CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $207
- Cash Discount Price: $350
- vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Saint Alphonsus Medical Center Ontario is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $350. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.24x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$350
Average discount available for prompt cash payment at this facility.
Insurance Median
$207
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$877.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $350 (40%)
Insurance Median: $207 (24%)
Cash: $350 (40% of Medicare)
Ins. Median: $207 (24% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $877.34 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 | $76 - $1,398 | 9% |
| Aetna | $92 - $4,413 | 10% |
| Albany County Correctional Facility | $92 | 10% |
| Ambetter / Centene | $92 - $1,398 | 10% |
| Amish Mennonite | $92 - $1,398 | 10% |
| Ascension St. Vincent Public Safety Medical | $92 | 10% |
| Bcccp-Michigan | $92 - $1,398 | 10% |
| Bccp | $92 - $1,398 | 10% |
| Blue Cross Blue Shield | $92 - $3,961 | 10% |
| Bmc Healthnet | $92 - $1,398 | 10% |
| Breast Grant-Connecticut | $92 - $1,398 | 10% |
| Broward County Dept Of Health | $92 | 10% |
| California Health And Wellness | $92 - $1,398 | 10% |
| Can Community Health Inc | $92 | 10% |
| Cardinal Innovations Lme | $92 - $1,398 | 10% |
| Care Connections Of Northern Iowa | $92 | 10% |
| Care Oregon Ohp | $92 - $1,398 | 10% |
| Cencal Health Plan | $92 - $1,398 | 10% |
| Cenpatico | $92 - $1,398 | 10% |
| Chhuny | $92 - $1,398 | 10% |
| Childrens Comm Health Plan | $92 - $1,398 | 10% |
| Childrens Medical Services Title 19 | $92 - $1,398 | 10% |
| Cigna | $92 - $4,380 | 10% |
| City Of Philadelphia | $92 | 10% |
| Cmh Allegan County | $92 | 10% |
| Cmh Ausable Valley | $92 | 10% |
| Cmh Barry County | $92 | 10% |
| Cmh Bay-Arenac County | $92 | 10% |
| Cmh Berrien County | $92 | 10% |
| Cmh Cass County | $92 | 10% |
| Cmh Central Mi County | $92 | 10% |
| Cmh Clinton-Eaton-Ingham County | $92 | 10% |
| Cmh Detroit Wayne Integrated Health Network | $92 | 10% |
| Cmh Genesee County | $92 | 10% |
| Cmh Ionia County | $92 | 10% |
| Cmh Jackson County/Lifeways | $92 | 10% |
| Cmh Kalamazoo | $92 | 10% |
| Cmh Kent County | $92 | 10% |
| Cmh Lenawee County | $92 | 10% |
| Cmh Livingston County | $92 | 10% |
| Cmh Macomb | $92 | 10% |
| Cmh Misc | $92 | 10% |
| Cmh Monroe County | $92 | 10% |
| Cmh Montcalm County | $92 | 10% |
| Cmh Muskegon County | $92 | 10% |
| Cmh Newaygo County | $92 | 10% |
| Cmh North Country | $92 | 10% |
| Cmh Northern Lakes County | $92 | 10% |
| Cmh Oakland County | $92 | 10% |
| Cmh Ottawa County | $92 | 10% |
| Cmh Van Buren County | $92 | 10% |
| Cmh Washtenaw County | $92 | 10% |
| Cmh Wayne County/Carelink | $92 | 10% |
| Cmh Wayne Cty/Com Liv Svcs | $92 | 10% |
| Cmh West Mi County | $92 | 10% |
| Community Benefit Health | $92 - $1,398 | 10% |
| Community Care Behavorial Health | $92 - $1,398 | 10% |
| Community Care Partners | $92 | 10% |
| Community Health Choice | $92 - $1,398 | 10% |
| Connections Csp | $92 | 10% |
| County Coroner | $92 | 10% |
| County Funding Generic | $92 | 10% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $92 - $1,398 | 10% |
| Dean Wi Badgercare | $92 - $1,398 | 10% |
| Delaware County Department Of Health | $92 | 10% |
| Delaware First Health | $92 - $1,398 | 10% |
| Delta Dental Nj | $92 - $1,398 | 10% |
| Dph Tb Program | $92 - $1,398 | 10% |
| Dscc | $92 - $1,398 | 10% |
| Eastpointe Lme | $92 - $1,398 | 10% |
| Family Health Network | $92 - $1,398 | 10% |
| Freedom First Healthcare | $92 - $1,398 | 10% |
| Fresno County Ccs | $92 | 10% |
| Ghc Scw Wi Badgercare | $92 - $1,398 | 10% |
| Harbor Health | $92 - $1,398 | 10% |
| Health Safety Net | $92 - $1,398 | 10% |
| Healthy Blue Ne | $92 - $1,398 | 10% |
| Hennepin Health | $92 - $1,398 | 10% |
| Humana | $92 - $4,101 | 10% |
| Id County Ada | $92 - $1,398 | 10% |
| Id County Canyon | $92 - $1,398 | 10% |
| Id County Cat Fund | $92 - $1,398 | 10% |
| Id County Other | $92 | 10% |
| Id County Payette | $92 - $1,398 | 10% |
| Idaho Dept Health And Wellfare | $92 | 10% |
| Idaho Womens Health Check | $92 - $1,398 | 10% |
| Indiana Breast Cervical Cancer | $92 - $1,398 | 10% |
| Inland Empire Health Plan | $92 - $1,398 | 10% |
| Intercommunity Health Ohp | $92 - $1,398 | 10% |
| Iowa Total Care | $92 - $1,398 | 10% |
| Jai Medical System | $92 - $1,398 | 10% |
| Kern Family Health Plan | $92 - $1,398 | 10% |
| Keystone First | $92 - $1,398 | 10% |
| Keystone First Chip | $92 - $1,398 | 10% |
| La Care Health Plan | $92 - $1,398 | 10% |
| Lakeland Care Inc | $92 - $1,398 | 10% |
| Managed Health Services - Indiana | $92 - $1,398 | 10% |
| Maryland Breast & Cervical Program | $92 - $1,398 | 10% |
| Maryland Healthy Smiles - Scion Dental | $92 - $1,398 | 10% |
| Maryland Physicians Care | $92 - $1,398 | 10% |
| Massachusetts Behavioral Health Partnership | $92 - $1,398 | 10% |
| Mdwise | $92 - $1,398 | 10% |
| Medi-Cal | $92 - $1,398 | 10% |
| Medi-Cal Healthnet | $92 - $1,398 | 10% |
| Medstar Dc Healthy Family | $92 - $1,398 | 10% |
| Medstar Md Health Choice | $92 - $1,398 | 10% |
| Mo Home State Health Plan | $92 - $1,398 | 10% |
| Molina Centennial Care | $92 - $1,398 | 10% |
| Nascentia Health Options | $92 - $1,398 | 10% |
| Nebraska Total Care | $92 - $1,398 | 10% |
| New York Cancer Services Program | $92 - $1,398 | 10% |
| Nextlevel Health | $92 - $1,398 | 10% |
| Oregon Screenwise | $92 - $1,398 | 10% |
| Pace Of Southwest Michigan | $92 - $1,398 | 10% |
| Paramount Advantage | $92 - $1,398 | 10% |
| Parkland Community Health Plan | $92 - $1,398 | 10% |
| Partners Behavioral Lme | $92 - $1,398 | 10% |
| Peach State Healthplan | $92 - $1,398 | 10% |
| Philadelphia County Funding | $92 | 10% |
| Presbyterian Centennial Care | $92 - $1,398 | 10% |
| Prestige Health Choice | $92 - $1,398 | 10% |
| Priority Partners | $92 - $1,398 | 10% |
| Robert F Sing Program | $92 | 10% |
| Rx 340B Pass Along | $92 - $1,398 | 10% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $92 - $1,398 | 10% |
| Rx Medi-Cal | $92 - $1,398 | 10% |
| Rx Meridian Rx | $92 - $1,398 | 10% |
| Ryan White Florida Mssrp | $92 | 10% |
| Sandhills Center Lme | $92 - $1,398 | 10% |
| Screening For Life | $92 - $1,398 | 10% |
| St Joseph County Hlth Dpt | $92 | 10% |
| Stephenson Cty Health | $92 | 10% |
| Sunshine State Health Plan | $92 - $1,398 | 10% |
| Superior Health | $92 - $1,398 | 10% |
| Tenncare | $92 - $1,398 | 10% |
| Texas Children'S Health Plan | $92 - $1,398 | 10% |
| Trillium Community Ohp | $92 - $1,398 | 10% |
| Tufts Health Public Plans | $92 - $1,398 | 10% |
| UnitedHealthcare | $92 - $4,474 | 10% |
| Vaya Health Lme | $92 - $1,398 | 10% |
| Washtenaw Health Plan | $92 | 10% |
| Wellsense Health Plan | $92 - $1,398 | 10% |
| Wi Womens Wellness | $92 - $1,398 | 10% |
| Champva | $111 | 13% |
| Tricare | $111 | 13% |
| Triwest Health Alliance | $111 | 13% |
| Us Family Health Plan | $111 | 13% |
| Veterans Eval Services | $111 | 13% |
| Align Senior Care | $116 | 13% |
| Ally Align Care Adv | $116 | 13% |
| American Health Plan | $116 | 13% |
| Aurora Special Needs | $116 | 13% |
| Blue Care Network Advantage | $116 | 13% |
| Blue Shield - De (Highmark) Medciare Advantage | $116 | 13% |
| Care Dimensions | $116 | 13% |
| Care Improvement Plus | $116 | 13% |
| Care Resources Pace | $116 | 13% |
| Careplus Health Plans | $116 | 13% |
| Cca - Zing Health | $116 | 13% |
| Cca Senior Care Options | $116 | 13% |
| Central Valley Medical Services Corp Pace | $116 | 13% |
| Champion Health Plan Mcr Advantage | $116 | 13% |
| Clear Spring Health | $116 | 13% |
| Clover Health | $116 | 13% |
| Commonwealth Care Alliance | $116 | 13% |
| Community Pace At Home | $116 | 13% |
| Eddy Senior Care-Pace | $116 | 13% |
| Eddy Seniorcare Pace | $116 | 13% |
| Elementcare | $116 | 13% |
| Evercare | $116 | 13% |
| Everence | $116 | 13% |
| Gateway Health Plan | $116 | 13% |
| Genesys Pace Of Genesee County | $116 | 13% |
| Georgia Health Advantage | $116 | 13% |
| Gold Advantage | $116 | 13% |
| Gpa Croell Redi Mix | $116 | 13% |
| Health America Advantra | $116 | 13% |
| Highmark Health Options Dual Plan | $116 | 13% |
| Hope Select Pace | $116 | 13% |
| Horizon Nj Total Care | $116 | 13% |
| Hudson Headwaters Pace | $116 | 13% |
| Huron Valley Pace | $116 | 13% |
| Innovative Integrated Health Community Plans | $116 | 13% |
| Iowa Health Advantage | $116 | 13% |
| Johns Hopkins Advantage Md | $116 | 13% |
| Lasso Healthcare Msa | $116 | 13% |
| Life St Marys Pace | $116 | 13% |
| Lifecircles Pace | $116 | 13% |
| Longevity Health Plan | $116 | 13% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $116 | 13% |
| Martins Point Generations Advantage | $116 | 13% |
| Mass General Brigham Mcr Adv | $116 | 13% |
| Medicare (plans) | $116 - $1,073 | 13% |
| Medipak Advantage | $116 | 13% |
| Mercy Life | $116 | 13% |
| Mercyone Cedar Valley | $116 | 13% |
| Meridian Complete | $116 | 13% |
| Michigan Complete Health | $116 | 13% |
| Nascentia Health Plus | $116 | 13% |
| New Centry Health Careplus | $116 | 13% |
| Osu Prime Care Advantage | $116 | 13% |
| Pace Cny | $116 | 13% |
| Pace Iowa Immanuel Pathways | $116 | 13% |
| Pace Southeast | $116 | 13% |
| Pace-Trinity Health | $116 | 13% |
| Peak Pace Solutions | $116 | 13% |
| Perennial Advantage | $116 | 13% |
| Preferred Care Partners | $116 | 13% |
| Presbyterian Senior Plan | $116 | 13% |
| Provider Partners Health Plan Of Illinois | $116 | 13% |
| Provider Partners Health Plan Of Indiana | $116 | 13% |
| Pruitthealth Premier | $116 | 13% |
| Reliance Community Care Partners Care Resources Pace | $116 | 13% |
| Rx Allwin | $116 | 13% |
| Rx Grane Grnmedd | $116 | 13% |
| Rx Retiree Rx Care | $116 | 13% |
| Scan Health Plan Mcr Ipa Meritage Oon | $116 | 13% |
| Secure Horizons Ma Pffs | $116 | 13% |
| Serenity Pace | $116 | 13% |
| Siouxland Pace | $116 | 13% |
| Solis Health Plans | $116 | 13% |
| Sunnyview-Pace Finance Dept | $116 | 13% |
| Texan Plus | $116 | 13% |
| The Health Plan | $116 | 13% |
| Thome Pace | $116 | 13% |
| Todays Options | $116 | 13% |
| Tribute Health Plans | $116 | 13% |
| Um Health Advantage | $116 | 13% |
| Union Health Service | $116 | 13% |
| Welbe Health | $116 | 13% |
| Wellmed | $116 | 13% |
| Veterans Administration | $118 | 13% |
| American Health Advantage Of Idaho | $121 - $1,042 | 14% |
| Asuris Northwest Health | $191 | 22% |
| Blue Shield - Id (Regence) | $191 - $3,914 | 22% |
| Healthcare Management Admin | $191 - $3,872 | 22% |
| Pacificsource Health Plans | $199 - $4,380 | 23% |
| Andrie Inc | $207 | 24% |
| East Greenbush Central School District | $207 | 24% |
| Genex Wc | $207 | 24% |
| Healthsmart Workers Comp | $207 | 24% |
| Jag Source | $207 | 24% |
| New York State Insurance Fund | $207 | 24% |
| Njm Insurance Group | $207 | 24% |
| Rx Heatlhcomp | $207 | 24% |
| Rx Restat | $207 | 24% |
| Rx Saif Opdp Wc | $207 | 24% |
| Rx Worker'S Comp | $207 | 24% |
| Wc Accident Fund | $207 | 24% |
| Wc Ace | $207 | 24% |
| Wc Acs Federal Employees | $207 | 24% |
| Wc Acuity | $207 | 24% |
| Wc Advantage | $207 | 24% |
| Wc Aegis | $207 | 24% |
| Wc Aig | $207 | 24% |
| Wc Aims | $207 | 24% |
| Wc Alaska National Ins | $207 | 24% |
| Wc Align Network | $207 | 24% |
| Wc Allied | $207 | 24% |
| Wc Am Trust N America | $207 | 24% |
| Wc American Claims Mgmt | $207 | 24% |
| Wc Amerisure | $207 | 24% |
| Wc Amtrust | $207 | 24% |
| Wc Asu Risk Mgt | $207 | 24% |
| Wc Benetech | $207 | 24% |
| Wc Berkley Admin | $207 | 24% |
| Wc Broadspire | $207 | 24% |
| Wc Broward County | $207 | 24% |
| Wc Bunch & Associates | $207 | 24% |
| Wc California State Comp Ins | $207 | 24% |
| Wc California State Ins Fund | $207 | 24% |
| Wc Capitol Area Health Consortium | $207 | 24% |
| Wc Ccmsi | $207 | 24% |
| Wc Chartis | $207 | 24% |
| Wc Chubb | $207 | 24% |
| Wc Cirma | $207 | 24% |
| Wc City Of Albany | $207 | 24% |
| Wc City Of Sioux City | $207 | 24% |
| Wc Claims Mgmt Inc | $207 | 24% |
| Wc Cna | $207 | 24% |
| Wc Comp One Admin C/O Manageability | $207 | 24% |
| Wc Compone Admin | $207 | 24% |
| Wc Corvel | $207 | 24% |
| Wc Ct Healthcare Trust | $207 | 24% |
| Wc Donegal Insurance Group | $207 | 24% |
| Wc Emc Insurance Company | $207 | 24% |
| Wc Employee Mutual | $207 | 24% |
| Wc Enablecomp | $207 | 24% |
| Wc Encore Health Network | $207 | 24% |
| Wc Erie | $207 | 24% |
| Wc Esis | $207 | 24% |
| Wc Evolutions | $207 | 24% |
| Wc Fcci | $207 | 24% |
| Wc Fed Ex | $207 | 24% |
| Wc Federal Black Lung | $207 | 24% |
| Wc Federated | $207 | 24% |
| Wc Finley Occupational Health | $207 | 24% |
| Wc First Agency/Occunet | $207 | 24% |
| Wc Ford Motor | $207 | 24% |
| Wc Fresno Unified Emp | $207 | 24% |
| Wc Gallagher Bassett | $207 | 24% |
| Wc General Motors | $207 | 24% |
| Wc Generic | $207 | 24% |
| Wc Genex Care For Ohio | $207 | 24% |
| Wc Great West Casualty | $207 | 24% |
| Wc Guarantee Insurance | $207 | 24% |
| Wc Guard Insurance Company | $207 | 24% |
| Wc Hab | $207 | 24% |
| Wc Hartford | $207 | 24% |
| Wc Hastings | $207 | 24% |
| Wc Health Management | $207 | 24% |
| Wc Heritage Summit | $207 | 24% |
| Wc Hireright | $207 | 24% |
| Wc Horizon | $207 | 24% |
| Wc Icw Group | $207 | 24% |
| Wc Idaho State Ins Fund | $207 | 24% |
| Wc Intercare Insurance | $207 | 24% |
| Wc Intermountain | $207 | 24% |
| Wc Johns Eastern | $207 | 24% |
| Wc Kemberton | $207 | 24% |
| Wc Key Ins & Benefit Solutions | $207 | 24% |
| Wc Liberty Mutual | $207 | 24% |
| Wc Mac Risk Management | $207 | 24% |
| Wc Massachusetts | $207 | 24% |
| Wc Mdia | $207 | 24% |
| Wc Meadowbrook Claim | $207 | 24% |
| Wc Medical Administrators | $207 | 24% |
| Wc Meijers | $207 | 24% |
| Wc Memic | $207 | 24% |
| Wc Mercy Workcare | $207 | 24% |
| Wc Michigan | $207 | 24% |
| Wc Michigan Millers Mutual | $207 | 24% |
| Wc Mitchell Frankenmuth | $207 | 24% |
| Wc Mra | $207 | 24% |
| Wc Nationwide | $207 | 24% |
| Wc Nca Comp | $207 | 24% |
| Wc New York | $207 | 24% |
| Wc New York Special Funds | $207 | 24% |
| Wc North American Rishces | $207 | 24% |
| Wc Northeast Health | $207 | 24% |
| Wc Notre Dame | $207 | 24% |
| Wc Novanet | $207 | 24% |
| Wc O'Hara Corp | $207 | 24% |
| Wc Occ Health Allen | $207 | 24% |
| Wc Ohio Bureau | $207 | 24% |
| Wc One Call Medical | $207 | 24% |
| Wc Paradigm | $207 | 24% |
| Wc Peerless | $207 | 24% |
| Wc Pma | $207 | 24% |
| Wc Praxis Health Network | $207 | 24% |
| Wc Price Chopper | $207 | 24% |
| Wc Procura Management | $207 | 24% |
| Wc Qualcare | $207 | 24% |
| Wc Quiktrip | $207 | 24% |
| Wc Reny Company | $207 | 24% |
| Wc Rev Claims | $207 | 24% |
| Wc Risico | $207 | 24% |
| Wc Rural Mutual | $207 | 24% |
| Wc Saif Oregon | $207 | 24% |
| Wc Secura | $207 | 24% |
| Wc Sedgwick | $207 | 24% |
| Wc Sentry | $207 | 24% |
| Wc Sheakley Unicomp | $207 | 24% |
| Wc Smile Lodge | $207 | 24% |
| Wc Society | $207 | 24% |
| Wc Srs | $207 | 24% |
| Wc Taconic (Mro) | $207 | 24% |
| Wc Taconic Farms | $207 | 24% |
| Wc Travelers | $207 | 24% |
| Wc Triad Group | $207 | 24% |
| Wc Tristar | $207 | 24% |
| Wc Troy Ny | $207 | 24% |
| Wc Tyson | $207 | 24% |
| Wc Unified Health Services | $207 | 24% |
| Wc United Heartland | $207 | 24% |
| Wc Us Dept Of Labor | $207 | 24% |
| Wc Velocity | $207 | 24% |
| Wc Walmart | $207 | 24% |
| Wc West Bend | $207 | 24% |
| Wc West Bend Mutual/Argent | $207 | 24% |
| Wc Winnebago Industries | $207 | 24% |
| Wc Yankee Trails | $207 | 24% |
| Wc York Risk | $207 | 24% |
| Wc Zenith | $207 | 24% |
| Wc Zurich | $207 | 24% |
| Webtpa | $213 - $4,194 | 24% |
| Moda Health | $216 - $4,520 | 25% |
| Mountain Health Co-Op | $216 - $2,796 | 25% |
| Selecthealth | $216 - $4,194 | 25% |
| First Choice Health | $228 - $4,194 | 26% |
| Providence | $228 - $4,427 | 26% |
| Molina Marketplace | $231 | 26% |
| Geha | $235 - $4,474 | 27% |
| Bcn Domestic | $254 | 29% |
| Blue Benefit Administrators Of Massachusetts | $254 - $3,914 | 29% |
| Blue Care Network | $254 - $3,914 | 29% |
| Blue Distinction Transplant | $254 - $3,914 | 29% |
| Blue Shield - Ca | $254 - $3,914 | 29% |
| Blue Shield - Ny Highmark Northeastern | $254 - $3,914 | 29% |
| Blue Shield - Ny Highmark Western | $254 - $3,914 | 29% |
| Blue Shield - Pa (Highmark) | $254 - $3,914 | 29% |
| Blue Shield - Wa (Regence) | $254 - $3,914 | 29% |
| Health Choices | $254 | 29% |
| Kaiser Domestic | $254 | 29% |
| Pre-Employment | $254 | 29% |
| Wc Domestic | $254 | 29% |
| Allied National Global Care | $305 - $4,194 | 35% |
| Asrm - Reliance Standard Life Insurance | $305 - $4,194 | 35% |
| Christian Care Ministry | $305 - $4,194 | 35% |
| Dean Health | $305 - $4,194 | 35% |
| Fallon Health | $305 - $4,194 | 35% |
| Family Life Insurance Company | $305 - $4,194 | 35% |
| Ghc Scw | $305 - $4,194 | 35% |
| International Benefit Administrators | $305 - $4,194 | 35% |
| Lifetime Benefit Solutions | $305 - $4,194 | 35% |
| Manhattan Life | $305 - $4,194 | 35% |
| Medi Share | $305 - $4,427 | 35% |
| Multiplan | $305 - $336 | 35% |
| Pai | $305 - $4,194 | 35% |
| Pan-American Life | $305 - $4,194 | 35% |
| Paramount Hmo | $305 - $4,194 | 35% |
| Phcs | $305 - $4,194 | 35% |
| Trinity Health Share | $305 - $4,194 | 35% |
| Ada County Jail Inmate Ins | $1,398 | 159% |
| Centurion Of Idaho | $1,398 | 159% |
| Allegiance | $3,542 | 404% |
| Correctional Health Partners | $3,635 | 414% |
| Columbia Health Network | $3,728 | 425% |
| Healthnet | $3,914 | 446% |
| Lifewise | $4,334 | 494% |
| Priority Health | $4,380 | 499% |
| Allied Benefit Systems | $4,413 | 503% |
| Ameriben | $4,413 | 503% |
| Asr Health Benefits | $4,413 | 503% |
| Christian Brother Services | $4,413 | 503% |
| Healthez | $4,413 | 503% |
| Luminare Health (Detroit) | $4,413 | 503% |
| Rural Carrier Health Benefit Plan | $4,413 | 503% |
| First Health | $4,427 | 505% |