CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Mount Carmel East & West
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $32
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mount Carmel East & West is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.13x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$81
Average discount available for prompt cash payment at this facility.
Insurance Median
$32
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $81 (33%)
Insurance Median: $32 (13%)
Cash: $81 (33% of Medicare)
Ins. Median: $32 (13% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 | $20 - $2,604 | 8% |
| Albany County Correctional Facility | $30 | 12% |
| Ambetter / Centene | $30 | 12% |
| Amish Mennonite | $30 | 12% |
| Ascension St. Vincent Public Safety Medical | $30 | 12% |
| Bcccp-Michigan | $30 | 12% |
| Blue Cross Blue Shield | $30 - $2,604 | 12% |
| Bmc Healthnet | $30 | 12% |
| Breast Grant-Connecticut | $30 | 12% |
| Broward County Dept Of Health | $30 | 12% |
| California Health And Wellness | $30 | 12% |
| Cardinal Innovations Lme | $30 | 12% |
| Care Connections Of Northern Iowa | $30 | 12% |
| Care Oregon Ohp | $30 | 12% |
| Cencal Health Plan | $30 | 12% |
| Cenpatico | $30 | 12% |
| Champva | $30 | 12% |
| Chhuny | $30 | 12% |
| Childrens Comm Health Plan | $30 | 12% |
| Childrens Medical Services Title 19 | $30 | 12% |
| Cigna | $30 - $1,122 | 12% |
| City Of Philadelphia | $30 | 12% |
| Cmh Allegan County | $30 | 12% |
| Cmh Ausable Valley | $30 | 12% |
| Cmh Barry County | $30 | 12% |
| Cmh Bay-Arenac County | $30 | 12% |
| Cmh Berrien County | $30 | 12% |
| Cmh Cass County | $30 | 12% |
| Cmh Central Mi County | $30 | 12% |
| Cmh Clinton-Eaton-Ingham County | $30 | 12% |
| Cmh Detroit Wayne Integrated Health Network | $30 | 12% |
| Cmh Genesee County | $30 | 12% |
| Cmh Ionia County | $30 | 12% |
| Cmh Jackson County/Lifeways | $30 | 12% |
| Cmh Kalamazoo | $30 | 12% |
| Cmh Kent County | $30 | 12% |
| Cmh Lenawee County | $30 | 12% |
| Cmh Livingston County | $30 | 12% |
| Cmh Macomb | $30 | 12% |
| Cmh Misc | $30 | 12% |
| Cmh Monroe County | $30 | 12% |
| Cmh Montcalm County | $30 | 12% |
| Cmh Muskegon County | $30 | 12% |
| Cmh Newaygo County | $30 | 12% |
| Cmh North Country | $30 | 12% |
| Cmh Northern Lakes County | $30 | 12% |
| Cmh Oakland County | $30 | 12% |
| Cmh Ottawa County | $30 | 12% |
| Cmh Van Buren County | $30 | 12% |
| Cmh Washtenaw County | $30 | 12% |
| Cmh Wayne County/Carelink | $30 | 12% |
| Cmh Wayne Cty/Com Liv Svcs | $30 | 12% |
| Cmh West Mi County | $30 | 12% |
| Community Benefit Health | $30 | 12% |
| Community Care Behavorial Health | $30 | 12% |
| Community Care Partners | $30 | 12% |
| Community Health Choice | $30 | 12% |
| Connections Csp | $30 | 12% |
| County Coroner | $30 | 12% |
| County Funding Generic | $30 | 12% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $30 | 12% |
| Dean Wi Badgercare | $30 | 12% |
| Delaware County Department Of Health | $30 | 12% |
| Delaware First Health | $30 | 12% |
| Delta Dental Nj | $30 | 12% |
| Dph Tb Program | $30 | 12% |
| Dscc | $30 | 12% |
| Eastpointe Lme | $30 | 12% |
| Family Health Network | $30 | 12% |
| Freedom First Healthcare | $30 | 12% |
| Fresno County Ccs | $30 | 12% |
| Ghc Scw Wi Badgercare | $30 | 12% |
| Harbor Health | $30 | 12% |
| Health Safety Net | $30 | 12% |
| Healthy Blue Ne | $30 | 12% |
| Hennepin Health | $30 | 12% |
| Humana | $30 - $2,604 | 12% |
| Id County Ada | $30 | 12% |
| Id County Canyon | $30 | 12% |
| Id County Cat Fund | $30 | 12% |
| Id County Other | $30 | 12% |
| Id County Payette | $30 | 12% |
| Idaho Dept Health And Wellfare | $30 | 12% |
| Idaho Womens Health Check | $30 | 12% |
| Indiana Breast Cervical Cancer | $30 | 12% |
| Inland Empire Health Plan | $30 | 12% |
| Intercommunity Health Ohp | $30 | 12% |
| Iowa Total Care | $30 | 12% |
| Jai Medical System | $30 | 12% |
| Kern Family Health Plan | $30 | 12% |
| Keystone First | $30 | 12% |
| Keystone First Chip | $30 | 12% |
| La Care Health Plan | $30 | 12% |
| Lakeland Care Inc | $30 | 12% |
| Managed Health Services - Indiana | $30 | 12% |
| Maryland Breast & Cervical Program | $30 | 12% |
| Maryland Healthy Smiles - Scion Dental | $30 | 12% |
| Maryland Physicians Care | $30 | 12% |
| Massachusetts Behavioral Health Partnership | $30 | 12% |
| Mdwise | $30 | 12% |
| Medi-Cal | $30 | 12% |
| Medi-Cal Healthnet | $30 | 12% |
| Medstar Dc Healthy Family | $30 | 12% |
| Medstar Md Health Choice | $30 | 12% |
| Mo Home State Health Plan | $30 | 12% |
| Molina Centennial Care | $30 | 12% |
| Nascentia Health Options | $30 | 12% |
| Nebraska Total Care | $30 | 12% |
| New York Cancer Services Program | $30 | 12% |
| Nextlevel Health | $30 | 12% |
| Oregon Screenwise | $30 | 12% |
| Pace Of Southwest Michigan | $30 - $31 | 12% |
| Paramount Advantage | $30 | 12% |
| Parkland Community Health Plan | $30 | 12% |
| Partners Behavioral Lme | $30 | 12% |
| Peach State Healthplan | $30 | 12% |
| Philadelphia County Funding | $30 | 12% |
| Presbyterian Centennial Care | $30 | 12% |
| Prestige Health Choice | $30 | 12% |
| Priority Partners | $30 | 12% |
| Robert F Sing Program | $30 | 12% |
| Rx 340B Pass Along | $30 | 12% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $30 | 12% |
| Rx Medi-Cal | $30 | 12% |
| Rx Meridian Rx | $30 | 12% |
| Ryan White Florida Mssrp | $30 | 12% |
| Sandhills Center Lme | $30 | 12% |
| Screening For Life | $30 | 12% |
| St Joseph County Hlth Dpt | $30 | 12% |
| Stephenson Cty Health | $30 | 12% |
| Sunshine State Health Plan | $30 | 12% |
| Superior Health | $30 | 12% |
| Tenncare | $30 | 12% |
| Texas Children'S Health Plan | $30 | 12% |
| Tricare | $30 | 12% |
| Trillium Community Ohp | $30 | 12% |
| Triwest Health Alliance | $30 | 12% |
| Tufts Health Public Plans | $30 | 12% |
| Us Family Health Plan | $30 | 12% |
| Vaya Health Lme | $30 | 12% |
| Veterans Eval Services | $30 | 12% |
| Washtenaw Health Plan | $30 | 12% |
| Wellsense Health Plan | $30 | 12% |
| Wi Womens Wellness | $30 | 12% |
| Aetna | $31 - $2,604 | 13% |
| Align Senior Care | $31 | 13% |
| Ally Align Care Adv | $31 | 13% |
| American Health Advantage Of Idaho | $31 | 13% |
| American Health Plan | $31 | 13% |
| Aurora Special Needs | $31 | 13% |
| Bccp | $31 - $2,604 | 13% |
| Blue Care Network Advantage | $31 | 13% |
| Blue Shield - De (Highmark) Medciare Advantage | $31 | 13% |
| Care Dimensions | $31 | 13% |
| Care Improvement Plus | $31 | 13% |
| Care Resources Pace | $31 | 13% |
| Careplus Health Plans | $31 | 13% |
| Cca - Zing Health | $31 | 13% |
| Cca Senior Care Options | $31 | 13% |
| Central Valley Medical Services Corp Pace | $31 | 13% |
| Champion Health Plan Mcr Advantage | $31 | 13% |
| Clear Spring Health | $31 | 13% |
| Clover Health | $31 | 13% |
| Commonwealth Care Alliance | $31 | 13% |
| Community Pace At Home | $31 | 13% |
| Eddy Senior Care-Pace | $31 | 13% |
| Eddy Seniorcare Pace | $31 | 13% |
| Elementcare | $31 | 13% |
| Evercare | $31 | 13% |
| Everence | $31 | 13% |
| Gateway Health Plan | $31 | 13% |
| Genesys Pace Of Genesee County | $31 | 13% |
| Georgia Health Advantage | $31 | 13% |
| Gold Advantage | $31 | 13% |
| Gpa Croell Redi Mix | $31 | 13% |
| Health America Advantra | $31 | 13% |
| Highmark Health Options Dual Plan | $31 | 13% |
| Hope Select Pace | $31 | 13% |
| Horizon Nj Total Care | $31 | 13% |
| Hudson Headwaters Pace | $31 | 13% |
| Huron Valley Pace | $31 | 13% |
| Innovative Integrated Health Community Plans | $31 | 13% |
| Iowa Health Advantage | $31 | 13% |
| Johns Hopkins Advantage Md | $31 | 13% |
| Lasso Healthcare Msa | $31 | 13% |
| Life St Marys Pace | $31 | 13% |
| Lifecircles Pace | $31 | 13% |
| Longevity Health Plan | $31 | 13% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $31 | 13% |
| Martins Point Generations Advantage | $31 | 13% |
| Mass General Brigham Mcr Adv | $31 | 13% |
| Medicare (plans) | $31 - $237 | 13% |
| Medipak Advantage | $31 | 13% |
| Mercy Life | $31 | 13% |
| Mercyone Cedar Valley | $31 | 13% |
| Meridian Complete | $31 | 13% |
| Michigan Complete Health | $31 | 13% |
| Nascentia Health Plus | $31 | 13% |
| New Centry Health Careplus | $31 | 13% |
| Osu Prime Care Advantage | $31 | 13% |
| Pace Cny | $31 | 13% |
| Pace Iowa Immanuel Pathways | $31 | 13% |
| Pace Southeast | $31 | 13% |
| Pace-Trinity Health | $31 | 13% |
| Peak Pace Solutions | $31 | 13% |
| Perennial Advantage | $31 | 13% |
| Preferred Care Partners | $31 | 13% |
| Presbyterian Senior Plan | $31 | 13% |
| Provider Partners Health Plan Of Illinois | $31 | 13% |
| Provider Partners Health Plan Of Indiana | $31 | 13% |
| Pruitthealth Premier | $31 | 13% |
| Reliance Community Care Partners Care Resources Pace | $31 | 13% |
| Rx Allwin | $31 | 13% |
| Rx Grane Grnmedd | $31 | 13% |
| Rx Retiree Rx Care | $31 | 13% |
| Scan Health Plan Mcr Ipa Meritage Oon | $31 | 13% |
| Secure Horizons Ma Pffs | $31 | 13% |
| Serenity Pace | $31 | 13% |
| Siouxland Pace | $31 | 13% |
| Solis Health Plans | $31 | 13% |
| Sunnyview-Pace Finance Dept | $31 | 13% |
| Texan Plus | $31 | 13% |
| The Health Plan | $31 - $1,711 | 13% |
| Thome Pace | $31 | 13% |
| Todays Options | $31 | 13% |
| Tribute Health Plans | $31 | 13% |
| Um Health Advantage | $31 | 13% |
| Union Health Service | $31 | 13% |
| UnitedHealthcare | $31 - $1,291 | 13% |
| Veterans Administration | $31 | 13% |
| Welbe Health | $31 | 13% |
| Wellmed | $31 | 13% |
| Luminare Health (Detroit) | $35 - $2,083 | 14% |
| Oscar | $39 - $372 | 16% |
| Health Design | $41 - $62 | 17% |
| Medben | $41 - $1,953 | 17% |
| Ohio Health Choice | $41 - $1,953 | 17% |
| Quality Care Partners | $41 - $510 | 17% |
| Ameriben | $42 - $2,083 | 17% |
| Multiplan | $42 - $2,081 | 17% |
| Phcs | $42 - $2,081 | 17% |
| Custom Design Benefits | $44 - $472 | 18% |
| Health Ohio Network | $44 - $1,591 | 18% |
| Andrie Inc | $45 | 18% |
| East Greenbush Central School District | $45 | 18% |
| Genex Wc | $45 | 18% |
| Healthsmart Workers Comp | $45 | 18% |
| Jag Source | $45 | 18% |
| New York State Insurance Fund | $45 | 18% |
| Njm Insurance Group | $45 | 18% |
| Rx Heatlhcomp | $45 | 18% |
| Rx Restat | $45 | 18% |
| Rx Saif Opdp Wc | $45 | 18% |
| Rx Worker'S Comp | $45 | 18% |
| Wc Accident Fund | $45 | 18% |
| Wc Ace | $45 | 18% |
| Wc Acs Federal Employees | $45 | 18% |
| Wc Acuity | $45 | 18% |
| Wc Advantage | $45 | 18% |
| Wc Aegis | $45 | 18% |
| Wc Aig | $45 | 18% |
| Wc Aims | $45 | 18% |
| Wc Alaska National Ins | $45 | 18% |
| Wc Align Network | $45 | 18% |
| Wc Allied | $45 | 18% |
| Wc Am Trust N America | $45 | 18% |
| Wc American Claims Mgmt | $45 | 18% |
| Wc Amerisure | $45 | 18% |
| Wc Amtrust | $45 | 18% |
| Wc Asu Risk Mgt | $45 | 18% |
| Wc Benetech | $45 | 18% |
| Wc Berkley Admin | $45 | 18% |
| Wc Broadspire | $45 | 18% |
| Wc Broward County | $45 | 18% |
| Wc Bunch & Associates | $45 | 18% |
| Wc California State Comp Ins | $45 | 18% |
| Wc California State Ins Fund | $45 | 18% |
| Wc Capitol Area Health Consortium | $45 | 18% |
| Wc Ccmsi | $45 | 18% |
| Wc Chartis | $45 | 18% |
| Wc Chubb | $45 | 18% |
| Wc Cirma | $45 | 18% |
| Wc City Of Albany | $45 | 18% |
| Wc City Of Sioux City | $45 | 18% |
| Wc Claims Mgmt Inc | $45 | 18% |
| Wc Cna | $45 | 18% |
| Wc Comp One Admin C/O Manageability | $45 | 18% |
| Wc Compone Admin | $45 | 18% |
| Wc Corvel | $45 | 18% |
| Wc Ct Healthcare Trust | $45 | 18% |
| Wc Donegal Insurance Group | $45 | 18% |
| Wc Emc Insurance Company | $45 | 18% |
| Wc Employee Mutual | $45 | 18% |
| Wc Enablecomp | $45 | 18% |
| Wc Encore Health Network | $45 | 18% |
| Wc Erie | $45 | 18% |
| Wc Esis | $45 | 18% |
| Wc Evolutions | $45 | 18% |
| Wc Fcci | $45 | 18% |
| Wc Fed Ex | $45 | 18% |
| Wc Federal Black Lung | $45 | 18% |
| Wc Federated | $45 | 18% |
| Wc Finley Occupational Health | $45 | 18% |
| Wc First Agency/Occunet | $45 | 18% |
| Wc Ford Motor | $45 | 18% |
| Wc Fresno Unified Emp | $45 | 18% |
| Wc Gallagher Bassett | $45 | 18% |
| Wc General Motors | $45 | 18% |
| Wc Generic | $45 | 18% |
| Wc Genex Care For Ohio | $45 | 18% |
| Wc Great West Casualty | $45 | 18% |
| Wc Guarantee Insurance | $45 | 18% |
| Wc Guard Insurance Company | $45 | 18% |
| Wc Hab | $45 | 18% |
| Wc Hartford | $45 | 18% |
| Wc Hastings | $45 | 18% |
| Wc Health Management | $45 | 18% |
| Wc Heritage Summit | $45 | 18% |
| Wc Hireright | $45 | 18% |
| Wc Horizon | $45 | 18% |
| Wc Icw Group | $45 | 18% |
| Wc Idaho State Ins Fund | $45 | 18% |
| Wc Intercare Insurance | $45 | 18% |
| Wc Intermountain | $45 | 18% |
| Wc Johns Eastern | $45 | 18% |
| Wc Kemberton | $45 | 18% |
| Wc Key Ins & Benefit Solutions | $45 | 18% |
| Wc Liberty Mutual | $45 | 18% |
| Wc Mac Risk Management | $45 | 18% |
| Wc Massachusetts | $45 | 18% |
| Wc Mdia | $45 | 18% |
| Wc Meadowbrook Claim | $45 | 18% |
| Wc Medical Administrators | $45 | 18% |
| Wc Meijers | $45 | 18% |
| Wc Memic | $45 | 18% |
| Wc Mercy Workcare | $45 | 18% |
| Wc Michigan | $45 | 18% |
| Wc Michigan Millers Mutual | $45 | 18% |
| Wc Mitchell Frankenmuth | $45 | 18% |
| Wc Mra | $45 | 18% |
| Wc Nationwide | $45 | 18% |
| Wc Nca Comp | $45 | 18% |
| Wc New York | $45 | 18% |
| Wc New York Special Funds | $45 | 18% |
| Wc North American Rishces | $45 | 18% |
| Wc Northeast Health | $45 | 18% |
| Wc Notre Dame | $45 | 18% |
| Wc Novanet | $45 | 18% |
| Wc O'Hara Corp | $45 | 18% |
| Wc Occ Health Allen | $45 | 18% |
| Wc Ohio Bureau | $45 | 18% |
| Wc One Call Medical | $45 | 18% |
| Wc Paradigm | $45 | 18% |
| Wc Peerless | $45 | 18% |
| Wc Pma | $45 | 18% |
| Wc Praxis Health Network | $45 | 18% |
| Wc Price Chopper | $45 | 18% |
| Wc Procura Management | $45 | 18% |
| Wc Qualcare | $45 | 18% |
| Wc Quiktrip | $45 | 18% |
| Wc Reny Company | $45 | 18% |
| Wc Rev Claims | $45 | 18% |
| Wc Risico | $45 | 18% |
| Wc Rural Mutual | $45 | 18% |
| Wc Saif Oregon | $45 | 18% |
| Wc Secura | $45 | 18% |
| Wc Sedgwick | $45 | 18% |
| Wc Sentry | $45 | 18% |
| Wc Sheakley Unicomp | $45 | 18% |
| Wc Smile Lodge | $45 | 18% |
| Wc Society | $45 | 18% |
| Wc Srs | $45 | 18% |
| Wc Taconic (Mro) | $45 | 18% |
| Wc Taconic Farms | $45 | 18% |
| Wc Travelers | $45 | 18% |
| Wc Triad Group | $45 | 18% |
| Wc Tristar | $45 | 18% |
| Wc Troy Ny | $45 | 18% |
| Wc Tyson | $45 | 18% |
| Wc Unified Health Services | $45 | 18% |
| Wc United Heartland | $45 | 18% |
| Wc Us Dept Of Labor | $45 | 18% |
| Wc Velocity | $45 | 18% |
| Wc Walmart | $45 | 18% |
| Wc West Bend | $45 | 18% |
| Wc West Bend Mutual/Argent | $45 | 18% |
| Wc Winnebago Industries | $45 | 18% |
| Wc Yankee Trails | $45 | 18% |
| Wc York Risk | $45 | 18% |
| Wc Zenith | $45 | 18% |
| Wc Zurich | $45 | 18% |
| Health Smart | $47 - $2,213 | 19% |
| Geha | $62 - $1,291 | 25% |
| Hospice Mount Carmel | $226 | 93% |
| Enterprise Group Planning | $436 | 179% |
| Medical Mutual | $565 - $1,982 | 232% |
| Crime Victim Assistance | $632 | 259% |
| Ohio Safe Program | $632 | 259% |
| Western & Southern Financial Group | $785 | 322% |
| Blue Benefit Administrators Of Massachusetts | $858 | 352% |
| Blue Care Network | $858 | 352% |
| Blue Distinction Transplant | $858 | 352% |
| Blue Shield - Ca | $858 | 352% |
| Blue Shield - Id (Regence) | $858 | 352% |
| Blue Shield - Ny Highmark Northeastern | $858 | 352% |
| Blue Shield - Ny Highmark Western | $858 | 352% |
| Blue Shield - Pa (Highmark) | $858 | 352% |
| Blue Shield - Wa (Regence) | $858 | 352% |
| American Postal Workers Secondary | $1,122 | 460% |
| Health Partners | $1,122 | 460% |
| Healthgram | $1,122 | 460% |
| Mvp | $1,122 | 460% |
| Priority Health | $1,122 | 460% |
| Gravie Admin Services | $1,169 | 480% |
| Healthez | $1,169 | 480% |
| Meritain | $1,169 | 480% |
| Webtpa | $1,169 | 480% |
| Access Health | $1,216 | 499% |
| Acclaim | $1,216 | 499% |
| Administrative Concepts | $1,216 | 499% |
| Allegeant | $1,216 | 499% |
| Allied Benefit Systems | $1,216 | 499% |
| American Family | $1,216 | 499% |
| American Healthcare Alliance | $1,216 | 499% |
| American National | $1,216 | 499% |
| American Republic | $1,216 | 499% |
| Amerihealth | $1,216 | 499% |
| Aultcare | $1,216 | 499% |
| Automated Benefit Services | $1,216 | 499% |
| Auxiant | $1,216 | 499% |
| Benefit Administrative Systems,Llc | $1,216 | 499% |
| Boon Chapman | $1,216 | 499% |
| Cam Administrative Services | $1,216 | 499% |
| Christian Brother Services | $1,216 | 499% |
| Christian Brothers Holy Cross | $1,216 | 499% |
| Claimchoice Adminstrators | $1,216 | 499% |
| Comprehensive Benefits | $1,216 | 499% |
| Continental Life Insurance | $1,216 | 499% |
| Coventry | $1,216 | 499% |
| Custom Benefit Administrators | $1,216 | 499% |
| Cypress Benefit Administrators | $1,216 | 499% |
| Employee Benefit Concepts | $1,216 | 499% |
| Employee Benefit Management | $1,216 | 499% |
| Forest County Potawatomi | $1,216 | 499% |
| Freedom Life Insurance Company | $1,216 | 499% |
| Group Administrators | $1,216 | 499% |
| Group Marketing Services | $1,216 | 499% |
| Group Pension Administrators | $1,216 | 499% |
| Guardian | $1,216 | 499% |
| Health America | $1,216 | 499% |
| Health Choices | $1,216 | 499% |
| Healthcare Management Admin | $1,216 | 499% |
| Insight | $1,216 | 499% |
| Intercare | $1,216 | 499% |
| Jfp Benefit Management | $1,216 | 499% |
| Jp Farley Corporation | $1,216 | 499% |
| Key Benefit Administrator | $1,216 | 499% |
| Liberty Union Life Assurance Co | $1,216 | 499% |
| Lucent Health | $1,216 | 499% |
| Luminare Health | $1,216 | 499% |
| Magnacare | $1,216 | 499% |
| Medcost | $1,216 | 499% |
| Mutual Health Services | $1,216 | 499% |
| Mutual Of Omaha | $1,216 | 499% |
| Ncas | $1,216 | 499% |
| Nippon Life Ins | $1,216 | 499% |
| Nova | $1,216 | 499% |
| Painters Union Insurance Fund | $1,216 | 499% |
| Physicians Mutual | $1,216 | 499% |
| Plumbers Local 98 Insurance Fund | $1,216 | 499% |
| Prairie States | $1,216 | 499% |
| Preferred One | $1,216 | 499% |
| Primary Physician Care | $1,216 | 499% |
| Professional Benefit Administrators | $1,216 | 499% |
| Secureone Preferred United Plans | $1,216 | 499% |
| Siho Insurance Services | $1,216 | 499% |
| Sisco Benefits | $1,216 | 499% |
| The Loomis Company | $1,216 | 499% |
| Trustmark Small Business Benefits | $1,216 | 499% |
| U Of M Health Plan | $1,216 | 499% |
| Unicare | $1,216 | 499% |
| Unified Group Services | $1,216 | 499% |
| Us Health And Life | $1,216 | 499% |
| Valenz | $1,216 | 499% |
| Varipro | $1,216 | 499% |
| Wps | $1,216 | 499% |
| First Health | $1,372 | 563% |
| Rural Carrier Health Benefit Plan | $1,484 | 609% |
| Consociate | $1,591 | 653% |
| Caresource | $1,901 | 780% |
| Healthlink Inc | $1,953 | 801% |
| Medical Benefits Mutual | $1,953 | 801% |
| Ohio Ppo Connect | $1,953 | 801% |
| Medi Share | $2,081 | 854% |
| Philadelphia American Life Insurance | $2,081 | 854% |
| Ohiohealthy | $2,083 | 854% |
| Osu Not Independent Choice | $2,083 | 854% |
| Twin Valley Psychiatric | $2,083 | 854% |
| Optima Health | $2,604 | 1068% |