CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Mercyone Oelwein Medical Center
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $224
- Cash Discount Price: $621
- vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercyone Oelwein Medical Center is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $621. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.40x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$621
Average discount available for prompt cash payment at this facility.
Insurance Median
$224
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$558.25
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $558.25 (100%)
Cash / Self-Pay: $621 (111%)
Insurance Median: $224 (40%)
Cash: $621 (111% of Medicare)
Ins. Median: $224 (40% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $558.25 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $43 - $929 | 8% |
| Aetna | $46 - $2,160 | 8% |
| Wc Corvel | $62 - $174 | 11% |
| Veterans Eval Services | $63 - $175 | 11% |
| Humana | $63 - $292 | 11% |
| Triwest Health Alliance | $63 - $175 | 11% |
| Tricare | $63 - $175 | 11% |
| Us Family Health Plan | $63 - $175 | 11% |
| Champva | $63 - $175 | 11% |
| Gateway Health Plan | $64 - $179 | 11% |
| Mercyone Cedar Valley | $64 - $179 | 11% |
| Care Improvement Plus | $64 - $179 | 11% |
| Evercare | $64 - $179 | 11% |
| Eddy Senior Care-Pace | $64 - $179 | 11% |
| Scan Health Plan McR IPA Meritage Oon | $64 - $179 | 11% |
| Pace Cny | $64 - $179 | 11% |
| Commonwealth Care Alliance | $64 - $179 | 11% |
| Texan Plus | $64 - $179 | 11% |
| Lasso Healthcare Msa | $64 - $179 | 11% |
| Cca - Zing Health | $64 - $179 | 11% |
| Presbyterian Senior Plan | $64 - $179 | 11% |
| Todays Options | $64 - $179 | 11% |
| Serenity Pace | $64 - $179 | 11% |
| Reliance Community Care Partners Care Resources Pace | $64 - $179 | 11% |
| Michigan Complete Health | $64 - $179 | 11% |
| Tribute Health Plans | $64 - $179 | 11% |
| Community Pace at Home | $64 - $179 | 11% |
| Welbe Health | $64 - $179 | 11% |
| Sunnyview-Pace Finance Dept | $64 - $179 | 11% |
| Blue Cross Blue Shield | $64 - $954 | 11% |
| Pruitthealth Premier | $64 - $179 | 11% |
| Secure Horizons Ma Pffs | $64 - $179 | 11% |
| Mercy Life | $64 - $179 | 11% |
| Horizon Nj Total Care | $64 - $179 | 11% |
| Pace Southeast | $64 - $179 | 11% |
| Preferred Care Partners | $64 - $179 | 11% |
| Johns Hopkins Advantage Md | $64 - $179 | 11% |
| Highmark Health Options Dual Plan | $64 - $179 | 11% |
| American Health Advantage of Idaho | $64 - $179 | 11% |
| Osu Prime Care Advantage | $64 - $179 | 11% |
| New Centry Health Careplus | $64 - $179 | 11% |
| Hudson Headwaters Pace | $64 - $179 | 11% |
| Union Health Service | $64 - $179 | 11% |
| Life St Marys Pace | $64 - $179 | 11% |
| Care Dimensions | $64 - $179 | 11% |
| Everence | $64 - $179 | 11% |
| Blue Shield - De (Highmark) Medciare Advantage | $64 - $179 | 11% |
| Cca Senior Care Options | $64 - $179 | 11% |
| Meridian Complete | $64 - $179 | 11% |
| Care Resources Pace | $64 - $179 | 11% |
| Gpa Croell Redi Mix | $64 - $179 | 11% |
| Pace-Trinity Health | $64 - $179 | 11% |
| Martins Point Generations Advantage | $64 - $179 | 11% |
| Solis Health Plans | $64 - $179 | 11% |
| Georgia Health Advantage | $64 - $179 | 11% |
| Elementcare | $64 - $179 | 11% |
| Rx Retiree Rx Care | $64 - $179 | 11% |
| The Health Plan | $64 - $179 | 11% |
| Champion Health Plan McR Advantage | $64 - $179 | 11% |
| Align Senior Care | $64 - $179 | 11% |
| Ally Align Care Adv | $64 - $179 | 11% |
| Gold Advantage | $64 - $179 | 11% |
| Nascentia Health Plus | $64 - $179 | 11% |
| Provider Partners Health Plan of Indiana | $64 - $179 | 11% |
| Clear Spring Health | $64 - $179 | 11% |
| Clover Health | $64 - $179 | 11% |
| Aurora Special Needs | $64 - $179 | 11% |
| Cigna | $64 - $2,303 | 11% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $64 - $179 | 11% |
| Mass General Brigham McR Adv | $64 - $179 | 11% |
| Blue Care Network Advantage | $64 - $179 | 11% |
| Lifecircles Pace | $64 - $179 | 11% |
| Longevity Health Plan | $64 - $179 | 11% |
| Medipak Advantage | $64 - $179 | 11% |
| Eddy Seniorcare Pace | $64 - $179 | 11% |
| Thome Pace | $64 - $179 | 11% |
| Pace Iowa Immanuel Pathways | $64 - $179 | 11% |
| Careplus Health Plans | $64 - $179 | 11% |
| Rx Grane Grnmedd | $64 - $179 | 11% |
| Perennial Advantage | $64 - $179 | 11% |
| Central Valley Medical Services Corp Pace | $64 - $179 | 11% |
| Health America Advantra | $64 - $179 | 11% |
| Um Health Advantage | $64 - $179 | 11% |
| Rx Allwin | $64 - $179 | 11% |
| Huron Valley Pace | $64 - $179 | 11% |
| Peak Pace Solutions | $64 - $179 | 11% |
| Siouxland Pace | $64 - $179 | 11% |
| Pace of Southwest Michigan | $64 - $224 | 11% |
| Hope Select Pace | $64 - $179 | 11% |
| Provider Partners Health Plan of Illinois | $64 - $179 | 11% |
| UnitedHealthcare | $64 - $2,028 | 11% |
| Genesys Pace of Genesee County | $64 - $179 | 11% |
| Medicare (plans) | $64 - $1,001 | 11% |
| Innovative Integrated Health Community Plans | $64 - $179 | 11% |
| Wellmed | $64 - $179 | 11% |
| Ghc Scw Wi Badgercare | $65 - $224 | 12% |
| Peach State Healthplan | $65 - $224 | 12% |
| New York Cancer Services Program | $65 - $224 | 12% |
| Broward County Dept of Health | $65 - $224 | 12% |
| Cmh West Mi County | $65 - $224 | 12% |
| California Health and Wellness | $65 - $224 | 12% |
| Presbyterian Centennial Care | $65 - $224 | 12% |
| Cmh Ottawa County | $65 - $224 | 12% |
| Care Oregon Ohp | $65 - $224 | 12% |
| Ascension St. Vincent Public Safety Medical | $65 - $224 | 12% |
| Lakeland Care Inc | $65 - $224 | 12% |
| Delta Dental Nj | $65 - $224 | 12% |
| Medi-Cal | $65 - $224 | 12% |
| Medstar Dc Healthy Family | $65 - $224 | 12% |
| Superior Health | $65 - $224 | 12% |
| Cardinal Innovations Lme | $65 - $224 | 12% |
| Healthy Blue Ne | $65 - $224 | 12% |
| Id County Ada | $65 - $224 | 12% |
| Molina Centennial Care | $65 - $224 | 12% |
| Dscc | $65 - $224 | 12% |
| Cmh Ionia County | $65 - $224 | 12% |
| Cmh Oakland County | $65 - $224 | 12% |
| Trillium Community Ohp | $65 - $224 | 12% |
| Cmh Kent County | $65 - $224 | 12% |
| Delaware First Health | $65 - $224 | 12% |
| Cmh Allegan County | $65 - $224 | 12% |
| Cmh Barry County | $65 - $224 | 12% |
| Cmh Kalamazoo | $65 - $224 | 12% |
| Cmh Northern Lakes County | $65 - $224 | 12% |
| Rx 340B Pass Along | $65 - $224 | 12% |
| Washtenaw Health Plan | $65 - $224 | 12% |
| Robert F Sing Program | $65 - $224 | 12% |
| Idaho Womens Health Check | $65 - $224 | 12% |
| Id County Payette | $65 - $224 | 12% |
| City of Philadelphia | $65 - $224 | 12% |
| Bmc Healthnet | $65 - $224 | 12% |
| Community Health Choice | $65 - $224 | 12% |
| Health Safety Net | $65 - $224 | 12% |
| Fresno County Ccs | $65 - $224 | 12% |
| Rx Meridian Rx | $65 - $224 | 12% |
| Massachusetts Behavioral Health Partnership | $65 - $224 | 12% |
| Cmh Central Mi County | $65 - $224 | 12% |
| Cmh Macomb | $65 - $224 | 12% |
| Partners Behavioral Lme | $65 - $224 | 12% |
| Cmh North Country | $65 - $224 | 12% |
| Dph Tb Program | $65 - $224 | 12% |
| Tenncare | $65 - $224 | 12% |
| Cmh Muskegon County | $65 - $224 | 12% |
| Cmh Van Buren County | $65 - $224 | 12% |
| Cmh Washtenaw County | $65 - $224 | 12% |
| Id County Cat Fund | $65 - $224 | 12% |
| Freedom First Healthcare | $65 - $224 | 12% |
| Chhuny | $65 - $224 | 12% |
| Ryan White Florida Mssrp | $65 - $224 | 12% |
| Eastpointe Lme | $65 - $224 | 12% |
| Nascentia Health Options | $65 - $224 | 12% |
| Screening for Life | $65 - $224 | 12% |
| Amish Mennonite | $65 - $224 | 12% |
| Medstar Md Health Choice | $65 - $224 | 12% |
| Childrens Medical Services Title 19 | $65 - $224 | 12% |
| County Coroner | $65 - $224 | 12% |
| Cmh Montcalm County | $65 - $224 | 12% |
| Cmh Ausable Valley | $65 - $224 | 12% |
| Keystone First Chip | $65 - $224 | 12% |
| Mo Home State Health Plan | $65 - $224 | 12% |
| Jai Medical System | $65 - $224 | 12% |
| Rx Medi-Cal | $65 - $224 | 12% |
| Cmh Wayne Cty/Com Liv Svcs | $65 - $224 | 12% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $65 - $224 | 12% |
| Maryland Physicians Care | $65 - $224 | 12% |
| Care Connections of Northern Iowa | $65 - $224 | 12% |
| Cmh Wayne County/Carelink | $65 - $224 | 12% |
| Id County Canyon | $65 - $224 | 12% |
| Cmh Lenawee County | $65 - $224 | 12% |
| Kern Family Health Plan | $65 - $224 | 12% |
| Albany County Correctional Facility | $65 - $224 | 12% |
| Cmh Cass County | $65 - $224 | 12% |
| County Funding Generic | $65 - $224 | 12% |
| Sandhills Center Lme | $65 - $224 | 12% |
| St Joseph County Hlth Dpt | $65 - $224 | 12% |
| Tufts Health Public Plans | $65 - $224 | 12% |
| Bcccp-Michigan | $65 - $224 | 12% |
| Cmh Clinton-Eaton-Ingham County | $65 - $224 | 12% |
| Veterans Administration | $65 - $183 | 12% |
| Community Care Behavorial Health | $65 - $224 | 12% |
| Idaho Dept Health and Wellfare | $65 - $224 | 12% |
| Oregon Screenwise | $65 - $224 | 12% |
| Indiana Breast Cervical Cancer | $65 - $224 | 12% |
| Childrens Comm Health Plan | $65 - $224 | 12% |
| Cmh Misc | $65 - $224 | 12% |
| Harbor Health | $65 - $224 | 12% |
| Delaware County Department of Health | $65 - $224 | 12% |
| Cmh Livingston County | $65 - $224 | 12% |
| Family Health Network | $65 - $224 | 12% |
| Mdwise | $65 - $224 | 12% |
| Cmh Detroit Wayne Integrated Health Network | $65 - $224 | 12% |
| Id County Other | $65 - $224 | 12% |
| Cmh Monroe County | $65 - $224 | 12% |
| Inland Empire Health Plan | $65 - $224 | 12% |
| Can Community Health Inc | $65 - $224 | 12% |
| Keystone First | $65 - $224 | 12% |
| Hennepin Health | $65 - $224 | 12% |
| Maryland Healthy Smiles - Scion Dental | $65 - $224 | 12% |
| Texas Children's Health Plan | $65 - $224 | 12% |
| Bccp | $65 - $224 | 12% |
| Vaya Health Lme | $65 - $224 | 12% |
| Medi-Cal Healthnet | $65 - $224 | 12% |
| Connections Csp | $65 - $224 | 12% |
| Wellsense Health Plan | $65 - $224 | 12% |
| Managed Health Services - Indiana | $65 - $224 | 12% |
| Cmh Jackson County/Lifeways | $65 - $224 | 12% |
| Sunshine State Health Plan | $65 - $224 | 12% |
| Priority Partners | $65 - $224 | 12% |
| Maryland Breast & Cervical Program | $65 - $224 | 12% |
| La Care Health Plan | $65 - $224 | 12% |
| Cenpatico | $65 - $224 | 12% |
| Philadelphia County Funding | $65 - $224 | 12% |
| Dean Wi Badgercare | $65 - $224 | 12% |
| Cmh Bay-Arenac County | $65 - $224 | 12% |
| Cmh Genesee County | $65 - $224 | 12% |
| Wi Womens Wellness | $65 - $224 | 12% |
| Cmh Berrien County | $65 - $224 | 12% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $65 - $224 | 12% |
| Breast Grant-Connecticut | $65 - $224 | 12% |
| Nextlevel Health | $65 - $224 | 12% |
| Community Benefit Health | $65 - $224 | 12% |
| Intercommunity Health Ohp | $65 - $224 | 12% |
| Prestige Health Choice | $65 - $224 | 12% |
| Parkland Community Health Plan | $65 - $224 | 12% |
| Community Care Partners | $65 - $224 | 12% |
| Ambetter / Centene | $65 - $1,619 | 12% |
| Paramount Advantage | $65 - $224 | 12% |
| Cencal Health Plan | $65 - $224 | 12% |
| Cmh Newaygo County | $65 - $224 | 12% |
| Iowa Total Care | $66 - $911 | 12% |
| Wellpoint | $67 - $230 | 12% |
| Iowa Health Advantage | $67 - $188 | 12% |
| American Health Plan | $67 - $188 | 12% |
| Stephenson Cty Health | $70 - $201 | 13% |
| Amish Hospital Aid | $86 - $1,281 | 15% |
| Amps | $88 - $247 | 16% |
| Avera | $100 - $292 | 18% |
| Sanford Health Plan | $108 - $315 | 19% |
| Medical Associates | $108 - $1,730 | 19% |
| Lucent Health | $117 - $2,160 | 21% |
| Ucare | $117 - $348 | 21% |
| Health Smart | $120 - $338 | 21% |
| USA Managed Care | $126 - $354 | 23% |
| Oscar | $126 - $356 | 23% |
| Centivo | $126 - $1,445 | 23% |
| Quiktrip | $127 - $356 | 23% |
| Health Partners | $132 - $2,261 | 24% |
| Health Choices | $135 - $1,730 | 24% |
| Bcn Domestic | $135 - $388 | 24% |
| Kaiser Domestic | $135 - $388 | 24% |
| Blue Shield - Wa (Regence) | $135 - $388 | 24% |
| Blue Benefit Administrators of Massachusetts | $135 - $388 | 24% |
| Blue Distinction Transplant | $135 - $388 | 24% |
| Pre-Employment | $135 - $388 | 24% |
| Wc Domestic | $135 - $388 | 24% |
| Blue Shield - Ca | $135 - $388 | 24% |
| Blue Shield - Ny Highmark Northeastern | $135 - $388 | 24% |
| Blue Shield - Ny Highmark Western | $135 - $388 | 24% |
| Blue Shield - PA (Highmark) | $135 - $388 | 24% |
| Blue Care Network | $135 - $388 | 24% |
| Blue Shield - Id (Regence) | $135 - $388 | 24% |
| The Alliance | $136 - $384 | 24% |
| Claimdoc | $136 - $1,937 | 24% |
| Preferred One | $138 - $404 | 25% |
| Global Excel | $147 - $413 | 26% |
| Newton Correctional Facility | $150 - $473 | 27% |
| Velocity | $153 - $429 | 27% |
| Genex Wc | $172 - $545 | 31% |
| Wc Align Network | $184 - $582 | 33% |
| Midlands Choice | $187 - $2,303 | 33% |
| Group Administrators | $187 - $544 | 33% |
| First Choice Health | $187 - $544 | 33% |
| Auxiant | $187 - $2,303 | 33% |
| Midlands | $187 - $2,303 | 33% |
| Allied Benefit Systems | $187 - $2,160 | 33% |
| Meritain | $188 - $2,160 | 34% |
| Wc Praxis Health Network | $196 - $618 | 35% |
| Wc Velocity | $200 - $632 | 36% |
| Wc Reny Company | $200 - $632 | 36% |
| Geha | $205 - $2,028 | 37% |
| Wc O'Hara Corp | $207 - $654 | 37% |
| Multiplan | $207 - $2,280 | 37% |
| Auto Velocity | $207 - $654 | 37% |
| Wc Accident Fund | $230 - $727 | 41% |
| Wc Cna | $230 - $727 | 41% |
| Wc Tyson | $230 - $727 | 41% |
| Wc Finley Occupational Health | $230 - $727 | 41% |
| Wc Esis | $230 - $727 | 41% |
| Wc Yankee Trails | $230 - $727 | 41% |
| Wc Medical Administrators | $230 - $727 | 41% |
| Wc Amtrust | $230 - $727 | 41% |
| Wc Kemberton | $230 - $727 | 41% |
| Wc Fed Ex | $230 - $727 | 41% |
| Wc Tristar | $230 - $727 | 41% |
| Wc Travelers | $230 - $727 | 41% |
| Wc Key Ins & Benefit Solutions | $230 - $727 | 41% |
| Wc Michigan Millers Mutual | $230 - $727 | 41% |
| Wc Bunch & Associates | $230 - $727 | 41% |
| Wc One Call Medical | $230 - $727 | 41% |
| Wc Hartford | $230 - $727 | 41% |
| Wc Society | $230 - $727 | 41% |
| Wc City of Albany | $230 - $727 | 41% |
| Wc Mac Risk Management | $230 - $727 | 41% |
| Wc Hab | $230 - $727 | 41% |
| Wc Intercare Insurance | $230 - $727 | 41% |
| Wc California State Comp Ins | $230 - $727 | 41% |
| Wc Nca Comp | $230 - $727 | 41% |
| Wc Aims | $230 - $727 | 41% |
| Wc Emc Insurance Company | $230 - $727 | 41% |
| Wc Alaska National Ins | $230 - $727 | 41% |
| Wc York Risk | $230 - $727 | 41% |
| Wc Chartis | $230 - $727 | 41% |
| Wc Smile Lodge | $230 - $727 | 41% |
| Wc Acuity | $230 - $727 | 41% |
| Wc Procura Management | $230 - $727 | 41% |
| Wc New York | $230 - $727 | 41% |
| Wc Capitol Area Health Consortium | $230 - $727 | 41% |
| Wc Sedgwick | $230 - $727 | 41% |
| Njm Insurance Group | $230 - $727 | 41% |
| Wc Nationwide | $230 - $727 | 41% |
| Wc Allied | $230 - $727 | 41% |
| Wc Asu Risk Mgt | $230 - $727 | 41% |
| Wc North American Rishces | $230 - $727 | 41% |
| Wc Chubb | $230 - $727 | 41% |
| Wc Troy Ny | $230 - $727 | 41% |
| Wc Broward County | $230 - $727 | 41% |
| Wc Secura | $230 - $727 | 41% |
| Rx Worker's Comp | $230 - $727 | 41% |
| Wc Meadowbrook Claim | $230 - $727 | 41% |
| Wc Ct Healthcare Trust | $230 - $727 | 41% |
| Wc West Bend Mutual/Argent | $230 - $727 | 41% |
| Wc Donegal Insurance Group | $230 - $727 | 41% |
| Wc Paradigm | $230 - $727 | 41% |
| Wc Notre Dame | $230 - $727 | 41% |
| Wc Mdia | $230 - $727 | 41% |
| Wc Novanet | $230 - $727 | 41% |
| Wc City of Sioux City | $230 - $727 | 41% |
| Wc Michigan | $230 - $727 | 41% |
| Wc Enablecomp | $230 - $727 | 41% |
| Wc Us Dept of Labor | $230 - $727 | 41% |
| Rx Saif Opdp Wc | $230 - $727 | 41% |
| Wc Cirma | $230 - $727 | 41% |
| Wc Genex Care for Ohio | $230 - $727 | 41% |
| Wc Rural Mutual | $230 - $727 | 41% |
| Wc Benetech | $230 - $727 | 41% |
| Wc Claims Mgmt Inc | $230 - $727 | 41% |
| Wc Taconic (Mro) | $230 - $727 | 41% |
| Wc Zenith | $230 - $727 | 41% |
| Wc Sheakley Unicomp | $230 - $727 | 41% |
| Andrie Inc | $230 - $727 | 41% |
| Wc Qualcare | $230 - $727 | 41% |
| Wc Comp One Admin C/O Manageability | $230 - $727 | 41% |
| Rx Restat | $230 - $727 | 41% |
| Wc Federated | $230 - $727 | 41% |
| Wc American Claims Mgmt | $230 - $727 | 41% |
| Wc Fcci | $230 - $727 | 41% |
| Wc Peerless | $230 - $727 | 41% |
| Wc Intermountain | $230 - $727 | 41% |
| Wc Health Management | $230 - $727 | 41% |
| Wc Ford Motor | $230 - $727 | 41% |
| Wc Risico | $230 - $727 | 41% |
| Wc Federal Black Lung | $230 - $727 | 41% |
| Wc Price Chopper | $230 - $727 | 41% |
| Wc Quiktrip | $230 - $727 | 41% |
| Wc Gallagher Bassett | $230 - $727 | 41% |
| Wc Mercy Workcare | $230 - $727 | 41% |
| Wc Generic | $230 - $727 | 41% |
| Wc Employee Mutual | $230 - $727 | 41% |
| Wc Winnebago Industries | $230 - $727 | 41% |
| Wc Johns Eastern | $230 - $727 | 41% |
| Wc Walmart | $230 - $727 | 41% |
| Wc Heritage Summit | $230 - $727 | 41% |
| Jag Source | $230 - $727 | 41% |
| Nebraska Total Care | $230 - $621 | 41% |
| East Greenbush Central School District | $230 - $727 | 41% |
| Wc Triad Group | $230 - $727 | 41% |
| Wc Taconic Farms | $230 - $727 | 41% |
| Wc Compone Admin | $230 - $727 | 41% |
| Wc Rev Claims | $230 - $727 | 41% |
| Healthsmart Workers Comp | $230 - $727 | 41% |
| Wc Am Trust N America | $230 - $727 | 41% |
| Wc Hastings | $230 - $727 | 41% |
| New York State Insurance Fund | $230 - $727 | 41% |
| Wc California State Ins Fund | $230 - $727 | 41% |
| Wc Icw Group | $230 - $727 | 41% |
| Wc Evolutions | $230 - $727 | 41% |
| Wc Berkley Admin | $230 - $727 | 41% |
| Wc Idaho State Ins Fund | $230 - $727 | 41% |
| Iowa Dept of Public Health | $230 - $2,350 | 41% |
| Wc Unified Health Services | $230 - $727 | 41% |
| Wc Northeast Health | $230 - $727 | 41% |
| Wc Liberty Mutual | $230 - $727 | 41% |
| Wc Pma | $230 - $727 | 41% |
| Wc Occ Health Allen | $230 - $727 | 41% |
| Wc Guarantee Insurance | $230 - $727 | 41% |
| Wc First Agency/Occunet | $230 - $727 | 41% |
| Wc Guard Insurance Company | $230 - $727 | 41% |
| Rx Heatlhcomp | $230 - $727 | 41% |
| Wc Erie | $230 - $727 | 41% |
| Wc Ccmsi | $230 - $727 | 41% |
| Wc Saif Oregon | $230 - $727 | 41% |
| Wc Ohio Bureau | $230 - $727 | 41% |
| Wc Mitchell Frankenmuth | $230 - $727 | 41% |
| Wc Encore Health Network | $230 - $727 | 41% |
| Wc Acs Federal Employees | $230 - $727 | 41% |
| Wc General Motors | $230 - $727 | 41% |
| Wc Fresno Unified Emp | $230 - $727 | 41% |
| Wc Ace | $230 - $727 | 41% |
| Wc Horizon | $230 - $727 | 41% |
| Wc Broadspire | $230 - $727 | 41% |
| Wc Aig | $230 - $727 | 41% |
| Wc Advantage | $230 - $727 | 41% |
| Wc Zurich | $230 - $727 | 41% |
| Wc New York Special Funds | $230 - $727 | 41% |
| Wc Srs | $230 - $727 | 41% |
| Wc United Heartland | $230 - $727 | 41% |
| Wc Mra | $230 - $727 | 41% |
| Wc Meijers | $230 - $727 | 41% |
| Wc Memic | $230 - $727 | 41% |
| Wc Great West Casualty | $230 - $727 | 41% |
| Wc Sentry | $230 - $727 | 41% |
| Wc West Bend | $230 - $727 | 41% |
| Wc Aegis | $230 - $727 | 41% |
| Wc Hireright | $230 - $727 | 41% |
| Wc Massachusetts | $230 - $727 | 41% |
| Wc Amerisure | $230 - $727 | 41% |
| Nova | $1,937 | 347% |
| 1199 National Benefit Fund | $2,160 | 387% |
| Medical Mutual | $2,160 | 387% |
| Coventry | $2,160 | 387% |
| Webtpa | $2,160 | 387% |
| Christian Brother Services | $2,160 | 387% |
| Asr Health Benefits | $2,160 | 387% |
| Luminare Health | $2,160 | 387% |
| Trustmark Small Business Benefits | $2,160 | 387% |
| First Health | $2,160 | 387% |
| Medica | $2,303 | 413% |
| Crime Victim Assistance | $2,350 | 421% |