CMS Price Transparency Data

Group therapy session

Facility: Samaritan Hospital of Troy, New York

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $61
Cash Discount Price: $105
vs. Medicare Baseline: 0.59x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Samaritan Hospital of Troy, New York is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.59x the Medicare baseline. Located in 2215 Burdett Avenue, Troy, NY.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)

Cash / Self-Pay: $105 (101%)

Insurance Median: $61 (59%)

Cash: $105 (101% of Medicare)

Ins. Median: $61 (59% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 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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Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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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 - $228	13%
Champva	$17	16%
Humana	$17 - $61	16%
Tricare	$17	16%
Triwest Health Alliance	$17	16%
Veterans Eval Services	$17	16%
Medicare (plans)	$18 - $228	17%
Us Family Health Plan	$18	17%
Veterans Administration	$18	17%
Hudson Headwaters Pace	$20	19%
Blue Cross Blue Shield	$22 - $455	21%
Blue Shield - Ca	$22 - $61	21%
Blue Shield - Id (Regence)	$22 - $61	21%
Blue Shield - Ny Highmark Northeastern	$22 - $61	21%
Blue Shield - Ny Highmark Western	$22 - $61	21%
Blue Shield - Pa (Highmark)	$22 - $61	21%
Blue Shield - Wa (Regence)	$22 - $61	21%
Aetna	$24 - $113	23%
Carelon Behavioral Health	$34 - $228	33%
UnitedHealthcare	$36 - $228	35%
Wc Generic	$37	36%
Coventry	$45	43%
Geha	$45 - $113	43%
Meritain	$45 - $113	43%
Mvp	$51 - $61	49%
1199 National Benefit Fund	$61 - $113	59%
Aarp	$61	59%
Access Health	$61	59%
Acclaim	$61	59%
Acs Benefit Services	$61	59%
Actin Care Groups	$61	59%
Ada County Jail Inmate Ins	$61	59%
Adamh Board	$61	59%
Administrative Concepts	$61	59%
Admiral Life	$61	59%
Advanced Correctional Healthcare	$61	59%
Advantek Central Usd	$61	59%
Adventist Health Plan	$61	59%
Advocate Health	$61	59%
Aflac	$61	59%
Albany County Correctional Facility	$61 - $228	59%
Albany County Nursing Home	$61	59%
Albany County Office For Aging	$61	59%
Align Senior Care	$61	59%
Allegeant	$61	59%
Allegiance	$61 - $119	59%
Alliant Health Plans	$61	59%
Allianz Global Assistance	$61	59%
Allied Benefit Systems	$61 - $113	59%
Allied Community Service	$61	59%
Allied National Global Care	$61	59%
Ally Align Care Adv	$61	59%
Alta Health	$61	59%
Altrua Healthshare Co Zelis	$61	59%
Am First Insurance Company	$61	59%
Amalgamated	$61	59%
Ambetter / Centene	$61	59%
Ameriben	$61	59%
America'S Tpa	$61	59%
American Family	$61	59%
American Health Advantage Of Idaho	$61	59%
American Health Plan	$61	59%
American Healthcare Alliance	$61	59%
American National	$61	59%
American Postal Workers Secondary	$61 - $119	59%
American Public Life	$61	59%
American Republic	$61	59%
Amerihealth	$61	59%
Amerihealth Caritas Next	$61	59%
Amish Hospital Aid	$61	59%
Amish Mennonite	$61	59%
Amps	$61	59%
Andrie Inc	$61	59%
Angela Hospice	$61	59%
Apostrophe	$61	59%
Arbor Hospice	$61	59%
Ascension St. Vincent Public Safety Medical	$61	59%
Asi - Navia Benefit Solutions	$61	59%
Asr Health Benefits	$61 - $113	59%
Asrm - Reliance Standard Life Insurance	$61	59%
Asuris Northwest Health	$61	59%
Attleboro Nursing & Rehab	$61	59%
Aultcare	$61	59%
Aurora Special Needs	$61	59%
Auto Aaa	$61	59%
Auto Acuity	$61	59%
Auto Allstate	$61	59%
Auto American Family	$61	59%
Auto American Modern Ins Co	$61	59%
Auto Amerisure	$61	59%
Auto Bristol West	$61	59%
Auto Citizens	$61	59%
Auto Dairyland	$61	59%
Auto Encompass	$61	59%
Auto Erie	$61	59%
Auto Esurance	$61	59%
Auto Farm Bureau	$61	59%
Auto Farmers Insurance	$61	59%
Auto Fremont Mutual	$61	59%
Auto Geico	$61	59%
Auto Generic	$61	59%
Auto Hartford	$61	59%
Auto Kemberton	$61	59%
Auto Kemper	$61	59%
Auto Liabililty Praxis	$61	59%
Auto Liberty Mutual	$61	59%
Auto Mackinaw Administrators	$61	59%
Auto Manageability	$61	59%
Auto Meadowbrook	$61	59%
Auto Metlife	$61	59%
Auto Mra	$61	59%
Auto Nationwide	$61	59%
Auto New York Central Mutual	$61	59%
Auto New York No Fault	$61	59%
Auto Owners	$61	59%
Auto Progressive	$61	59%
Auto Safeco	$61	59%
Auto State Farm	$61	59%
Auto Titan	$61	59%
Auto Travelers	$61	59%
Auto Usaa	$61	59%
Auto Velocity	$61	59%
Automated Benefit Services	$61	59%
Auxiant	$61	59%
Avera	$61	59%
Avmed Health Plan	$61	59%
Axa Assistance Us	$61	59%
Axis Services	$61	59%
Bankers Fidelity	$61	59%
Bankers Life Casualty	$61	59%
Barinet	$61	59%
Barnwell Nursing Rehab Center	$61	59%
Bcccp-Michigan	$61	59%
Bccp	$61	59%
Bcn Domestic	$61 - $193	59%
Behavioral Health Services	$61	59%
Benefit Administrative Systems,Llc	$61	59%
Benesight	$61	59%
Bethlehem Commons At Gsv	$61	59%
Blue Benefit Administrators Of Massachusetts	$61	59%
Blue Care Network	$61 - $193	59%
Blue Care Network Advantage	$61	59%
Blue Distinction Transplant	$61	59%
Blue Shield - De (Highmark) Medciare Advantage	$61	59%
Bmc Healthnet	$61	59%
Bmi Benefits	$61	59%
Boon Chapman	$61	59%
Breast Grant-Connecticut	$61	59%
Bridge Health	$61	59%
Bridge Health Bundle	$61	59%
Bright Healthcare	$61	59%
Brms	$61	59%
Broward County Dept Of Health	$61	59%
Bureau Of Disability	$61	59%
California Health And Wellness	$61	59%
Cam Administrative Services	$61	59%
Capital District Physicians Health Plan	$61 - $150	59%
Caprock Health Plans	$61	59%
Cardea Benefits Limited	$61	59%
Cardinal Innovations Lme	$61	59%
Care Connections Of Northern Iowa	$61	59%
Care Dimensions	$61	59%
Care Improvement Plus	$61	59%
Care Oregon Ohp	$61	59%
Care Resources Pace	$61	59%
Carebridge Eap	$61	59%
Carefirst	$61	59%
Careplus Health Plans	$61	59%
Caresource	$61	59%
Careworks	$61	59%
Carisk	$61	59%
Catholic Hospice	$61	59%
Cba Network By Design	$61	59%
Cca - Zing Health	$61	59%
Cca Senior Care Options	$61	59%
Cedar Network	$61	59%
Cedar Valley	$61	59%
Cencal Health Plan	$61	59%
Cenpatico	$61	59%
Centivo	$61	59%
Central States Indemnity	$61	59%
Central Valley Medical Services Corp Pace	$61	59%
Centurion Of Idaho	$61	59%
Ceridian Eap - Lifeworks	$61	59%
Champion Health Plan Mcr Advantage	$61	59%
Chandler Hall Hospice	$61	59%
Chandler Hall Nursing Home	$61	59%
Chesterfield Resources	$61	59%
Chhuny	$61	59%
Childrens Comm Health Plan	$61	59%
Childrens Medical Services Title 19	$61	59%
Choiceone	$61	59%
Christian Brother Services	$61 - $113	59%
Christian Brothers Holy Cross	$61	59%
Christian Care Ministry	$61	59%
Cigna	$61 - $119	59%
City Of Philadelphia	$61	59%
Claimchoice Adminstrators	$61	59%
Claimdoc	$61	59%
Claimsbridge	$61	59%
Clear Spring Health	$61	59%
Clover Health	$61	59%
Cmh Allegan County	$61	59%
Cmh Ausable Valley	$61	59%
Cmh Barry County	$61	59%
Cmh Bay-Arenac County	$61	59%
Cmh Berrien County	$61	59%
Cmh Cass County	$61	59%
Cmh Central Mi County	$61	59%
Cmh Clinton-Eaton-Ingham County	$61	59%
Cmh Detroit Wayne Integrated Health Network	$61	59%
Cmh Genesee County	$61	59%
Cmh Ionia County	$61	59%
Cmh Jackson County/Lifeways	$61	59%
Cmh Kalamazoo	$61	59%
Cmh Kent County	$61	59%
Cmh Lenawee County	$61	59%
Cmh Livingston County	$61	59%
Cmh Macomb	$61	59%
Cmh Misc	$61	59%
Cmh Monroe County	$61	59%
Cmh Montcalm County	$61	59%
Cmh Muskegon County	$61	59%
Cmh Newaygo County	$61	59%
Cmh North Country	$61	59%
Cmh Northern Lakes County	$61	59%
Cmh Oakland County	$61	59%
Cmh Ottawa County	$61	59%
Cmh Van Buren County	$61	59%
Cmh Washtenaw County	$61	59%
Cmh Wayne County/Carelink	$61	59%
Cmh Wayne Cty/Com Liv Svcs	$61	59%
Cmh West Mi County	$61	59%
Cmn Global	$61	59%
Columbia Health Network	$61	59%
Comed	$61	59%
Comfort Care Of Cayuga County	$61	59%
Common Ground	$61	59%
Commonwealth Care Alliance	$61	59%
Community Behavioral Health	$61	59%
Community Benefit Health	$61	59%
Community Care Associates	$61	59%
Community Care Behavorial Health	$61	59%
Community Care Health Hmo Oon	$61	59%
Community Care Partners	$61	59%
Community Care Plan	$61	59%
Community Health Alliance	$61	59%
Community Health Choice	$61	59%
Community Hospice Inc	$61	59%
Community Pace At Home	$61	59%
Community Place Fremont	$61	59%
Compcare	$61	59%
Comprehensive Benefits	$61	59%
Compsych	$61	59%
Compsych Eap	$61	59%
Connecticare	$61	59%
Connecticut Court Support Services	$61	59%
Connecticut Dept Of Correction	$61	59%
Connections Csp	$61	59%
Consociate	$61	59%
Consolidated Health Plan	$61	59%
Constitution Life	$61	59%
Consumer Health Network	$61	59%
Continental American	$61	59%
Continental Life Insurance	$61	59%
Cook County Risk Management	$61	59%
Core Benefits	$61	59%
Correctcare Integrated Health	$61	59%
Corrected Solutions	$61	59%
Correctional Health Partners	$61	59%
Correctional Healthcare Consultants	$61	59%
Correctional Recovery	$61	59%
Country Life Ins	$61	59%
County Coroner	$61	59%
County Funding Generic	$61	59%
Covid19 Hrsa Uninsured Testing And Treatment Fund	$61	59%
Crime Victim Assistance	$61	59%
Csea	$61	59%
Curative	$61	59%
Custom Benefit Administrators	$61	59%
Custom Design Benefits	$61	59%
Cypress Benefit Administrators	$61	59%
Dakotacare	$61	59%
Daughters Of Sarah Nursing Center	$61	59%
Davita	$61	59%
Dcfs	$61	59%
Dci Laboratory	$61	59%
Dean Health	$61	59%
Dean Wi Badgercare	$61	59%
Delaware County Department Of Health	$61	59%
Delaware First Health	$61	59%
Delta Dental Ga	$61	59%
Delta Dental Il	$61	59%
Delta Dental Mo	$61	59%
Delta Dental Nj	$61	59%
Delta Dental Ny	$61	59%
Delta Dental Oh	$61	59%
Delta Dental Or	$61	59%
Delta Dental Pa	$61	59%
Delta Dental Va	$61	59%
Delta Dental Wa	$61	59%
Dental Generic	$61	59%
Dentaquest	$61	59%
Deseret Mutual	$61	59%
Desjardins Financial Security Life Assurance	$61	59%
Devon Health Services	$61	59%
Diamond Hill Nursing & Rehabilitation Center	$61	59%
Diversified Administrators	$61 - $119	59%
Dph Tb Program	$61	59%
Dscc	$61	59%
Eac Eap	$61	59%
East Greenbush Central School District	$61	59%
Eastpointe Lme	$61	59%
Eddy Nursing Homes	$61	59%
Eddy Senior Care-Pace	$61	59%
Eddy Seniorcare Pace	$61	59%
Edis Employer Driven Ins Services	$61	59%
Edward Hines Va	$61	59%
Elementcare	$61	59%
Emblem Health	$61 - $171	59%
Emerging Therapy Solutions Transplant	$61	59%
Empathia Eap	$61	59%
Employee Benefit Concepts	$61	59%
Employee Benefit Logistic	$61	59%
Employee Benefit Management	$61	59%
Employee Benefits Systems	$61	59%
Encore Health	$61	59%
Enfield Vna Hospice	$61	59%
Enterprise Group Planning	$61	59%
Envolve	$61	59%
Equitable Life	$61	59%
Evercare	$61	59%
Everence	$61	59%
Evergreen Commons	$61	59%
Evolutions Healthcare System	$61	59%
Eye Med	$61	59%
Fallon Health	$61	59%
Family Health Network	$61	59%
Family Life Insurance Company	$61	59%
Fidelis Care	$61	59%
First Choice Health	$61	59%
First Health	$61 - $182	59%
Forest County Potawatomi	$61	59%
Forethought Life Insurance Company	$61	59%
Franklin Co Sheriff Dept	$61	59%
Freedom First Healthcare	$61	59%
Freedom Life Insurance Company	$61	59%
Fresno County Ccs	$61	59%
Friday Health Plans	$61	59%
Fvosa	$61	59%
Galaxy Health Network	$61	59%
Gateway Health Plan	$61	59%
Geisinger Health Plan	$61	59%
General Electric	$61	59%
Genesys Pace Of Genesee County	$61	59%
Genex Wc	$61	59%
Georgia Health Advantage	$61	59%
Gerber Life Insurance	$61	59%
Ghc Scw	$61	59%
Ghc Scw Wi Badgercare	$61	59%
Gift Of Hope	$61	59%
Global Benefits Group	$61	59%
Global Excel	$61	59%
Global Health Claim Services	$61	59%
Global Medical Management	$61	59%
Global Reach Health	$61	59%
Gold Advantage	$61	59%
Goshen Preferred Network	$61	59%
Gpa Croell Redi Mix	$61	59%
Gpm Life	$61	59%
Gravie Admin Services	$61	59%
Great Southern Life	$61	59%
Greek Catholic Union	$61	59%
Greene County Sheriff Dept	$61	59%
Group Administrators	$61	59%
Group Health Cooperative	$61	59%
Group Management Services	$61	59%
Group Marketing Services	$61	59%
Group Pension Administrators	$61	59%
Guarantee Trust Life	$61	59%
Guardian	$61	59%
Hap	$61	59%
Harbor Health	$61	59%
Harmony Health Plan	$61	59%
Harvard Pilgrim Healthcare	$61 - $125	59%
Health Alliance	$61	59%
Health America	$61	59%
Health America Advantra	$61	59%
Health Choices	$61	59%
Health Connecticut	$61	59%
Health Cost Solutions	$61	59%
Health Design	$61	59%
Health Economics Corp	$61	59%
Health New England	$61 - $205	59%
Health Ohio Network	$61	59%
Health Partners	$61 - $119	59%
Health Plans Inc	$61	59%
Health Republic	$61 - $194	59%
Health Safety Net	$61	59%
Health Smart	$61	59%
Health-Share Generic	$61	59%
Healthadvocate Eap	$61	59%
Healthbridge Financial	$61	59%
Healthcare Management Admin	$61	59%
Healthchoice	$61	59%
Healthcomp	$61	59%
Healthez	$61	59%
Healthfirst	$61	59%
Healthfirst Tpa	$61	59%
Healthgram	$61	59%
Healthlink	$61	59%
Healthlink Inc	$61	59%
Healthnet	$61	59%
Healthplex	$61	59%
Healthscope	$61	59%
Healthsmart Workers Comp	$61	59%
Healthspan	$61	59%
Healthy Blue Ne	$61	59%
Heartland Hospice	$61	59%
Helpnet Eap	$61	59%
Hennepin Health	$61	59%
Hfn Inc	$61	59%
Highmark Health Options Dual Plan	$61	59%
Homemed Home Infusion	$61	59%
Homestead Health Plans Woods Center	$61	59%
Hope Select Pace	$61	59%
Horizon Nj Total Care	$61	59%
Hospice Advantage	$61	59%
Hospice Centeral Ny And Finger Lakes	$61	59%
Hospice Emmanuel	$61	59%
Hospice Faith	$61	59%
Hospice Generic	$61	59%
Hospice Harbor Hospice	$61	59%
Hospice Heart And Home	$61	59%
Hospice Lewis County	$61	59%
Hospice Mount Carmel	$61	59%
Hospice Of Holland	$61	59%
Hospice Of Lansing	$61	59%
Hospice Of Marshall County	$61	59%
Hospice Of Michigan	$61	59%
Hospice Of St Joseph County	$61	59%
Hospice Of Wapello Co	$61	59%
Hospice Oneida County	$61	59%
Hospice Vitas	$61	59%
Hospital For Special Care	$61	59%
Huron Valley Pace	$61	59%
Id County Ada	$61	59%
Id County Canyon	$61	59%
Id County Cat Fund	$61	59%
Id County Other	$61	59%
Id County Payette	$61	59%
Idaho Dept Health And Wellfare	$61	59%
Idaho Womens Health Check	$61	59%
Iha Idaho Self Pay Informational	$61	59%
Iha Indiana Self Pay Informational	$61	59%
Iha Iowa Self Pay Informational	$61	59%
Illinicare Health	$61	59%
In - Chambercare	$61	59%
Independent Health	$61 - $194	59%
Independent Living Center Of The Hudson Valley	$61	59%
Indian Health Services	$61	59%
Indiana Breast Cervical Cancer	$61	59%
Indiana Criminal Justice Inst	$61	59%
Indiana University Transplant	$61	59%
Individual Assurance Co	$61	59%
Inland Empire Health Plan	$61	59%
Innovative Health Plan Ii	$61	59%
Innovative Integrated Health Community Plans	$61	59%
Insight	$61	59%
Insurance Programmers Inc	$61	59%
Intercare	$61	59%
Intercommunity Health Ohp	$61	59%
International Benefit Administrators	$61	59%
International Generic	$61	59%
Interplan	$61	59%
Iowa Critical Access Transfers	$61	59%
Iowa Dept Of Public Health	$61	59%
Iowa Health Advantage	$61	59%
Iowa Total Care	$61	59%
Jag Source	$61	59%
Jai Medical System	$61	59%
Jefferson Health Plan Commercial	$61	59%
Jesse Brown	$61	59%
Jfp Benefit Management	$61	59%
Johns Hopkins Advantage Md	$61	59%
Johns Hopkins Health Plan	$61	59%
Jones Farm	$61	59%
Jp Farley Corporation	$61	59%
June E Nylen Cancer Ctr	$61	59%
Jvhl Amerihealth Caritas	$61	59%
Jvhl Asr	$61	59%
Jvhl Bcn	$61	59%
Jvhl Bcn Advantge Ptb	$61	59%
Jvhl Bcn Preff Hmo Hx	$61	59%
Jvhl Bcn Select Hmo	$61	59%
Jvhl Comm Care	$61	59%
Jvhl Comm Care Partnr	$61	59%
Jvhl Community Care	$61	59%
Jvhl Dmc Care Par	$61	59%
Jvhl Hap Alliance	$61	59%
Jvhl Hap Caresource	$61	59%
Jvhl Hap Empowered	$61	59%
Jvhl Hap Hmo/Pos	$61	59%
Jvhl Hap Ppo	$61	59%
Jvhl Hap Senior Plus	$61	59%
Jvhl Harbor Health	$61	59%
Jvhl Mc Plus Blue Ppo	$61	59%
Jvhl Mclaren Comm Hmo	$61	59%
Jvhl Mclaren Hlth Hmo	$61	59%
Jvhl Mclaren Hlth Ppo	$61	59%
Jvhl Mclaren Hmo Hx	$61	59%
Jvhl Meridian Hlth Pl	$61	59%
Jvhl Molina Advan Hmo	$61	59%
Jvhl Molina Hlth	$61	59%
Jvhl Molina Mkthmo	$61	59%
Jvhl Mypriority Hmo	$61	59%
Jvhl Mypriority Ppo	$61	59%
Jvhl Php	$61	59%
Jvhl Ppo Priority Hth	$61	59%
Jvhl Ppom/Cofinity Dm	$61	59%
Jvhl Priority Health	$61	59%
Jvhl Priority Hl Caid	$61	59%
Jvhl Secure Horizon	$61	59%
Jvhl United Hlth/Metr	$61	59%
Jvhl Wellcare	$61	59%
Kaiser Domestic	$61	59%
Kaiser Permanente	$61	59%
Kent County Jail	$61	59%
Kern Family Health Plan	$61	59%
Key Benefit Administrator	$61	59%
Keystone First	$61	59%
Keystone First Chip	$61	59%
Kidney Donor	$61	59%
La Care Health Plan	$61	59%
Laborcare	$61	59%
Lahey Davis Vision	$61	59%
Lakeland Care Inc	$61	59%
Land Of Lincoln	$61	59%
Lantern Insurance	$61	59%
Lasso Healthcare Msa	$61	59%
Liability Other	$61	59%
Liberty Dental	$61	59%
Liberty Healthshare	$61	59%
Liberty Union Life Assurance Co	$61	59%
Life St Marys Pace	$61	59%
Lifecircles Pace	$61	59%
Lifetime Benefit Solutions	$61	59%
Lifetrac	$61	59%
Lifewise	$61	59%
Local - Ct	$61	59%
Local 671 Health Services	$61	59%
Logistics Health Inc	$61	59%
Longevity Health Plan	$61	59%
Longevity Ipa Of Michigan Llc Health Plan Isnp	$61	59%
Loyal American Life Insurance	$61	59%
Lucent Health	$61 - $113	59%
Luminare Health	$61 - $113	59%
Luminare Health (Detroit)	$61	59%
Madden	$61	59%
Maestro Health	$61	59%
Magellan Behavioral Health	$61	59%
Magellan Eap	$61	59%
Magellan Easp - Us Post Office	$61	59%
Magnacare	$61 - $194	59%
Malta House	$61	59%
Managed Health Services - Indiana	$61	59%
Manhattan Life	$61	59%
Marsh	$61	59%
Martins Point Generations Advantage	$61	59%
Maryland Breast & Cervical Program	$61	59%
Maryland Healthy Smiles - Scion Dental	$61	59%
Maryland Physicians Care	$61	59%
Mashantucket Pequot	$61	59%
Mass General Brigham Health Plan	$61	59%
Mass General Brigham Hmo	$61	59%
Mass General Brigham Mcr Adv	$61	59%
Massachusetts Behavioral Health Partnership	$61	59%
Massachusetts Dept Of Public Health	$61	59%
Mclaren Health	$61	59%
Mdwise	$61	59%
Medben	$61	59%
Medcost	$61	59%
Medex	$61	59%
Medi Share	$61	59%
Medi-Cal	$61	59%
Medi-Cal Healthnet	$61	59%
Medica	$61	59%
Medical Associates	$61	59%
Medical Benefits Mutual	$61	59%
Medical Mutual	$61 - $113	59%
Medical Office Monastery Of The Holy Cross	$61	59%
Medico	$61	59%
Medipak Advantage	$61	59%
Mediplus	$61	59%
Medstar Commercial	$61	59%
Medstar Dc Healthy Family	$61	59%
Medstar Md Health Choice	$61	59%
Memorial Integrated Health	$61	59%
Mercy Health Saint Marys Home	$61	59%
Mercy Infusion Pharmacy Ia Thhs	$61	59%
Mercy Life	$61	59%
Mercycare	$61	59%
Mercyone Cedar Valley	$61	59%
Meridian	$61	59%
Meridian Complete	$61	59%
Mes Solutions	$61	59%
Metlife	$61	59%
Metro Infectious Disease Consultants Infusion	$61	59%
Metroplus	$61	59%
Mhnet	$61	59%
Michigan Complete Health	$61	59%
Midlands	$61	59%
Midlands Choice	$61	59%
Midwest Group Benefits	$61	59%
Midwest- Operating Engineers	$61	59%
Minnesota Medica	$61	59%
Mo Home State Health Plan	$61	59%
Moda Health	$61	59%
Molina Centennial Care	$61	59%
Molina Marketplace	$61	59%
Morgan White Administrators	$61	59%
Mount Carmel Occupational Health	$61	59%
Mountain Health Co-Op	$61	59%
Mpn	$61	59%
Ms Administrative Services	$61	59%
Multiplan	$61 - $205	59%
Municipal Health	$61	59%
Muskegon County Jail	$61	59%
Mutual Health Services	$61	59%
Mutual Medical	$61	59%
Mutual Of Omaha	$61	59%
Naphcare	$61	59%
Naphcare Correctional	$61	59%
Nascentia Health (Vna)	$61	59%
Nascentia Health Options	$61	59%
Nascentia Health Plus	$61	59%
National Elevator Health Benefit	$61	59%
National Healthcare Solutions	$61	59%
National Marrow Donor Program	$61	59%
Native American	$61	59%
Navigere	$61	59%
Ncas	$61	59%
Nebraska Total Care	$61	59%
Network Health	$61	59%
New Avenues	$61	59%
New Centry Health Careplus	$61	59%
New Courtland Life Program	$61	59%
New England Life	$61	59%
New York Cancer Services Program	$61	59%
New York Central Mutual Fire Insurance	$61	59%
New York State Dept Of Corrections	$61	59%
New York State Dept Of Health	$61	59%
New York State Doh Refugee Program	$61	59%
New York State Insurance Fund	$61	59%
Newton Correctional Facility	$61	59%
Nextlevel Health	$61	59%
Nippon Life Ins	$61	59%
Njm Insurance Group	$61	59%
Nomi Health	$61	59%
North American Administrators	$61	59%
Northeast Health District	$61	59%
Notre Dame Athletic Association	$61	59%
Nova	$61 - $171	59%
Novanet	$61	59%
Nys Dept Of Civil Services	$61	59%
Ohio Health Choice	$61	59%
Ohio Law Enforcement	$61	59%
Ohio Ppo Connect	$61	59%
Ohio Ryan White Program	$61	59%
Ohio Safe Program	$61	59%
Ohiohealthy	$61	59%
Olympus Managed Health Care	$61	59%
Oneida Tribe Of Indians	$61	59%
Operating Engineers	$61	59%
Optima Health	$61	59%
Orchid Medical	$61	59%
Oregon Screenwise	$61	59%
Oscar	$61	59%
Osu Not Independent Choice	$61	59%
Osu Prime Care Advantage	$61	59%
Ovag International Claims	$61	59%
Pace Cny	$61	59%
Pace Iowa Immanuel Pathways	$61	59%
Pace Of Southwest Michigan	$61	59%
Pace Southeast	$61	59%
Pace-Trinity Health	$61	59%
Pacificsource Health Plans	$61	59%
Pai	$61	59%
Painters Union Insurance Fund	$61	59%
Pan-American Life	$61	59%
Paramount Advantage	$61	59%
Paramount Hmo	$61	59%
Parkland Community Health Plan	$61	59%
Partners Behavioral Lme	$61	59%
Partners Direct Health - Brio	$61	59%
Peach State Healthplan	$61	59%
Peak Pace Solutions	$61	59%
Pehp Utah Public Employee Health Plan	$61	59%
Pekin	$61	59%
Penfield Care	$61	59%
Perennial Advantage	$61	59%
Phcs	$61 - $205	59%
Philadelphia American Life Insurance	$61	59%
Philadelphia County Funding	$61	59%
Phoenix Mutual	$61	59%
Physicians Health Plan Northern Indiana Health Insurance	$61	59%
Physicians Mutual	$61	59%
Physicians Plus	$61	59%
Pine Haven Home	$61	59%
Plain Church Group	$61	59%
Plumbers Local 98 Insurance Fund	$61	59%
Point Comfort Underwriters	$61	59%
Pokagon Band Of Potawatom	$61	59%
Poor Handmaids Of Jesus Christ	$61	59%
Prairie States	$61	59%
Pre-Employment	$61	59%
Preferred Care Partners	$61	59%
Preferred Health Choice	$61	59%
Preferred Network Access	$61	59%
Preferred One	$61	59%
Presbyterian Centennial Care	$61	59%
Presbyterian Senior Plan	$61	59%
Prestige Health Choice	$61	59%
Prevea 360	$61	59%
Primary Physician Care	$61	59%
Prime Health Services	$61	59%
Prime Healthcare	$61	59%
Principal Life Insurance	$61	59%
Priority Health	$61 - $119	59%
Priority Partners	$61	59%
Proctor Preferred	$61	59%
Professional Benefit Administrators	$61	59%
Providence	$61	59%
Provider Partners Health Plan Of Illinois	$61	59%
Provider Partners Health Plan Of Indiana	$61	59%
Pruitthealth Premier	$61	59%
Psyhealth Bh	$61	59%
Qualcare	$61	59%
Quality Care Partners	$61	59%
Quality Correctional Care	$61	59%
Quality Health Management	$61	59%
Quiktrip	$61	59%
Reedman Toll	$61	59%
Reliance Community Care Partners Care Resources Pace	$61	59%
Reliastar	$61	59%
Rensselaer County Jail	$61	59%
Reserve National	$61	59%
Riveredge	$61	59%
Riverside Benefit Ipn	$61	59%
Riverside Center Rehab & Nursing	$61	59%
Robert F Sing Program	$61	59%
Rosewood Rehabilitation	$61	59%
Rural Carrier Health Benefit Plan	$61	59%
Rx 340B Pass Along	$61	59%
Rx Abacus Rx	$61	59%
Rx Abarca	$61	59%
Rx Advantage Solutions	$61	59%
Rx Agelity	$61	59%
Rx Aldot	$61	59%
Rx Alius	$61	59%
Rx Allwin	$61	59%
Rx Alpha Script	$61	59%
Rx American Health Care	$61	59%
Rx Amerihealth	$61	59%
Rx Amerisource	$61	59%
Rx Aps	$61	59%
Rx Aquinata Marywood	$61	59%
Rx Argus	$61	59%
Rx Assistance/Rx Manufacturer Assistance 0 Copay	$61	59%
Rx Asuris	$61	59%
Rx Auto	$61	59%
Rx Benecard Pbf	$61	59%
Rx Benescript	$61	59%
Rx Bestchoicerx	$61	59%
Rx Blue Care Network	$61	59%
Rx Bnrx	$61	59%
Rx Bridges Access	$61	59%
Rx Brownsville Ind School Dist	$61	59%
Rx Cadence	$61	59%
Rx Capital Rx	$61	59%
Rx Caremark	$61	59%
Rx Caremark M3P Program	$61	59%
Rx Castiarx	$61	59%
Rx Catamaran	$61	59%
Rx Century Healthcare	$61	59%
Rx Cerpassrx	$61	59%
Rx Champus	$61	59%
Rx Champva	$61	59%
Rx Change Healthcare	$61	59%
Rx Clearscript	$61	59%
Rx Cmh Discharge	$61	59%
Rx Columbia	$61	59%
Rx Comcotec	$61	59%
Rx Costco Health Solutions	$61	59%
Rx Crx	$61	59%
Rx Ct Assist	$61	59%
Rx Cypress Care	$61	59%
Rx Data Rx	$61	59%
Rx Data Rx Egentra	$61	59%
Rx Dean Health Plan	$61	59%
Rx Detroit Formulary	$61	59%
Rx Discount Card	$61	59%
Rx Dispensary Of Hope	$61	59%
Rx Eho	$61	59%
Rx Emdeon	$61	59%
Rx Empirx	$61	59%
Rx Envision Rx	$61	59%
Rx Epicash	$61	59%
Rx Evofirst	$61	59%
Rx Express Scripts	$61	59%
Rx Fallon Community Health	$61	59%
Rx First Fill Program	$61	59%
Rx First Health	$61	59%
Rx Flipt	$61	59%
Rx Future Scripts	$61	59%
Rx Gateway Health Plan	$61	59%
Rx General Dynamics	$61	59%
Rx Gilead	$61	59%
Rx Grane Grnmedd	$61	59%
Rx Great West Healthcare	$61	59%
Rx Group Management Services	$61	59%
Rx Gunderson	$61	59%
Rx Hap	$61	59%
Rx Hap Mppp	$61	59%
Rx Harbor Homecare	$61	59%
Rx Hds	$61	59%
Rx Health Partners	$61	59%
Rx Health Plus	$61	59%
Rx Health Select	$61	59%
Rx Health Systems	$61	59%
Rx Healthe Systems	$61	59%
Rx Healthplan	$61	59%
Rx Healthtrans	$61	59%
Rx Heatlhcomp	$61	59%
Rx Hip	$61	59%
Rx Horizon Mercy	$61	59%
Rx Ideal Scripts	$61	59%
Rx Ihc	$61	59%
Rx Independent Health	$61	59%
Rx Informed Rx	$61	59%
Rx Inland Empire Health Plan	$61	59%
Rx Integrated Prescription Manage	$61	59%
Rx Iowa	$61	59%
Rx Laker Software	$61	59%
Rx Ldi	$61	59%
Rx Lipc/Mchp	$61	59%
Rx Lipc/Mchp Copay	$61	59%
Rx Lumenos	$61	59%
Rx Macro Helix 340B	$61	59%
Rx Magellan	$61	59%
Rx Maryland Adv	$61	59%
Rx Matrix	$61	59%
Rx Maxorplus	$61	59%
Rx Mcauley Clinic	$61	59%
Rx Mclaren Marketplace	$61	59%
Rx Medben	$61	59%
Rx Medco	$61	59%
Rx Mede America	$61	59%
Rx Medexus	$61	59%
Rx Medi-Cal	$61	59%
Rx Medimpact	$61	59%
Rx Medisource	$61	59%
Rx Medone Health Care	$61	59%
Rx Medtrak	$61	59%
Rx Mercycare	$61	59%
Rx Meridian Rx	$61	59%
Rx Metropolitan Health Plan	$61	59%
Rx Michigan Prescription Assistance	$61	59%
Rx Mrx	$61	59%
Rx Mutual Of Omaha	$61	59%
Rx National Script	$61	59%
Rx Navitus Health	$61	59%
Rx Net Rx	$61	59%
Rx Netcard Systems	$61	59%
Rx Netwell	$61	59%
Rx Nmhc	$61	59%
Rx Nps	$61	59%
Rx Ny Naloxone Copay	$61	59%
Rx Ohio Bwc	$61	59%
Rx Ohsu	$61	59%
Rx Optima	$61	59%
Rx Paper Claims	$61	59%
Rx Paramount Rx	$61	59%
Rx Partners Rx	$61	59%
Rx Patient Access Network	$61	59%
Rx Patient Support Program	$61	59%
Rx Payer Id	$61	59%
Rx Pbm	$61	59%
Rx Pcn	$61	59%
Rx Pdm	$61	59%
Rx Pdmi	$61	59%
Rx Pennsylvania Pace	$61	59%
Rx Perform	$61	59%
Rx Pharmacare	$61	59%
Rx Pharmacy Associates	$61	59%
Rx Pharmalink	$61	59%
Rx Pharmavail	$61	59%
Rx Pharmpix	$61	59%
Rx Physician Rx Care Discount	$61	59%
Rx Physicians Plus	$61	59%
Rx Pinnacle	$61	59%
Rx Preferredone	$61	59%
Rx Prescription Advantage	$61	59%
Rx Prime Therapeutics	$61	59%
Rx Prime Therapeutics State Government Solutions Llc	$61	59%
Rx Prior Auth Plus	$61	59%
Rx Proact	$61	59%
Rx Proact Rx	$61	59%
Rx Procare Rx	$61	59%
Rx Procella Health	$61	59%
Rx Promark	$61	59%
Rx Providence	$61	59%
Rx Providence Health Plan	$61	59%
Rx Ramsell Public Health Rx	$61	59%
Rx Regencerx	$61	59%
Rx Relayhealth	$61	59%
Rx Rems	$61	59%
Rx Restat	$61	59%
Rx Retiree Rx Care	$61	59%
Rx Rx Advance Commercial	$61	59%
Rx Rx America	$61	59%
Rx Rx Prime	$61	59%
Rx Rx Solution	$61	59%
Rx Saif Opdp Wc	$61	59%
Rx Savings	$61	59%
Rx Savrx Advantage	$61	59%
Rx Scott & White	$61	59%
Rx Script Card	$61	59%
Rx Scriptnet	$61	59%
Rx Security Health	$61	59%
Rx Select Health	$61	59%
Rx Serve You Rx	$61	59%
Rx Shp	$61	59%
Rx Singlecare	$61	59%
Rx Smithrx	$61	59%
Rx Southern Scripts	$61	59%
Rx Sxc	$61	59%
Rx Third Party Solutions	$61	59%
Rx Together Rx	$61	59%
Rx Total Script	$61	59%
Rx Transamerica	$61	59%
Rx Tredium	$61	59%
Rx Trialcard	$61	59%
Rx Triple S Salud	$61	59%
Rx True Rx	$61	59%
Rx Union Pacific	$61	59%
Rx Univeristy Of Utah Health	$61	59%
Rx Unknown	$61	59%
Rx Us Script	$61	59%
Rx Value Rx	$61	59%
Rx Valuscript	$61	59%
Rx Vault Admin Svcs	$61	59%
Rx Ventegra	$61	59%
Rx Voucher	$61	59%
Rx Vrx	$61	59%
Rx Wabash	$61	59%
Rx Wausau	$61	59%
Rx Worker'S Comp	$61	59%
Rx Yes	$61	59%
Ryan White Florida Mssrp	$61	59%
Sagamore Health Network	$61	59%
Saint Alphonsus Rehab Hospital	$61	59%
Saint Francis Hospital And Medical Center Occupation Health	$61	59%
Saint Francis Life	$61	59%
Saint Pius X	$61	59%
Sandhills Center Lme	$61	59%
Sanford Health Plan	$61	59%
Sanus Healthcare	$61	59%
Saratoga Center For Rehab & Snc	$61	59%
Scan Health Plan Mcr Ipa Meritage Oon	$61	59%
Screening For Life	$61	59%
Screening For Life - Delaware	$61	59%
Secura Insurance	$61	59%
Secure Horizons Ma Pffs	$61	59%
Secureone Preferred United Plans	$61	59%
Security Administrative Services - Indiana	$61	59%
Security Health Plan	$61	59%
Selectcare Worldwide	$61	59%
Selecthealth	$61	59%
Self Insured Services Co	$61	59%
Serenity Pace	$61	59%
Signature Care	$61	59%
Siho Insurance Services	$61	59%
Silver Lake Nursing & Rehab Center	$61	59%
Siouxland Pace	$61	59%
Sisco Benefits	$61	59%
Solis Health Plans	$61	59%
Southern Benefits	$61	59%
St Agnes Nicu Valley Childrens Hospital	$61	59%
St Joseph Aa Hit Thhs	$61	59%
St Joseph County Hlth Dpt	$61	59%
St Lukes Health Plan	$61	59%
St Mary Rehab Hospital Ll	$61	59%
Star Healthcare Network	$61	59%
State Farm Health	$61	59%
State Mutual Ins Co	$61	59%
State Of Illinois Disability	$61	59%
Stellar Healthscope Benefits	$61	59%
Stephenson Cty Health	$61	59%
Stirling Benefits	$61	59%
Student Insurance Cma	$61	59%
Sunbelt International	$61	59%
Sunlife Financial	$61	59%
Sunmed International	$61	59%
Sunnyview-Pace Finance Dept	$61	59%
Sunshine State Health Plan	$61	59%
Superior Health	$61	59%
Superior Vision	$61	59%
Superior Woods Skilled Nursing Facility	$61	59%
Temple University Health Systems	$61	59%
Tenncare	$61	59%
Teresian House	$61	59%
Texan Plus	$61	59%
Texas Children'S Health Plan	$61	59%
Th Experian Coverage Discovery	$61	59%
The Alliance	$61	59%
The Health Plan	$61	59%
The Loomis Company	$61	59%
The Springs Nursing & Rehab	$61	59%
Theramatrix Physical Therapy Network	$61	59%
Therapy Network Of Georgia	$61	59%
Thome Pace	$61	59%
Three Rivers Provider Network	$61	59%
Thrivent	$61	59%
Todays Options	$61	59%
Together With Childrens Comminity Health Plan	$61	59%
Total Health Care	$61	59%
Town Of East Hartford	$61	59%
Town Of West Hartford	$61	59%
Transamerica	$61	59%
Tribute Health Plans	$61	59%
Trillium Community Ohp	$61	59%
Trilogy	$61	59%
Trinity Health Of New England At Home	$61	59%
Trinity Health Share	$61	59%
Tristar Lyons Magnus	$61	59%
True Health New Mexico	$61	59%
Trustbridge	$61	59%
Trustmark Small Business Benefits	$61 - $113	59%
Tufts Health Plan	$61 - $119	59%
Tufts Health Public Plans	$61	59%
Twin Valley Psychiatric	$61	59%
Twining Village Nursing Home	$61	59%
U Of M Health Plan	$61	59%
Ucare	$61	59%
Ufcw Local 1546	$61	59%
Um Health Advantage	$61	59%
Unicare	$61 - $193	59%
Unified Group Services	$61	59%
Union Health Service	$61	59%
Union Pacific Railroad Employee Health Systems	$61	59%
United American Insurance	$61	59%
United Behavioral Health Eap	$61	59%
United Commercial Travelers	$61	59%
United Mine Workers	$61	59%
United States Life Ins Co	$61	59%
Unity	$61	59%
University Of Il Campus Care	$61	59%
Upmc Health Plan	$61	59%
Us Health And Life	$61	59%
Us Lab	$61	59%
Us Probation Pretrial Services	$61	59%
Usa Managed Care	$61	59%
Usaa Life Insurance Company	$61	59%
Utah Idaho Teamsters Security Fund	$61	59%
Utica National Insurance Group	$61	59%
Valenz	$61	59%
Van Rensselaer Manor	$61	59%
Varipro	$61	59%
Vaya Health Lme	$61	59%
Velocity	$61	59%
Versant Health	$61	59%
Vestica	$61	59%
Vision Service Plan	$61	59%
Vitalcore	$61	59%
Vitas Healthcare Corp	$61	59%
Vna Hospice	$61	59%
Washtenaw Health Plan	$61	59%
Wayne County Healthchoice	$61	59%
Wc Accident Fund	$61	59%
Wc Ace	$61	59%
Wc Acs Federal Employees	$61	59%
Wc Acuity	$61	59%
Wc Advantage	$61	59%
Wc Aegis	$61	59%
Wc Aig	$61	59%
Wc Aims	$61	59%
Wc Alaska National Ins	$61	59%
Wc Align Network	$61	59%
Wc Allied	$61	59%
Wc Am Trust N America	$61	59%
Wc American Claims Mgmt	$61	59%
Wc Amerisure	$61	59%
Wc Amtrust	$61	59%
Wc Asu Risk Mgt	$61	59%
Wc Benetech	$61	59%
Wc Berkley Admin	$61	59%
Wc Broadspire	$61	59%
Wc Broward County	$61	59%
Wc Bunch & Associates	$61	59%
Wc California State Comp Ins	$61	59%
Wc California State Ins Fund	$61	59%
Wc Capitol Area Health Consortium	$61	59%
Wc Ccmsi	$61	59%
Wc Chartis	$61	59%
Wc Chubb	$61	59%
Wc Cirma	$61	59%
Wc City Of Albany	$61	59%
Wc City Of Sioux City	$61	59%
Wc Claims Mgmt Inc	$61	59%
Wc Cna	$61	59%
Wc Comp One Admin C/O Manageability	$61	59%
Wc Compone Admin	$61	59%
Wc Corvel	$61	59%
Wc Ct Healthcare Trust	$61	59%
Wc Domestic	$61	59%
Wc Donegal Insurance Group	$61	59%
Wc Emc Insurance Company	$61	59%
Wc Employee Mutual	$61	59%
Wc Enablecomp	$61	59%
Wc Encore Health Network	$61	59%
Wc Erie	$61	59%
Wc Esis	$61	59%
Wc Evolutions	$61	59%
Wc Fcci	$61	59%
Wc Fed Ex	$61	59%
Wc Federal Black Lung	$61	59%
Wc Federated	$61	59%
Wc Finley Occupational Health	$61	59%
Wc First Agency/Occunet	$61	59%
Wc Ford Motor	$61	59%
Wc Fresno Unified Emp	$61	59%
Wc Gallagher Bassett	$61	59%
Wc General Motors	$61	59%
Wc Genex Care For Ohio	$61	59%
Wc Great West Casualty	$61	59%
Wc Guarantee Insurance	$61	59%
Wc Guard Insurance Company	$61	59%
Wc Hab	$61	59%
Wc Hartford	$61	59%
Wc Hastings	$61	59%
Wc Health Management	$61	59%
Wc Heritage Summit	$61	59%
Wc Hireright	$61	59%
Wc Horizon	$61	59%
Wc Icw Group	$61	59%
Wc Idaho State Ins Fund	$61	59%
Wc Intercare Insurance	$61	59%
Wc Intermountain	$61	59%
Wc Johns Eastern	$61	59%
Wc Kemberton	$61	59%
Wc Key Ins & Benefit Solutions	$61	59%
Wc Liberty Mutual	$61	59%
Wc Mac Risk Management	$61	59%
Wc Massachusetts	$61	59%
Wc Mdia	$61	59%
Wc Meadowbrook Claim	$61	59%
Wc Medical Administrators	$61	59%
Wc Meijers	$61	59%
Wc Memic	$61	59%
Wc Mercy Workcare	$61	59%
Wc Michigan	$61	59%
Wc Michigan Millers Mutual	$61	59%
Wc Mitchell Frankenmuth	$61	59%
Wc Mra	$61	59%
Wc Nationwide	$61	59%
Wc Nca Comp	$61	59%
Wc New York	$61	59%
Wc New York Special Funds	$61	59%
Wc North American Rishces	$61	59%
Wc Northeast Health	$61	59%
Wc Notre Dame	$61	59%
Wc Novanet	$61	59%
Wc O'Hara Corp	$61	59%
Wc Occ Health Allen	$61	59%
Wc Ohio Bureau	$61	59%
Wc One Call Medical	$61	59%
Wc Paradigm	$61	59%
Wc Peerless	$61	59%
Wc Pma	$61	59%
Wc Praxis Health Network	$61	59%
Wc Price Chopper	$61	59%
Wc Procura Management	$61	59%
Wc Qualcare	$61	59%
Wc Quiktrip	$61	59%
Wc Reny Company	$61	59%
Wc Rev Claims	$61	59%
Wc Risico	$61	59%
Wc Rural Mutual	$61	59%
Wc Saif Oregon	$61	59%
Wc Secura	$61	59%
Wc Sedgwick	$61	59%
Wc Sentry	$61	59%
Wc Sheakley Unicomp	$61	59%
Wc Smile Lodge	$61	59%
Wc Society	$61	59%
Wc Srs	$61	59%
Wc Taconic (Mro)	$61	59%
Wc Taconic Farms	$61	59%
Wc Travelers	$61	59%
Wc Triad Group	$61	59%
Wc Tristar	$61	59%
Wc Troy Ny	$61	59%
Wc Tyson	$61	59%
Wc Unified Health Services	$61	59%
Wc United Heartland	$61	59%
Wc Us Dept Of Labor	$61	59%
Wc Velocity	$61	59%
Wc Walmart	$61	59%
Wc West Bend	$61	59%
Wc West Bend Mutual/Argent	$61	59%
Wc Winnebago Industries	$61	59%
Wc Yankee Trails	$61	59%
Wc York Risk	$61	59%
Wc Zenith	$61	59%
Wc Zurich	$61	59%
Wea	$61	59%
Webtpa	$61 - $119	59%
Welbe Health	$61	59%
Wellmed	$61	59%
Wellpath	$61	59%
Wellpoint	$61	59%
Wellpoint Maryland	$61	59%
Wellsense Health Plan	$61	59%
Western & Southern Financial Group	$61	59%
Wexford Health	$61	59%
Whittier Health	$61	59%
Wi Laborers	$61	59%
Wi Womens Wellness	$61	59%
Wisconsin Labor Union	$61	59%
Wps	$61	59%
Ww Concierge Healthcare Service	$61	59%
Yardley-Makefield Firemen'S Relief Association	$61	59%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Samaritan Hospital of Troy, New York is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.