CMS Price Transparency Data
X-ray, pelvis
Facility: Mercy Health Lakeshore Campus
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $28
- Cash Discount Price: $179
- vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mercy Health Lakeshore Campus is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.26x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$179
Average discount available for prompt cash payment at this facility.
Insurance Median
$28
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: $179 (168%)
Insurance Median: $28 (26%)
Cash: $179 (168% of Medicare)
Ins. Median: $28 (26% 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
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 | $13 - $220 | 12% |
| Albany County Correctional Facility | $13 - $18 | 12% |
| Ambetter / Centene | $13 - $18 | 12% |
| Amish Mennonite | $13 - $18 | 12% |
| Ascension St. Vincent Public Safety Medical | $13 - $18 | 12% |
| Bccp | $13 - $18 | 12% |
| Blue Cross Blue Shield | $13 - $236 | 12% |
| Bmc Healthnet | $13 - $18 | 12% |
| Breast Grant-Connecticut | $13 - $18 | 12% |
| Broward County Dept Of Health | $13 - $18 | 12% |
| California Health And Wellness | $13 - $18 | 12% |
| Can Community Health Inc | $13 - $18 | 12% |
| Cardinal Innovations Lme | $13 - $18 | 12% |
| Care Connections Of Northern Iowa | $13 - $18 | 12% |
| Care Oregon Ohp | $13 - $18 | 12% |
| Cencal Health Plan | $13 - $18 | 12% |
| Cenpatico | $13 - $18 | 12% |
| Chhuny | $13 - $18 | 12% |
| Childrens Comm Health Plan | $13 - $18 | 12% |
| Childrens Medical Services Title 19 | $13 - $18 | 12% |
| Cigna | $13 - $240 | 12% |
| City Of Philadelphia | $13 - $18 | 12% |
| Cmh Allegan County | $13 - $18 | 12% |
| Cmh Ausable Valley | $13 - $18 | 12% |
| Cmh Barry County | $13 - $18 | 12% |
| Cmh Bay-Arenac County | $13 - $18 | 12% |
| Cmh Berrien County | $13 - $18 | 12% |
| Cmh Cass County | $13 - $18 | 12% |
| Cmh Central Mi County | $13 - $18 | 12% |
| Cmh Clinton-Eaton-Ingham County | $13 - $18 | 12% |
| Cmh Detroit Wayne Integrated Health Network | $13 - $18 | 12% |
| Cmh Genesee County | $13 - $18 | 12% |
| Cmh Ionia County | $13 - $18 | 12% |
| Cmh Jackson County/Lifeways | $13 - $18 | 12% |
| Cmh Kalamazoo | $13 - $18 | 12% |
| Cmh Kent County | $13 - $18 | 12% |
| Cmh Lenawee County | $13 - $18 | 12% |
| Cmh Livingston County | $13 - $18 | 12% |
| Cmh Macomb | $13 - $18 | 12% |
| Cmh Misc | $13 - $18 | 12% |
| Cmh Monroe County | $13 - $18 | 12% |
| Cmh Montcalm County | $13 - $18 | 12% |
| Cmh Muskegon County | $13 - $18 | 12% |
| Cmh Newaygo County | $13 - $18 | 12% |
| Cmh North Country | $13 - $18 | 12% |
| Cmh Northern Lakes County | $13 - $18 | 12% |
| Cmh Oakland County | $13 - $18 | 12% |
| Cmh Ottawa County | $13 - $18 | 12% |
| Cmh Van Buren County | $13 - $18 | 12% |
| Cmh Washtenaw County | $13 - $18 | 12% |
| Cmh Wayne County/Carelink | $13 - $18 | 12% |
| Cmh Wayne Cty/Com Liv Svcs | $13 - $18 | 12% |
| Cmh West Mi County | $13 - $18 | 12% |
| Community Benefit Health | $13 - $18 | 12% |
| Community Care Behavorial Health | $13 - $18 | 12% |
| Community Care Partners | $13 - $18 | 12% |
| Community Health Choice | $13 - $18 | 12% |
| Connections Csp | $13 - $18 | 12% |
| County Coroner | $13 - $18 | 12% |
| County Funding Generic | $13 - $18 | 12% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $13 - $18 | 12% |
| Dean Wi Badgercare | $13 - $18 | 12% |
| Delaware County Department Of Health | $13 - $18 | 12% |
| Delaware First Health | $13 - $18 | 12% |
| Delta Dental Nj | $13 - $18 | 12% |
| Dph Tb Program | $13 - $18 | 12% |
| Dscc | $13 - $18 | 12% |
| Eastpointe Lme | $13 - $18 | 12% |
| Family Health Network | $13 - $18 | 12% |
| Freedom First Healthcare | $13 - $18 | 12% |
| Fresno County Ccs | $13 - $18 | 12% |
| Ghc Scw Wi Badgercare | $13 - $18 | 12% |
| Harbor Health | $13 - $18 | 12% |
| Health Safety Net | $13 - $18 | 12% |
| Healthy Blue Ne | $13 - $18 | 12% |
| Hennepin Health | $13 - $18 | 12% |
| Humana | $13 - $247 | 12% |
| Id County Ada | $13 - $18 | 12% |
| Id County Canyon | $13 - $18 | 12% |
| Id County Cat Fund | $13 - $18 | 12% |
| Id County Other | $13 - $18 | 12% |
| Id County Payette | $13 - $18 | 12% |
| Idaho Dept Health And Wellfare | $13 - $18 | 12% |
| Idaho Womens Health Check | $13 - $18 | 12% |
| Indiana Breast Cervical Cancer | $13 - $18 | 12% |
| Inland Empire Health Plan | $13 - $18 | 12% |
| Intercommunity Health Ohp | $13 - $18 | 12% |
| Iowa Total Care | $13 - $18 | 12% |
| Jai Medical System | $13 - $18 | 12% |
| Kern Family Health Plan | $13 - $18 | 12% |
| Keystone First | $13 - $18 | 12% |
| Keystone First Chip | $13 - $18 | 12% |
| La Care Health Plan | $13 - $18 | 12% |
| Lakeland Care Inc | $13 - $18 | 12% |
| Managed Health Services - Indiana | $13 - $18 | 12% |
| Maryland Breast & Cervical Program | $13 - $18 | 12% |
| Maryland Healthy Smiles - Scion Dental | $13 - $18 | 12% |
| Maryland Physicians Care | $13 - $18 | 12% |
| Massachusetts Behavioral Health Partnership | $13 - $18 | 12% |
| Mdwise | $13 - $18 | 12% |
| Medi-Cal | $13 - $18 | 12% |
| Medi-Cal Healthnet | $13 - $18 | 12% |
| Medicaid / KanCare | $13 - $80 | 12% |
| Medstar Dc Healthy Family | $13 - $18 | 12% |
| Medstar Md Health Choice | $13 - $18 | 12% |
| Mo Home State Health Plan | $13 - $18 | 12% |
| Molina Centennial Care | $13 - $18 | 12% |
| Nascentia Health Options | $13 - $18 | 12% |
| Nebraska Total Care | $13 - $18 | 12% |
| New York Cancer Services Program | $13 - $18 | 12% |
| Nextlevel Health | $13 - $18 | 12% |
| Oregon Screenwise | $13 - $18 | 12% |
| Pace Of Southwest Michigan | $13 - $18 | 12% |
| Paramount Advantage | $13 - $18 | 12% |
| Parkland Community Health Plan | $13 - $18 | 12% |
| Partners Behavioral Lme | $13 - $18 | 12% |
| Peach State Healthplan | $13 - $18 | 12% |
| Philadelphia County Funding | $13 - $18 | 12% |
| Presbyterian Centennial Care | $13 - $18 | 12% |
| Prestige Health Choice | $13 - $18 | 12% |
| Priority Partners | $13 - $18 | 12% |
| Robert F Sing Program | $13 - $18 | 12% |
| Rx 340B Pass Along | $13 - $18 | 12% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $13 - $18 | 12% |
| Rx Medi-Cal | $13 - $18 | 12% |
| Rx Meridian Rx | $13 - $18 | 12% |
| Ryan White Florida Mssrp | $13 - $18 | 12% |
| Sandhills Center Lme | $13 - $18 | 12% |
| Screening For Life | $13 - $18 | 12% |
| St Joseph County Hlth Dpt | $13 - $18 | 12% |
| Stephenson Cty Health | $13 - $18 | 12% |
| Sunshine State Health Plan | $13 - $18 | 12% |
| Superior Health | $13 - $18 | 12% |
| Tenncare | $13 - $18 | 12% |
| Texas Children'S Health Plan | $13 - $18 | 12% |
| Trillium Community Ohp | $13 - $18 | 12% |
| Tufts Health Public Plans | $13 - $18 | 12% |
| UnitedHealthcare | $13 - $248 | 12% |
| Vaya Health Lme | $13 - $18 | 12% |
| Washtenaw Health Plan | $13 - $18 | 12% |
| Wellsense Health Plan | $13 - $18 | 12% |
| Wi Womens Wellness | $13 - $18 | 12% |
| Hap | $15 - $253 | 14% |
| Health Partners | $15 - $23 | 14% |
| Tufts Health Plan | $15 - $23 | 14% |
| Champva | $17 - $25 | 16% |
| Tricare | $17 - $25 | 16% |
| Triwest Health Alliance | $17 - $25 | 16% |
| Us Family Health Plan | $17 - $25 | 16% |
| Veterans Eval Services | $17 - $25 | 16% |
| Align Senior Care | $18 - $69 | 17% |
| Medicare (plans) | $18 - $68 | 17% |
| Veterans Administration | $18 - $26 | 17% |
| Cca - Zing Health | $19 - $28 | 18% |
| Access Health | $20 - $48 | 19% |
| Geha | $20 - $248 | 19% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $20 - $78 | 19% |
| 1199 National Benefit Fund | $24 - $237 | 22% |
| Allied National Global Care | $24 - $237 | 22% |
| Asrm - Reliance Standard Life Insurance | $24 - $237 | 22% |
| Christian Care Ministry | $24 - $237 | 22% |
| Dean Health | $24 - $237 | 22% |
| Fallon Health | $24 - $237 | 22% |
| Family Life Insurance Company | $24 - $237 | 22% |
| International Benefit Administrators | $24 - $237 | 22% |
| Lifetime Benefit Solutions | $24 - $237 | 22% |
| Manhattan Life | $24 - $237 | 22% |
| Molina Marketplace | $24 - $115 | 22% |
| Multiplan | $24 - $237 | 22% |
| Mvp | $24 - $237 | 22% |
| Oscar | $24 - $85 | 22% |
| Pai | $24 - $237 | 22% |
| Pan-American Life | $24 - $237 | 22% |
| Phcs | $24 - $237 | 22% |
| Trinity Health Share | $24 - $237 | 22% |
| Wellpath | $24 - $156 | 22% |
| Acclaim | $26 - $247 | 24% |
| Administrative Concepts | $26 - $247 | 24% |
| Allegeant | $26 - $247 | 24% |
| Allied Benefit Systems | $26 - $247 | 24% |
| Ameriben | $26 - $247 | 24% |
| American Family | $26 - $247 | 24% |
| American Healthcare Alliance | $26 - $247 | 24% |
| American National | $26 - $80 | 24% |
| American Republic | $26 - $247 | 24% |
| Amerihealth | $26 - $247 | 24% |
| Aultcare | $26 - $247 | 24% |
| Automated Benefit Services | $26 - $247 | 24% |
| Auxiant | $26 - $247 | 24% |
| Benefit Administrative Systems,Llc | $26 - $247 | 24% |
| Boon Chapman | $26 - $247 | 24% |
| Cam Administrative Services | $26 - $247 | 24% |
| Christian Brother Services | $26 - $247 | 24% |
| Christian Brothers Holy Cross | $26 - $247 | 24% |
| Claimchoice Adminstrators | $26 - $247 | 24% |
| Comprehensive Benefits | $26 - $247 | 24% |
| Consociate | $26 - $247 | 24% |
| Continental Life Insurance | $26 - $247 | 24% |
| Coventry | $26 - $80 | 24% |
| Custom Benefit Administrators | $26 - $247 | 24% |
| Cypress Benefit Administrators | $26 - $247 | 24% |
| Employee Benefit Concepts | $26 - $247 | 24% |
| Employee Benefit Management | $26 - $247 | 24% |
| Enterprise Group Planning | $26 - $247 | 24% |
| First Health | $26 - $250 | 24% |
| Forest County Potawatomi | $26 - $247 | 24% |
| Freedom Life Insurance Company | $26 - $247 | 24% |
| Group Administrators | $26 - $247 | 24% |
| Group Marketing Services | $26 - $247 | 24% |
| Group Pension Administrators | $26 - $237 | 24% |
| Guardian | $26 - $247 | 24% |
| Health America | $26 - $247 | 24% |
| Health Choices | $26 - $247 | 24% |
| Health Smart | $26 - $247 | 24% |
| Healthcare Management Admin | $26 - $80 | 24% |
| Healthez | $26 - $247 | 24% |
| Healthgram | $26 - $247 | 24% |
| Healthscope | $26 - $247 | 24% |
| Insight | $26 - $247 | 24% |
| Intercare | $26 - $247 | 24% |
| Jfp Benefit Management | $26 - $247 | 24% |
| Jp Farley Corporation | $26 - $247 | 24% |
| Key Benefit Administrator | $26 - $247 | 24% |
| Liberty Union Life Assurance Co | $26 - $247 | 24% |
| Lucent Health | $26 - $247 | 24% |
| Luminare Health | $26 - $247 | 24% |
| Luminare Health (Detroit) | $26 - $247 | 24% |
| Magnacare | $26 - $80 | 24% |
| Medben | $26 - $247 | 24% |
| Medcost | $26 - $247 | 24% |
| Medical Mutual | $26 - $247 | 24% |
| Mutual Health Services | $26 - $247 | 24% |
| Mutual Of Omaha | $26 - $247 | 24% |
| Ncas | $26 - $247 | 24% |
| Nippon Life Ins | $26 - $247 | 24% |
| Nova | $26 - $247 | 24% |
| Painters Union Insurance Fund | $26 - $247 | 24% |
| Partners Direct Health - Brio | $26 - $38 | 24% |
| Physicians Mutual | $26 - $247 | 24% |
| Plumbers Local 98 Insurance Fund | $26 - $247 | 24% |
| Prairie States | $26 - $247 | 24% |
| Preferred One | $26 - $80 | 24% |
| Primary Physician Care | $26 - $247 | 24% |
| Professional Benefit Administrators | $26 - $247 | 24% |
| Secureone Preferred United Plans | $26 - $247 | 24% |
| Siho Insurance Services | $26 - $80 | 24% |
| Sisco Benefits | $26 - $80 | 24% |
| The Health Plan | $26 - $80 | 24% |
| The Loomis Company | $26 - $247 | 24% |
| Trustmark Small Business Benefits | $26 - $247 | 24% |
| Unicare | $26 - $247 | 24% |
| Unified Group Services | $26 - $247 | 24% |
| Valenz | $26 - $247 | 24% |
| Webtpa | $26 - $80 | 24% |
| Western & Southern Financial Group | $26 - $247 | 24% |
| Wps | $26 - $247 | 24% |
| Wc Accident Fund | $27 - $218 | 25% |
| Wc Advantage | $27 - $218 | 25% |
| Wc Aig | $27 - $218 | 25% |
| Wc Allied | $27 - $218 | 25% |
| Wc Amerisure | $27 - $218 | 25% |
| Wc Amtrust | $27 - $218 | 25% |
| Wc Asu Risk Mgt | $27 - $218 | 25% |
| Wc Berkley Admin | $27 - $218 | 25% |
| Wc Broadspire | $27 - $218 | 25% |
| Wc Bunch & Associates | $27 - $218 | 25% |
| Wc Ccmsi | $27 - $218 | 25% |
| Wc Emc Insurance Company | $27 - $218 | 25% |
| Wc Esis | $27 - $218 | 25% |
| Wc Fcci | $27 - $218 | 25% |
| Wc Federated | $27 - $218 | 25% |
| Wc Gallagher Bassett | $27 - $218 | 25% |
| Wc Genex Care For Ohio | $27 - $218 | 25% |
| Wc Guard Insurance Company | $27 - $218 | 25% |
| Wc Hartford | $27 - $218 | 25% |
| Wc Liberty Mutual | $27 - $218 | 25% |
| Wc Meijers | $27 - $218 | 25% |
| Wc Michigan | $27 - $218 | 25% |
| Wc Mitchell Frankenmuth | $27 - $218 | 25% |
| Wc Pma | $27 - $218 | 25% |
| Wc Sedgwick | $27 - $218 | 25% |
| Wc Sentry | $27 - $218 | 25% |
| Wc Travelers | $27 - $218 | 25% |
| Wc Tristar | $27 - $218 | 25% |
| Wc Walmart | $27 - $218 | 25% |
| Wc Zurich | $27 - $218 | 25% |
| Andrie Inc | $28 - $40 | 26% |
| Claimdoc | $28 - $41 | 26% |
| East Greenbush Central School District | $28 - $40 | 26% |
| Genex Wc | $28 - $40 | 26% |
| Healthsmart Workers Comp | $28 - $40 | 26% |
| Jag Source | $28 - $40 | 26% |
| Kent County Jail | $28 - $41 | 26% |
| Meritain | $28 - $220 | 26% |
| Muskegon County Jail | $28 - $41 | 26% |
| New York State Insurance Fund | $28 - $40 | 26% |
| Njm Insurance Group | $28 - $40 | 26% |
| Rx Heatlhcomp | $28 - $40 | 26% |
| Rx Restat | $28 - $40 | 26% |
| Rx Saif Opdp Wc | $28 - $40 | 26% |
| Rx Worker'S Comp | $28 - $40 | 26% |
| Wc Ace | $28 - $40 | 26% |
| Wc Acs Federal Employees | $28 - $40 | 26% |
| Wc Acuity | $28 - $40 | 26% |
| Wc Aegis | $28 - $40 | 26% |
| Wc Aims | $28 - $40 | 26% |
| Wc Alaska National Ins | $28 - $40 | 26% |
| Wc Align Network | $28 - $40 | 26% |
| Wc Am Trust N America | $28 - $40 | 26% |
| Wc American Claims Mgmt | $28 - $40 | 26% |
| Wc Benetech | $28 - $40 | 26% |
| Wc Broward County | $28 - $40 | 26% |
| Wc California State Comp Ins | $28 - $40 | 26% |
| Wc California State Ins Fund | $28 - $40 | 26% |
| Wc Capitol Area Health Consortium | $28 - $40 | 26% |
| Wc Chartis | $28 - $40 | 26% |
| Wc Chubb | $28 - $40 | 26% |
| Wc Cirma | $28 - $40 | 26% |
| Wc City Of Albany | $28 - $40 | 26% |
| Wc City Of Sioux City | $28 - $40 | 26% |
| Wc Claims Mgmt Inc | $28 - $40 | 26% |
| Wc Cna | $28 - $40 | 26% |
| Wc Comp One Admin C/O Manageability | $28 - $40 | 26% |
| Wc Compone Admin | $28 - $40 | 26% |
| Wc Corvel | $28 - $40 | 26% |
| Wc Ct Healthcare Trust | $28 - $40 | 26% |
| Wc Donegal Insurance Group | $28 - $40 | 26% |
| Wc Employee Mutual | $28 - $40 | 26% |
| Wc Enablecomp | $28 - $40 | 26% |
| Wc Encore Health Network | $28 - $40 | 26% |
| Wc Erie | $28 - $40 | 26% |
| Wc Evolutions | $28 - $40 | 26% |
| Wc Fed Ex | $28 - $40 | 26% |
| Wc Federal Black Lung | $28 - $40 | 26% |
| Wc Finley Occupational Health | $28 - $40 | 26% |
| Wc First Agency/Occunet | $28 - $40 | 26% |
| Wc Ford Motor | $28 - $40 | 26% |
| Wc Fresno Unified Emp | $28 - $40 | 26% |
| Wc General Motors | $28 - $40 | 26% |
| Wc Generic | $28 - $40 | 26% |
| Wc Great West Casualty | $28 - $40 | 26% |
| Wc Guarantee Insurance | $28 - $40 | 26% |
| Wc Hab | $28 - $40 | 26% |
| Wc Hastings | $28 - $40 | 26% |
| Wc Health Management | $28 - $40 | 26% |
| Wc Heritage Summit | $28 - $40 | 26% |
| Wc Hireright | $28 - $40 | 26% |
| Wc Horizon | $28 - $40 | 26% |
| Wc Icw Group | $28 - $40 | 26% |
| Wc Idaho State Ins Fund | $28 - $40 | 26% |
| Wc Intercare Insurance | $28 - $40 | 26% |
| Wc Intermountain | $28 - $40 | 26% |
| Wc Johns Eastern | $28 - $40 | 26% |
| Wc Kemberton | $28 - $40 | 26% |
| Wc Key Ins & Benefit Solutions | $28 - $40 | 26% |
| Wc Mac Risk Management | $28 - $40 | 26% |
| Wc Massachusetts | $28 - $40 | 26% |
| Wc Mdia | $28 - $40 | 26% |
| Wc Meadowbrook Claim | $28 - $40 | 26% |
| Wc Medical Administrators | $28 - $40 | 26% |
| Wc Memic | $28 - $40 | 26% |
| Wc Mercy Workcare | $28 - $40 | 26% |
| Wc Michigan Millers Mutual | $28 - $40 | 26% |
| Wc Mra | $28 - $40 | 26% |
| Wc Nationwide | $28 - $40 | 26% |
| Wc Nca Comp | $28 - $40 | 26% |
| Wc New York | $28 - $40 | 26% |
| Wc New York Special Funds | $28 - $40 | 26% |
| Wc North American Rishces | $28 - $40 | 26% |
| Wc Northeast Health | $28 - $40 | 26% |
| Wc Notre Dame | $28 - $40 | 26% |
| Wc Novanet | $28 - $40 | 26% |
| Wc O'Hara Corp | $28 - $40 | 26% |
| Wc Occ Health Allen | $28 - $40 | 26% |
| Wc Ohio Bureau | $28 - $40 | 26% |
| Wc One Call Medical | $28 - $40 | 26% |
| Wc Paradigm | $28 - $40 | 26% |
| Wc Peerless | $28 - $40 | 26% |
| Wc Praxis Health Network | $28 - $40 | 26% |
| Wc Price Chopper | $28 - $40 | 26% |
| Wc Procura Management | $28 - $40 | 26% |
| Wc Qualcare | $28 - $40 | 26% |
| Wc Quiktrip | $28 - $40 | 26% |
| Wc Reny Company | $28 - $40 | 26% |
| Wc Rev Claims | $28 - $40 | 26% |
| Wc Risico | $28 - $40 | 26% |
| Wc Rural Mutual | $28 - $40 | 26% |
| Wc Saif Oregon | $28 - $40 | 26% |
| Wc Secura | $28 - $40 | 26% |
| Wc Sheakley Unicomp | $28 - $40 | 26% |
| Wc Smile Lodge | $28 - $40 | 26% |
| Wc Society | $28 - $40 | 26% |
| Wc Srs | $28 - $40 | 26% |
| Wc Taconic (Mro) | $28 - $40 | 26% |
| Wc Taconic Farms | $28 - $40 | 26% |
| Wc Triad Group | $28 - $40 | 26% |
| Wc Troy Ny | $28 - $40 | 26% |
| Wc Tyson | $28 - $40 | 26% |
| Wc Unified Health Services | $28 - $40 | 26% |
| Wc United Heartland | $28 - $40 | 26% |
| Wc Us Dept Of Labor | $28 - $40 | 26% |
| Wc Velocity | $28 - $40 | 26% |
| Wc West Bend | $28 - $40 | 26% |
| Wc West Bend Mutual/Argent | $28 - $40 | 26% |
| Wc Winnebago Industries | $28 - $40 | 26% |
| Wc Yankee Trails | $28 - $40 | 26% |
| Wc York Risk | $28 - $40 | 26% |
| Wc Zenith | $28 - $40 | 26% |
| American Postal Workers Secondary | $30 - $43 | 28% |
| Blue Care Network | $30 - $236 | 28% |
| Blue Benefit Administrators Of Massachusetts | $31 - $236 | 29% |
| Blue Distinction Transplant | $31 - $236 | 29% |
| Blue Shield - Ca | $31 - $236 | 29% |
| Blue Shield - Id (Regence) | $31 - $236 | 29% |
| Blue Shield - Ny Highmark Northeastern | $31 - $236 | 29% |
| Blue Shield - Ny Highmark Western | $31 - $236 | 29% |
| Blue Shield - Pa (Highmark) | $31 - $236 | 29% |
| Blue Shield - Wa (Regence) | $31 - $236 | 29% |
| Priority Health | $32 - $249 | 30% |
| Varipro | $34 - $253 | 32% |
| Asr Health Benefits | $36 - $230 | 34% |
| Nomi Health | $36 - $155 | 34% |
| Us Health And Life | $43 - $247 | 40% |
| Bcccp-Michigan | $44 - $138 | 41% |
| U Of M Health Plan | $44 - $247 | 41% |
| Blue Care Network Advantage | $68 | 64% |
| Correctional Recovery | $69 | 65% |
| Vitalcore | $92 | 86% |
| Hospice Of Michigan | $152 | 142% |
| Bcn Domestic | $236 | 221% |
| Kaiser Domestic | $236 | 221% |
| Ghc Scw | $237 | 222% |
| Medi Share | $237 | 222% |
| Paramount Hmo | $237 | 222% |
| Caresource | $246 | 230% |