CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Mount Carmel East & West
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $65
- Cash Discount Price: $155
- vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mount Carmel East & West is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.12x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$155
Average discount available for prompt cash payment at this facility.
Insurance Median
$65
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: $155 (28%)
Insurance Median: $65 (12%)
Cash: $155 (28% of Medicare)
Ins. Median: $65 (12% 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 | $43 - $4,061 | 8% |
| Albany County Correctional Facility | $48 | 9% |
| Ambetter / Centene | $48 | 9% |
| Amish Mennonite | $48 | 9% |
| Ascension St. Vincent Public Safety Medical | $48 | 9% |
| Bcccp-Michigan | $48 | 9% |
| Blue Cross Blue Shield | $48 - $4,061 | 9% |
| Bmc Healthnet | $48 | 9% |
| Breast Grant-Connecticut | $48 | 9% |
| Broward County Dept Of Health | $48 | 9% |
| California Health And Wellness | $48 | 9% |
| Cardinal Innovations Lme | $48 | 9% |
| Care Connections Of Northern Iowa | $48 | 9% |
| Care Oregon Ohp | $48 | 9% |
| Cencal Health Plan | $48 | 9% |
| Cenpatico | $48 | 9% |
| Chhuny | $48 | 9% |
| Childrens Comm Health Plan | $48 | 9% |
| Childrens Medical Services Title 19 | $48 | 9% |
| Cigna | $48 - $2,277 | 9% |
| City Of Philadelphia | $48 | 9% |
| Cmh Allegan County | $48 | 9% |
| Cmh Ausable Valley | $48 | 9% |
| Cmh Barry County | $48 | 9% |
| Cmh Bay-Arenac County | $48 | 9% |
| Cmh Berrien County | $48 | 9% |
| Cmh Cass County | $48 | 9% |
| Cmh Central Mi County | $48 | 9% |
| Cmh Clinton-Eaton-Ingham County | $48 | 9% |
| Cmh Detroit Wayne Integrated Health Network | $48 | 9% |
| Cmh Genesee County | $48 | 9% |
| Cmh Ionia County | $48 | 9% |
| Cmh Jackson County/Lifeways | $48 | 9% |
| Cmh Kalamazoo | $48 | 9% |
| Cmh Kent County | $48 | 9% |
| Cmh Lenawee County | $48 | 9% |
| Cmh Livingston County | $48 | 9% |
| Cmh Macomb | $48 | 9% |
| Cmh Misc | $48 | 9% |
| Cmh Monroe County | $48 | 9% |
| Cmh Montcalm County | $48 | 9% |
| Cmh Muskegon County | $48 | 9% |
| Cmh Newaygo County | $48 | 9% |
| Cmh North Country | $48 | 9% |
| Cmh Northern Lakes County | $48 | 9% |
| Cmh Oakland County | $48 | 9% |
| Cmh Ottawa County | $48 | 9% |
| Cmh Van Buren County | $48 | 9% |
| Cmh Washtenaw County | $48 | 9% |
| Cmh Wayne County/Carelink | $48 | 9% |
| Cmh Wayne Cty/Com Liv Svcs | $48 | 9% |
| Cmh West Mi County | $48 | 9% |
| Community Benefit Health | $48 | 9% |
| Community Care Behavorial Health | $48 | 9% |
| Community Care Partners | $48 | 9% |
| Community Health Choice | $48 | 9% |
| Connections Csp | $48 | 9% |
| County Coroner | $48 | 9% |
| County Funding Generic | $48 | 9% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $48 | 9% |
| Dean Wi Badgercare | $48 | 9% |
| Delaware County Department Of Health | $48 | 9% |
| Delaware First Health | $48 | 9% |
| Delta Dental Nj | $48 | 9% |
| Dph Tb Program | $48 | 9% |
| Dscc | $48 | 9% |
| Eastpointe Lme | $48 | 9% |
| Family Health Network | $48 | 9% |
| Freedom First Healthcare | $48 | 9% |
| Fresno County Ccs | $48 | 9% |
| Ghc Scw Wi Badgercare | $48 | 9% |
| Harbor Health | $48 | 9% |
| Health Safety Net | $48 | 9% |
| Healthy Blue Ne | $48 | 9% |
| Hennepin Health | $48 | 9% |
| Id County Ada | $48 | 9% |
| Id County Canyon | $48 | 9% |
| Id County Cat Fund | $48 | 9% |
| Id County Other | $48 | 9% |
| Id County Payette | $48 | 9% |
| Idaho Dept Health And Wellfare | $48 | 9% |
| Idaho Womens Health Check | $48 | 9% |
| Indiana Breast Cervical Cancer | $48 | 9% |
| Inland Empire Health Plan | $48 | 9% |
| Intercommunity Health Ohp | $48 | 9% |
| Iowa Total Care | $48 | 9% |
| Jai Medical System | $48 | 9% |
| Kern Family Health Plan | $48 | 9% |
| Keystone First | $48 | 9% |
| Keystone First Chip | $48 | 9% |
| La Care Health Plan | $48 | 9% |
| Lakeland Care Inc | $48 | 9% |
| Managed Health Services - Indiana | $48 | 9% |
| Maryland Breast & Cervical Program | $48 | 9% |
| Maryland Healthy Smiles - Scion Dental | $48 | 9% |
| Maryland Physicians Care | $48 | 9% |
| Massachusetts Behavioral Health Partnership | $48 | 9% |
| Mdwise | $48 | 9% |
| Medi-Cal | $48 | 9% |
| Medi-Cal Healthnet | $48 | 9% |
| Medstar Dc Healthy Family | $48 | 9% |
| Medstar Md Health Choice | $48 | 9% |
| Mo Home State Health Plan | $48 | 9% |
| Molina Centennial Care | $48 | 9% |
| Nascentia Health Options | $48 | 9% |
| Nebraska Total Care | $48 | 9% |
| New York Cancer Services Program | $48 | 9% |
| Nextlevel Health | $48 | 9% |
| Oregon Screenwise | $48 | 9% |
| Pace Of Southwest Michigan | $48 - $65 | 9% |
| Paramount Advantage | $48 | 9% |
| Parkland Community Health Plan | $48 | 9% |
| Partners Behavioral Lme | $48 | 9% |
| Peach State Healthplan | $48 | 9% |
| Philadelphia County Funding | $48 | 9% |
| Presbyterian Centennial Care | $48 | 9% |
| Prestige Health Choice | $48 | 9% |
| Priority Partners | $48 | 9% |
| Robert F Sing Program | $48 | 9% |
| Rx 340B Pass Along | $48 | 9% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $48 | 9% |
| Rx Medi-Cal | $48 | 9% |
| Rx Meridian Rx | $48 | 9% |
| Ryan White Florida Mssrp | $48 | 9% |
| Sandhills Center Lme | $48 | 9% |
| Screening For Life | $48 | 9% |
| St Joseph County Hlth Dpt | $48 | 9% |
| Stephenson Cty Health | $48 | 9% |
| Sunshine State Health Plan | $48 | 9% |
| Superior Health | $48 | 9% |
| Tenncare | $48 | 9% |
| Texas Children'S Health Plan | $48 | 9% |
| Trillium Community Ohp | $48 | 9% |
| Tufts Health Public Plans | $48 | 9% |
| Vaya Health Lme | $48 | 9% |
| Washtenaw Health Plan | $48 | 9% |
| Wellsense Health Plan | $48 | 9% |
| Wi Womens Wellness | $48 | 9% |
| UnitedHealthcare | $50 - $1,918 | 9% |
| Humana | $51 - $4,061 | 9% |
| Aetna | $52 - $4,061 | 9% |
| Champva | $64 | 11% |
| Tricare | $64 | 11% |
| Triwest Health Alliance | $64 | 11% |
| Us Family Health Plan | $64 | 11% |
| Veterans Eval Services | $64 | 11% |
| Align Senior Care | $65 | 12% |
| Ally Align Care Adv | $65 | 12% |
| American Health Advantage Of Idaho | $65 | 12% |
| American Health Plan | $65 | 12% |
| Aurora Special Needs | $65 | 12% |
| Blue Care Network Advantage | $65 | 12% |
| Blue Shield - De (Highmark) Medciare Advantage | $65 | 12% |
| Care Dimensions | $65 | 12% |
| Care Improvement Plus | $65 | 12% |
| Care Resources Pace | $65 | 12% |
| Careplus Health Plans | $65 | 12% |
| Cca - Zing Health | $65 | 12% |
| Cca Senior Care Options | $65 | 12% |
| Central Valley Medical Services Corp Pace | $65 | 12% |
| Champion Health Plan Mcr Advantage | $65 | 12% |
| Clear Spring Health | $65 | 12% |
| Clover Health | $65 | 12% |
| Commonwealth Care Alliance | $65 | 12% |
| Community Pace At Home | $65 | 12% |
| Eddy Senior Care-Pace | $65 | 12% |
| Eddy Seniorcare Pace | $65 | 12% |
| Elementcare | $65 | 12% |
| Evercare | $65 | 12% |
| Everence | $65 | 12% |
| Gateway Health Plan | $65 | 12% |
| Genesys Pace Of Genesee County | $65 | 12% |
| Georgia Health Advantage | $65 | 12% |
| Gold Advantage | $65 | 12% |
| Gpa Croell Redi Mix | $65 | 12% |
| Health America Advantra | $65 | 12% |
| Highmark Health Options Dual Plan | $65 | 12% |
| Hope Select Pace | $65 | 12% |
| Horizon Nj Total Care | $65 | 12% |
| Hudson Headwaters Pace | $65 | 12% |
| Huron Valley Pace | $65 | 12% |
| Innovative Integrated Health Community Plans | $65 | 12% |
| Iowa Health Advantage | $65 | 12% |
| Johns Hopkins Advantage Md | $65 | 12% |
| Lasso Healthcare Msa | $65 | 12% |
| Life St Marys Pace | $65 | 12% |
| Lifecircles Pace | $65 | 12% |
| Longevity Health Plan | $65 | 12% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $65 | 12% |
| Martins Point Generations Advantage | $65 | 12% |
| Mass General Brigham Mcr Adv | $65 | 12% |
| Medicare (plans) | $65 - $543 | 12% |
| Medipak Advantage | $65 | 12% |
| Mercy Life | $65 | 12% |
| Mercyone Cedar Valley | $65 | 12% |
| Meridian Complete | $65 | 12% |
| Michigan Complete Health | $65 | 12% |
| Nascentia Health Plus | $65 | 12% |
| New Centry Health Careplus | $65 | 12% |
| Osu Prime Care Advantage | $65 | 12% |
| Pace Cny | $65 | 12% |
| Pace Iowa Immanuel Pathways | $65 | 12% |
| Pace Southeast | $65 | 12% |
| Pace-Trinity Health | $65 | 12% |
| Peak Pace Solutions | $65 | 12% |
| Perennial Advantage | $65 | 12% |
| Preferred Care Partners | $65 | 12% |
| Presbyterian Senior Plan | $65 | 12% |
| Provider Partners Health Plan Of Illinois | $65 | 12% |
| Provider Partners Health Plan Of Indiana | $65 | 12% |
| Pruitthealth Premier | $65 | 12% |
| Reliance Community Care Partners Care Resources Pace | $65 | 12% |
| Rx Allwin | $65 | 12% |
| Rx Grane Grnmedd | $65 | 12% |
| Rx Retiree Rx Care | $65 | 12% |
| Scan Health Plan Mcr Ipa Meritage Oon | $65 | 12% |
| Secure Horizons Ma Pffs | $65 | 12% |
| Serenity Pace | $65 | 12% |
| Siouxland Pace | $65 | 12% |
| Solis Health Plans | $65 | 12% |
| Sunnyview-Pace Finance Dept | $65 | 12% |
| Texan Plus | $65 | 12% |
| The Health Plan | $65 - $2,668 | 12% |
| Thome Pace | $65 | 12% |
| Todays Options | $65 | 12% |
| Tribute Health Plans | $65 | 12% |
| Um Health Advantage | $65 | 12% |
| Union Health Service | $65 | 12% |
| Welbe Health | $65 | 12% |
| Wellmed | $65 | 12% |
| Bccp | $66 - $4,061 | 12% |
| Veterans Administration | $66 | 12% |
| Luminare Health (Detroit) | $72 - $3,249 | 13% |
| Oscar | $82 - $853 | 15% |
| Health Design | $86 - $124 | 15% |
| Medben | $86 - $3,046 | 15% |
| Ohio Health Choice | $86 - $3,046 | 15% |
| Quality Care Partners | $86 - $1,168 | 15% |
| Ameriben | $89 - $3,249 | 16% |
| Multiplan | $89 - $3,245 | 16% |
| Phcs | $89 - $3,245 | 16% |
| Custom Design Benefits | $92 - $1,080 | 16% |
| Health Ohio Network | $92 - $2,481 | 16% |
| Andrie Inc | $94 | 17% |
| East Greenbush Central School District | $94 | 17% |
| Genex Wc | $94 | 17% |
| Healthsmart Workers Comp | $94 | 17% |
| Jag Source | $94 | 17% |
| New York State Insurance Fund | $94 | 17% |
| Njm Insurance Group | $94 | 17% |
| Rx Heatlhcomp | $94 | 17% |
| Rx Restat | $94 | 17% |
| Rx Saif Opdp Wc | $94 | 17% |
| Rx Worker'S Comp | $94 | 17% |
| Wc Accident Fund | $94 | 17% |
| Wc Ace | $94 | 17% |
| Wc Acs Federal Employees | $94 | 17% |
| Wc Acuity | $94 | 17% |
| Wc Advantage | $94 | 17% |
| Wc Aegis | $94 | 17% |
| Wc Aig | $94 | 17% |
| Wc Aims | $94 | 17% |
| Wc Alaska National Ins | $94 | 17% |
| Wc Align Network | $94 | 17% |
| Wc Allied | $94 | 17% |
| Wc Am Trust N America | $94 | 17% |
| Wc American Claims Mgmt | $94 | 17% |
| Wc Amerisure | $94 | 17% |
| Wc Amtrust | $94 | 17% |
| Wc Asu Risk Mgt | $94 | 17% |
| Wc Benetech | $94 | 17% |
| Wc Berkley Admin | $94 | 17% |
| Wc Broadspire | $94 | 17% |
| Wc Broward County | $94 | 17% |
| Wc Bunch & Associates | $94 | 17% |
| Wc California State Comp Ins | $94 | 17% |
| Wc California State Ins Fund | $94 | 17% |
| Wc Capitol Area Health Consortium | $94 | 17% |
| Wc Ccmsi | $94 | 17% |
| Wc Chartis | $94 | 17% |
| Wc Chubb | $94 | 17% |
| Wc Cirma | $94 | 17% |
| Wc City Of Albany | $94 | 17% |
| Wc City Of Sioux City | $94 | 17% |
| Wc Claims Mgmt Inc | $94 | 17% |
| Wc Cna | $94 | 17% |
| Wc Comp One Admin C/O Manageability | $94 | 17% |
| Wc Compone Admin | $94 | 17% |
| Wc Corvel | $94 | 17% |
| Wc Ct Healthcare Trust | $94 | 17% |
| Wc Donegal Insurance Group | $94 | 17% |
| Wc Emc Insurance Company | $94 | 17% |
| Wc Employee Mutual | $94 | 17% |
| Wc Enablecomp | $94 | 17% |
| Wc Encore Health Network | $94 | 17% |
| Wc Erie | $94 | 17% |
| Wc Esis | $94 | 17% |
| Wc Evolutions | $94 | 17% |
| Wc Fcci | $94 | 17% |
| Wc Fed Ex | $94 | 17% |
| Wc Federal Black Lung | $94 | 17% |
| Wc Federated | $94 | 17% |
| Wc Finley Occupational Health | $94 | 17% |
| Wc First Agency/Occunet | $94 | 17% |
| Wc Ford Motor | $94 | 17% |
| Wc Fresno Unified Emp | $94 | 17% |
| Wc Gallagher Bassett | $94 | 17% |
| Wc General Motors | $94 | 17% |
| Wc Generic | $94 | 17% |
| Wc Genex Care For Ohio | $94 | 17% |
| Wc Great West Casualty | $94 | 17% |
| Wc Guarantee Insurance | $94 | 17% |
| Wc Guard Insurance Company | $94 | 17% |
| Wc Hab | $94 | 17% |
| Wc Hartford | $94 | 17% |
| Wc Hastings | $94 | 17% |
| Wc Health Management | $94 | 17% |
| Wc Heritage Summit | $94 | 17% |
| Wc Hireright | $94 | 17% |
| Wc Horizon | $94 | 17% |
| Wc Icw Group | $94 | 17% |
| Wc Idaho State Ins Fund | $94 | 17% |
| Wc Intercare Insurance | $94 | 17% |
| Wc Intermountain | $94 | 17% |
| Wc Johns Eastern | $94 | 17% |
| Wc Kemberton | $94 | 17% |
| Wc Key Ins & Benefit Solutions | $94 | 17% |
| Wc Liberty Mutual | $94 | 17% |
| Wc Mac Risk Management | $94 | 17% |
| Wc Massachusetts | $94 | 17% |
| Wc Mdia | $94 | 17% |
| Wc Meadowbrook Claim | $94 | 17% |
| Wc Medical Administrators | $94 | 17% |
| Wc Meijers | $94 | 17% |
| Wc Memic | $94 | 17% |
| Wc Mercy Workcare | $94 | 17% |
| Wc Michigan | $94 | 17% |
| Wc Michigan Millers Mutual | $94 | 17% |
| Wc Mitchell Frankenmuth | $94 | 17% |
| Wc Mra | $94 | 17% |
| Wc Nationwide | $94 | 17% |
| Wc Nca Comp | $94 | 17% |
| Wc New York | $94 | 17% |
| Wc New York Special Funds | $94 | 17% |
| Wc North American Rishces | $94 | 17% |
| Wc Northeast Health | $94 | 17% |
| Wc Notre Dame | $94 | 17% |
| Wc Novanet | $94 | 17% |
| Wc O'Hara Corp | $94 | 17% |
| Wc Occ Health Allen | $94 | 17% |
| Wc Ohio Bureau | $94 | 17% |
| Wc One Call Medical | $94 | 17% |
| Wc Paradigm | $94 | 17% |
| Wc Peerless | $94 | 17% |
| Wc Pma | $94 | 17% |
| Wc Praxis Health Network | $94 | 17% |
| Wc Price Chopper | $94 | 17% |
| Wc Procura Management | $94 | 17% |
| Wc Qualcare | $94 | 17% |
| Wc Quiktrip | $94 | 17% |
| Wc Reny Company | $94 | 17% |
| Wc Rev Claims | $94 | 17% |
| Wc Risico | $94 | 17% |
| Wc Rural Mutual | $94 | 17% |
| Wc Saif Oregon | $94 | 17% |
| Wc Secura | $94 | 17% |
| Wc Sedgwick | $94 | 17% |
| Wc Sentry | $94 | 17% |
| Wc Sheakley Unicomp | $94 | 17% |
| Wc Smile Lodge | $94 | 17% |
| Wc Society | $94 | 17% |
| Wc Srs | $94 | 17% |
| Wc Taconic (Mro) | $94 | 17% |
| Wc Taconic Farms | $94 | 17% |
| Wc Travelers | $94 | 17% |
| Wc Triad Group | $94 | 17% |
| Wc Tristar | $94 | 17% |
| Wc Troy Ny | $94 | 17% |
| Wc Tyson | $94 | 17% |
| Wc Unified Health Services | $94 | 17% |
| Wc United Heartland | $94 | 17% |
| Wc Us Dept Of Labor | $94 | 17% |
| Wc Velocity | $94 | 17% |
| Wc Walmart | $94 | 17% |
| Wc West Bend | $94 | 17% |
| Wc West Bend Mutual/Argent | $94 | 17% |
| Wc Winnebago Industries | $94 | 17% |
| Wc Yankee Trails | $94 | 17% |
| Wc York Risk | $94 | 17% |
| Wc Zenith | $94 | 17% |
| Wc Zurich | $94 | 17% |
| Health Smart | $99 - $3,452 | 18% |
| Geha | $122 - $1,918 | 22% |
| Hospice Mount Carmel | $517 | 93% |
| Crime Victim Assistance | $632 | 113% |
| Ohio Safe Program | $632 | 113% |
| Enterprise Group Planning | $998 | 179% |
| Medical Mutual | $1,295 - $3,090 | 232% |
| Western & Southern Financial Group | $1,798 | 322% |
| Gravie Admin Services | $1,823 | 327% |
| Healthez | $1,823 | 327% |
| Meritain | $1,823 | 327% |
| Webtpa | $1,823 | 327% |
| Access Health | $1,896 | 340% |
| Acclaim | $1,896 | 340% |
| Administrative Concepts | $1,896 | 340% |
| Allegeant | $1,896 | 340% |
| Allied Benefit Systems | $1,896 | 340% |
| American Family | $1,896 | 340% |
| American Healthcare Alliance | $1,896 | 340% |
| American National | $1,896 | 340% |
| American Republic | $1,896 | 340% |
| Amerihealth | $1,896 | 340% |
| Aultcare | $1,896 | 340% |
| Automated Benefit Services | $1,896 | 340% |
| Auxiant | $1,896 | 340% |
| Benefit Administrative Systems,Llc | $1,896 | 340% |
| Boon Chapman | $1,896 | 340% |
| Cam Administrative Services | $1,896 | 340% |
| Christian Brother Services | $1,896 | 340% |
| Christian Brothers Holy Cross | $1,896 | 340% |
| Claimchoice Adminstrators | $1,896 | 340% |
| Comprehensive Benefits | $1,896 | 340% |
| Continental Life Insurance | $1,896 | 340% |
| Coventry | $1,896 | 340% |
| Custom Benefit Administrators | $1,896 | 340% |
| Cypress Benefit Administrators | $1,896 | 340% |
| Employee Benefit Concepts | $1,896 | 340% |
| Employee Benefit Management | $1,896 | 340% |
| Forest County Potawatomi | $1,896 | 340% |
| Freedom Life Insurance Company | $1,896 | 340% |
| Group Administrators | $1,896 | 340% |
| Group Marketing Services | $1,896 | 340% |
| Group Pension Administrators | $1,896 | 340% |
| Guardian | $1,896 | 340% |
| Health America | $1,896 | 340% |
| Health Choices | $1,896 | 340% |
| Healthcare Management Admin | $1,896 | 340% |
| Insight | $1,896 | 340% |
| Intercare | $1,896 | 340% |
| Jfp Benefit Management | $1,896 | 340% |
| Jp Farley Corporation | $1,896 | 340% |
| Key Benefit Administrator | $1,896 | 340% |
| Liberty Union Life Assurance Co | $1,896 | 340% |
| Lucent Health | $1,896 | 340% |
| Luminare Health | $1,896 | 340% |
| Magnacare | $1,896 | 340% |
| Medcost | $1,896 | 340% |
| Mutual Health Services | $1,896 | 340% |
| Mutual Of Omaha | $1,896 | 340% |
| Ncas | $1,896 | 340% |
| Nippon Life Ins | $1,896 | 340% |
| Nova | $1,896 | 340% |
| Painters Union Insurance Fund | $1,896 | 340% |
| Physicians Mutual | $1,896 | 340% |
| Plumbers Local 98 Insurance Fund | $1,896 | 340% |
| Prairie States | $1,896 | 340% |
| Preferred One | $1,896 | 340% |
| Primary Physician Care | $1,896 | 340% |
| Professional Benefit Administrators | $1,896 | 340% |
| Secureone Preferred United Plans | $1,896 | 340% |
| Siho Insurance Services | $1,896 | 340% |
| Sisco Benefits | $1,896 | 340% |
| The Loomis Company | $1,896 | 340% |
| Trustmark Small Business Benefits | $1,896 | 340% |
| U Of M Health Plan | $1,896 | 340% |
| Unicare | $1,896 | 340% |
| Unified Group Services | $1,896 | 340% |
| Us Health And Life | $1,896 | 340% |
| Valenz | $1,896 | 340% |
| Varipro | $1,896 | 340% |
| Wps | $1,896 | 340% |
| Blue Benefit Administrators Of Massachusetts | $1,965 | 352% |
| Blue Care Network | $1,965 | 352% |
| Blue Distinction Transplant | $1,965 | 352% |
| Blue Shield - Ca | $1,965 | 352% |
| Blue Shield - Id (Regence) | $1,965 | 352% |
| Blue Shield - Ny Highmark Northeastern | $1,965 | 352% |
| Blue Shield - Ny Highmark Western | $1,965 | 352% |
| Blue Shield - Pa (Highmark) | $1,965 | 352% |
| Blue Shield - Wa (Regence) | $1,965 | 352% |
| First Health | $2,140 | 383% |
| American Postal Workers Secondary | $2,277 | 408% |
| Health Partners | $2,277 | 408% |
| Healthgram | $2,277 | 408% |
| Mvp | $2,277 | 408% |
| Priority Health | $2,277 | 408% |
| Rural Carrier Health Benefit Plan | $2,315 | 415% |
| Consociate | $2,481 | 444% |
| Caresource | $2,965 | 531% |
| Healthlink Inc | $3,046 | 546% |
| Medical Benefits Mutual | $3,046 | 546% |
| Ohio Ppo Connect | $3,046 | 546% |
| Medi Share | $3,245 | 581% |
| Philadelphia American Life Insurance | $3,245 | 581% |
| Ohiohealthy | $3,249 | 582% |
| Osu Not Independent Choice | $3,249 | 582% |
| Twin Valley Psychiatric | $3,249 | 582% |
| Optima Health | $4,061 | 727% |