CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Johnson Memorial Hospital
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $163
- Cash Discount Price: $498
- vs. Medicare Baseline: 0.03x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Johnson Memorial Hospital is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $498. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.03x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$498
Average discount available for prompt cash payment at this facility.
Insurance Median
$163
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$6,176.47
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $6,176.47 (100%)
Cash / Self-Pay: $498 (8%)
Insurance Median: $163 (3%)
Cash: $498 (8% of Medicare)
Ins. Median: $163 (3% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $6,176.47 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 |
|---|---|---|
| Fallon Health | $65 - $9,422 | 1% |
| Mass General Brigham Health Plan | $67 - $719 | 1% |
| Innovative Health Plan II | $68 - $15,220 | 1% |
| Claimdoc | $68 - $15,220 | 1% |
| Unicare | $71 - $6,585 | 1% |
| Medicaid / KanCare | $71 - $1,556 | 1% |
| Wellpoint | $71 - $6,585 | 1% |
| Health New England | $80 - $728 | 1% |
| Connecticare | $81 - $940 | 1% |
| Blue Cross Blue Shield | $81 - $7,103 | 1% |
| Healthscope | $82 - $707 | 1% |
| Multiplan | $83 - $722 | 1% |
| Harvard Pilgrim Healthcare | $86 - $747 | 1% |
| Prime Health Services | $93 - $807 | 2% |
| First Health | $95 - $825 | 2% |
| Meritain | $95 - $825 | 2% |
| Coventry | $95 - $825 | 2% |
| Aetna | $95 - $7,103 | 2% |
| Guardian | $95 - $825 | 2% |
| Tufts Health Plan | $96 - $706 | 2% |
| Us Family Health Plan | $96 - $706 | 2% |
| Blue Shield - Ny Highmark Northeastern | $105 - $6,585 | 2% |
| Blue Shield - Ca | $105 - $6,585 | 2% |
| Blue Distinction Transplant | $105 - $6,585 | 2% |
| Blue Shield - Wa (Regence) | $105 - $6,585 | 2% |
| Centivo | $105 - $16,887 | 2% |
| Pre-Employment | $105 - $6,585 | 2% |
| Health Choices | $105 - $6,585 | 2% |
| Kaiser Domestic | $105 - $6,585 | 2% |
| Blue Shield - PA (Highmark) | $105 - $6,585 | 2% |
| Wc Domestic | $105 - $6,585 | 2% |
| Blue Shield - Ny Highmark Western | $105 - $6,585 | 2% |
| Bcn Domestic | $105 - $6,585 | 2% |
| Blue Benefit Administrators of Massachusetts | $105 - $6,585 | 2% |
| Blue Care Network | $105 - $6,585 | 2% |
| Blue Shield - Id (Regence) | $105 - $6,585 | 2% |
| Wc Johns Eastern | $113 - $834 | 2% |
| Wc Mercy Workcare | $113 - $834 | 2% |
| Wc Evolutions | $113 - $834 | 2% |
| Wc Novanet | $113 - $834 | 2% |
| Njm Insurance Group | $113 - $834 | 2% |
| Wc Fcci | $113 - $834 | 2% |
| Wc Icw Group | $113 - $834 | 2% |
| Rx Worker's Comp | $113 - $834 | 2% |
| Wc Hastings | $113 - $834 | 2% |
| Wc Nca Comp | $113 - $834 | 2% |
| Wc Chubb | $113 - $834 | 2% |
| Wc Gallagher Bassett | $113 - $834 | 2% |
| Wc Capitol Area Health Consortium | $113 - $834 | 2% |
| Wc Hartford | $113 - $834 | 2% |
| Wc Enablecomp | $113 - $834 | 2% |
| Wc Finley Occupational Health | $113 - $834 | 2% |
| Wc Aegis | $113 - $834 | 2% |
| Wc Qualcare | $113 - $834 | 2% |
| Wc Employee Mutual | $113 - $834 | 2% |
| Wc Federated | $113 - $834 | 2% |
| Wc Great West Casualty | $113 - $834 | 2% |
| New York State Insurance Fund | $113 - $834 | 2% |
| Jag Source | $113 - $834 | 2% |
| Wc Emc Insurance Company | $113 - $834 | 2% |
| Wc Advantage | $113 - $834 | 2% |
| Wc Procura Management | $113 - $834 | 2% |
| Wc Asu Risk Mgt | $113 - $834 | 2% |
| Wc Praxis Health Network | $113 - $834 | 2% |
| Wc Velocity | $113 - $834 | 2% |
| Wc Meijers | $113 - $834 | 2% |
| Wc Hab | $113 - $834 | 2% |
| Wc Comp One Admin C/O Manageability | $113 - $834 | 2% |
| Wc Ford Motor | $113 - $834 | 2% |
| Wc Intercare Insurance | $113 - $834 | 2% |
| Wc Compone Admin | $113 - $834 | 2% |
| Wc Yankee Trails | $113 - $834 | 2% |
| Wc Triad Group | $113 - $834 | 2% |
| Wc Pma | $113 - $834 | 2% |
| Wc Fresno Unified Emp | $113 - $834 | 2% |
| Wc West Bend Mutual/Argent | $113 - $834 | 2% |
| Wc Unified Health Services | $113 - $834 | 2% |
| Wc Claims Mgmt Inc | $113 - $834 | 2% |
| Wc One Call Medical | $113 - $834 | 2% |
| Wc Northeast Health | $113 - $834 | 2% |
| Wc Occ Health Allen | $113 - $834 | 2% |
| Wc Tyson | $113 - $834 | 2% |
| Wc Amerisure | $113 - $834 | 2% |
| Wc Acuity | $113 - $834 | 2% |
| Wc Mdia | $113 - $834 | 2% |
| Wc Massachusetts | $113 - $834 | 2% |
| Wc Society | $113 - $834 | 2% |
| Wc Encore Health Network | $113 - $834 | 2% |
| Wc Guarantee Insurance | $113 - $834 | 2% |
| Wc Idaho State Ins Fund | $113 - $834 | 2% |
| Wc Zenith | $113 - $834 | 2% |
| Wc Tristar | $113 - $834 | 2% |
| Wc Travelers | $113 - $834 | 2% |
| Andrie Inc | $113 - $834 | 2% |
| Wc Acs Federal Employees | $113 - $834 | 2% |
| Wc Berkley Admin | $113 - $834 | 2% |
| Wc Federal Black Lung | $113 - $834 | 2% |
| Wc Mitchell Frankenmuth | $113 - $834 | 2% |
| Wc California State Comp Ins | $113 - $834 | 2% |
| Wc Key Ins & Benefit Solutions | $113 - $834 | 2% |
| Wc Ct Healthcare Trust | $113 - $834 | 2% |
| Wc West Bend | $113 - $834 | 2% |
| Wc Hireright | $113 - $834 | 2% |
| Wc Broadspire | $113 - $834 | 2% |
| Healthsmart Workers Comp | $113 - $834 | 2% |
| Wc Mac Risk Management | $113 - $834 | 2% |
| Wc Secura | $113 - $834 | 2% |
| Wc First Agency/Occunet | $113 - $834 | 2% |
| Wc Chartis | $113 - $834 | 2% |
| Wc Winnebago Industries | $113 - $834 | 2% |
| Rx Heatlhcomp | $113 - $834 | 2% |
| Wc Notre Dame | $113 - $834 | 2% |
| Wc City of Albany | $113 - $834 | 2% |
| Wc Health Management | $113 - $834 | 2% |
| Wc Ace | $113 - $834 | 2% |
| Wc Saif Oregon | $113 - $834 | 2% |
| Rx Restat | $113 - $834 | 2% |
| Wc Smile Lodge | $113 - $834 | 2% |
| Wc Aims | $113 - $834 | 2% |
| Wc Generic | $113 - $834 | 2% |
| Wc Price Chopper | $113 - $834 | 2% |
| Wc Donegal Insurance Group | $113 - $834 | 2% |
| Wc Ccmsi | $113 - $834 | 2% |
| East Greenbush Central School District | $113 - $834 | 2% |
| Wc General Motors | $113 - $834 | 2% |
| Wc Cirma | $113 - $834 | 2% |
| Wc Mra | $113 - $834 | 2% |
| Wc Ohio Bureau | $113 - $834 | 2% |
| Wc Amtrust | $113 - $834 | 2% |
| Wc York Risk | $113 - $834 | 2% |
| Wc Reny Company | $113 - $834 | 2% |
| Wc Peerless | $113 - $834 | 2% |
| Wc Meadowbrook Claim | $113 - $834 | 2% |
| Wc Aig | $113 - $834 | 2% |
| Wc Benetech | $113 - $834 | 2% |
| Wc Allied | $113 - $834 | 2% |
| Rx Saif Opdp Wc | $113 - $834 | 2% |
| Wc Taconic (Mro) | $113 - $834 | 2% |
| Wc Broward County | $113 - $834 | 2% |
| Wc O'Hara Corp | $113 - $834 | 2% |
| Wc Erie | $113 - $834 | 2% |
| Wc Rev Claims | $113 - $834 | 2% |
| Wc Genex Care for Ohio | $113 - $834 | 2% |
| Wc Guard Insurance Company | $113 - $834 | 2% |
| Wc Align Network | $113 - $834 | 2% |
| Wc Troy Ny | $113 - $834 | 2% |
| Wc Risico | $113 - $834 | 2% |
| Wc California State Ins Fund | $113 - $834 | 2% |
| Wc Memic | $113 - $834 | 2% |
| Wc Fed Ex | $113 - $834 | 2% |
| Wc Michigan Millers Mutual | $113 - $834 | 2% |
| Wc Srs | $113 - $834 | 2% |
| Wc Sentry | $113 - $834 | 2% |
| Wc Rural Mutual | $113 - $834 | 2% |
| Wc Sheakley Unicomp | $113 - $834 | 2% |
| Wc Bunch & Associates | $113 - $834 | 2% |
| Wc Us Dept of Labor | $113 - $834 | 2% |
| Wc Horizon | $113 - $834 | 2% |
| Wc North American Rishces | $113 - $834 | 2% |
| Wc Kemberton | $113 - $834 | 2% |
| Wc Liberty Mutual | $113 - $834 | 2% |
| Wc Alaska National Ins | $113 - $834 | 2% |
| Wc Zurich | $113 - $834 | 2% |
| Wc Cna | $113 - $834 | 2% |
| Wc Accident Fund | $113 - $834 | 2% |
| Wc City of Sioux City | $113 - $834 | 2% |
| Wc Quiktrip | $113 - $834 | 2% |
| Wc American Claims Mgmt | $113 - $834 | 2% |
| Wc New York Special Funds | $113 - $834 | 2% |
| Wc Heritage Summit | $113 - $834 | 2% |
| Genex Wc | $113 - $834 | 2% |
| Wc Paradigm | $113 - $834 | 2% |
| Wc Sedgwick | $113 - $834 | 2% |
| Wc Michigan | $113 - $834 | 2% |
| Wc Nationwide | $113 - $834 | 2% |
| Wc Medical Administrators | $113 - $834 | 2% |
| Wc Am Trust N America | $113 - $834 | 2% |
| Wc United Heartland | $113 - $834 | 2% |
| Wc New York | $113 - $834 | 2% |
| Wc Taconic Farms | $113 - $834 | 2% |
| Wc Intermountain | $113 - $834 | 2% |
| Wc Esis | $113 - $834 | 2% |
| Wc Walmart | $113 - $834 | 2% |
| UnitedHealthcare | $133 - $7,103 | 2% |
| Intercommunity Health Ohp | $177 - $197 | 3% |
| Presbyterian Centennial Care | $177 - $197 | 3% |
| Dean Wi Badgercare | $177 - $197 | 3% |
| Priority Partners | $177 - $197 | 3% |
| Cencal Health Plan | $177 - $197 | 3% |
| Ghc Scw Wi Badgercare | $177 - $197 | 3% |
| Medi-Cal | $177 - $197 | 3% |
| Cmh Kalamazoo | $177 - $197 | 3% |
| Pace of Southwest Michigan | $177 - $330 | 3% |
| La Care Health Plan | $177 - $197 | 3% |
| Cmh Bay-Arenac County | $177 - $197 | 3% |
| Medstar Md Health Choice | $177 - $197 | 3% |
| Freedom First Healthcare | $177 - $197 | 3% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $177 - $197 | 3% |
| Delaware First Health | $177 - $197 | 3% |
| Cmh Northern Lakes County | $177 - $197 | 3% |
| Iowa Total Care | $177 - $197 | 3% |
| Medi-Cal Healthnet | $177 - $197 | 3% |
| Robert F Sing Program | $177 - $197 | 3% |
| Maryland Breast & Cervical Program | $177 - $197 | 3% |
| Nextlevel Health | $177 - $197 | 3% |
| St Joseph County Hlth Dpt | $177 - $197 | 3% |
| Cigna | $177 - $26,010 | 3% |
| Molina Centennial Care | $177 - $197 | 3% |
| Breast Grant-Connecticut | $177 - $197 | 3% |
| Maryland Healthy Smiles - Scion Dental | $177 - $197 | 3% |
| County Coroner | $177 - $197 | 3% |
| Bcccp-Michigan | $177 - $197 | 3% |
| Cardinal Innovations Lme | $177 - $197 | 3% |
| Vaya Health Lme | $177 - $197 | 3% |
| Cmh West Mi County | $177 - $197 | 3% |
| Massachusetts Behavioral Health Partnership | $177 - $197 | 3% |
| Keystone First | $177 - $197 | 3% |
| Cmh Barry County | $177 - $197 | 3% |
| Medstar Dc Healthy Family | $177 - $197 | 3% |
| Dscc | $177 - $197 | 3% |
| Childrens Comm Health Plan | $177 - $197 | 3% |
| City of Philadelphia | $177 - $197 | 3% |
| Washtenaw Health Plan | $177 - $197 | 3% |
| Cmh Wayne Cty/Com Liv Svcs | $177 - $197 | 3% |
| Community Benefit Health | $177 - $197 | 3% |
| Cmh Kent County | $177 - $197 | 3% |
| Lakeland Care Inc | $177 - $197 | 3% |
| Health Safety Net | $177 - $197 | 3% |
| Hennepin Health | $177 - $197 | 3% |
| New York Cancer Services Program | $177 - $197 | 3% |
| Stephenson Cty Health | $177 - $197 | 3% |
| Tufts Health Public Plans | $177 - $197 | 3% |
| Amish Mennonite | $177 - $197 | 3% |
| Can Community Health Inc | $177 - $197 | 3% |
| Idaho Dept Health and Wellfare | $177 - $197 | 3% |
| Care Connections of Northern Iowa | $177 - $197 | 3% |
| Cmh Lenawee County | $177 - $197 | 3% |
| Kern Family Health Plan | $177 - $197 | 3% |
| Family Health Network | $177 - $197 | 3% |
| Cmh Cass County | $177 - $197 | 3% |
| Cmh Livingston County | $177 - $197 | 3% |
| Inland Empire Health Plan | $177 - $197 | 3% |
| Mdwise | $177 - $197 | 3% |
| Cmh Detroit Wayne Integrated Health Network | $177 - $197 | 3% |
| Superior Health | $177 - $197 | 3% |
| Ryan White Florida Mssrp | $177 - $197 | 3% |
| Philadelphia County Funding | $177 - $197 | 3% |
| Cmh Ottawa County | $177 - $197 | 3% |
| Community Care Behavorial Health | $177 - $197 | 3% |
| Connections Csp | $177 - $197 | 3% |
| Cmh Muskegon County | $177 - $197 | 3% |
| Cmh Jackson County/Lifeways | $177 - $197 | 3% |
| Cmh Wayne County/Carelink | $177 - $197 | 3% |
| Keystone First Chip | $177 - $197 | 3% |
| Texas Children's Health Plan | $177 - $197 | 3% |
| Mo Home State Health Plan | $177 - $197 | 3% |
| Maryland Physicians Care | $177 - $197 | 3% |
| Healthy Blue Ne | $177 - $197 | 3% |
| Broward County Dept of Health | $177 - $197 | 3% |
| Cmh Misc | $177 - $197 | 3% |
| Sunshine State Health Plan | $177 - $197 | 3% |
| Childrens Medical Services Title 19 | $177 - $197 | 3% |
| Jai Medical System | $177 - $197 | 3% |
| Peach State Healthplan | $177 - $197 | 3% |
| County Funding Generic | $177 - $197 | 3% |
| Paramount Advantage | $177 - $197 | 3% |
| Ascension St. Vincent Public Safety Medical | $177 - $197 | 3% |
| Bmc Healthnet | $177 - $197 | 3% |
| Cmh North Country | $177 - $197 | 3% |
| Managed Health Services - Indiana | $177 - $197 | 3% |
| Idaho Womens Health Check | $177 - $197 | 3% |
| Wellsense Health Plan | $177 - $197 | 3% |
| Indiana Breast Cervical Cancer | $177 - $197 | 3% |
| Id County Canyon | $177 - $197 | 3% |
| Rx 340B Pass Along | $177 - $197 | 3% |
| Id County Payette | $177 - $197 | 3% |
| Bccp | $177 - $197 | 3% |
| Partners Behavioral Lme | $177 - $197 | 3% |
| Cmh Macomb | $177 - $197 | 3% |
| Cmh Clinton-Eaton-Ingham County | $177 - $197 | 3% |
| Wi Womens Wellness | $177 - $197 | 3% |
| Parkland Community Health Plan | $177 - $197 | 3% |
| Id County Cat Fund | $177 - $197 | 3% |
| Harbor Health | $177 - $197 | 3% |
| Cmh Ausable Valley | $177 - $197 | 3% |
| Tenncare | $177 - $197 | 3% |
| Cmh Washtenaw County | $177 - $197 | 3% |
| Cmh Ionia County | $177 - $197 | 3% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $177 - $197 | 3% |
| Rx Meridian Rx | $177 - $197 | 3% |
| California Health and Wellness | $177 - $197 | 3% |
| Trillium Community Ohp | $177 - $197 | 3% |
| Cmh Berrien County | $177 - $197 | 3% |
| Nascentia Health Options | $177 - $197 | 3% |
| Cenpatico | $177 - $197 | 3% |
| Humana | $177 - $333 | 3% |
| Nebraska Total Care | $177 - $197 | 3% |
| Id County Other | $177 - $197 | 3% |
| Rx Medi-Cal | $177 - $197 | 3% |
| Delaware County Department of Health | $177 - $197 | 3% |
| Screening for Life | $177 - $197 | 3% |
| Sandhills Center Lme | $177 - $197 | 3% |
| Oregon Screenwise | $177 - $197 | 3% |
| Albany County Correctional Facility | $177 - $197 | 3% |
| Cmh Genesee County | $177 - $197 | 3% |
| Cmh Central Mi County | $177 - $197 | 3% |
| Community Care Partners | $177 - $197 | 3% |
| Chhuny | $177 - $197 | 3% |
| Cmh Van Buren County | $177 - $197 | 3% |
| Community Health Choice | $177 - $197 | 3% |
| Ambetter / Centene | $177 - $197 | 3% |
| Id County Ada | $177 - $197 | 3% |
| Cmh Montcalm County | $177 - $197 | 3% |
| Fresno County Ccs | $177 - $197 | 3% |
| Care Oregon Ohp | $177 - $197 | 3% |
| Prestige Health Choice | $177 - $197 | 3% |
| Eastpointe Lme | $177 - $197 | 3% |
| Cmh Newaygo County | $177 - $197 | 3% |
| Cmh Monroe County | $177 - $197 | 3% |
| Cmh Oakland County | $177 - $197 | 3% |
| Dph Tb Program | $177 - $197 | 3% |
| Cmh Allegan County | $177 - $197 | 3% |
| Wc Corvel | $197 - $2,645 | 3% |
| Health Smart | $197 - $2,645 | 3% |
| Delta Dental Ga | $232 - $3,112 | 4% |
| Delta Dental Oh | $232 - $3,112 | 4% |
| Delta Dental Mo | $232 - $3,112 | 4% |
| Delta Dental Ny | $232 - $3,112 | 4% |
| Liberty Dental | $232 - $3,112 | 4% |
| Delta Dental PA | $232 - $3,112 | 4% |
| Delta Dental Or | $232 - $3,112 | 4% |
| Delta Dental Nj | $232 - $3,112 | 4% |
| Delta Dental VA | $232 - $3,112 | 4% |
| Delta Dental Mi | $232 - $3,112 | 4% |
| Delta Dental Wa | $232 - $3,112 | 4% |
| Eddy Seniorcare Pace | $280 - $330 | 5% |
| Eddy Senior Care-Pace | $280 - $330 | 5% |
| Horizon Nj Total Care | $280 - $330 | 5% |
| Preferred Care Partners | $280 - $330 | 5% |
| Huron Valley Pace | $280 - $330 | 5% |
| Care Improvement Plus | $280 - $330 | 5% |
| Wellmed | $280 - $330 | 5% |
| Align Senior Care | $280 - $330 | 5% |
| Sunnyview-Pace Finance Dept | $280 - $330 | 5% |
| Iowa Health Advantage | $280 - $330 | 5% |
| Pruitthealth Premier | $280 - $330 | 5% |
| Tribute Health Plans | $280 - $330 | 5% |
| Care Resources Pace | $280 - $330 | 5% |
| Mass General Brigham McR Adv | $280 - $330 | 5% |
| Nascentia Health Plus | $280 - $330 | 5% |
| Perennial Advantage | $280 - $330 | 5% |
| Mercy Life | $280 - $330 | 5% |
| Everence | $280 - $330 | 5% |
| Hope Select Pace | $280 - $330 | 5% |
| Thome Pace | $280 - $330 | 5% |
| Georgia Health Advantage | $280 - $330 | 5% |
| Pace-Trinity Health | $280 - $330 | 5% |
| Um Health Advantage | $280 - $330 | 5% |
| Pace Southeast | $280 - $330 | 5% |
| Mercyone Cedar Valley | $280 - $330 | 5% |
| Care Dimensions | $280 - $330 | 5% |
| Secure Horizons Ma Pffs | $280 - $330 | 5% |
| Elementcare | $280 - $330 | 5% |
| American Health Advantage of Idaho | $280 - $330 | 5% |
| Lasso Healthcare Msa | $280 - $330 | 5% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $280 - $330 | 5% |
| Hudson Headwaters Pace | $280 - $330 | 5% |
| Champion Health Plan McR Advantage | $280 - $330 | 5% |
| Longevity Health Plan | $280 - $330 | 5% |
| Serenity Pace | $280 - $330 | 5% |
| The Health Plan | $280 - $330 | 5% |
| Life St Marys Pace | $280 - $330 | 5% |
| Medipak Advantage | $280 - $330 | 5% |
| Evercare | $280 - $330 | 5% |
| Highmark Health Options Dual Plan | $280 - $330 | 5% |
| Blue Care Network Advantage | $280 - $330 | 5% |
| Careplus Health Plans | $280 - $330 | 5% |
| Cca - Zing Health | $280 - $330 | 5% |
| Michigan Complete Health | $280 - $330 | 5% |
| Martins Point Generations Advantage | $280 - $330 | 5% |
| Osu Prime Care Advantage | $280 - $330 | 5% |
| Gold Advantage | $280 - $330 | 5% |
| Scan Health Plan McR IPA Meritage Oon | $280 - $330 | 5% |
| Central Valley Medical Services Corp Pace | $280 - $330 | 5% |
| Todays Options | $280 - $330 | 5% |
| Blue Shield - De (Highmark) Medciare Advantage | $280 - $330 | 5% |
| Pace Iowa Immanuel Pathways | $280 - $330 | 5% |
| Medicare (plans) | $280 - $7,465 | 5% |
| Gpa Croell Redi Mix | $280 - $330 | 5% |
| Welbe Health | $280 - $330 | 5% |
| American Health Plan | $280 - $330 | 5% |
| Clover Health | $280 - $330 | 5% |
| Union Health Service | $280 - $330 | 5% |
| Johns Hopkins Advantage Md | $280 - $330 | 5% |
| Peak Pace Solutions | $280 - $330 | 5% |
| Community Pace at Home | $280 - $330 | 5% |
| Genesys Pace of Genesee County | $280 - $330 | 5% |
| Ally Align Care Adv | $280 - $330 | 5% |
| Lifecircles Pace | $280 - $330 | 5% |
| Provider Partners Health Plan of Indiana | $280 - $330 | 5% |
| Texan Plus | $280 - $330 | 5% |
| Siouxland Pace | $280 - $330 | 5% |
| Solis Health Plans | $280 - $330 | 5% |
| Reliance Community Care Partners Care Resources Pace | $280 - $330 | 5% |
| Rx Grane Grnmedd | $280 - $330 | 5% |
| Meridian Complete | $280 - $330 | 5% |
| Rx Allwin | $280 - $330 | 5% |
| Health America Advantra | $280 - $330 | 5% |
| Commonwealth Care Alliance | $280 - $343 | 5% |
| Gateway Health Plan | $280 - $330 | 5% |
| Presbyterian Senior Plan | $280 - $330 | 5% |
| Aurora Special Needs | $280 - $330 | 5% |
| Rx Retiree Rx Care | $280 - $330 | 5% |
| Innovative Integrated Health Community Plans | $280 - $330 | 5% |
| New Centry Health Careplus | $280 - $330 | 5% |
| Pace Cny | $280 - $330 | 5% |
| Clear Spring Health | $280 - $330 | 5% |
| Provider Partners Health Plan of Illinois | $280 - $330 | 5% |
| Veterans Eval Services | $283 - $333 | 5% |
| Triwest Health Alliance | $283 - $333 | 5% |
| Champva | $283 - $333 | 5% |
| Tricare | $283 - $333 | 5% |
| Veterans Administration | $286 - $336 | 5% |
| Cca Senior Care Options | $286 - $7,245 | 5% |
| Connecticut Dept of Correction | $6,694 | 108% |
| Diversified Administrators | $15,220 | 246% |
| Magnacare | $26,010 | 421% |
| Health Partners | $26,010 | 421% |
| Allegiance | $26,010 | 421% |