CMS Price Transparency Data
X-ray, ankle
Facility: Mercy Health Lakeshore Campus
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $40
- Cash Discount Price: $282
- vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mercy Health Lakeshore Campus is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.45x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$282
Average discount available for prompt cash payment at this facility.
Insurance Median
$40
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$88.91
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $282 (317%)
Insurance Median: $40 (45%)
Cash: $282 (317% of Medicare)
Ins. Median: $40 (45% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $88.91 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 |
|---|---|---|
| Medicaid / KanCare | $14 - $86 | 16% |
| Aetna | $18 - $345 | 20% |
| Albany County Correctional Facility | $18 - $24 | 20% |
| Ambetter / Centene | $18 - $24 | 20% |
| Amish Mennonite | $18 - $24 | 20% |
| Ascension St. Vincent Public Safety Medical | $18 - $24 | 20% |
| Bccp | $18 - $24 | 20% |
| Blue Cross Blue Shield | $18 - $371 | 20% |
| Bmc Healthnet | $18 - $24 | 20% |
| Breast Grant-Connecticut | $18 - $24 | 20% |
| Broward County Dept Of Health | $18 - $24 | 20% |
| California Health And Wellness | $18 - $24 | 20% |
| Can Community Health Inc | $18 - $24 | 20% |
| Cardinal Innovations Lme | $18 - $24 | 20% |
| Care Connections Of Northern Iowa | $18 - $24 | 20% |
| Care Oregon Ohp | $18 - $24 | 20% |
| Cencal Health Plan | $18 - $24 | 20% |
| Cenpatico | $18 - $24 | 20% |
| Chhuny | $18 - $24 | 20% |
| Childrens Comm Health Plan | $18 - $24 | 20% |
| Childrens Medical Services Title 19 | $18 - $24 | 20% |
| Cigna | $18 - $377 | 20% |
| City Of Philadelphia | $18 - $24 | 20% |
| Cmh Allegan County | $18 - $24 | 20% |
| Cmh Ausable Valley | $18 - $24 | 20% |
| Cmh Barry County | $18 - $24 | 20% |
| Cmh Bay-Arenac County | $18 - $24 | 20% |
| Cmh Berrien County | $18 - $24 | 20% |
| Cmh Cass County | $18 - $24 | 20% |
| Cmh Central Mi County | $18 - $24 | 20% |
| Cmh Clinton-Eaton-Ingham County | $18 - $24 | 20% |
| Cmh Detroit Wayne Integrated Health Network | $18 - $24 | 20% |
| Cmh Genesee County | $18 - $24 | 20% |
| Cmh Ionia County | $18 - $24 | 20% |
| Cmh Jackson County/Lifeways | $18 - $24 | 20% |
| Cmh Kalamazoo | $18 - $24 | 20% |
| Cmh Kent County | $18 - $24 | 20% |
| Cmh Lenawee County | $18 - $24 | 20% |
| Cmh Livingston County | $18 - $24 | 20% |
| Cmh Macomb | $18 - $24 | 20% |
| Cmh Misc | $18 - $24 | 20% |
| Cmh Monroe County | $18 - $24 | 20% |
| Cmh Montcalm County | $18 - $24 | 20% |
| Cmh Muskegon County | $18 - $24 | 20% |
| Cmh Newaygo County | $18 - $24 | 20% |
| Cmh North Country | $18 - $24 | 20% |
| Cmh Northern Lakes County | $18 - $24 | 20% |
| Cmh Oakland County | $18 - $24 | 20% |
| Cmh Ottawa County | $18 - $24 | 20% |
| Cmh Van Buren County | $18 - $24 | 20% |
| Cmh Washtenaw County | $18 - $24 | 20% |
| Cmh Wayne County/Carelink | $18 - $24 | 20% |
| Cmh Wayne Cty/Com Liv Svcs | $18 - $24 | 20% |
| Cmh West Mi County | $18 - $24 | 20% |
| Community Benefit Health | $18 - $24 | 20% |
| Community Care Behavorial Health | $18 - $24 | 20% |
| Community Care Partners | $18 - $24 | 20% |
| Community Health Choice | $18 - $24 | 20% |
| Connections Csp | $18 - $24 | 20% |
| County Coroner | $18 - $24 | 20% |
| County Funding Generic | $18 - $24 | 20% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $18 - $24 | 20% |
| Dean Wi Badgercare | $18 - $24 | 20% |
| Delaware County Department Of Health | $18 - $24 | 20% |
| Delaware First Health | $18 - $24 | 20% |
| Delta Dental Nj | $18 - $24 | 20% |
| Dph Tb Program | $18 - $24 | 20% |
| Dscc | $18 - $24 | 20% |
| Eastpointe Lme | $18 - $24 | 20% |
| Family Health Network | $18 - $24 | 20% |
| Freedom First Healthcare | $18 - $24 | 20% |
| Fresno County Ccs | $18 - $24 | 20% |
| Ghc Scw Wi Badgercare | $18 - $24 | 20% |
| Harbor Health | $18 - $24 | 20% |
| Health Safety Net | $18 - $24 | 20% |
| Healthy Blue Ne | $18 - $24 | 20% |
| Hennepin Health | $18 - $24 | 20% |
| Humana | $18 - $388 | 20% |
| Id County Ada | $18 - $24 | 20% |
| Id County Canyon | $18 - $24 | 20% |
| Id County Cat Fund | $18 - $24 | 20% |
| Id County Other | $18 - $24 | 20% |
| Id County Payette | $18 - $24 | 20% |
| Idaho Dept Health And Wellfare | $18 - $24 | 20% |
| Idaho Womens Health Check | $18 - $24 | 20% |
| Indiana Breast Cervical Cancer | $18 - $24 | 20% |
| Inland Empire Health Plan | $18 - $24 | 20% |
| Intercommunity Health Ohp | $18 - $24 | 20% |
| Iowa Total Care | $18 - $24 | 20% |
| Jai Medical System | $18 - $24 | 20% |
| Kern Family Health Plan | $18 - $24 | 20% |
| Keystone First | $18 - $24 | 20% |
| Keystone First Chip | $18 - $24 | 20% |
| La Care Health Plan | $18 - $24 | 20% |
| Lakeland Care Inc | $18 - $24 | 20% |
| Managed Health Services - Indiana | $18 - $24 | 20% |
| Maryland Breast & Cervical Program | $18 - $24 | 20% |
| Maryland Healthy Smiles - Scion Dental | $18 - $24 | 20% |
| Maryland Physicians Care | $18 - $24 | 20% |
| Massachusetts Behavioral Health Partnership | $18 - $24 | 20% |
| Mdwise | $18 - $24 | 20% |
| Medi-Cal | $18 - $24 | 20% |
| Medi-Cal Healthnet | $18 - $24 | 20% |
| Medstar Dc Healthy Family | $18 - $24 | 20% |
| Medstar Md Health Choice | $18 - $24 | 20% |
| Mo Home State Health Plan | $18 - $24 | 20% |
| Molina Centennial Care | $18 - $24 | 20% |
| Nascentia Health Options | $18 - $24 | 20% |
| Nebraska Total Care | $18 - $24 | 20% |
| New York Cancer Services Program | $18 - $24 | 20% |
| Nextlevel Health | $18 - $24 | 20% |
| Oregon Screenwise | $18 - $24 | 20% |
| Pace Of Southwest Michigan | $18 - $24 | 20% |
| Paramount Advantage | $18 - $24 | 20% |
| Parkland Community Health Plan | $18 - $24 | 20% |
| Partners Behavioral Lme | $18 - $24 | 20% |
| Peach State Healthplan | $18 - $24 | 20% |
| Philadelphia County Funding | $18 - $24 | 20% |
| Presbyterian Centennial Care | $18 - $24 | 20% |
| Prestige Health Choice | $18 - $24 | 20% |
| Priority Partners | $18 - $24 | 20% |
| Robert F Sing Program | $18 - $24 | 20% |
| Rx 340B Pass Along | $18 - $24 | 20% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $18 - $24 | 20% |
| Rx Medi-Cal | $18 - $24 | 20% |
| Rx Meridian Rx | $18 - $24 | 20% |
| Ryan White Florida Mssrp | $18 - $24 | 20% |
| Sandhills Center Lme | $18 - $24 | 20% |
| Screening For Life | $18 - $24 | 20% |
| St Joseph County Hlth Dpt | $18 - $24 | 20% |
| Stephenson Cty Health | $18 - $24 | 20% |
| Sunshine State Health Plan | $18 - $24 | 20% |
| Superior Health | $18 - $24 | 20% |
| Tenncare | $18 - $24 | 20% |
| Texas Children'S Health Plan | $18 - $24 | 20% |
| Trillium Community Ohp | $18 - $24 | 20% |
| Tufts Health Public Plans | $18 - $24 | 20% |
| Vaya Health Lme | $18 - $24 | 20% |
| Washtenaw Health Plan | $18 - $24 | 20% |
| Wellsense Health Plan | $18 - $24 | 20% |
| Wi Womens Wellness | $18 - $24 | 20% |
| UnitedHealthcare | $19 - $391 | 21% |
| Hap | $21 - $398 | 24% |
| Health Partners | $21 - $28 | 24% |
| Tufts Health Plan | $21 - $28 | 24% |
| Champva | $24 - $32 | 27% |
| Tricare | $24 - $32 | 27% |
| Triwest Health Alliance | $24 - $32 | 27% |
| Us Family Health Plan | $24 - $32 | 27% |
| Veterans Eval Services | $24 - $32 | 27% |
| Geha | $25 - $391 | 28% |
| Align Senior Care | $26 - $108 | 29% |
| Medicare (plans) | $26 - $106 | 29% |
| Veterans Administration | $26 - $34 | 29% |
| Cca - Zing Health | $28 - $37 | 31% |
| Access Health | $29 - $76 | 33% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $30 - $122 | 34% |
| Asr Health Benefits | $35 - $361 | 39% |
| 1199 National Benefit Fund | $36 - $373 | 40% |
| Allied National Global Care | $36 - $373 | 40% |
| Asrm - Reliance Standard Life Insurance | $36 - $373 | 40% |
| Christian Care Ministry | $36 - $373 | 40% |
| Dean Health | $36 - $373 | 40% |
| Fallon Health | $36 - $373 | 40% |
| Family Life Insurance Company | $36 - $373 | 40% |
| International Benefit Administrators | $36 - $373 | 40% |
| Lifetime Benefit Solutions | $36 - $373 | 40% |
| Manhattan Life | $36 - $373 | 40% |
| Molina Marketplace | $36 - $181 | 40% |
| Multiplan | $36 - $373 | 40% |
| Mvp | $36 - $373 | 40% |
| Oscar | $36 - $133 | 40% |
| Pai | $36 - $373 | 40% |
| Pan-American Life | $36 - $373 | 40% |
| Phcs | $36 - $373 | 40% |
| Trinity Health Share | $36 - $373 | 40% |
| Wellpath | $36 - $130 | 40% |
| Partners Direct Health - Brio | $38 - $50 | 43% |
| Wc Accident Fund | $38 - $342 | 43% |
| Wc Advantage | $38 - $342 | 43% |
| Wc Aig | $38 - $342 | 43% |
| Wc Allied | $38 - $342 | 43% |
| Wc Amerisure | $38 - $342 | 43% |
| Wc Amtrust | $38 - $342 | 43% |
| Wc Asu Risk Mgt | $38 - $342 | 43% |
| Wc Berkley Admin | $38 - $342 | 43% |
| Wc Broadspire | $38 - $342 | 43% |
| Wc Bunch & Associates | $38 - $342 | 43% |
| Wc Ccmsi | $38 - $342 | 43% |
| Wc Emc Insurance Company | $38 - $342 | 43% |
| Wc Esis | $38 - $342 | 43% |
| Wc Fcci | $38 - $342 | 43% |
| Wc Federated | $38 - $342 | 43% |
| Wc Gallagher Bassett | $38 - $342 | 43% |
| Wc Genex Care For Ohio | $38 - $342 | 43% |
| Wc Guard Insurance Company | $38 - $342 | 43% |
| Wc Hartford | $38 - $342 | 43% |
| Wc Liberty Mutual | $38 - $342 | 43% |
| Wc Meijers | $38 - $342 | 43% |
| Wc Michigan | $38 - $342 | 43% |
| Wc Mitchell Frankenmuth | $38 - $342 | 43% |
| Wc Pma | $38 - $342 | 43% |
| Wc Sedgwick | $38 - $342 | 43% |
| Wc Sentry | $38 - $342 | 43% |
| Wc Travelers | $38 - $342 | 43% |
| Wc Tristar | $38 - $342 | 43% |
| Wc Walmart | $38 - $342 | 43% |
| Wc Zurich | $38 - $342 | 43% |
| Acclaim | $39 - $388 | 44% |
| Administrative Concepts | $39 - $388 | 44% |
| Allegeant | $39 - $388 | 44% |
| Allied Benefit Systems | $39 - $388 | 44% |
| Ameriben | $39 - $388 | 44% |
| American Family | $39 - $388 | 44% |
| American Healthcare Alliance | $39 - $388 | 44% |
| American National | $39 - $56 | 44% |
| American Republic | $39 - $388 | 44% |
| Amerihealth | $39 - $388 | 44% |
| Aultcare | $39 - $388 | 44% |
| Automated Benefit Services | $39 - $388 | 44% |
| Auxiant | $39 - $388 | 44% |
| Benefit Administrative Systems,Llc | $39 - $388 | 44% |
| Boon Chapman | $39 - $388 | 44% |
| Cam Administrative Services | $39 - $388 | 44% |
| Christian Brother Services | $39 - $388 | 44% |
| Christian Brothers Holy Cross | $39 - $388 | 44% |
| Claimchoice Adminstrators | $39 - $388 | 44% |
| Comprehensive Benefits | $39 - $388 | 44% |
| Consociate | $39 - $388 | 44% |
| Continental Life Insurance | $39 - $388 | 44% |
| Coventry | $39 - $56 | 44% |
| Custom Benefit Administrators | $39 - $388 | 44% |
| Cypress Benefit Administrators | $39 - $388 | 44% |
| Employee Benefit Concepts | $39 - $388 | 44% |
| Employee Benefit Management | $39 - $388 | 44% |
| Enterprise Group Planning | $39 - $388 | 44% |
| First Health | $39 - $392 | 44% |
| Forest County Potawatomi | $39 - $388 | 44% |
| Freedom Life Insurance Company | $39 - $388 | 44% |
| Group Administrators | $39 - $388 | 44% |
| Group Marketing Services | $39 - $388 | 44% |
| Group Pension Administrators | $39 - $373 | 44% |
| Guardian | $39 - $388 | 44% |
| Health America | $39 - $388 | 44% |
| Health Choices | $39 - $388 | 44% |
| Health Smart | $39 - $388 | 44% |
| Healthcare Management Admin | $39 - $56 | 44% |
| Healthez | $39 - $388 | 44% |
| Healthgram | $39 - $388 | 44% |
| Healthscope | $39 - $388 | 44% |
| Insight | $39 - $388 | 44% |
| Intercare | $39 - $388 | 44% |
| Jfp Benefit Management | $39 - $388 | 44% |
| Jp Farley Corporation | $39 - $388 | 44% |
| Key Benefit Administrator | $39 - $388 | 44% |
| Liberty Union Life Assurance Co | $39 - $388 | 44% |
| Lucent Health | $39 - $388 | 44% |
| Luminare Health | $39 - $388 | 44% |
| Luminare Health (Detroit) | $39 - $388 | 44% |
| Magnacare | $39 - $56 | 44% |
| Medben | $39 - $388 | 44% |
| Medcost | $39 - $388 | 44% |
| Medical Mutual | $39 - $388 | 44% |
| Mutual Health Services | $39 - $388 | 44% |
| Mutual Of Omaha | $39 - $388 | 44% |
| Ncas | $39 - $388 | 44% |
| Nippon Life Ins | $39 - $388 | 44% |
| Nova | $39 - $388 | 44% |
| Painters Union Insurance Fund | $39 - $388 | 44% |
| Physicians Mutual | $39 - $388 | 44% |
| Plumbers Local 98 Insurance Fund | $39 - $388 | 44% |
| Prairie States | $39 - $388 | 44% |
| Preferred One | $39 - $56 | 44% |
| Primary Physician Care | $39 - $388 | 44% |
| Professional Benefit Administrators | $39 - $388 | 44% |
| Secureone Preferred United Plans | $39 - $388 | 44% |
| Siho Insurance Services | $39 - $56 | 44% |
| Sisco Benefits | $39 - $56 | 44% |
| The Health Plan | $39 - $56 | 44% |
| The Loomis Company | $39 - $388 | 44% |
| Trustmark Small Business Benefits | $39 - $388 | 44% |
| Unicare | $39 - $388 | 44% |
| Unified Group Services | $39 - $388 | 44% |
| Valenz | $39 - $388 | 44% |
| Webtpa | $39 - $56 | 44% |
| Western & Southern Financial Group | $39 - $388 | 44% |
| Wps | $39 - $388 | 44% |
| Andrie Inc | $40 - $52 | 45% |
| East Greenbush Central School District | $40 - $52 | 45% |
| Genex Wc | $40 - $52 | 45% |
| Healthsmart Workers Comp | $40 - $52 | 45% |
| Jag Source | $40 - $52 | 45% |
| New York State Insurance Fund | $40 - $52 | 45% |
| Njm Insurance Group | $40 - $52 | 45% |
| Rx Heatlhcomp | $40 - $52 | 45% |
| Rx Restat | $40 - $52 | 45% |
| Rx Saif Opdp Wc | $40 - $52 | 45% |
| Rx Worker'S Comp | $40 - $52 | 45% |
| Wc Ace | $40 - $52 | 45% |
| Wc Acs Federal Employees | $40 - $52 | 45% |
| Wc Acuity | $40 - $52 | 45% |
| Wc Aegis | $40 - $52 | 45% |
| Wc Aims | $40 - $52 | 45% |
| Wc Alaska National Ins | $40 - $52 | 45% |
| Wc Align Network | $40 - $52 | 45% |
| Wc Am Trust N America | $40 - $52 | 45% |
| Wc American Claims Mgmt | $40 - $52 | 45% |
| Wc Benetech | $40 - $52 | 45% |
| Wc Broward County | $40 - $52 | 45% |
| Wc California State Comp Ins | $40 - $52 | 45% |
| Wc California State Ins Fund | $40 - $52 | 45% |
| Wc Capitol Area Health Consortium | $40 - $52 | 45% |
| Wc Chartis | $40 - $52 | 45% |
| Wc Chubb | $40 - $52 | 45% |
| Wc Cirma | $40 - $52 | 45% |
| Wc City Of Albany | $40 - $52 | 45% |
| Wc City Of Sioux City | $40 - $52 | 45% |
| Wc Claims Mgmt Inc | $40 - $52 | 45% |
| Wc Cna | $40 - $52 | 45% |
| Wc Comp One Admin C/O Manageability | $40 - $52 | 45% |
| Wc Compone Admin | $40 - $52 | 45% |
| Wc Corvel | $40 - $52 | 45% |
| Wc Ct Healthcare Trust | $40 - $52 | 45% |
| Wc Donegal Insurance Group | $40 - $52 | 45% |
| Wc Employee Mutual | $40 - $52 | 45% |
| Wc Enablecomp | $40 - $52 | 45% |
| Wc Encore Health Network | $40 - $52 | 45% |
| Wc Erie | $40 - $52 | 45% |
| Wc Evolutions | $40 - $52 | 45% |
| Wc Fed Ex | $40 - $52 | 45% |
| Wc Federal Black Lung | $40 - $52 | 45% |
| Wc Finley Occupational Health | $40 - $52 | 45% |
| Wc First Agency/Occunet | $40 - $52 | 45% |
| Wc Ford Motor | $40 - $52 | 45% |
| Wc Fresno Unified Emp | $40 - $52 | 45% |
| Wc General Motors | $40 - $52 | 45% |
| Wc Generic | $40 - $52 | 45% |
| Wc Great West Casualty | $40 - $52 | 45% |
| Wc Guarantee Insurance | $40 - $52 | 45% |
| Wc Hab | $40 - $52 | 45% |
| Wc Hastings | $40 - $52 | 45% |
| Wc Health Management | $40 - $52 | 45% |
| Wc Heritage Summit | $40 - $52 | 45% |
| Wc Hireright | $40 - $52 | 45% |
| Wc Horizon | $40 - $52 | 45% |
| Wc Icw Group | $40 - $52 | 45% |
| Wc Idaho State Ins Fund | $40 - $52 | 45% |
| Wc Intercare Insurance | $40 - $52 | 45% |
| Wc Intermountain | $40 - $52 | 45% |
| Wc Johns Eastern | $40 - $52 | 45% |
| Wc Kemberton | $40 - $52 | 45% |
| Wc Key Ins & Benefit Solutions | $40 - $52 | 45% |
| Wc Mac Risk Management | $40 - $52 | 45% |
| Wc Massachusetts | $40 - $52 | 45% |
| Wc Mdia | $40 - $52 | 45% |
| Wc Meadowbrook Claim | $40 - $52 | 45% |
| Wc Medical Administrators | $40 - $52 | 45% |
| Wc Memic | $40 - $52 | 45% |
| Wc Mercy Workcare | $40 - $52 | 45% |
| Wc Michigan Millers Mutual | $40 - $52 | 45% |
| Wc Mra | $40 - $52 | 45% |
| Wc Nationwide | $40 - $52 | 45% |
| Wc Nca Comp | $40 - $52 | 45% |
| Wc New York | $40 - $52 | 45% |
| Wc New York Special Funds | $40 - $52 | 45% |
| Wc North American Rishces | $40 - $52 | 45% |
| Wc Northeast Health | $40 - $52 | 45% |
| Wc Notre Dame | $40 - $52 | 45% |
| Wc Novanet | $40 - $52 | 45% |
| Wc O'Hara Corp | $40 - $52 | 45% |
| Wc Occ Health Allen | $40 - $52 | 45% |
| Wc Ohio Bureau | $40 - $52 | 45% |
| Wc One Call Medical | $40 - $52 | 45% |
| Wc Paradigm | $40 - $52 | 45% |
| Wc Peerless | $40 - $52 | 45% |
| Wc Praxis Health Network | $40 - $52 | 45% |
| Wc Price Chopper | $40 - $52 | 45% |
| Wc Procura Management | $40 - $52 | 45% |
| Wc Qualcare | $40 - $52 | 45% |
| Wc Quiktrip | $40 - $52 | 45% |
| Wc Reny Company | $40 - $52 | 45% |
| Wc Rev Claims | $40 - $52 | 45% |
| Wc Risico | $40 - $52 | 45% |
| Wc Rural Mutual | $40 - $52 | 45% |
| Wc Saif Oregon | $40 - $52 | 45% |
| Wc Secura | $40 - $52 | 45% |
| Wc Sheakley Unicomp | $40 - $52 | 45% |
| Wc Smile Lodge | $40 - $52 | 45% |
| Wc Society | $40 - $52 | 45% |
| Wc Srs | $40 - $52 | 45% |
| Wc Taconic (Mro) | $40 - $52 | 45% |
| Wc Taconic Farms | $40 - $52 | 45% |
| Wc Triad Group | $40 - $52 | 45% |
| Wc Troy Ny | $40 - $52 | 45% |
| Wc Tyson | $40 - $52 | 45% |
| Wc Unified Health Services | $40 - $52 | 45% |
| Wc United Heartland | $40 - $52 | 45% |
| Wc Us Dept Of Labor | $40 - $52 | 45% |
| Wc Velocity | $40 - $52 | 45% |
| Wc West Bend | $40 - $52 | 45% |
| Wc West Bend Mutual/Argent | $40 - $52 | 45% |
| Wc Winnebago Industries | $40 - $52 | 45% |
| Wc Yankee Trails | $40 - $52 | 45% |
| Wc York Risk | $40 - $52 | 45% |
| Wc Zenith | $40 - $52 | 45% |
| Claimdoc | $41 - $53 | 46% |
| Kent County Jail | $41 - $53 | 46% |
| Meritain | $41 - $345 | 46% |
| Muskegon County Jail | $41 - $53 | 46% |
| Us Health And Life | $42 - $388 | 47% |
| American Postal Workers Secondary | $44 - $56 | 49% |
| Blue Care Network | $44 - $371 | 49% |
| Blue Benefit Administrators Of Massachusetts | $45 - $371 | 51% |
| Blue Distinction Transplant | $45 - $371 | 51% |
| Blue Shield - Ca | $45 - $371 | 51% |
| Blue Shield - Id (Regence) | $45 - $371 | 51% |
| Blue Shield - Ny Highmark Northeastern | $45 - $371 | 51% |
| Blue Shield - Ny Highmark Western | $45 - $371 | 51% |
| Blue Shield - Pa (Highmark) | $45 - $371 | 51% |
| Blue Shield - Wa (Regence) | $45 - $371 | 51% |
| Varipro | $45 - $398 | 51% |
| Priority Health | $46 - $391 | 52% |
| Nomi Health | $53 - $243 | 60% |
| Bcccp-Michigan | $68 - $96 | 76% |
| U Of M Health Plan | $68 - $388 | 76% |
| Blue Care Network Advantage | $71 - $106 | 80% |
| Correctional Recovery | $72 - $108 | 81% |
| Vitalcore | $96 - $145 | 108% |
| Hospice Of Michigan | $159 - $239 | 179% |
| Bcn Domestic | $247 - $371 | 278% |
| Kaiser Domestic | $247 - $371 | 278% |
| Ghc Scw | $249 - $373 | 280% |
| Medi Share | $249 - $373 | 280% |
| Paramount Hmo | $249 - $373 | 280% |
| Caresource | $258 - $387 | 290% |