CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Chelsea Hospital
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $124
- Cash Discount Price: $1,664
- vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Chelsea Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,664. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.22x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$1,664
Average discount available for prompt cash payment at this facility.
Insurance Median
$124
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$558.25
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $558.25 (100%)
Cash / Self-Pay: $1,664 (298%)
Insurance Median: $124 (22%)
Cash: $1,664 (298% of Medicare)
Ins. Median: $124 (22% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $558.25 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 | $43 - $124 | 8% |
| Ambetter / Centene | $43 - $124 | 8% |
| Amish Mennonite | $43 - $124 | 8% |
| Ascension St. Vincent Public Safety Medical | $43 - $124 | 8% |
| Bccp | $43 - $124 | 8% |
| Blue Cross Blue Shield | $43 - $536 | 8% |
| Bmc Healthnet | $43 - $124 | 8% |
| Breast Grant-Connecticut | $43 - $124 | 8% |
| Broward County Dept Of Health | $43 - $124 | 8% |
| California Health And Wellness | $43 - $124 | 8% |
| Cardinal Innovations Lme | $43 - $124 | 8% |
| Care Connections Of Northern Iowa | $43 - $124 | 8% |
| Care Oregon Ohp | $43 - $124 | 8% |
| Cencal Health Plan | $43 - $124 | 8% |
| Cenpatico | $43 - $124 | 8% |
| Chhuny | $43 - $124 | 8% |
| Childrens Comm Health Plan | $43 - $124 | 8% |
| Childrens Medical Services Title 19 | $43 - $124 | 8% |
| Cigna | $43 - $1,806 | 8% |
| City Of Philadelphia | $43 - $124 | 8% |
| Cmh Allegan County | $43 - $124 | 8% |
| Cmh Ausable Valley | $43 - $124 | 8% |
| Cmh Barry County | $43 - $124 | 8% |
| Cmh Bay-Arenac County | $43 - $124 | 8% |
| Cmh Berrien County | $43 - $124 | 8% |
| Cmh Cass County | $43 - $124 | 8% |
| Cmh Central Mi County | $43 - $124 | 8% |
| Cmh Clinton-Eaton-Ingham County | $43 - $124 | 8% |
| Cmh Detroit Wayne Integrated Health Network | $43 - $2,560 | 8% |
| Cmh Genesee County | $43 - $124 | 8% |
| Cmh Ionia County | $43 - $124 | 8% |
| Cmh Jackson County/Lifeways | $43 - $2,560 | 8% |
| Cmh Kalamazoo | $43 - $124 | 8% |
| Cmh Kent County | $43 - $124 | 8% |
| Cmh Lenawee County | $43 - $2,560 | 8% |
| Cmh Livingston County | $43 - $2,560 | 8% |
| Cmh Macomb | $43 - $124 | 8% |
| Cmh Misc | $43 - $2,560 | 8% |
| Cmh Monroe County | $43 - $2,560 | 8% |
| Cmh Montcalm County | $43 - $124 | 8% |
| Cmh Muskegon County | $43 - $124 | 8% |
| Cmh Newaygo County | $43 - $124 | 8% |
| Cmh North Country | $43 - $124 | 8% |
| Cmh Northern Lakes County | $43 - $124 | 8% |
| Cmh Oakland County | $43 - $124 | 8% |
| Cmh Ottawa County | $43 - $124 | 8% |
| Cmh Van Buren County | $43 - $124 | 8% |
| Cmh Washtenaw County | $43 - $2,560 | 8% |
| Cmh Wayne County/Carelink | $43 - $124 | 8% |
| Cmh Wayne Cty/Com Liv Svcs | $43 - $124 | 8% |
| Cmh West Mi County | $43 - $124 | 8% |
| Community Benefit Health | $43 - $124 | 8% |
| Community Care Behavorial Health | $43 - $124 | 8% |
| Community Care Partners | $43 - $124 | 8% |
| Community Health Choice | $43 - $124 | 8% |
| Connections Csp | $43 - $124 | 8% |
| County Coroner | $43 - $124 | 8% |
| County Funding Generic | $43 - $124 | 8% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $43 - $124 | 8% |
| Dean Wi Badgercare | $43 - $124 | 8% |
| Delaware County Department Of Health | $43 - $124 | 8% |
| Delaware First Health | $43 - $124 | 8% |
| Delta Dental Nj | $43 - $124 | 8% |
| Dph Tb Program | $43 - $124 | 8% |
| Dscc | $43 - $124 | 8% |
| Eastpointe Lme | $43 - $124 | 8% |
| Family Health Network | $43 - $124 | 8% |
| Freedom First Healthcare | $43 - $124 | 8% |
| Fresno County Ccs | $43 - $124 | 8% |
| Ghc Scw Wi Badgercare | $43 - $124 | 8% |
| Harbor Health | $43 - $124 | 8% |
| Health Safety Net | $43 - $124 | 8% |
| Healthy Blue Ne | $43 - $124 | 8% |
| Hennepin Health | $43 - $124 | 8% |
| Humana | $43 - $1,702 | 8% |
| Id County Ada | $43 - $124 | 8% |
| Id County Canyon | $43 - $124 | 8% |
| Id County Cat Fund | $43 - $124 | 8% |
| Id County Other | $43 - $124 | 8% |
| Id County Payette | $43 - $124 | 8% |
| Idaho Dept Health And Wellfare | $43 - $124 | 8% |
| Idaho Womens Health Check | $43 - $124 | 8% |
| Indiana Breast Cervical Cancer | $43 - $124 | 8% |
| Inland Empire Health Plan | $43 - $124 | 8% |
| Intercommunity Health Ohp | $43 - $124 | 8% |
| Iowa Total Care | $43 - $124 | 8% |
| Jai Medical System | $43 - $124 | 8% |
| Kern Family Health Plan | $43 - $124 | 8% |
| Keystone First | $43 - $124 | 8% |
| Keystone First Chip | $43 - $124 | 8% |
| La Care Health Plan | $43 - $124 | 8% |
| Lakeland Care Inc | $43 - $124 | 8% |
| Managed Health Services - Indiana | $43 - $124 | 8% |
| Maryland Breast & Cervical Program | $43 - $124 | 8% |
| Maryland Healthy Smiles - Scion Dental | $43 - $124 | 8% |
| Maryland Physicians Care | $43 - $124 | 8% |
| Massachusetts Behavioral Health Partnership | $43 - $124 | 8% |
| Mdwise | $43 - $124 | 8% |
| Medi-Cal | $43 - $124 | 8% |
| Medi-Cal Healthnet | $43 - $124 | 8% |
| Medicaid / KanCare | $43 - $503 | 8% |
| Medstar Dc Healthy Family | $43 - $124 | 8% |
| Medstar Md Health Choice | $43 - $124 | 8% |
| Mo Home State Health Plan | $43 - $124 | 8% |
| Molina Centennial Care | $43 - $124 | 8% |
| Nascentia Health Options | $43 - $124 | 8% |
| Nebraska Total Care | $43 - $124 | 8% |
| New York Cancer Services Program | $43 - $124 | 8% |
| Nextlevel Health | $43 - $124 | 8% |
| Oregon Screenwise | $43 - $124 | 8% |
| Pace Of Southwest Michigan | $43 - $190 | 8% |
| Paramount Advantage | $43 - $124 | 8% |
| Parkland Community Health Plan | $43 - $124 | 8% |
| Partners Behavioral Lme | $43 - $124 | 8% |
| Peach State Healthplan | $43 - $124 | 8% |
| Philadelphia County Funding | $43 - $124 | 8% |
| Presbyterian Centennial Care | $43 - $124 | 8% |
| Prestige Health Choice | $43 - $124 | 8% |
| Priority Partners | $43 - $124 | 8% |
| Robert F Sing Program | $43 - $124 | 8% |
| Rx 340B Pass Along | $43 - $124 | 8% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $43 - $124 | 8% |
| Rx Medi-Cal | $43 - $124 | 8% |
| Rx Meridian Rx | $43 - $124 | 8% |
| Ryan White Florida Mssrp | $43 - $124 | 8% |
| Sandhills Center Lme | $43 - $124 | 8% |
| Screening For Life | $43 - $124 | 8% |
| St Joseph County Hlth Dpt | $43 - $124 | 8% |
| Stephenson Cty Health | $43 - $124 | 8% |
| Sunshine State Health Plan | $43 - $124 | 8% |
| Superior Health | $43 - $124 | 8% |
| Tenncare | $43 - $124 | 8% |
| Texas Children'S Health Plan | $43 - $124 | 8% |
| Trillium Community Ohp | $43 - $124 | 8% |
| Tufts Health Public Plans | $43 - $124 | 8% |
| UnitedHealthcare | $43 - $1,720 | 8% |
| Vaya Health Lme | $43 - $124 | 8% |
| Washtenaw Health Plan | $43 - $124 | 8% |
| Wellsense Health Plan | $43 - $124 | 8% |
| Wi Womens Wellness | $43 - $124 | 8% |
| Asr Health Benefits | $66 - $386 | 12% |
| Hap | $66 - $1,989 | 12% |
| Varipro | $66 - $386 | 12% |
| Aetna | $67 - $1,408 | 12% |
| Ally Align Care Adv | $67 - $190 | 12% |
| American Health Advantage Of Idaho | $67 - $190 | 12% |
| American Health Plan | $67 - $190 | 12% |
| Aurora Special Needs | $67 - $190 | 12% |
| Blue Care Network Advantage | $67 - $536 | 12% |
| Blue Shield - De (Highmark) Medciare Advantage | $67 - $190 | 12% |
| Care Dimensions | $67 - $190 | 12% |
| Care Improvement Plus | $67 - $190 | 12% |
| Care Resources Pace | $67 - $190 | 12% |
| Careplus Health Plans | $67 - $190 | 12% |
| Cca Senior Care Options | $67 - $190 | 12% |
| Central Valley Medical Services Corp Pace | $67 - $190 | 12% |
| Champion Health Plan Mcr Advantage | $67 - $190 | 12% |
| Clear Spring Health | $67 - $190 | 12% |
| Clover Health | $67 - $190 | 12% |
| Commonwealth Care Alliance | $67 - $190 | 12% |
| Community Pace At Home | $67 - $190 | 12% |
| Eddy Senior Care-Pace | $67 - $190 | 12% |
| Eddy Seniorcare Pace | $67 - $190 | 12% |
| Elementcare | $67 - $190 | 12% |
| Evercare | $67 - $190 | 12% |
| Everence | $67 - $190 | 12% |
| Gateway Health Plan | $67 - $190 | 12% |
| Genesys Pace Of Genesee County | $67 - $190 | 12% |
| Georgia Health Advantage | $67 - $190 | 12% |
| Gold Advantage | $67 - $190 | 12% |
| Gpa Croell Redi Mix | $67 - $190 | 12% |
| Health America Advantra | $67 - $190 | 12% |
| Highmark Health Options Dual Plan | $67 - $190 | 12% |
| Hope Select Pace | $67 - $190 | 12% |
| Horizon Nj Total Care | $67 - $190 | 12% |
| Hudson Headwaters Pace | $67 - $190 | 12% |
| Huron Valley Pace | $67 - $190 | 12% |
| Innovative Integrated Health Community Plans | $67 - $190 | 12% |
| Iowa Health Advantage | $67 - $190 | 12% |
| Johns Hopkins Advantage Md | $67 - $190 | 12% |
| Lasso Healthcare Msa | $67 - $190 | 12% |
| Life St Marys Pace | $67 - $190 | 12% |
| Lifecircles Pace | $67 - $190 | 12% |
| Longevity Health Plan | $67 - $190 | 12% |
| Martins Point Generations Advantage | $67 - $190 | 12% |
| Mass General Brigham Mcr Adv | $67 - $190 | 12% |
| Medicare (plans) | $67 - $547 | 12% |
| Medipak Advantage | $67 - $190 | 12% |
| Mercy Life | $67 - $190 | 12% |
| Mercyone Cedar Valley | $67 - $190 | 12% |
| Meridian Complete | $67 - $190 | 12% |
| Michigan Complete Health | $67 - $190 | 12% |
| Nascentia Health Plus | $67 - $190 | 12% |
| New Centry Health Careplus | $67 - $190 | 12% |
| Osu Prime Care Advantage | $67 - $190 | 12% |
| Pace Cny | $67 - $190 | 12% |
| Pace Iowa Immanuel Pathways | $67 - $190 | 12% |
| Pace Southeast | $67 - $190 | 12% |
| Pace-Trinity Health | $67 - $190 | 12% |
| Peak Pace Solutions | $67 - $190 | 12% |
| Perennial Advantage | $67 - $190 | 12% |
| Preferred Care Partners | $67 - $190 | 12% |
| Presbyterian Senior Plan | $67 - $190 | 12% |
| Provider Partners Health Plan Of Illinois | $67 - $190 | 12% |
| Provider Partners Health Plan Of Indiana | $67 - $190 | 12% |
| Pruitthealth Premier | $67 - $190 | 12% |
| Reliance Community Care Partners Care Resources Pace | $67 - $190 | 12% |
| Rx Allwin | $67 - $190 | 12% |
| Rx Grane Grnmedd | $67 - $190 | 12% |
| Rx Retiree Rx Care | $67 - $190 | 12% |
| Scan Health Plan Mcr Ipa Meritage Oon | $67 - $190 | 12% |
| Secure Horizons Ma Pffs | $67 - $190 | 12% |
| Serenity Pace | $67 - $190 | 12% |
| Siouxland Pace | $67 - $190 | 12% |
| Solis Health Plans | $67 - $190 | 12% |
| Sunnyview-Pace Finance Dept | $67 - $190 | 12% |
| Texan Plus | $67 - $190 | 12% |
| The Health Plan | $67 - $190 | 12% |
| Thome Pace | $67 - $190 | 12% |
| Todays Options | $67 - $190 | 12% |
| Tribute Health Plans | $67 - $190 | 12% |
| Um Health Advantage | $67 - $190 | 12% |
| Union Health Service | $67 - $190 | 12% |
| Welbe Health | $67 - $190 | 12% |
| Wellmed | $67 - $190 | 12% |
| Align Senior Care | $68 - $547 | 12% |
| Veterans Administration | $68 - $193 | 12% |
| Cca - Zing Health | $73 - $578 | 13% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $77 - $616 | 14% |
| 1199 National Benefit Fund | $92 - $1,920 | 16% |
| Allied National Global Care | $92 - $1,920 | 16% |
| Asrm - Reliance Standard Life Insurance | $92 - $1,920 | 16% |
| Christian Care Ministry | $92 - $1,920 | 16% |
| Dean Health | $92 - $1,920 | 16% |
| Fallon Health | $92 - $1,920 | 16% |
| Family Life Insurance Company | $92 - $1,920 | 16% |
| International Benefit Administrators | $92 - $1,920 | 16% |
| Lifetime Benefit Solutions | $92 - $1,920 | 16% |
| Manhattan Life | $92 - $1,920 | 16% |
| Molina Marketplace | $92 - $710 | 16% |
| Multiplan | $92 - $1,920 | 16% |
| Mvp | $92 - $1,920 | 16% |
| Pai | $92 - $1,920 | 16% |
| Pan-American Life | $92 - $1,920 | 16% |
| Phcs | $92 - $1,920 | 16% |
| Trinity Health Share | $92 - $1,920 | 16% |
| Wellpath | $92 - $847 | 16% |
| Wc Accident Fund | $94 - $676 | 17% |
| Wc Advantage | $94 - $676 | 17% |
| Wc Aig | $94 - $676 | 17% |
| Wc Allied | $94 - $676 | 17% |
| Wc Amerisure | $94 - $676 | 17% |
| Wc Amtrust | $94 - $676 | 17% |
| Wc Asu Risk Mgt | $94 - $676 | 17% |
| Wc Berkley Admin | $94 - $676 | 17% |
| Wc Broadspire | $94 - $676 | 17% |
| Wc Bunch & Associates | $94 - $676 | 17% |
| Wc Ccmsi | $94 - $676 | 17% |
| Wc Emc Insurance Company | $94 - $676 | 17% |
| Wc Esis | $94 - $676 | 17% |
| Wc Fcci | $94 - $676 | 17% |
| Wc Federated | $94 - $676 | 17% |
| Wc Gallagher Bassett | $94 - $676 | 17% |
| Wc Genex Care For Ohio | $94 - $676 | 17% |
| Wc Guard Insurance Company | $94 - $676 | 17% |
| Wc Hartford | $94 - $676 | 17% |
| Wc Liberty Mutual | $94 - $676 | 17% |
| Wc Meijers | $94 - $676 | 17% |
| Wc Michigan | $94 - $676 | 17% |
| Wc Mitchell Frankenmuth | $94 - $676 | 17% |
| Wc Pma | $94 - $676 | 17% |
| Wc Sedgwick | $94 - $676 | 17% |
| Wc Sentry | $94 - $676 | 17% |
| Wc Travelers | $94 - $676 | 17% |
| Wc Tristar | $94 - $676 | 17% |
| Wc Walmart | $94 - $676 | 17% |
| Wc Zurich | $94 - $676 | 17% |
| Andrie Inc | $99 - $278 | 18% |
| East Greenbush Central School District | $99 - $278 | 18% |
| Genex Wc | $99 - $278 | 18% |
| Healthsmart Workers Comp | $99 - $278 | 18% |
| Jag Source | $99 - $278 | 18% |
| New York State Insurance Fund | $99 - $278 | 18% |
| Njm Insurance Group | $99 - $278 | 18% |
| Partners Direct Health - Brio | $99 - $280 | 18% |
| Rx Heatlhcomp | $99 - $278 | 18% |
| Rx Restat | $99 - $278 | 18% |
| Rx Saif Opdp Wc | $99 - $278 | 18% |
| Rx Worker'S Comp | $99 - $278 | 18% |
| Wc Ace | $99 - $278 | 18% |
| Wc Acs Federal Employees | $99 - $278 | 18% |
| Wc Acuity | $99 - $278 | 18% |
| Wc Aegis | $99 - $278 | 18% |
| Wc Aims | $99 - $278 | 18% |
| Wc Alaska National Ins | $99 - $278 | 18% |
| Wc Align Network | $99 - $278 | 18% |
| Wc Am Trust N America | $99 - $278 | 18% |
| Wc American Claims Mgmt | $99 - $278 | 18% |
| Wc Benetech | $99 - $278 | 18% |
| Wc Broward County | $99 - $278 | 18% |
| Wc California State Comp Ins | $99 - $278 | 18% |
| Wc California State Ins Fund | $99 - $278 | 18% |
| Wc Capitol Area Health Consortium | $99 - $278 | 18% |
| Wc Chartis | $99 - $278 | 18% |
| Wc Chubb | $99 - $278 | 18% |
| Wc Cirma | $99 - $278 | 18% |
| Wc City Of Albany | $99 - $278 | 18% |
| Wc City Of Sioux City | $99 - $278 | 18% |
| Wc Claims Mgmt Inc | $99 - $278 | 18% |
| Wc Cna | $99 - $278 | 18% |
| Wc Comp One Admin C/O Manageability | $99 - $278 | 18% |
| Wc Compone Admin | $99 - $278 | 18% |
| Wc Corvel | $99 - $278 | 18% |
| Wc Ct Healthcare Trust | $99 - $278 | 18% |
| Wc Donegal Insurance Group | $99 - $278 | 18% |
| Wc Employee Mutual | $99 - $278 | 18% |
| Wc Enablecomp | $99 - $278 | 18% |
| Wc Encore Health Network | $99 - $278 | 18% |
| Wc Erie | $99 - $278 | 18% |
| Wc Evolutions | $99 - $278 | 18% |
| Wc Fed Ex | $99 - $278 | 18% |
| Wc Federal Black Lung | $99 - $278 | 18% |
| Wc Finley Occupational Health | $99 - $278 | 18% |
| Wc First Agency/Occunet | $99 - $278 | 18% |
| Wc Ford Motor | $99 - $278 | 18% |
| Wc Fresno Unified Emp | $99 - $278 | 18% |
| Wc General Motors | $99 - $278 | 18% |
| Wc Generic | $99 - $278 | 18% |
| Wc Great West Casualty | $99 - $278 | 18% |
| Wc Guarantee Insurance | $99 - $278 | 18% |
| Wc Hab | $99 - $278 | 18% |
| Wc Hastings | $99 - $278 | 18% |
| Wc Health Management | $99 - $278 | 18% |
| Wc Heritage Summit | $99 - $278 | 18% |
| Wc Hireright | $99 - $278 | 18% |
| Wc Horizon | $99 - $278 | 18% |
| Wc Icw Group | $99 - $278 | 18% |
| Wc Idaho State Ins Fund | $99 - $278 | 18% |
| Wc Intercare Insurance | $99 - $278 | 18% |
| Wc Intermountain | $99 - $278 | 18% |
| Wc Johns Eastern | $99 - $278 | 18% |
| Wc Kemberton | $99 - $278 | 18% |
| Wc Key Ins & Benefit Solutions | $99 - $278 | 18% |
| Wc Mac Risk Management | $99 - $278 | 18% |
| Wc Massachusetts | $99 - $278 | 18% |
| Wc Mdia | $99 - $278 | 18% |
| Wc Meadowbrook Claim | $99 - $278 | 18% |
| Wc Medical Administrators | $99 - $278 | 18% |
| Wc Memic | $99 - $278 | 18% |
| Wc Mercy Workcare | $99 - $278 | 18% |
| Wc Michigan Millers Mutual | $99 - $278 | 18% |
| Wc Mra | $99 - $278 | 18% |
| Wc Nationwide | $99 - $278 | 18% |
| Wc Nca Comp | $99 - $278 | 18% |
| Wc New York | $99 - $278 | 18% |
| Wc New York Special Funds | $99 - $278 | 18% |
| Wc North American Rishces | $99 - $278 | 18% |
| Wc Northeast Health | $99 - $278 | 18% |
| Wc Notre Dame | $99 - $278 | 18% |
| Wc Novanet | $99 - $278 | 18% |
| Wc O'Hara Corp | $99 - $278 | 18% |
| Wc Occ Health Allen | $99 - $278 | 18% |
| Wc Ohio Bureau | $99 - $278 | 18% |
| Wc One Call Medical | $99 - $278 | 18% |
| Wc Paradigm | $99 - $278 | 18% |
| Wc Peerless | $99 - $278 | 18% |
| Wc Praxis Health Network | $99 - $278 | 18% |
| Wc Price Chopper | $99 - $278 | 18% |
| Wc Procura Management | $99 - $278 | 18% |
| Wc Qualcare | $99 - $278 | 18% |
| Wc Quiktrip | $99 - $278 | 18% |
| Wc Reny Company | $99 - $278 | 18% |
| Wc Rev Claims | $99 - $278 | 18% |
| Wc Risico | $99 - $278 | 18% |
| Wc Rural Mutual | $99 - $278 | 18% |
| Wc Saif Oregon | $99 - $278 | 18% |
| Wc Secura | $99 - $278 | 18% |
| Wc Sheakley Unicomp | $99 - $278 | 18% |
| Wc Smile Lodge | $99 - $278 | 18% |
| Wc Society | $99 - $278 | 18% |
| Wc Srs | $99 - $278 | 18% |
| Wc Taconic (Mro) | $99 - $278 | 18% |
| Wc Taconic Farms | $99 - $278 | 18% |
| Wc Triad Group | $99 - $278 | 18% |
| Wc Troy Ny | $99 - $278 | 18% |
| Wc Tyson | $99 - $278 | 18% |
| Wc Unified Health Services | $99 - $278 | 18% |
| Wc United Heartland | $99 - $278 | 18% |
| Wc Us Dept Of Labor | $99 - $278 | 18% |
| Wc Velocity | $99 - $278 | 18% |
| Wc West Bend | $99 - $278 | 18% |
| Wc West Bend Mutual/Argent | $99 - $278 | 18% |
| Wc Winnebago Industries | $99 - $278 | 18% |
| Wc Yankee Trails | $99 - $278 | 18% |
| Wc York Risk | $99 - $278 | 18% |
| Wc Zenith | $99 - $278 | 18% |
| Claimdoc | $105 - $300 | 19% |
| Kent County Jail | $105 - $300 | 19% |
| Muskegon County Jail | $105 - $300 | 19% |
| Champva | $107 - $473 | 19% |
| Tricare | $107 - $473 | 19% |
| Triwest Health Alliance | $107 - $473 | 19% |
| Us Family Health Plan | $107 - $473 | 19% |
| Veterans Eval Services | $107 - $473 | 19% |
| Blue Benefit Administrators Of Massachusetts | $108 - $433 | 19% |
| Blue Distinction Transplant | $108 - $433 | 19% |
| Blue Shield - Ca | $108 - $433 | 19% |
| Blue Shield - Id (Regence) | $108 - $433 | 19% |
| Blue Shield - Ny Highmark Northeastern | $108 - $433 | 19% |
| Blue Shield - Ny Highmark Western | $108 - $433 | 19% |
| Blue Shield - Pa (Highmark) | $108 - $433 | 19% |
| Blue Shield - Wa (Regence) | $108 - $433 | 19% |
| Health Partners | $116 - $1,989 | 21% |
| Tufts Health Plan | $116 - $1,989 | 21% |
| Bcccp-Michigan | $134 - $591 | 24% |
| Caresource | $386 | 69% |
| U Of M Health Plan | $417 | 75% |
| Bcn Domestic | $433 | 78% |
| Blue Care Network | $433 | 78% |
| Health Choices | $433 - $1,702 | 78% |
| Kaiser Domestic | $433 | 78% |
| Angela Hospice | $547 | 98% |
| Arbor Hospice | $547 | 98% |
| Heartland Hospice | $547 | 98% |
| Priority Health | $583 - $648 | 104% |
| Health Cost Solutions | $847 | 152% |
| Vitalcore | $847 | 152% |
| Employee Benefit Logistic | $1,230 | 220% |
| Geha | $1,408 - $1,720 | 252% |
| Meritain | $1,408 | 252% |
| Access Health | $1,702 | 305% |
| Acclaim | $1,702 | 305% |
| Administrative Concepts | $1,702 | 305% |
| Allegeant | $1,702 | 305% |
| Ameriben | $1,702 | 305% |
| American Family | $1,702 | 305% |
| American Healthcare Alliance | $1,702 | 305% |
| American National | $1,702 | 305% |
| American Republic | $1,702 | 305% |
| Amerihealth | $1,702 | 305% |
| Aultcare | $1,702 | 305% |
| Automated Benefit Services | $1,702 | 305% |
| Auxiant | $1,702 | 305% |
| Benefit Administrative Systems,Llc | $1,702 | 305% |
| Boon Chapman | $1,702 | 305% |
| Cam Administrative Services | $1,702 | 305% |
| Christian Brother Services | $1,702 | 305% |
| Christian Brothers Holy Cross | $1,702 | 305% |
| Comprehensive Benefits | $1,702 | 305% |
| Continental Life Insurance | $1,702 | 305% |
| Custom Benefit Administrators | $1,702 | 305% |
| Employee Benefit Concepts | $1,702 | 305% |
| Employee Benefit Management | $1,702 | 305% |
| Enterprise Group Planning | $1,702 | 305% |
| Freedom Life Insurance Company | $1,702 | 305% |
| Group Administrators | $1,702 | 305% |
| Group Marketing Services | $1,702 | 305% |
| Guardian | $1,702 | 305% |
| Health America | $1,702 | 305% |
| Healthcare Management Admin | $1,702 | 305% |
| Healthez | $1,702 | 305% |
| Insight | $1,702 | 305% |
| Intercare | $1,702 | 305% |
| Jfp Benefit Management | $1,702 | 305% |
| Jp Farley Corporation | $1,702 | 305% |
| Key Benefit Administrator | $1,702 | 305% |
| Liberty Union Life Assurance Co | $1,702 | 305% |
| Lucent Health | $1,702 | 305% |
| Luminare Health | $1,702 | 305% |
| Luminare Health (Detroit) | $1,702 | 305% |
| Magnacare | $1,702 | 305% |
| Medben | $1,702 | 305% |
| Medcost | $1,702 | 305% |
| Medical Mutual | $1,702 | 305% |
| Mutual Health Services | $1,702 | 305% |
| Mutual Of Omaha | $1,702 | 305% |
| Ncas | $1,702 | 305% |
| Nippon Life Ins | $1,702 | 305% |
| Nova | $1,702 | 305% |
| Painters Union Insurance Fund | $1,702 | 305% |
| Physicians Mutual | $1,702 | 305% |
| Plumbers Local 98 Insurance Fund | $1,702 | 305% |
| Prairie States | $1,702 | 305% |
| Preferred One | $1,702 | 305% |
| Primary Physician Care | $1,702 | 305% |
| Professional Benefit Administrators | $1,702 | 305% |
| Siho Insurance Services | $1,702 | 305% |
| Sisco Benefits | $1,702 | 305% |
| The Loomis Company | $1,702 | 305% |
| Unicare | $1,702 | 305% |
| Us Health And Life | $1,702 | 305% |
| Valenz | $1,702 | 305% |
| Western & Southern Financial Group | $1,702 | 305% |
| Wps | $1,702 | 305% |
| Coventry | $1,750 | 313% |
| First Health | $1,750 | 313% |
| Hospice Of Michigan | $1,792 | 321% |
| Ghc Scw | $1,920 | 344% |
| Group Pension Administrators | $1,920 | 344% |
| Medi Share | $1,920 | 344% |
| Paramount Hmo | $1,920 | 344% |
| Prime Health Services | $2,048 | 367% |
| Three Rivers Provider Network | $2,304 | 413% |
| Magellan Behavioral Health | $2,560 | 459% |