CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: St Francis Hospital
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $305
- Cash Discount Price: $801
- vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at St Francis Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $801. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.05x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$801
Average discount available for prompt cash payment at this facility.
Insurance Median
$305
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: $801 (13%)
Insurance Median: $305 (5%)
Cash: $801 (13% of Medicare)
Ins. Median: $305 (5% 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 |
|---|---|---|
| Ambetter / Centene | $70 - $435 | 1% |
| UnitedHealthcare | $73 - $455 | 1% |
| Geha | $73 - $455 | 1% |
| Cigna | $80 - $6,495 | 1% |
| Meritain | $102 - $747 | 2% |
| Aetna | $102 - $6,811 | 2% |
| Coventry | $102 - $7,722 | 2% |
| Medicaid / KanCare | $110 - $726 | 2% |
| Wc Fresno Unified Emp | $155 - $969 | 3% |
| Wc Mdia | $155 - $969 | 3% |
| Wc Triad Group | $155 - $969 | 3% |
| Wc Mercy Workcare | $155 - $969 | 3% |
| Njm Insurance Group | $155 - $969 | 3% |
| Wc West Bend Mutual/Argent | $155 - $969 | 3% |
| Andrie Inc | $155 - $969 | 3% |
| Wc Amerisure | $155 - $969 | 3% |
| Wc Federal Black Lung | $155 - $969 | 3% |
| Wc Unified Health Services | $155 - $969 | 3% |
| Wc Paradigm | $155 - $969 | 3% |
| Wc Michigan Millers Mutual | $155 - $969 | 3% |
| Wc Sedgwick | $155 - $969 | 3% |
| Wc Cna | $155 - $969 | 3% |
| Wc Memic | $155 - $969 | 3% |
| Wc Accident Fund | $155 - $969 | 3% |
| Wc Aims | $155 - $969 | 3% |
| Wc Donegal Insurance Group | $155 - $969 | 3% |
| Wc Encore Health Network | $155 - $969 | 3% |
| Wc Velocity | $155 - $969 | 3% |
| Wc York Risk | $155 - $969 | 3% |
| Wc Chubb | $155 - $969 | 3% |
| Wc Hastings | $155 - $969 | 3% |
| Wc Idaho State Ins Fund | $155 - $969 | 3% |
| Wc Icw Group | $155 - $969 | 3% |
| Wc Yankee Trails | $155 - $969 | 3% |
| East Greenbush Central School District | $155 - $969 | 3% |
| Wc Travelers | $155 - $969 | 3% |
| Wc Secura | $155 - $969 | 3% |
| Wc Smile Lodge | $155 - $969 | 3% |
| Wc Employee Mutual | $155 - $969 | 3% |
| Wc Heritage Summit | $155 - $969 | 3% |
| Wc Mitchell Frankenmuth | $155 - $969 | 3% |
| Wc Winnebago Industries | $155 - $969 | 3% |
| Wc O'Hara Corp | $155 - $969 | 3% |
| Wc West Bend | $155 - $969 | 3% |
| Wc Federated | $155 - $969 | 3% |
| Rx Restat | $155 - $969 | 3% |
| Wc Finley Occupational Health | $155 - $969 | 3% |
| Wc Amtrust | $155 - $969 | 3% |
| Wc Broadspire | $155 - $969 | 3% |
| Wc Hab | $155 - $969 | 3% |
| Wc Medical Administrators | $155 - $969 | 3% |
| Wc New York Special Funds | $155 - $969 | 3% |
| Wc Mac Risk Management | $155 - $969 | 3% |
| Wc Peerless | $155 - $969 | 3% |
| Wc Johns Eastern | $155 - $969 | 3% |
| Wc Rural Mutual | $155 - $969 | 3% |
| Wc Rev Claims | $155 - $969 | 3% |
| Wc Praxis Health Network | $155 - $969 | 3% |
| Wc City of Sioux City | $155 - $969 | 3% |
| Wc Acuity | $155 - $969 | 3% |
| Wc Fcci | $155 - $969 | 3% |
| Wc Berkley Admin | $155 - $969 | 3% |
| Wc Novanet | $155 - $969 | 3% |
| Wc North American Rishces | $155 - $969 | 3% |
| Wc Allied | $155 - $969 | 3% |
| Wc Intermountain | $155 - $969 | 3% |
| Wc Northeast Health | $155 - $969 | 3% |
| Wc Emc Insurance Company | $155 - $969 | 3% |
| Wc Srs | $155 - $969 | 3% |
| Wc General Motors | $155 - $969 | 3% |
| Wc California State Comp Ins | $155 - $969 | 3% |
| Wc Ford Motor | $155 - $969 | 3% |
| Wc Qualcare | $155 - $969 | 3% |
| Wc Comp One Admin C/O Manageability | $155 - $969 | 3% |
| Wc Genex Care for Ohio | $155 - $969 | 3% |
| Wc Notre Dame | $155 - $969 | 3% |
| Wc Us Dept of Labor | $155 - $969 | 3% |
| Wc Claims Mgmt Inc | $155 - $969 | 3% |
| Wc Alaska National Ins | $155 - $969 | 3% |
| Wc One Call Medical | $155 - $969 | 3% |
| Wc Sheakley Unicomp | $155 - $969 | 3% |
| Wc California State Ins Fund | $155 - $969 | 3% |
| Genex Wc | $155 - $969 | 3% |
| Wc Advantage | $155 - $969 | 3% |
| Rx Heatlhcomp | $155 - $969 | 3% |
| Wc First Agency/Occunet | $155 - $969 | 3% |
| Wc Hartford | $155 - $969 | 3% |
| Wc Nationwide | $155 - $969 | 3% |
| Wc Enablecomp | $155 - $969 | 3% |
| Wc Taconic (Mro) | $155 - $969 | 3% |
| New York State Insurance Fund | $155 - $969 | 3% |
| Wc Taconic Farms | $155 - $969 | 3% |
| Wc Meijers | $155 - $969 | 3% |
| Wc Capitol Area Health Consortium | $155 - $969 | 3% |
| Wc Ccmsi | $155 - $969 | 3% |
| Wc Bunch & Associates | $155 - $969 | 3% |
| Healthsmart Workers Comp | $155 - $969 | 3% |
| Wc Kemberton | $155 - $969 | 3% |
| Wc Acs Federal Employees | $155 - $969 | 3% |
| Wc Cirma | $155 - $969 | 3% |
| Jag Source | $155 - $969 | 3% |
| Wc Procura Management | $155 - $969 | 3% |
| Wc Massachusetts | $155 - $969 | 3% |
| Wc Ct Healthcare Trust | $155 - $969 | 3% |
| Wc Key Ins & Benefit Solutions | $155 - $969 | 3% |
| Wc United Heartland | $155 - $969 | 3% |
| Wc Erie | $155 - $969 | 3% |
| Wc Liberty Mutual | $155 - $969 | 3% |
| Wc Broward County | $155 - $969 | 3% |
| Wc Mra | $155 - $969 | 3% |
| Wc Zenith | $155 - $969 | 3% |
| Wc Esis | $155 - $969 | 3% |
| Wc Fed Ex | $155 - $969 | 3% |
| Wc Occ Health Allen | $155 - $969 | 3% |
| Wc Chartis | $155 - $969 | 3% |
| Wc Health Management | $155 - $969 | 3% |
| Wc City of Albany | $155 - $969 | 3% |
| Wc Horizon | $155 - $969 | 3% |
| Wc Sentry | $155 - $969 | 3% |
| Wc Tristar | $155 - $969 | 3% |
| Wc Gallagher Bassett | $155 - $969 | 3% |
| Rx Saif Opdp Wc | $155 - $969 | 3% |
| Wc Price Chopper | $155 - $969 | 3% |
| Wc Ohio Bureau | $155 - $969 | 3% |
| Wc Intercare Insurance | $155 - $969 | 3% |
| Wc Pma | $155 - $969 | 3% |
| Wc Guarantee Insurance | $155 - $969 | 3% |
| Wc Align Network | $155 - $969 | 3% |
| Wc Evolutions | $155 - $969 | 3% |
| Wc Hireright | $155 - $969 | 3% |
| Wc Ace | $155 - $969 | 3% |
| Wc Walmart | $155 - $969 | 3% |
| Wc Great West Casualty | $155 - $969 | 3% |
| Wc New York | $155 - $969 | 3% |
| Wc Benetech | $155 - $969 | 3% |
| Wc Asu Risk Mgt | $155 - $969 | 3% |
| Wc Saif Oregon | $155 - $969 | 3% |
| Wc Aig | $155 - $969 | 3% |
| Wc Reny Company | $155 - $969 | 3% |
| Wc Guard Insurance Company | $155 - $969 | 3% |
| Wc Generic | $155 - $969 | 3% |
| Wc Tyson | $155 - $969 | 3% |
| Wc Risico | $155 - $969 | 3% |
| Wc Quiktrip | $155 - $969 | 3% |
| Wc Society | $155 - $969 | 3% |
| Wc Compone Admin | $155 - $969 | 3% |
| Wc American Claims Mgmt | $155 - $969 | 3% |
| Wc Troy Ny | $155 - $969 | 3% |
| Wc Am Trust N America | $155 - $969 | 3% |
| Wc Michigan | $155 - $969 | 3% |
| Wc Zurich | $155 - $969 | 3% |
| Rx Worker's Comp | $155 - $969 | 3% |
| Wc Aegis | $155 - $969 | 3% |
| Wc Meadowbrook Claim | $155 - $969 | 3% |
| Wc Nca Comp | $155 - $969 | 3% |
| Fallon Health | $186 - $1,233 | 3% |
| Manhattan Life | $186 - $1,233 | 3% |
| PHCS | $186 - $1,233 | 3% |
| International Benefit Administrators | $186 - $1,233 | 3% |
| Dean Health | $186 - $1,233 | 3% |
| Allied National Global Care | $186 - $1,233 | 3% |
| Pai | $186 - $1,233 | 3% |
| Devon Health Services | $186 - $1,233 | 3% |
| Medi Share | $186 - $1,233 | 3% |
| Pan-American Life | $186 - $1,233 | 3% |
| Christian Care Ministry | $186 - $1,233 | 3% |
| Family Life Insurance Company | $186 - $1,233 | 3% |
| Paramount HMO | $186 - $1,233 | 3% |
| Asrm - Reliance Standard Life Insurance | $186 - $1,233 | 3% |
| Ghc Scw | $186 - $1,233 | 3% |
| Multiplan | $186 - $1,233 | 3% |
| Trinity Health Share | $186 - $1,233 | 3% |
| Lifetime Benefit Solutions | $186 - $1,233 | 3% |
| Vitalcore | $197 - $1,306 | 3% |
| Three Rivers Provider Network | $208 - $1,378 | 3% |
| Galaxy Health Network | $208 - $1,378 | 3% |
| Prime Health Services | $208 - $1,378 | 3% |
| Wc Corvel | $208 - $1,378 | 3% |
| Tribute Health Plans | $259 - $305 | 4% |
| Lasso Healthcare Msa | $259 - $305 | 4% |
| Nascentia Health Plus | $259 - $305 | 4% |
| Preferred Care Partners | $259 - $305 | 4% |
| Mass General Brigham McR Adv | $259 - $305 | 4% |
| Cca Senior Care Options | $259 - $305 | 4% |
| The Health Plan | $259 - $305 | 4% |
| Pace Iowa Immanuel Pathways | $259 - $305 | 4% |
| Careplus Health Plans | $259 - $305 | 4% |
| Georgia Health Advantage | $259 - $305 | 4% |
| Rx Allwin | $259 - $305 | 4% |
| Iowa Health Advantage | $259 - $305 | 4% |
| Peak Pace Solutions | $259 - $305 | 4% |
| Meridian Complete | $259 - $305 | 4% |
| Elementcare | $259 - $305 | 4% |
| Sunnyview-Pace Finance Dept | $259 - $305 | 4% |
| American Health Plan | $259 - $305 | 4% |
| Innovative Integrated Health Community Plans | $259 - $305 | 4% |
| Secure Horizons Ma Pffs | $259 - $305 | 4% |
| Commonwealth Care Alliance | $259 - $305 | 4% |
| Eddy Senior Care-Pace | $259 - $305 | 4% |
| Pace Southeast | $259 - $305 | 4% |
| Serenity Pace | $259 - $305 | 4% |
| Wellmed | $259 - $305 | 4% |
| Community Pace at Home | $259 - $305 | 4% |
| Cca - Zing Health | $259 - $305 | 4% |
| New Centry Health Careplus | $259 - $305 | 4% |
| Aurora Special Needs | $259 - $305 | 4% |
| Solis Health Plans | $259 - $305 | 4% |
| Humana | $259 - $316 | 4% |
| Union Health Service | $259 - $305 | 4% |
| Gateway Health Plan | $259 - $305 | 4% |
| Health America Advantra | $259 - $305 | 4% |
| Todays Options | $259 - $305 | 4% |
| Medipak Advantage | $259 - $305 | 4% |
| Evercare | $259 - $305 | 4% |
| Clear Spring Health | $259 - $305 | 4% |
| Scan Health Plan McR IPA Meritage Oon | $259 - $305 | 4% |
| Pruitthealth Premier | $259 - $305 | 4% |
| Highmark Health Options Dual Plan | $259 - $6,628 | 4% |
| Reliance Community Care Partners Care Resources Pace | $259 - $305 | 4% |
| Blue Care Network Advantage | $259 - $305 | 4% |
| Michigan Complete Health | $259 - $305 | 4% |
| Siouxland Pace | $259 - $305 | 4% |
| Ally Align Care Adv | $259 - $305 | 4% |
| Provider Partners Health Plan of Indiana | $259 - $305 | 4% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $259 - $305 | 4% |
| Blue Cross Blue Shield | $259 - $37,983 | 4% |
| Align Senior Care | $259 - $305 | 4% |
| Medicare (plans) | $259 - $6,748 | 4% |
| Gold Advantage | $259 - $305 | 4% |
| Rx Grane Grnmedd | $259 - $305 | 4% |
| Central Valley Medical Services Corp Pace | $259 - $305 | 4% |
| Clover Health | $259 - $305 | 4% |
| Pace-Trinity Health | $259 - $2,608 | 4% |
| Osu Prime Care Advantage | $259 - $305 | 4% |
| Johns Hopkins Advantage Md | $259 - $305 | 4% |
| Mercy Life | $259 - $305 | 4% |
| Thome Pace | $259 - $305 | 4% |
| Presbyterian Senior Plan | $259 - $305 | 4% |
| Provider Partners Health Plan of Illinois | $259 - $305 | 4% |
| Eddy Seniorcare Pace | $259 - $305 | 4% |
| Everence | $259 - $305 | 4% |
| American Health Advantage of Idaho | $259 - $305 | 4% |
| Welbe Health | $259 - $305 | 4% |
| Lifecircles Pace | $259 - $305 | 4% |
| Pace of Southwest Michigan | $259 - $316 | 4% |
| Life St Marys Pace | $259 - $305 | 4% |
| Care Improvement Plus | $259 - $305 | 4% |
| Mercyone Cedar Valley | $259 - $305 | 4% |
| Care Dimensions | $259 - $305 | 4% |
| Rx Retiree Rx Care | $259 - $305 | 4% |
| Perennial Advantage | $259 - $305 | 4% |
| Huron Valley Pace | $259 - $305 | 4% |
| Pace Cny | $259 - $305 | 4% |
| Champion Health Plan McR Advantage | $259 - $305 | 4% |
| Hudson Headwaters Pace | $259 - $305 | 4% |
| Care Resources Pace | $259 - $305 | 4% |
| Gpa Croell Redi Mix | $259 - $305 | 4% |
| Horizon Nj Total Care | $259 - $305 | 4% |
| Longevity Health Plan | $259 - $305 | 4% |
| Hope Select Pace | $259 - $305 | 4% |
| Um Health Advantage | $259 - $305 | 4% |
| Texan Plus | $259 - $305 | 4% |
| Genesys Pace of Genesee County | $259 - $305 | 4% |
| Martins Point Generations Advantage | $259 - $305 | 4% |
| Champva | $263 - $310 | 4% |
| Us Family Health Plan | $263 - $310 | 4% |
| Tricare | $263 - $310 | 4% |
| Triwest Health Alliance | $263 - $310 | 4% |
| Veterans Eval Services | $263 - $310 | 4% |
| Veterans Administration | $264 - $311 | 4% |
| Blue Shield - De (Highmark) Medciare Advantage | $272 - $6,628 | 4% |
| Stephenson Cty Health | $316 | 5% |
| Id County Payette | $316 | 5% |
| Wi Womens Wellness | $316 | 5% |
| Keystone First Chip | $316 | 5% |
| Care Connections of Northern Iowa | $316 | 5% |
| Sandhills Center Lme | $316 | 5% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $316 | 5% |
| Family Health Network | $316 | 5% |
| Chhuny | $316 | 5% |
| Cenpatico | $316 | 5% |
| Iowa Total Care | $316 | 5% |
| Medstar Dc Healthy Family | $316 | 5% |
| Robert F Sing Program | $316 | 5% |
| Eastpointe Lme | $316 | 5% |
| Mo Home State Health Plan | $316 | 5% |
| Washtenaw Health Plan | $316 | 5% |
| Superior Health | $316 | 5% |
| Medi-Cal Healthnet | $316 | 5% |
| Ghc Scw Wi Badgercare | $316 | 5% |
| Jai Medical System | $316 | 5% |
| Dean Wi Badgercare | $316 | 5% |
| Lakeland Care Inc | $316 | 5% |
| County Funding Generic | $316 | 5% |
| Prestige Health Choice | $316 | 5% |
| Cmh Kent County | $316 | 5% |
| Cmh Allegan County | $316 | 5% |
| Bmc Healthnet | $316 | 5% |
| Priority Partners | $316 | 5% |
| Cmh Jackson County/Lifeways | $316 | 5% |
| Community Care Behavorial Health | $316 | 5% |
| Cmh North Country | $316 | 5% |
| Philadelphia County Funding | $316 | 5% |
| Idaho Womens Health Check | $316 | 5% |
| Broward County Dept of Health | $316 | 5% |
| Cmh Genesee County | $316 | 5% |
| Id County Cat Fund | $316 | 5% |
| Cmh Bay-Arenac County | $316 | 5% |
| Parkland Community Health Plan | $316 | 5% |
| Medi-Cal | $316 | 5% |
| Inland Empire Health Plan | $316 | 5% |
| Sunshine State Health Plan | $316 | 5% |
| Delta Dental Nj | $316 | 5% |
| California Health and Wellness | $316 | 5% |
| Cmh Detroit Wayne Integrated Health Network | $316 | 5% |
| Id County Ada | $316 | 5% |
| Cmh Muskegon County | $316 | 5% |
| Cmh Macomb | $316 | 5% |
| Cmh Wayne Cty/Com Liv Svcs | $316 | 5% |
| Idaho Dept Health and Wellfare | $316 | 5% |
| Fresno County Ccs | $316 | 5% |
| Harbor Health | $316 | 5% |
| Keystone First | $316 | 5% |
| Cmh Wayne County/Carelink | $316 | 5% |
| Health Safety Net | $316 | 5% |
| Kern Family Health Plan | $316 | 5% |
| La Care Health Plan | $316 | 5% |
| Cmh Berrien County | $316 | 5% |
| Cmh Montcalm County | $316 | 5% |
| Cmh Northern Lakes County | $316 | 5% |
| Albany County Correctional Facility | $316 | 5% |
| Ryan White Florida Mssrp | $316 | 5% |
| Rx Meridian Rx | $316 | 5% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $316 | 5% |
| Wellsense Health Plan | $316 | 5% |
| Molina Centennial Care | $316 | 5% |
| Screening for Life | $316 | 5% |
| Cmh Livingston County | $316 | 5% |
| Childrens Medical Services Title 19 | $316 | 5% |
| Bcccp-Michigan | $316 | 5% |
| Cmh Ionia County | $316 | 5% |
| Community Health Choice | $316 | 5% |
| Cmh Clinton-Eaton-Ingham County | $316 | 5% |
| Cmh Oakland County | $316 | 5% |
| Cmh Ottawa County | $316 | 5% |
| Intercommunity Health Ohp | $316 | 5% |
| Maryland Healthy Smiles - Scion Dental | $316 | 5% |
| Cmh Cass County | $316 | 5% |
| Maryland Breast & Cervical Program | $316 | 5% |
| Texas Children's Health Plan | $316 | 5% |
| Peach State Healthplan | $316 | 5% |
| Rx Medi-Cal | $316 | 5% |
| Presbyterian Centennial Care | $316 | 5% |
| Maryland Physicians Care | $316 | 5% |
| Dph Tb Program | $316 | 5% |
| Bccp | $316 | 5% |
| Cmh Kalamazoo | $316 | 5% |
| St Joseph County Hlth Dpt | $316 | 5% |
| Community Care Partners | $316 | 5% |
| Cmh Misc | $316 | 5% |
| Nextlevel Health | $316 | 5% |
| Amish Mennonite | $316 | 5% |
| Healthy Blue Ne | $316 | 5% |
| Cmh Monroe County | $316 | 5% |
| Hennepin Health | $316 | 5% |
| New York Cancer Services Program | $316 | 5% |
| Rx 340B Pass Along | $316 | 5% |
| Freedom First Healthcare | $316 | 5% |
| Massachusetts Behavioral Health Partnership | $316 | 5% |
| Tufts Health Public Plans | $316 | 5% |
| Oregon Screenwise | $316 | 5% |
| Cmh Newaygo County | $316 | 5% |
| Trillium Community Ohp | $316 | 5% |
| Id County Canyon | $316 | 5% |
| Managed Health Services - Indiana | $316 | 5% |
| Cencal Health Plan | $316 | 5% |
| Nebraska Total Care | $316 | 5% |
| Cmh Ausable Valley | $316 | 5% |
| Cmh Lenawee County | $316 | 5% |
| Childrens Comm Health Plan | $316 | 5% |
| Cmh Barry County | $316 | 5% |
| Cmh Central Mi County | $316 | 5% |
| Cmh West Mi County | $316 | 5% |
| Cmh Washtenaw County | $316 | 5% |
| Cmh Van Buren County | $316 | 5% |
| County Coroner | $316 | 5% |
| Tenncare | $316 | 5% |
| Dscc | $316 | 5% |
| Breast Grant-Connecticut | $316 | 5% |
| Partners Behavioral Lme | $316 | 5% |
| City of Philadelphia | $316 | 5% |
| Delaware County Department of Health | $316 | 5% |
| Connections Csp | $316 | 5% |
| Id County Other | $316 | 5% |
| Cardinal Innovations Lme | $316 | 5% |
| Community Benefit Health | $316 | 5% |
| Medstar Md Health Choice | $316 | 5% |
| Paramount Advantage | $316 | 5% |
| Ascension St. Vincent Public Safety Medical | $316 | 5% |
| Nascentia Health Options | $316 | 5% |
| Vaya Health Lme | $316 | 5% |
| Mdwise | $316 | 5% |
| Indiana Breast Cervical Cancer | $316 | 5% |
| Care Oregon Ohp | $316 | 5% |
| Blue Care Network | $362 - $4,321 | 6% |
| Blue Shield - PA (Highmark) | $362 - $4,321 | 6% |
| Blue Shield - Ny Highmark Northeastern | $362 - $4,321 | 6% |
| Blue Shield - Ny Highmark Western | $362 - $4,321 | 6% |
| Blue Shield - Id (Regence) | $362 - $4,321 | 6% |
| Blue Shield - Wa (Regence) | $362 - $4,321 | 6% |
| Blue Shield - Ca | $362 - $4,321 | 6% |
| Kaiser Domestic | $362 | 6% |
| Wc Domestic | $362 | 6% |
| Blue Distinction Transplant | $362 - $4,321 | 6% |
| Bcn Domestic | $362 | 6% |
| Health Choices | $362 | 6% |
| Pre-Employment | $362 | 6% |
| Blue Benefit Administrators of Massachusetts | $362 - $4,321 | 6% |
| Delaware First Health | $380 | 6% |
| First Health | $389 | 6% |
| Saint Francis Life | $2,608 | 42% |
| Amerihealth | $37,983 | 615% |