmh Washtenaw County | $63 - $137 | 5% |
| Cmh Wayne County/Carelink | $63 - $137 | 5% |
| Cmh Wayne Cty/Com Liv Svcs | $63 - $137 | 5% |
| Cmh West Mi County | $63 - $137 | 5% |
| Community Benefit Health | $63 - $137 | 5% |
| Community Care Behavorial Health | $63 - $137 | 5% |
| Community Care Partners | $63 - $137 | 5% |
| Community Health Choice | $63 - $137 | 5% |
| Connections Csp | $63 - $137 | 5% |
| County Coroner | $63 - $137 | 5% |
| County Funding Generic | $63 - $137 | 5% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $63 - $137 | 5% |
| Dean Wi Badgercare | $63 - $137 | 5% |
| Delaware County Department Of Health | $63 - $137 | 5% |
| Delaware First Health | $63 - $137 | 5% |
| Delta Dental Nj | $63 - $137 | 5% |
| Dph Tb Program | $63 - $137 | 5% |
| Dscc | $63 - $137 | 5% |
| Eastpointe Lme | $63 - $137 | 5% |
| Family Health Network | $63 - $137 | 5% |
| Freedom First Healthcare | $63 - $137 | 5% |
| Fresno County Ccs | $63 - $137 | 5% |
| Ghc Scw Wi Badgercare | $63 - $137 | 5% |
| Harbor Health | $63 - $137 | 5% |
| Health Safety Net | $63 - $137 | 5% |
| Healthy Blue Ne | $63 - $137 | 5% |
| Hennepin Health | $63 - $137 | 5% |
| Humana | $63 - $234 | 5% |
| Id County Ada | $63 - $137 | 5% |
| Id County Canyon | $63 - $137 | 5% |
| Id County Cat Fund | $63 - $137 | 5% |
| Id County Other | $63 - $137 | 5% |
| Id County Payette | $63 - $137 | 5% |
| Idaho Dept Health And Wellfare | $63 - $137 | 5% |
| Idaho Womens Health Check | $63 - $137 | 5% |
| Indiana Breast Cervical Cancer | $63 - $137 | 5% |
| Inland Empire Health Plan | $63 - $137 | 5% |
| Intercommunity Health Ohp | $63 - $137 | 5% |
| Iowa Total Care | $63 - $137 | 5% |
| Jai Medical System | $63 - $137 | 5% |
| Kern Family Health Plan | $63 - $137 | 5% |
| Keystone First | $63 - $137 | 5% |
| Keystone First Chip | $63 - $137 | 5% |
| La Care Health Plan | $63 - $137 | 5% |
| Lakeland Care Inc | $63 - $137 | 5% |
| Managed Health Services - Indiana | $63 - $137 | 5% |
| Maryland Breast & Cervical Program | $63 - $137 | 5% |
| Maryland Healthy Smiles - Scion Dental | $63 - $137 | 5% |
| Maryland Physicians Care | $63 - $137 | 5% |
| Massachusetts Behavioral Health Partnership | $63 - $137 | 5% |
| Mdwise | $63 - $137 | 5% |
| Medi-Cal | $63 - $137 | 5% |
| Medi-Cal Healthnet | $63 - $137 | 5% |
| Medicaid / KanCare | $63 - $682 | 5% |
| Medstar Dc Healthy Family | $63 - $137 | 5% |
| Medstar Md Health Choice | $63 - $137 | 5% |
| Mo Home State Health Plan | $63 - $137 | 5% |
| Molina Centennial Care | $63 - $137 | 5% |
| Nascentia Health Options | $63 - $137 | 5% |
| Nebraska Total Care | $63 - $137 | 5% |
| New York Cancer Services Program | $63 - $137 | 5% |
| Nextlevel Health | $63 - $137 | 5% |
| Oregon Screenwise | $63 - $137 | 5% |
| Pace Of Southwest Michigan | $63 - $234 | 5% |
| Paramount Advantage | $63 - $137 | 5% |
| Parkland Community Health Plan | $63 - $137 | 5% |
| Partners Behavioral Lme | $63 - $137 | 5% |
| Peach State Healthplan | $63 - $137 | 5% |
| Philadelphia County Funding | $63 - $137 | 5% |
| Presbyterian Centennial Care | $63 - $137 | 5% |
| Prestige Health Choice | $63 - $137 | 5% |
| Priority Partners | $63 - $137 | 5% |
| Robert F Sing Program | $63 - $137 | 5% |
| Rx 340B Pass Along | $63 - $137 | 5% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $63 - $137 | 5% |
| Rx Medi-Cal | $63 - $137 | 5% |
| Rx Meridian Rx | $63 - $137 | 5% |
| Ryan White Florida Mssrp | $63 - $137 | 5% |
| Sandhills Center Lme | $63 - $137 | 5% |
| Screening For Life | $63 - $137 | 5% |
| St Joseph County Hlth Dpt | $63 - $137 | 5% |
| Stephenson Cty Health | $63 - $137 | 5% |
| Sunshine State Health Plan | $63 - $137 | 5% |
| Superior Health | $63 - $137 | 5% |
| Tenncare | $63 - $137 | 5% |
| Texas Children'S Health Plan | $63 - $137 | 5% |
| Trillium Community Ohp | $63 - $137 | 5% |
| Tufts Health Public Plans | $63 - $137 | 5% |
| UnitedHealthcare | $63 - $1,233 | 5% |
| Vaya Health Lme | $63 - $137 | 5% |
| Washtenaw Health Plan | $63 - $137 | 5% |
| Wellsense Health Plan | $63 - $137 | 5% |
| Wi Womens Wellness | $63 - $137 | 5% |
| Aetna | $91 - $1,173 | 7% |
| Ally Align Care Adv | $91 - $234 | 7% |
| American Health Advantage Of Idaho | $91 - $234 | 7% |
| American Health Plan | $91 - $234 | 7% |
| Aurora Special Needs | $91 - $234 | 7% |
| Blue Care Network Advantage | $91 - $1,173 | 7% |
| Blue Shield - De (Highmark) Medciare Advantage | $91 - $234 | 7% |
| Care Dimensions | $91 - $234 | 7% |
| Care Improvement Plus | $91 - $234 | 7% |
| Care Resources Pace | $91 - $234 | 7% |
| Careplus Health Plans | $91 - $234 | 7% |
| Cca Senior Care Options | $91 - $234 | 7% |
| Central Valley Medical Services Corp Pace | $91 - $234 | 7% |
| Champion Health Plan Mcr Advantage | $91 - $234 | 7% |
| Clear Spring Health | $91 - $234 | 7% |
| Clover Health | $91 - $234 | 7% |
| Commonwealth Care Alliance | $91 - $234 | 7% |
| Community Pace At Home | $91 - $234 | 7% |
| Eddy Senior Care-Pace | $91 - $234 | 7% |
| Eddy Seniorcare Pace | $91 - $234 | 7% |
| Elementcare | $91 - $234 | 7% |
| Evercare | $91 - $234 | 7% |
| Everence | $91 - $234 | 7% |
| Gateway Health Plan | $91 - $234 | 7% |
| Genesys Pace Of Genesee County | $91 - $234 | 7% |
| Georgia Health Advantage | $91 - $234 | 7% |
| Gold Advantage | $91 - $234 | 7% |
| Gpa Croell Redi Mix | $91 - $234 | 7% |
| Health America Advantra | $91 - $234 | 7% |
| Highmark Health Options Dual Plan | $91 - $234 | 7% |
| Hope Select Pace | $91 - $234 | 7% |
| Horizon Nj Total Care | $91 - $234 | 7% |
| Hudson Headwaters Pace | $91 - $234 | 7% |
| Huron Valley Pace | $91 - $234 | 7% |
| Innovative Integrated Health Community Plans | $91 - $234 | 7% |
| Iowa Health Advantage | $91 - $234 | 7% |
| Johns Hopkins Advantage Md | $91 - $234 | 7% |
| Lasso Healthcare Msa | $91 - $234 | 7% |
| Life St Marys Pace | $91 - $234 | 7% |
| Lifecircles Pace | $91 - $234 | 7% |
| Longevity Health Plan | $91 - $234 | 7% |
| Martins Point Generations Advantage | $91 - $234 | 7% |
| Mass General Brigham Mcr Adv | $91 - $234 | 7% |
| Medicare (plans) | $91 - $1,197 | 7% |
| Medipak Advantage | $91 - $234 | 7% |
| Mercy Life | $91 - $234 | 7% |
| Mercyone Cedar Valley | $91 - $234 | 7% |
| Meridian Complete | $91 - $234 | 7% |
| Michigan Complete Health | $91 - $234 | 7% |
| Nascentia Health Plus | $91 - $234 | 7% |
| New Centry Health Careplus | $91 - $234 | 7% |
| Osu Prime Care Advantage | $91 - $234 | 7% |
| Pace Cny | $91 - $234 | 7% |
| Pace Iowa Immanuel Pathways | $91 - $234 | 7% |
| Pace Southeast | $91 - $234 | 7% |
| Pace-Trinity Health | $91 - $234 | 7% |
| Peak Pace Solutions | $91 - $234 | 7% |
| Perennial Advantage | $91 - $234 | 7% |
| Preferred Care Partners | $91 - $234 | 7% |
| Presbyterian Senior Plan | $91 - $234 | 7% |
| Provider Partners Health Plan Of Illinois | $91 - $234 | 7% |
| Provider Partners Health Plan Of Indiana | $91 - $234 | 7% |
| Pruitthealth Premier | $91 - $234 | 7% |
| Reliance Community Care Partners Care Resources Pace | $91 - $234 | 7% |
| Rx Allwin | $91 - $234 | 7% |
| Rx Grane Grnmedd | $91 - $234 | 7% |
| Rx Retiree Rx Care | $91 - $234 | 7% |
| Scan Health Plan Mcr Ipa Meritage Oon | $91 - $234 | 7% |
| Secure Horizons Ma Pffs | $91 - $234 | 7% |
| Serenity Pace | $91 - $234 | 7% |
| Siouxland Pace | $91 - $234 | 7% |
| Solis Health Plans | $91 - $234 | 7% |
| Sunnyview-Pace Finance Dept | $91 - $234 | 7% |
| Texan Plus | $91 - $234 | 7% |
| The Health Plan | $91 - $234 | 7% |
| Thome Pace | $91 - $234 | 7% |
| Todays Options | $91 - $234 | 7% |
| Tribute Health Plans | $91 - $234 | 7% |
| Um Health Advantage | $91 - $234 | 7% |
| Union Health Service | $91 - $234 | 7% |
| Welbe Health | $91 - $234 | 7% |
| Wellmed | $91 - $234 | 7% |
| Align Senior Care | $93 - $1,197 | 8% |
| Veterans Administration | $93 - $239 | 8% |
| Cca - Zing Health | $100 - $1,267 | 8% |
| Champva | $100 - $207 | 8% |
| Tricare | $100 - $207 | 8% |
| Triwest Health Alliance | $100 - $207 | 8% |
| Us Family Health Plan | $100 - $207 | 8% |
| Veterans Eval Services | $100 - $207 | 8% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $105 - $1,349 | 9% |
| 1199 National Benefit Fund | $125 - $322 | 10% |
| Allied National Global Care | $125 - $322 | 10% |
| Asrm - Reliance Standard Life Insurance | $125 - $322 | 10% |
| Christian Care Ministry | $125 - $322 | 10% |
| Dean Health | $125 - $322 | 10% |
| Fallon Health | $125 - $322 | 10% |
| Family Life Insurance Company | $125 - $322 | 10% |
| International Benefit Administrators | $125 - $322 | 10% |
| Lifetime Benefit Solutions | $125 - $322 | 10% |
| Manhattan Life | $125 - $322 | 10% |
| Molina Marketplace | $125 - $1,556 | 10% |
| Multiplan | $125 - $322 | 10% |
| Mvp | $125 - $322 | 10% |
| Pai | $125 - $322 | 10% |
| Pan-American Life | $125 - $322 | 10% |
| Phcs | $125 - $322 | 10% |
| Trinity Health Share | $125 - $322 | 10% |
| Wellpath | $125 - $1,855 | 10% |
| Wc Accident Fund | $143 - $295 | 12% |
| Wc Advantage | $143 - $295 | 12% |
| Wc Aig | $143 - $295 | 12% |
| Wc Allied | $143 - $295 | 12% |
| Wc Amerisure | $143 - $295 | 12% |
| Wc Amtrust | $143 - $295 | 12% |
| Wc Asu Risk Mgt | $143 - $295 | 12% |
| Wc Berkley Admin | $143 - $295 | 12% |
| Wc Broadspire | $143 - $295 | 12% |
| Wc Bunch & Associates | $143 - $295 | 12% |
| Wc Ccmsi | $143 - $295 | 12% |
| Wc Emc Insurance Company | $143 - $295 | 12% |
| Wc Esis | $143 - $295 | 12% |
| Wc Fcci | $143 - $295 | 12% |
| Wc Federated | $143 - $295 | 12% |
| Wc Gallagher Bassett | $143 - $295 | 12% |
| Wc Genex Care For Ohio | $143 - $295 | 12% |
| Wc Guard Insurance Company | $143 - $295 | 12% |
| Wc Hartford | $143 - $295 | 12% |
| Wc Liberty Mutual | $143 - $295 | 12% |
| Wc Meijers | $143 - $295 | 12% |
| Wc Michigan | $143 - $295 | 12% |
| Wc Mitchell Frankenmuth | $143 - $295 | 12% |
| Wc Pma | $143 - $295 | 12% |
| Wc Sedgwick | $143 - $295 | 12% |
| Wc Sentry | $143 - $295 | 12% |
| Wc Travelers | $143 - $295 | 12% |
| Wc Tristar | $143 - $295 | 12% |
| Wc Walmart | $143 - $295 | 12% |
| Wc Zurich | $143 - $295 | 12% |
| Claimdoc | $144 - $370 | 12% |
| Kent County Jail | $144 - $370 | 12% |
| Muskegon County Jail | $144 - $370 | 12% |
| Andrie Inc | $150 - $311 | 12% |
| East Greenbush Central School District | $150 - $311 | 12% |
| Genex Wc | $150 - $311 | 12% |
| Healthsmart Workers Comp | $150 - $311 | 12% |
| Jag Source | $150 - $311 | 12% |
| New York State Insurance Fund | $150 - $311 | 12% |
| Njm Insurance Group | $150 - $311 | 12% |
| Rx Heatlhcomp | $150 - $311 | 12% |
| Rx Restat | $150 - $311 | 12% |
| Rx Saif Opdp Wc | $150 - $311 | 12% |
| Rx Worker'S Comp | $150 - $311 | 12% |
| Wc Ace | $150 - $311 | 12% |
| Wc Acs Federal Employees | $150 - $311 | 12% |
| Wc Acuity | $150 - $311 | 12% |
| Wc Aegis | $150 - $311 | 12% |
| Wc Aims | $150 - $311 | 12% |
| Wc Alaska National Ins | $150 - $311 | 12% |
| Wc Align Network | $150 - $311 | 12% |
| Wc Am Trust N America | $150 - $311 | 12% |
| Wc American Claims Mgmt | $150 - $311 | 12% |
| Wc Benetech | $150 - $311 | 12% |
| Wc Broward County | $150 - $311 | 12% |
| Wc California State Comp Ins | $150 - $311 | 12% |
| Wc California State Ins Fund | $150 - $311 | 12% |
| Wc Capitol Area Health Consortium | $150 - $311 | 12% |
| Wc Chartis | $150 - $311 | 12% |
| Wc Chubb | $150 - $311 | 12% |
| Wc Cirma | $150 - $311 | 12% |
| Wc City Of Albany | $150 - $311 | 12% |
| Wc City Of Sioux City | $150 - $311 | 12% |
| Wc Claims Mgmt Inc | $150 - $311 | 12% |
| Wc Cna | $150 - $311 | 12% |
| Wc Comp One Admin C/O Manageability | $150 - $311 | 12% |
| Wc Compone Admin | $150 - $311 | 12% |
| Wc Corvel | $150 - $311 | 12% |
| Wc Ct Healthcare Trust | $150 - $311 | 12% |
| Wc Donegal Insurance Group | $150 - $311 | 12% |
| Wc Employee Mutual | $150 - $311 | 12% |
| Wc Enablecomp | $150 - $311 | 12% |
| Wc Encore Health Network | $150 - $311 | 12% |
| Wc Erie | $150 - $311 | 12% |
| Wc Evolutions | $150 - $311 | 12% |
| Wc Fed Ex | $150 - $311 | 12% |
| Wc Federal Black Lung | $150 - $311 | 12% |
| Wc Finley Occupational Health | $150 - $311 | 12% |
| Wc First Agency/Occunet | $150 - $311 | 12% |
| Wc Ford Motor | $150 - $311 | 12% |
| Wc Fresno Unified Emp | $150 - $311 | 12% |
| Wc General Motors | $150 - $311 | 12% |
| Wc Generic | $150 - $311 | 12% |
| Wc Great West Casualty | $150 - $311 | 12% |
| Wc Guarantee Insurance | $150 - $311 | 12% |
| Wc Hab | $150 - $311 | 12% |
| Wc Hastings | $150 - $311 | 12% |
| Wc Health Management | $150 - $311 | 12% |
| Wc Heritage Summit | $150 - $311 | 12% |
| Wc Hireright | $150 - $311 | 12% |
| Wc Horizon | $150 - $311 | 12% |
| Wc Icw Group | $150 - $311 | 12% |
| Wc Idaho State Ins Fund | $150 - $311 | 12% |
| Wc Intercare Insurance | $150 - $311 | 12% |
| Wc Intermountain | $150 - $311 | 12% |
| Wc Johns Eastern | $150 - $311 | 12% |
| Wc Kemberton | $150 - $311 | 12% |
| Wc Key Ins & Benefit Solutions | $150 - $311 | 12% |
| Wc Mac Risk Management | $150 - $311 | 12% |
| Wc Massachusetts | $150 - $311 | 12% |
| Wc Mdia | $150 - $311 | 12% |
| Wc Meadowbrook Claim | $150 - $311 | 12% |
| Wc Medical Administrators | $150 - $311 | 12% |
| Wc Memic | $150 - $311 | 12% |
| Wc Mercy Workcare | $150 - $311 | 12% |
| Wc Michigan Millers Mutual | $150 - $311 | 12% |
| Wc Mra | $150 - $311 | 12% |
| Wc Nationwide | $150 - $311 | 12% |
| Wc Nca Comp | $150 - $311 | 12% |
| Wc New York | $150 - $311 | 12% |
| Wc New York Special Funds | $150 - $311 | 12% |
| Wc North American Rishces | $150 - $311 | 12% |
| Wc Northeast Health | $150 - $311 | 12% |
| Wc Notre Dame | $150 - $311 | 12% |
| Wc Novanet | $150 - $311 | 12% |
| Wc O'Hara Corp | $150 - $311 | 12% |
| Wc Occ Health Allen | $150 - $311 | 12% |
| Wc Ohio Bureau | $150 - $311 | 12% |
| Wc One Call Medical | $150 - $311 | 12% |
| Wc Paradigm | $150 - $311 | 12% |
| Wc Peerless | $150 - $311 | 12% |
| Wc Praxis Health Network | $150 - $311 | 12% |
| Wc Price Chopper | $150 - $311 | 12% |
| Wc Procura Management | $150 - $311 | 12% |
| Wc Qualcare | $150 - $311 | 12% |
| Wc Quiktrip | $150 - $311 | 12% |
| Wc Reny Company | $150 - $311 | 12% |
| Wc Rev Claims | $150 - $311 | 12% |
| Wc Risico | $150 - $311 | 12% |
| Wc Rural Mutual | $150 - $311 | 12% |
| Wc Saif Oregon | $150 - $311 | 12% |
| Wc Secura | $150 - $311 | 12% |
| Wc Sheakley Unicomp | $150 - $311 | 12% |
| Wc Smile Lodge | $150 - $311 | 12% |
| Wc Society | $150 - $311 | 12% |
| Wc Srs | $150 - $311 | 12% |
| Wc Taconic (Mro) | $150 - $311 | 12% |
| Wc Taconic Farms | $150 - $311 | 12% |
| Wc Triad Group | $150 - $311 | 12% |
| Wc Troy Ny | $150 - $311 | 12% |
| Wc Tyson | $150 - $311 | 12% |
| Wc Unified Health Services | $150 - $311 | 12% |
| Wc United Heartland | $150 - $311 | 12% |
| Wc Us Dept Of Labor | $150 - $311 | 12% |
| Wc Velocity | $150 - $311 | 12% |
| Wc West Bend | $150 - $311 | 12% |
| Wc West Bend Mutual/Argent | $150 - $311 | 12% |
| Wc Winnebago Industries | $150 - $311 | 12% |
| Wc Yankee Trails | $150 - $311 | 12% |
| Wc York Risk | $150 - $311 | 12% |
| Wc Zenith | $150 - $311 | 12% |
| Blue Benefit Administrators Of Massachusetts | $159 - $963 | 13% |
| Blue Distinction Transplant | $159 - $963 | 13% |
| Blue Shield - Ca | $159 - $963 | 13% |
| Blue Shield - Id (Regence) | $159 - $963 | 13% |
| Blue Shield - Ny Highmark Northeastern | $159 - $963 | 13% |
| Blue Shield - Ny Highmark Western | $159 - $963 | 13% |
| Blue Shield - Pa (Highmark) | $159 - $963 | 13% |
| Blue Shield - Wa (Regence) | $159 - $963 | 13% |
| Bcccp-Michigan | $202 - $339 | 17% |
| Asr Health Benefits | $251 - $1,293 | 21% |
| Hap | $251 - $1,293 | 21% |
| Varipro | $251 - $1,293 | 21% |
| Partners Direct Health - Brio | $269 - $677 | 22% |
| Health Partners | $350 - $588 | 29% |
| Tufts Health Plan | $350 - $588 | 29% |
| U Of M Health Plan | $882 | 72% |
| Bcn Domestic | $963 | 79% |
| Blue Care Network | $963 | 79% |
| Health Choices | $963 | 79% |
| Kaiser Domestic | $963 | 79% |
| Priority Health | $1,018 - $1,131 | 83% |
| Angela Hospice | $1,197 | 98% |
| Arbor Hospice | $1,197 | 98% |
| Heartland Hospice | $1,197 | 98% |
| Caresource | $1,293 | 106% |
| Health Cost Solutions | $1,855 | 152% |
| Vitalcore | $1,855 | 152% |
| Employee Benefit Logistic | $2,693 | 220% |