CMS Price Transparency Data
Breast lump removal
Facility: St Mary Medical Center
Billing Code: 19120 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 19120
- Insurance Median: $242
- Cash Discount Price: $1,860
- vs. Medicare Baseline: 0.06x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at St Mary Medical Center is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,860. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.06x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$1,860
Average discount available for prompt cash payment at this facility.
Insurance Median
$242
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$4,000.24
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $4,000.24 (100%)
Cash / Self-Pay: $1,860 (46%)
Insurance Median: $242 (6%)
Cash: $1,860 (46% of Medicare)
Ins. Median: $242 (6% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $4,000.24 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 |
|---|---|---|
| Albany County Correctional Facility | $86 | 2% |
| Ambetter / Centene | $86 - $7,535 | 2% |
| Amish Mennonite | $86 | 2% |
| Ascension St. Vincent Public Safety Medical | $86 | 2% |
| Bcccp-Michigan | $86 | 2% |
| Bccp | $86 | 2% |
| Blue Cross Blue Shield | $86 - $5,870 | 2% |
| Bmc Healthnet | $86 | 2% |
| Breast Grant-Connecticut | $86 | 2% |
| Broward County Dept Of Health | $86 | 2% |
| California Health And Wellness | $86 | 2% |
| Cardinal Innovations Lme | $86 | 2% |
| Care Connections Of Northern Iowa | $86 | 2% |
| Care Oregon Ohp | $86 | 2% |
| Cencal Health Plan | $86 | 2% |
| Cenpatico | $86 | 2% |
| Chhuny | $86 | 2% |
| Childrens Comm Health Plan | $86 | 2% |
| Childrens Medical Services Title 19 | $86 | 2% |
| Cigna | $86 - $5,081 | 2% |
| City Of Philadelphia | $86 | 2% |
| Cmh Allegan County | $86 | 2% |
| Cmh Ausable Valley | $86 | 2% |
| Cmh Barry County | $86 | 2% |
| Cmh Bay-Arenac County | $86 | 2% |
| Cmh Berrien County | $86 | 2% |
| Cmh Cass County | $86 | 2% |
| Cmh Central Mi County | $86 | 2% |
| Cmh Clinton-Eaton-Ingham County | $86 | 2% |
| Cmh Detroit Wayne Integrated Health Network | $86 | 2% |
| Cmh Genesee County | $86 | 2% |
| Cmh Ionia County | $86 | 2% |
| Cmh Jackson County/Lifeways | $86 | 2% |
| Cmh Kalamazoo | $86 | 2% |
| Cmh Kent County | $86 | 2% |
| Cmh Lenawee County | $86 | 2% |
| Cmh Livingston County | $86 | 2% |
| Cmh Macomb | $86 | 2% |
| Cmh Misc | $86 | 2% |
| Cmh Monroe County | $86 | 2% |
| Cmh Montcalm County | $86 | 2% |
| Cmh Muskegon County | $86 | 2% |
| Cmh Newaygo County | $86 | 2% |
| Cmh North Country | $86 | 2% |
| Cmh Northern Lakes County | $86 | 2% |
| Cmh Oakland County | $86 | 2% |
| Cmh Ottawa County | $86 | 2% |
| Cmh Van Buren County | $86 | 2% |
| Cmh Washtenaw County | $86 | 2% |
| Cmh Wayne County/Carelink | $86 | 2% |
| Cmh Wayne Cty/Com Liv Svcs | $86 | 2% |
| Cmh West Mi County | $86 | 2% |
| Community Benefit Health | $86 | 2% |
| Community Care Behavorial Health | $86 | 2% |
| Community Care Partners | $86 | 2% |
| Community Health Choice | $86 - $171 | 2% |
| Connections Csp | $86 | 2% |
| County Coroner | $86 | 2% |
| County Funding Generic | $86 | 2% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $86 | 2% |
| Dean Wi Badgercare | $86 | 2% |
| Delaware County Department Of Health | $86 | 2% |
| Delaware First Health | $86 | 2% |
| Delta Dental Nj | $86 | 2% |
| Dph Tb Program | $86 | 2% |
| Dscc | $86 | 2% |
| Eastpointe Lme | $86 | 2% |
| Family Health Network | $86 | 2% |
| Freedom First Healthcare | $86 | 2% |
| Fresno County Ccs | $86 | 2% |
| Ghc Scw Wi Badgercare | $86 | 2% |
| Harbor Health | $86 | 2% |
| Health Safety Net | $86 | 2% |
| Healthy Blue Ne | $86 | 2% |
| Hennepin Health | $86 | 2% |
| Humana | $86 - $1,674 | 2% |
| Id County Ada | $86 | 2% |
| Id County Canyon | $86 | 2% |
| Id County Cat Fund | $86 | 2% |
| Id County Other | $86 | 2% |
| Id County Payette | $86 | 2% |
| Idaho Dept Health And Wellfare | $86 | 2% |
| Idaho Womens Health Check | $86 | 2% |
| Indiana Breast Cervical Cancer | $86 | 2% |
| Inland Empire Health Plan | $86 | 2% |
| Intercommunity Health Ohp | $86 | 2% |
| Iowa Total Care | $86 | 2% |
| Jai Medical System | $86 | 2% |
| Kern Family Health Plan | $86 | 2% |
| Keystone First | $86 - $2,581 | 2% |
| Keystone First Chip | $86 - $2,581 | 2% |
| La Care Health Plan | $86 | 2% |
| Lakeland Care Inc | $86 | 2% |
| Managed Health Services - Indiana | $86 | 2% |
| Maryland Breast & Cervical Program | $86 | 2% |
| Maryland Healthy Smiles - Scion Dental | $86 | 2% |
| Maryland Physicians Care | $86 | 2% |
| Massachusetts Behavioral Health Partnership | $86 | 2% |
| Mdwise | $86 | 2% |
| Medi-Cal | $86 | 2% |
| Medi-Cal Healthnet | $86 | 2% |
| Medicaid / KanCare | $86 - $3,377 | 2% |
| Medstar Dc Healthy Family | $86 | 2% |
| Medstar Md Health Choice | $86 | 2% |
| Mo Home State Health Plan | $86 | 2% |
| Molina Centennial Care | $86 | 2% |
| Nascentia Health Options | $86 | 2% |
| Nebraska Total Care | $86 | 2% |
| New York Cancer Services Program | $86 | 2% |
| Nextlevel Health | $86 | 2% |
| Oregon Screenwise | $86 | 2% |
| Pace Of Southwest Michigan | $86 - $314 | 2% |
| Paramount Advantage | $86 | 2% |
| Parkland Community Health Plan | $86 | 2% |
| Partners Behavioral Lme | $86 | 2% |
| Peach State Healthplan | $86 | 2% |
| Philadelphia County Funding | $86 | 2% |
| Presbyterian Centennial Care | $86 | 2% |
| Prestige Health Choice | $86 | 2% |
| Priority Partners | $86 | 2% |
| Robert F Sing Program | $86 | 2% |
| Rx 340B Pass Along | $86 | 2% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $86 | 2% |
| Rx Medi-Cal | $86 | 2% |
| Rx Meridian Rx | $86 | 2% |
| Ryan White Florida Mssrp | $86 | 2% |
| Sandhills Center Lme | $86 | 2% |
| Screening For Life | $86 | 2% |
| St Joseph County Hlth Dpt | $86 | 2% |
| Stephenson Cty Health | $86 | 2% |
| Sunshine State Health Plan | $86 | 2% |
| Superior Health | $86 | 2% |
| Tenncare | $86 | 2% |
| Texas Children'S Health Plan | $86 | 2% |
| Trillium Community Ohp | $86 | 2% |
| Tufts Health Public Plans | $86 | 2% |
| Vaya Health Lme | $86 | 2% |
| Washtenaw Health Plan | $86 | 2% |
| Wellsense Health Plan | $86 | 2% |
| Wi Womens Wellness | $86 | 2% |
| Aetna | $125 - $4,468 | 3% |
| UnitedHealthcare | $129 - $3,742 | 3% |
| Align Senior Care | $209 - $4,305 | 5% |
| Ally Align Care Adv | $209 - $314 | 5% |
| American Health Advantage Of Idaho | $209 - $314 | 5% |
| American Health Plan | $209 - $314 | 5% |
| Aurora Special Needs | $209 - $314 | 5% |
| Blue Care Network Advantage | $209 - $314 | 5% |
| Blue Shield - De (Highmark) Medciare Advantage | $209 - $314 | 5% |
| Care Dimensions | $209 - $314 | 5% |
| Care Improvement Plus | $209 - $314 | 5% |
| Care Resources Pace | $209 - $314 | 5% |
| Careplus Health Plans | $209 - $314 | 5% |
| Cca - Zing Health | $209 - $314 | 5% |
| Cca Senior Care Options | $209 - $314 | 5% |
| Central Valley Medical Services Corp Pace | $209 - $314 | 5% |
| Champion Health Plan Mcr Advantage | $209 - $314 | 5% |
| Champva | $209 - $313 | 5% |
| Clear Spring Health | $209 - $314 | 5% |
| Clover Health | $209 - $314 | 5% |
| Commonwealth Care Alliance | $209 - $314 | 5% |
| Community Pace At Home | $209 - $314 | 5% |
| Eddy Senior Care-Pace | $209 - $314 | 5% |
| Eddy Seniorcare Pace | $209 - $314 | 5% |
| Elementcare | $209 - $314 | 5% |
| Everence | $209 - $314 | 5% |
| Gateway Health Plan | $209 - $314 | 5% |
| Genesys Pace Of Genesee County | $209 - $314 | 5% |
| Georgia Health Advantage | $209 - $314 | 5% |
| Gold Advantage | $209 - $314 | 5% |
| Gpa Croell Redi Mix | $209 - $314 | 5% |
| Highmark Health Options Dual Plan | $209 - $314 | 5% |
| Hope Select Pace | $209 - $314 | 5% |
| Horizon Nj Total Care | $209 - $314 | 5% |
| Hudson Headwaters Pace | $209 - $314 | 5% |
| Huron Valley Pace | $209 - $314 | 5% |
| Innovative Integrated Health Community Plans | $209 - $314 | 5% |
| Iowa Health Advantage | $209 - $314 | 5% |
| Johns Hopkins Advantage Md | $209 - $314 | 5% |
| Lasso Healthcare Msa | $209 - $314 | 5% |
| Life St Marys Pace | $209 - $314 | 5% |
| Lifecircles Pace | $209 - $314 | 5% |
| Longevity Health Plan | $209 - $314 | 5% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $209 - $314 | 5% |
| Martins Point Generations Advantage | $209 - $314 | 5% |
| Mass General Brigham Mcr Adv | $209 - $314 | 5% |
| Medicare (plans) | $209 - $7,598 | 5% |
| Medipak Advantage | $209 - $314 | 5% |
| Mercy Life | $209 - $314 | 5% |
| Mercyone Cedar Valley | $209 - $314 | 5% |
| Meridian Complete | $209 - $314 | 5% |
| Michigan Complete Health | $209 - $314 | 5% |
| Nascentia Health Plus | $209 - $314 | 5% |
| New Centry Health Careplus | $209 - $314 | 5% |
| Osu Prime Care Advantage | $209 - $314 | 5% |
| Pace Cny | $209 - $314 | 5% |
| Pace Iowa Immanuel Pathways | $209 - $314 | 5% |
| Pace Southeast | $209 - $314 | 5% |
| Pace-Trinity Health | $209 - $314 | 5% |
| Peak Pace Solutions | $209 - $314 | 5% |
| Perennial Advantage | $209 - $314 | 5% |
| Preferred Care Partners | $209 - $314 | 5% |
| Presbyterian Senior Plan | $209 - $314 | 5% |
| Provider Partners Health Plan Of Illinois | $209 - $314 | 5% |
| Provider Partners Health Plan Of Indiana | $209 - $314 | 5% |
| Pruitthealth Premier | $209 - $314 | 5% |
| Reliance Community Care Partners Care Resources Pace | $209 - $314 | 5% |
| Rx Allwin | $209 - $314 | 5% |
| Rx Grane Grnmedd | $209 - $314 | 5% |
| Rx Retiree Rx Care | $209 - $314 | 5% |
| Scan Health Plan Mcr Ipa Meritage Oon | $209 - $314 | 5% |
| Secure Horizons Ma Pffs | $209 - $314 | 5% |
| Serenity Pace | $209 - $314 | 5% |
| Siouxland Pace | $209 - $314 | 5% |
| Solis Health Plans | $209 - $314 | 5% |
| Sunnyview-Pace Finance Dept | $209 - $314 | 5% |
| Texan Plus | $209 - $314 | 5% |
| The Health Plan | $209 - $314 | 5% |
| Thome Pace | $209 - $314 | 5% |
| Todays Options | $209 - $314 | 5% |
| Tribute Health Plans | $209 - $314 | 5% |
| Tricare | $209 - $313 | 5% |
| Triwest Health Alliance | $209 - $313 | 5% |
| Um Health Advantage | $209 - $314 | 5% |
| Union Health Service | $209 - $314 | 5% |
| Us Family Health Plan | $209 - $313 | 5% |
| Veterans Eval Services | $209 - $313 | 5% |
| Welbe Health | $209 - $314 | 5% |
| Wellmed | $209 - $314 | 5% |
| Evercare | $214 - $320 | 5% |
| Veterans Administration | $214 - $321 | 5% |
| Amerihealth | $235 - $2,616 | 6% |
| Bcn Domestic | $235 - $353 | 6% |
| Blue Benefit Administrators Of Massachusetts | $235 - $353 | 6% |
| Blue Care Network | $235 - $353 | 6% |
| Blue Distinction Transplant | $235 - $353 | 6% |
| Blue Shield - Ca | $235 - $2,616 | 6% |
| Blue Shield - Id (Regence) | $235 - $2,616 | 6% |
| Blue Shield - Ny Highmark Northeastern | $235 - $353 | 6% |
| Blue Shield - Ny Highmark Western | $235 - $2,616 | 6% |
| Blue Shield - Pa (Highmark) | $235 - $11,414 | 6% |
| Blue Shield - Wa (Regence) | $235 - $2,616 | 6% |
| Health Choices | $235 - $353 | 6% |
| Kaiser Domestic | $235 - $353 | 6% |
| Pre-Employment | $235 - $353 | 6% |
| Wc Domestic | $235 - $353 | 6% |
| Geha | $239 - $3,742 | 6% |
| Andrie Inc | $242 - $362 | 6% |
| East Greenbush Central School District | $242 - $362 | 6% |
| Genex Wc | $242 - $362 | 6% |
| Healthsmart Workers Comp | $242 - $362 | 6% |
| Jag Source | $242 - $362 | 6% |
| New York State Insurance Fund | $242 - $362 | 6% |
| Njm Insurance Group | $242 - $362 | 6% |
| Rx Heatlhcomp | $242 - $362 | 6% |
| Rx Restat | $242 - $362 | 6% |
| Rx Saif Opdp Wc | $242 - $362 | 6% |
| Rx Worker'S Comp | $242 - $362 | 6% |
| Wc Accident Fund | $242 - $362 | 6% |
| Wc Ace | $242 - $362 | 6% |
| Wc Acs Federal Employees | $242 - $362 | 6% |
| Wc Acuity | $242 - $362 | 6% |
| Wc Advantage | $242 - $362 | 6% |
| Wc Aegis | $242 - $362 | 6% |
| Wc Aig | $242 - $362 | 6% |
| Wc Aims | $242 - $362 | 6% |
| Wc Alaska National Ins | $242 - $362 | 6% |
| Wc Align Network | $242 - $362 | 6% |
| Wc Allied | $242 - $362 | 6% |
| Wc Am Trust N America | $242 - $362 | 6% |
| Wc American Claims Mgmt | $242 - $362 | 6% |
| Wc Amerisure | $242 - $362 | 6% |
| Wc Amtrust | $242 - $362 | 6% |
| Wc Asu Risk Mgt | $242 - $362 | 6% |
| Wc Benetech | $242 - $362 | 6% |
| Wc Berkley Admin | $242 - $362 | 6% |
| Wc Broadspire | $242 - $362 | 6% |
| Wc Broward County | $242 - $362 | 6% |
| Wc Bunch & Associates | $242 - $362 | 6% |
| Wc California State Comp Ins | $242 - $362 | 6% |
| Wc California State Ins Fund | $242 - $362 | 6% |
| Wc Capitol Area Health Consortium | $242 - $362 | 6% |
| Wc Ccmsi | $242 - $362 | 6% |
| Wc Chartis | $242 - $362 | 6% |
| Wc Chubb | $242 - $362 | 6% |
| Wc Cirma | $242 - $362 | 6% |
| Wc City Of Albany | $242 - $362 | 6% |
| Wc City Of Sioux City | $242 - $362 | 6% |
| Wc Claims Mgmt Inc | $242 - $362 | 6% |
| Wc Cna | $242 - $362 | 6% |
| Wc Comp One Admin C/O Manageability | $242 - $362 | 6% |
| Wc Compone Admin | $242 - $362 | 6% |
| Wc Corvel | $242 - $362 | 6% |
| Wc Ct Healthcare Trust | $242 - $362 | 6% |
| Wc Donegal Insurance Group | $242 - $362 | 6% |
| Wc Emc Insurance Company | $242 - $362 | 6% |
| Wc Employee Mutual | $242 - $362 | 6% |
| Wc Enablecomp | $242 - $362 | 6% |
| Wc Encore Health Network | $242 - $362 | 6% |
| Wc Erie | $242 - $362 | 6% |
| Wc Esis | $242 - $362 | 6% |
| Wc Evolutions | $242 - $362 | 6% |
| Wc Fcci | $242 - $362 | 6% |
| Wc Fed Ex | $242 - $362 | 6% |
| Wc Federal Black Lung | $242 - $362 | 6% |
| Wc Federated | $242 - $362 | 6% |
| Wc Finley Occupational Health | $242 - $362 | 6% |
| Wc First Agency/Occunet | $242 - $362 | 6% |
| Wc Ford Motor | $242 - $362 | 6% |
| Wc Fresno Unified Emp | $242 - $362 | 6% |
| Wc Gallagher Bassett | $242 - $362 | 6% |
| Wc General Motors | $242 - $362 | 6% |
| Wc Generic | $242 - $362 | 6% |
| Wc Genex Care For Ohio | $242 - $362 | 6% |
| Wc Great West Casualty | $242 - $362 | 6% |
| Wc Guarantee Insurance | $242 - $362 | 6% |
| Wc Guard Insurance Company | $242 - $362 | 6% |
| Wc Hab | $242 - $362 | 6% |
| Wc Hartford | $242 - $362 | 6% |
| Wc Hastings | $242 - $362 | 6% |
| Wc Health Management | $242 - $362 | 6% |
| Wc Heritage Summit | $242 - $362 | 6% |
| Wc Hireright | $242 - $362 | 6% |
| Wc Horizon | $242 - $362 | 6% |
| Wc Icw Group | $242 - $362 | 6% |
| Wc Idaho State Ins Fund | $242 - $362 | 6% |
| Wc Intercare Insurance | $242 - $362 | 6% |
| Wc Intermountain | $242 - $362 | 6% |
| Wc Johns Eastern | $242 - $362 | 6% |
| Wc Kemberton | $242 - $362 | 6% |
| Wc Key Ins & Benefit Solutions | $242 - $362 | 6% |
| Wc Liberty Mutual | $242 - $362 | 6% |
| Wc Mac Risk Management | $242 - $362 | 6% |
| Wc Massachusetts | $242 - $362 | 6% |
| Wc Mdia | $242 - $362 | 6% |
| Wc Meadowbrook Claim | $242 - $362 | 6% |
| Wc Medical Administrators | $242 - $362 | 6% |
| Wc Meijers | $242 - $362 | 6% |
| Wc Memic | $242 - $362 | 6% |
| Wc Mercy Workcare | $242 - $362 | 6% |
| Wc Michigan | $242 - $362 | 6% |
| Wc Michigan Millers Mutual | $242 - $362 | 6% |
| Wc Mitchell Frankenmuth | $242 - $362 | 6% |
| Wc Mra | $242 - $362 | 6% |
| Wc Nationwide | $242 - $362 | 6% |
| Wc Nca Comp | $242 - $362 | 6% |
| Wc New York | $242 - $362 | 6% |
| Wc New York Special Funds | $242 - $362 | 6% |
| Wc North American Rishces | $242 - $362 | 6% |
| Wc Northeast Health | $242 - $362 | 6% |
| Wc Notre Dame | $242 - $362 | 6% |
| Wc Novanet | $242 - $362 | 6% |
| Wc O'Hara Corp | $242 - $362 | 6% |
| Wc Occ Health Allen | $242 - $362 | 6% |
| Wc Ohio Bureau | $242 - $362 | 6% |
| Wc One Call Medical | $242 - $362 | 6% |
| Wc Paradigm | $242 - $362 | 6% |
| Wc Peerless | $242 - $362 | 6% |
| Wc Pma | $242 - $362 | 6% |
| Wc Praxis Health Network | $242 - $362 | 6% |
| Wc Price Chopper | $242 - $362 | 6% |
| Wc Procura Management | $242 - $362 | 6% |
| Wc Qualcare | $242 - $362 | 6% |
| Wc Quiktrip | $242 - $362 | 6% |
| Wc Reny Company | $242 - $362 | 6% |
| Wc Rev Claims | $242 - $362 | 6% |
| Wc Risico | $242 - $362 | 6% |
| Wc Rural Mutual | $242 - $362 | 6% |
| Wc Saif Oregon | $242 - $362 | 6% |
| Wc Secura | $242 - $362 | 6% |
| Wc Sedgwick | $242 - $362 | 6% |
| Wc Sentry | $242 - $362 | 6% |
| Wc Sheakley Unicomp | $242 - $362 | 6% |
| Wc Smile Lodge | $242 - $362 | 6% |
| Wc Society | $242 - $362 | 6% |
| Wc Srs | $242 - $362 | 6% |
| Wc Taconic (Mro) | $242 - $362 | 6% |
| Wc Taconic Farms | $242 - $362 | 6% |
| Wc Travelers | $242 - $362 | 6% |
| Wc Triad Group | $242 - $362 | 6% |
| Wc Tristar | $242 - $362 | 6% |
| Wc Troy Ny | $242 - $362 | 6% |
| Wc Tyson | $242 - $362 | 6% |
| Wc Unified Health Services | $242 - $362 | 6% |
| Wc United Heartland | $242 - $362 | 6% |
| Wc Us Dept Of Labor | $242 - $362 | 6% |
| Wc Velocity | $242 - $362 | 6% |
| Wc Walmart | $242 - $362 | 6% |
| Wc West Bend | $242 - $362 | 6% |
| Wc West Bend Mutual/Argent | $242 - $362 | 6% |
| Wc Winnebago Industries | $242 - $362 | 6% |
| Wc Yankee Trails | $242 - $362 | 6% |
| Wc York Risk | $242 - $362 | 6% |
| Wc Zenith | $242 - $362 | 6% |
| Wc Zurich | $242 - $362 | 6% |
| Health America Advantra | $256 - $5,065 | 6% |
| Prime Healthcare | $278 - $7,598 | 7% |
| Health Partners | $284 - $426 | 7% |
| Jefferson Health Plan Commercial | $284 - $7,682 | 7% |
| Multiplan | $310 - $465 | 8% |
| Oscar | $316 - $7,598 | 8% |
| Homestead Health Plans Woods Center | $417 - $8,231 | 10% |
| Coventry | $434 - $652 | 11% |
| Health America | $434 - $652 | 11% |
| Meritain | $434 - $652 | 11% |
| Group Pension Administrators | $481 - $9,497 | 12% |
| Reedman Toll | $481 - $9,497 | 12% |
| Devon Health Services | $828 - $1,674 | 21% |
| First Health | $828 - $1,674 | 21% |
| Prime Health Services | $874 - $1,767 | 22% |
| Three Rivers Provider Network | $874 - $1,767 | 22% |
| Upmc Health Plan | $5,081 | 127% |
| Webtpa | $5,081 | 127% |