Coronary art/grft angio s&i at MercyOne Des Moines Medical Center
1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893
$29,093.43
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$17,728.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.92 with IOWA DEPT OF PUBLIC HEALTH vs $17,728.00 with CRIME VICTIM ASSISTANCE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $1.92 | ↓ -100% |
| MEDICAID - MI | MEDICAID | $86.69 | ↓ -100% |
| AETNA MEDICAID | AETNA MEDICAID | $95.53 | ↓ -100% |
| MEDICAID - IL | MEDICAID | $95.53 | ↓ -100% |
| MEDICAID - ID | MEDICAID | $103.71 | ↓ -100% |
| MEDICAID - OR | MEDICAID | $103.96 | ↓ -100% |
| WC CORVEL | CORVEL WORKERS COMP | $116.66 | ↓ -100% |
| TRICARE EAST HUMANA | TRICARE | $120.12 | ↓ -100% |
| TRICARE WEST HEALTHNET | TRICARE | $120.12 | ↓ -100% |
| CHAMPVA | TRICARE | $120.12 | ↓ -100% |
| TRIWEST HEALTH ALLIANCE | TRICARE | $120.12 | ↓ -100% |
| VETERANS EVAL SERVICES | TRICARE | $120.12 | ↓ -100% |
| TRICARE | TRICARE | $120.12 | ↓ -100% |
| US FAMILY HEALTH PLAN | TRICARE | $120.12 | ↓ -100% |
| AMERIHEALTH MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| CENTRAL HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| TOTAL HEALTHCARE MEDICARE SNP | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - TX MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| PACE CNY | MEDICARE | $120.35 | ↓ -100% |
| HUMANA CENTRAL VALLEY MEDPRO | MEDICARE | $120.35 | ↓ -100% |
| CARE DIMENSIONS | MEDICARE | $120.35 | ↓ -100% |
| CARECENTRIX MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| FREEDOM HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| TODAYS OPTIONS | MEDICARE | $120.35 | ↓ -100% |
| UM HEALTH ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MI HEALTHLINK MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| MCLAREN HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| ALLWELL MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| THOME PACE | MEDICARE | $120.35 | ↓ -100% |
| ESSENCE MEDICARE HMO | MEDICARE | $120.35 | ↓ -100% |
| EDDY SENIOR CARE-PACE | MEDICARE | $120.35 | ↓ -100% |
| SERENITY PACE | MEDICARE | $120.35 | ↓ -100% |
| THE HEALTH PLAN | MEDICARE | $120.35 | ↓ -100% |
| RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE | MEDICARE | $120.35 | ↓ -100% |
| GOLD KIDNEY MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| TEXAN PLUS | MEDICARE | $120.35 | ↓ -100% |
| PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS | MEDICARE | $120.35 | ↓ -100% |
| EON HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| SCAN HEALTH PLAN MCR IPA MERITAGE OON | MEDICARE | $120.35 | ↓ -100% |
| CARE RESOURCES PACE | MEDICARE | $120.35 | ↓ -100% |
| BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP | MEDICARE | $120.35 | ↓ -100% |
| SIOUXLAND PACE | MEDICARE | $120.35 | ↓ -100% |
| KEYSTONE FIRST CHC MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| ANTHEM MYCARE OHIO | MEDICARE | $120.35 | ↓ -100% |
| UNIVERA HEALTHCARE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| SCAN HEALTH PLAN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| NETWORK MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MARTINS POINT GENERATIONS ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| PHP MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| GEORGIA HEALTH ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - MN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - ID MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| NEW CENTRY HEALTH CAREPLUS | MEDICARE | $120.35 | ↓ -100% |
| ELEMENTCARE | MEDICARE | $120.35 | ↓ -100% |
| MODA HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| VNSNY CHOICE MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| COVENTRY MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HEALTHFIRST MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HEALTH NEW ENGLAND MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CARE IMPROVEMENT PLUS | MEDICARE | $120.35 | ↓ -100% |
| FIDELIS MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| LIFECIRCLES PACE | MEDICARE | $120.35 | ↓ -100% |
| SELECTHEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| EMBLEM HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HOPE SELECT PACE | MEDICARE | $120.35 | ↓ -100% |
| MEDICAL MUTUAL MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| PARAMOUNT MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MEDICA MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| WELBE HEALTH | MEDICARE | $120.35 | ↓ -100% |
| HARVARD PILGRIM MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| HIGHMARK WHOLECARE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE SHIELD - CA MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| JOHNS HOPKINS ADVANTAGE MD | MEDICARE | $120.35 | ↓ -100% |
| ICARE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| UNICARE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| DEVOTED HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CLOVER HEALTH | MEDICARE | $120.35 | ↓ -100% |
| WELLMED | MEDICARE | $120.35 | ↓ -100% |
| PHOENIX MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL | MEDICARE | $120.35 | ↓ -100% |
| PRIME HEALTH SERVICES MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| RX ALLWIN | MEDICARE | $120.35 | ↓ -100% |
| SOLIS HEALTH PLANS | MEDICARE | $120.35 | ↓ -100% |
| CONNECTICARE VIP MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| CLEAR SPRING HEALTH | MEDICARE | $120.35 | ↓ -100% |
| HUMANA MEDICARE TRANSPLANT | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - MT MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - IL MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HUDSON HEADWATERS PACE | MEDICARE | $120.35 | ↓ -100% |
| RX RETIREE RX CARE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CARE NETWORK ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| AVMED MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HEALTHNET MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BRAND NEW DAY MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MEDIPAK ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| COMMONWEALTH CARE ALLIANCE | MEDICARE | $120.35 | ↓ -100% |
| PROMINENCE MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| PRESBYTERIAN SENIOR PLAN | MEDICARE | $120.35 | ↓ -100% |
| POSITIVE HEALTHCARE PARTNERS MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| COMMONWEALTH CARE ALLIANCE MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| AMERICAN HEALTH ADVANTAGE OF IDAHO | MEDICARE | $120.35 | ↓ -100% |
| IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS | MEDICARE | $120.35 | ↓ -100% |
| MICHIGAN COMPLETE HEALTH | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| RX MEDICARE PART B | MEDICARE | $120.35 | ↓ -100% |
| PEAK PACE SOLUTIONS | MEDICARE | $120.35 | ↓ -100% |
| AURORA SPECIAL NEEDS | MEDICARE | $120.35 | ↓ -100% |
| PRIORITY HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| ALLY ALIGN CARE ADV | MEDICARE | $120.35 | ↓ -100% |
| BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MEDICARE ADVANTAGE GENERIC | MEDICARE | $120.35 | ↓ -100% |
| FALLON HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HURON VALLEY PACE | MEDICARE | $120.35 | ↓ -100% |
| CARE WISCONSIN MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $120.35 | ↓ -100% |
| BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HEALTH ALLIANCE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| TRIBUTE HEALTH PLANS | MEDICARE | $120.35 | ↓ -100% |
| ADVANTRA FREEDOM MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CIGNA MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| JEFFERSON HEALTH PLANS MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| RX MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| PACE-TRINITY HEALTH | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - NM MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MERIDIAN COMPLETE | MEDICARE | $120.35 | ↓ -100% |
| EVERCARE | MEDICARE | $120.35 | ↓ -100% |
| MERCY LIFE | MEDICARE | $120.35 | ↓ -100% |
| SECURITY HEALTH MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| CORE CARE SELECT MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| LONGEVITY HEALTH PLAN | MEDICARE | $120.35 | ↓ -100% |
| HIGHMARK HEALTH OPTIONS DUAL PLAN | MEDICARE | $120.35 | ↓ -100% |
| MEDICARE ALTERNATE PAYOR | MEDICARE | $120.35 | ↓ -100% |
| RX GRANE GRNMEDD | MEDICARE | $120.35 | ↓ -100% |
| PREFERRED CARE PARTNERS | MEDICARE | $120.35 | ↓ -100% |
| MVP MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| FRESNO PACE MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| PERENNIAL ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| OSCAR MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| RX CARELONRX MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| HEALTHSUN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| PACE OF SOUTHWEST MICHIGAN | MEDICARE | $120.35 | ↓ -100% |
| CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - FL MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HORIZON NJ TOTAL CARE | MEDICARE | $120.35 | ↓ -100% |
| LIFE ST MARYS PACE | MEDICARE | $120.35 | ↓ -100% |
| CAREFIRST MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - RI MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| UPMC MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CCA - ZING HEALTH | MEDICARE | $120.35 | ↓ -100% |
| PROVIDER PARTNERS HEALTH PLAN OF INDIANA | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - MA MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| KAISER PERMANENTE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| ILLINICARE HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| TOTAL COMM CARE MEDICARE REPL | MEDICARE | $120.35 | ↓ -100% |
| MASS GENERAL BRIGHAM MCR ADV | MEDICARE | $120.35 | ↓ -100% |
| BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| SUNNYVIEW-PACE FINANCE DEPT | MEDICARE | $120.35 | ↓ -100% |
| TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HAP MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - NC MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CAREPLUS HEALTH PLANS | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - OK MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| GPA CROELL REDI MIX | MEDICARE | $120.35 | ↓ -100% |
| MEDSTAR MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CHAMPION HEALTH PLAN MCR ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| CCA SENIOR CARE OPTIONS | MEDICARE | $120.35 | ↓ -100% |
| CARESOURCE MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| PACE SOUTHEAST | MEDICARE | $120.35 | ↓ -100% |
| PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| ALIGN SENIOR CARE | MEDICARE | $120.35 | ↓ -100% |
| MEDICARE PUERTO RICO | MEDICARE | $120.35 | ↓ -100% |
| COMMUNITY PACE AT HOME | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MERCYONE CEDAR VALLEY | MEDICARE | $120.35 | ↓ -100% |
| CENTRAL VALLEY MEDICAL SERVICES CORP PACE | MEDICARE | $120.35 | ↓ -100% |
| SECURE HORIZONS MA PFFS | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - MS MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| SUNSHINE HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HARVARD PILGRIM STRIDE MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| HEALTH AMERICA ADVANTRA | MEDICARE | $120.35 | ↓ -100% |
| UNIVERSAL MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| EDDY SENIORCARE PACE | MEDICARE | $120.35 | ↓ -100% |
| OSU PRIME CARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| PRUITTHEALTH PREMIER | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICARE | $120.35 | ↓ -100% |
| GENESYS PACE OF GENESEE COUNTY | MEDICARE | $120.35 | ↓ -100% |
| SIMPLY HEALTHCARE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MOLINA MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| MOLINA MEDICARE ADVANTAGE | MOLINA MEDICARE ADVANTAGE | $120.35 | ↓ -100% |
| NASCENTIA HEALTH PLUS | MEDICARE | $120.35 | ↓ -100% |
| CONNECTICARE VIP MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - TN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BCBS MEDICARE ADVANTAGE GENERIC | MEDICARE | $120.35 | ↓ -100% |
| AETNA MEDICARE ASSURE PREMIER HMO D-SNP | MEDICARE | $120.35 | ↓ -100% |
| OPTUM MEDICARE TRANSPLANT | MEDICARE | $120.35 | ↓ -100% |
| GATEWAY HEALTH PLAN | MEDICARE | $120.35 | ↓ -100% |
| HUMANA MEDICARE ADVANTAGE | HUMANA MEDICARE ADVANTAGE | $120.35 | ↓ -100% |
| UNION HEALTH SERVICE | MEDICARE | $120.35 | ↓ -100% |
| TUFTS MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| AETNA MEDICARE TRANSPLANT | MEDICARE | $120.35 | ↓ -100% |
| UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - MI MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| EVERENCE | MEDICARE | $120.35 | ↓ -100% |
| OPTIMUM HEALTHCARE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| GOLD ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| DEAN HEALTH MEDICARE SELECT | MEDICARE | $120.35 | ↓ -100% |
| SANFORD HEALTH PLAN MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - NE MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| PACE IOWA IMMANUEL PATHWAYS | MEDICARE | $120.35 | ↓ -100% |
| GLOBAL MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| LASSO HEALTHCARE MSA | MEDICARE | $120.35 | ↓ -100% |
| CARELON HEALTH MEDICARE ADVANTAGE | MEDICARE | $120.35 | ↓ -100% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK BCBS MEDICARE ADVANTAGE | $121.55 | ↓ -100% |
| MOLINA MEDICAID | MOLINA NE MEDICAID ADVANTAGE | $122.74 | ↓ -100% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $122.75 | ↓ -100% |
| WELLCARE MEDICARE | WELLCARE MEDICARE ADVANTAGE | $122.75 | ↓ -100% |
| MEDIGOLD MEDICARE ADVANTAGE | MEDIGOLD MEDICARE ADVANTAGE | $122.75 | ↓ -100% |
| VETERANS ADMINISTRATION | VETERANS AFFAIRS | $122.80 | ↓ -100% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | HEALTH PARTNERS MEDICARE ADVANTAGE | $123.96 | ↓ -100% |
| SOUTH COUNTRY HEALTH ALLIANCE MEDICARE | SOUTH CTRY HEALTH ALLIANCE MEDICARE ADV | $124.73 | ↓ -100% |
| UNITED HEALTHCARE MEDICARE | UHC MEDICARE ADVANTAGE | $125.21 | ↓ -100% |
| UCARE MEDICARE | UCARE MEDICARE ADVANTAGE | $125.95 | ↓ -100% |
| AMERICAN HEALTH PLAN | AMERICAN HEALTH MEDICARE ADVANTAGE | $126.36 | ↓ -100% |
| IOWA HEALTH ADVANTAGE | IOWA HEATH ADVANTAGE | $126.36 | ↓ -100% |
| MOLINA MEDICARE ADVANTAGE | MOLINA NE MEDICARE ADVANTAGE | $127.50 | ↓ -100% |
| COMMONWEALTH CARE ALLIANCE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - AZ | MEDICAID IOWA | $131.93 | ↓ -100% |
| WELLSENSE HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| HEALTHY BLUE NE | MEDICAID IOWA | $131.93 | ↓ -100% |
| ST JOSEPH COUNTY HLTH DPT | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH JACKSON COUNTY/LIFEWAYS | MEDICAID IOWA | $131.93 | ↓ -100% |
| TENNCARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| METROPLUS MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID ADVANTAGE GENERIC | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - TN MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| LA CARE HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - OH | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH WAYNE COUNTY/CARELINK | MEDICAID IOWA | $131.93 | ↓ -100% |
| TOTAL HEALTH CARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - WY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH IONIA COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH LENAWEE COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - NY SSL | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - MD | MEDICAID IOWA | $131.93 | ↓ -100% |
| PEACH STATE HEALTHPLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| VAYA HEALTH LME | MEDICAID IOWA | $131.93 | ↓ -100% |
| PRESBYTERIAN CENTENNIAL CARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MARYLAND PHYSICIANS CARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - NC | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH MACOMB | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID SPENDDOWN | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH ALLEGAN COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CENPATICO | MEDICAID IOWA | $131.93 | ↓ -100% |
| BCCCP-MICHIGAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| COMMUNITY CARE BEHAVORIAL HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| COMMUNITY CARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| TRILLIUM COMMUNITY OHP | MEDICAID IOWA | $131.93 | ↓ -100% |
| ILLINICARE HEALTH MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - SC MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - AL | MEDICAID IOWA | $131.93 | ↓ -100% |
| CARE CONNECTIONS OF NORTHERN IOWA | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - SD | MEDICAID IOWA | $131.93 | ↓ -100% |
| JAI MEDICAL SYSTEM | MEDICAID IOWA | $131.93 | ↓ -100% |
| NEW YORK CANCER SERVICES PROGRAM | MEDICAID IOWA | $131.93 | ↓ -100% |
| BCCP | MEDICAID IOWA | $131.93 | ↓ -100% |
| RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY | MEDICAID IOWA | $131.93 | ↓ -100% |
| LAKELAND CARE INC | MEDICAID IOWA | $131.93 | ↓ -100% |
| CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| HEALTH PLUS PHSP MEDICAID ADV | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - MS | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - WV | MEDICAID IOWA | $131.93 | ↓ -100% |
| SUPERIOR HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| HEALTHY BLUE PLUS MO MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH WEST MI COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID OOS NHI | MEDICAID IOWA | $131.93 | ↓ -100% |
| AFFINITY HEALTH PLAN MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID MA QMB | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - MT | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - AR | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - ME | MEDICAID IOWA | $131.93 | ↓ -100% |
| COMMUNITY BENEFIT HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH CLINTON-EATON-INGHAM COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| ALBANY COUNTY CORRECTIONAL FACILITY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CHILDRENS COMM HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| MARYLAND HEALTHY SMILES - SCION DENTAL | MEDICAID IOWA | $131.93 | ↓ -100% |
| AMERIHEALTH CARITAS MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| HURON VALLEY PACE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| RX MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| GHC SCW WI BADGERCARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| AMISH MENNONITE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MOLINA CENTENNIAL CARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH NORTH COUNTRY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH NORTHERN LAKES COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CARDINAL INNOVATIONS LME | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH WAYNE CTY/COM LIV SVCS | MEDICAID IOWA | $131.93 | ↓ -100% |
| OREGON SCREENWISE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - NM | MEDICAID IOWA | $131.93 | ↓ -100% |
| DEAN WI BADGERCARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MCLAREN HEALTH MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH BARRY COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - LA | MEDICAID IOWA | $131.93 | ↓ -100% |
| GREEN MOUNTAIN MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| COMMUNITY CARE PLAN MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MDWISE | MEDICAID IOWA | $131.93 | ↓ -100% |
| EASTPOINTE LME | MEDICAID IOWA | $131.93 | ↓ -100% |
| FAMILY HEALTH NETWORK | MEDICAID IOWA | $131.93 | ↓ -100% |
| PRESTIGE HEALTH CHOICE | MEDICAID IOWA | $131.93 | ↓ -100% |
| NEXTLEVEL HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDSTAR MD HEALTH CHOICE | MEDICAID IOWA | $131.93 | ↓ -100% |
| HAP MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| TEXAS CHILDREN'S HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH OAKLAND COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| SIMPLY HEALTHCARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| FRESNO COUNTY CCS | MEDICAID IOWA | $131.93 | ↓ -100% |
| EMBLEM HEALTH MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| DELTA DENTAL NJ | MEDICAID IOWA | $131.93 | ↓ -100% |
| CENCAL HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| PRIORITY HEALTH MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| CALIFORNIA HEALTH AND WELLNESS | MEDICAID IOWA | $131.93 | ↓ -100% |
| ID COUNTY CAT FUND | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE PLUS MO MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| ICARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - KY | MEDICAID IOWA | $131.93 | ↓ -100% |
| DPH TB PROGRAM | MEDICAID IOWA | $131.93 | ↓ -100% |
| KEYSTONE FIRST CHC MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| PARKLAND COMMUNITY HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| MERCYCARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH OTTAWA COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH WASHTENAW COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDI-CAL | MEDICAID IOWA | $131.93 | ↓ -100% |
| SANDHILLS CENTER LME | MEDICAID IOWA | $131.93 | ↓ -100% |
| ROBERT F SING PROGRAM | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - MA | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - PA | MEDICAID IOWA | $131.93 | ↓ -100% |
| CIGNA MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CITY OF PHILADELPHIA | MEDICAID IOWA | $131.93 | ↓ -100% |
| CARE OREGON OHP | MEDICAID IOWA | $131.93 | ↓ -100% |
| FREEDOM FIRST HEALTHCARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CENTENE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - DC | MEDICAID IOWA | $131.93 | ↓ -100% |
| DSCC | MEDICAID IOWA | $131.93 | ↓ -100% |
| MO HOME STATE HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| BMC HEALTHNET | MEDICAID IOWA | $131.93 | ↓ -100% |
| INLAND EMPIRE HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH MISC | MEDICAID IOWA | $131.93 | ↓ -100% |
| HEALTH SAFETY NET | MEDICAID IOWA | $131.93 | ↓ -100% |
| BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MERIDIAN MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| ID COUNTY OTHER | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - WA | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH LIVINGSTON COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - NH | MEDICAID IOWA | $131.93 | ↓ -100% |
| UPMC MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CARE WISCONSIN MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - GA | MEDICAID IOWA | $131.93 | ↓ -100% |
| CHHUNY | MEDICAID IOWA | $131.93 | ↓ -100% |
| MVP MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH AUSABLE VALLEY | MEDICAID IOWA | $131.93 | ↓ -100% |
| KEYSTONE FIRST | MEDICAID IOWA | $131.93 | ↓ -100% |
| COUNTY CARE MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| SUNSHINE STATE HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - DE | MEDICAID IOWA | $131.93 | ↓ -100% |
| INDIANA BREAST CERVICAL CANCER | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH BERRIEN COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH MUSKEGON COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH GENESEE COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| UNITY MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| ALLWELL MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| PACE OF SOUTHWEST MICHIGAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS COMPLETE - MI | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - TX | MEDICAID IOWA | $131.93 | ↓ -100% |
| GROUP HEALTH COOPERATIVE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MAGELLAN BEHAVIORAL HEALTH MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| COUNTY FUNDING GENERIC | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID PENDING | MEDICAID IOWA | $131.93 | ↓ -100% |
| DELAWARE COUNTY DEPARTMENT OF HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| HEALTH NEW ENGLAND MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - ID MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| SCREENING FOR LIFE | MEDICAID IOWA | $131.93 | ↓ -100% |
| KERN FAMILY HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH CENTRAL MI COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| TRILOGY MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| KEYSTONE FIRST CHIP | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - ND | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - NY | MEDICAID IOWA | $131.93 | ↓ -100% |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MEDICAID IOWA | $131.93 | ↓ -100% |
| ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK | MEDICAID IOWA | $131.93 | ↓ -100% |
| BREAST GRANT-CONNECTICUT | MEDICAID IOWA | $131.93 | ↓ -100% |
| WELLCARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| KAISER PERMANENTE MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDI-CAL HEALTHNET | MEDICAID IOWA | $131.93 | ↓ -100% |
| WI WOMENS WELLNESS | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH KALAMAZOO | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - CT | MEDICAID IOWA | $131.93 | ↓ -100% |
| VNSNY CHOICE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| CONNECTIONS CSP | MEDICAID IOWA | $131.93 | ↓ -100% |
| CAN COMMUNITY HEALTH INC | MEDICAID IOWA | $131.93 | ↓ -100% |
| COUNTY CORONER | MEDICAID IOWA | $131.93 | ↓ -100% |
| COMMUNITY CARE PARTNERS | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH BAY-ARENAC COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP | MEDICAID IOWA | $131.93 | ↓ -100% |
| AMERIGROUP MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - RI | MEDICAID IOWA | $131.93 | ↓ -100% |
| CARELON HEALTH MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - OK | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - FL | MEDICAID IOWA | $131.93 | ↓ -100% |
| TUFTS HEALTH PUBLIC PLANS | MEDICAID IOWA | $131.93 | ↓ -100% |
| PARAMOUNT ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| PHILADELPHIA COUNTY FUNDING | MEDICAID IOWA | $131.93 | ↓ -100% |
| COMMUNITY HEALTH CHOICE | MEDICAID IOWA | $131.93 | ↓ -100% |
| IDAHO DEPT HEALTH AND WELLFARE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - NV | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - SC | MEDICAID IOWA | $131.93 | ↓ -100% |
| SECURITY HEALTH MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MANAGED HEALTH SERVICES - INDIANA | MEDICAID IOWA | $131.93 | ↓ -100% |
| WASHTENAW HEALTH PLAN | MEDICAID IOWA | $131.93 | ↓ -100% |
| HEALTHFIRST MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - MO | MEDICAID IOWA | $131.93 | ↓ -100% |
| HIGHMARK WHOLECARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| RX 340B PASS ALONG | MEDICAID IOWA | $131.93 | ↓ -100% |
| INTERCOMMUNITY HEALTH OHP | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH VAN BUREN COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - HI | MEDICAID IOWA | $131.93 | ↓ -100% |
| GEISINGER MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MODA PLUS MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDI-CAL BLUE CROSS | MEDICAID IOWA | $131.93 | ↓ -100% |
| DEAN HEALTH MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| RYAN WHITE FLORIDA MSSRP | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - VT | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - MN | MEDICAID IOWA | $131.93 | ↓ -100% |
| PARAMOUNT MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| IDAHO WOMENS HEALTH CHECK | MEDICAID IOWA | $131.93 | ↓ -100% |
| JEFFERSON HEALTH PLANS MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - KS | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| INDEPENDENT CARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| CARESOURCE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH NEWAYGO COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| COUNTY CARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - TN | MEDICAID IOWA | $131.93 | ↓ -100% |
| RX MERIDIAN RX | MEDICAID IOWA | $131.93 | ↓ -100% |
| HUMANA MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - WI | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - IL MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - NJ | MEDICAID IOWA | $131.93 | ↓ -100% |
| FALLON HEALTH MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| FIRSTCARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| PRIORITY PARTNERS | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - IA | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH KENT COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| NASCENTIA HEALTH OPTIONS | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - VA | MEDICAID IOWA | $131.93 | ↓ -100% |
| RX MEDI-CAL | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - AK | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH MONTCALM COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| FIDELIS CARE MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| POSITIVE HEALTHCARE PARTNERS MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - CO | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDSTAR DC HEALTHY FAMILY | MEDICAID IOWA | $131.93 | ↓ -100% |
| HENNEPIN HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - UT | MEDICAID IOWA | $131.93 | ↓ -100% |
| PARTNERS BEHAVIORAL LME | MEDICAID IOWA | $131.93 | ↓ -100% |
| MEDICAID - IN | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH MONROE COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| CMH CASS COUNTY | MEDICAID IOWA | $131.93 | ↓ -100% |
| HARBOR HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| ID COUNTY PAYETTE | MEDICAID IOWA | $131.93 | ↓ -100% |
| DELAWARE FIRST HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| MARYLAND BREAST & CERVICAL PROGRAM | MEDICAID IOWA | $131.93 | ↓ -100% |
| BROWARD COUNTY DEPT OF HEALTH | MEDICAID IOWA | $131.93 | ↓ -100% |
| ID COUNTY CANYON | MEDICAID IOWA | $131.93 | ↓ -100% |
| ID COUNTY ADA | MEDICAID IOWA | $131.93 | ↓ -100% |
| UNITED HEALTHCARE MEDICAID | MEDICAID IOWA | $131.93 | ↓ -100% |
| BLUE CROSS - NM MEDICAID ADVANTAGE | MEDICAID IOWA | $131.93 | ↓ -100% |
| CHILDRENS MEDICAL SERVICES TITLE 19 | MEDICAID IOWA | $131.93 | ↓ -100% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $134.57 | ↓ -100% |
| MOLINA MEDICAID | MOLINA MEDICAID | $135.23 | ↓ -100% |
| WELLPOINT | WELLPOINT MEDICAID ADVANTAGE | $135.89 | ↓ -100% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID ADVANTAGE | $135.89 | ↓ -100% |
| STEPHENSON CTY HEALTH | STEPHENSON CTY HEALTH | $158.99 | ↓ -99% |
| AMISH HOSPITAL AID | AMISH MEDICAL AID | $163.33 | ↓ -99% |
| AMPS | AMPS | $165.78 | ↓ -99% |
| AVERA | AVERA HEALTH PLAN | $186.78 | ↓ -99% |
| HUMANA | HUMANA PPO | $196.48 | ↓ -99% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $205.08 | ↓ -99% |
| AMBETTER | AMBETTER | $208.76 | ↓ -99% |
| SANFORD HEALTH PLAN | SANFORD HEALTH PLAN | $217.51 | ↓ -99% |
| UCARE | UCARE | $218.36 | ↓ -99% |
| LUCENT HEALTH | LUCENT HEALTH | $221.04 | ↓ -99% |
| USA MANAGED CARE | USA MANAGED CARE | $238.23 | ↓ -99% |
| OSCAR | OSCAR | $239.09 | ↓ -99% |
| CENTIVO | CENTIVO | $239.22 | ↓ -99% |
| QUIKTRIP | QUIKTRIP | $239.46 | ↓ -99% |
| HEALTH PARTNERS | HEALTH PARTNERS VGM | $249.59 | ↓ -99% |
| CLAIMDOC | CLAIMDOC | $256.65 | ↓ -99% |
| THE ALLIANCE | THE ALLIANCE | $257.88 | ↓ -99% |
| BLUE CROSS - CA (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| WC DOMESTIC | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NE | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - SD (WELLMARK) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - AR | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - MI | WELLMARK BCBS | $271.25 | ↓ -99% |
| BCBS GENERIC | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - GA (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - ND | WELLMARK BCBS | $271.25 | ↓ -99% |
| PRE-EMPLOYMENT | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - VA (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NY (EXCELLUS) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - WI (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - VA (CAREFIRST) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - OR (REGENCE) | WELLMARK BCBS | $271.25 | ↓ -99% |
| HEALTH CHOICES | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - MA | WELLMARK BCBS | $271.25 | ↓ -99% |
| KAISER DOMESTIC | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - AL | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS DOMESTIC | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - WV (HIGHMARK) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - DE (HIGHMARK) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - KS | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NJ (HORIZON) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - OK | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - TN | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - ME (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - MD (CAREFIRST) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NC | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NV (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - LA | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - FL | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - WA (PREMERA) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE DISTINCTION TRANSPLANT | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - IL ALTERNATE | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - WY | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - OH (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - KY (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - IN (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE SHIELD - PA (HIGHMARK) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - PA (CAPITAL) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - ID | WELLMARK BCBS | $271.25 | ↓ -99% |
| BCN DOMESTIC | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NH (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - VT | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - IL | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CARE NETWORK | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - DC (CAREFIRST) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - FEDERAL | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - TX | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - UT (REGENCE) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE SHIELD - WA (REGENCE) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE SHIELD - ID (REGENCE) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - MS | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - AZ | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - CO (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - SC | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NM | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - HI | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - AK (PREMERA) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - CT (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - PA (INDEPENDENCE) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - MN | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - NY (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - RI | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - MT | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE SHIELD - CA | WELLMARK BCBS | $271.25 | ↓ -99% |
| BLUE CROSS - MO (ANTHEM) | WELLMARK BCBS | $271.25 | ↓ -99% |
| PREFERRED ONE | PREFERRED ONE PPO | $275.27 | ↓ -99% |
| GLOBAL EXCEL | GLOBAL EXCEL | $277.53 | ↓ -99% |
| VELOCITY | VELOCITY | $288.58 | ↓ -99% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK BCBS PPO | $319.10 | ↓ -99% |
| HEALTH PARTNERS | HEALTH PARTNERS | $334.97 | ↓ -99% |
| AETNA | AETNA | $356.90 | ↓ -99% |
| AETNA DOMESTIC | AETNA | $356.90 | ↓ -99% |
| MERITAIN | AETNA | $356.90 | ↓ -99% |
| ALLIED BENEFIT SYSTEMS | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| FIRST CHOICE HEALTH | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| GROUP ADMINISTRATORS | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| CIGNA | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| HEALTH CHOICES | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| MIDLANDS | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| CIGNA EAP | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| AUXIANT | MIDLANDS CHOICE | $362.70 | ↓ -99% |
| SOUTH COUNTRY HEALTH ALLIANCE MEDICAID | SOUTH COUNTRY HEALTH ALLIANCE MEDICAID | $366.00 | ↓ -99% |
| UCARE MEDICAID | UCARE MEDICAID | $369.59 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $376.56 | ↓ -99% |
| GEHA | UNITED HEALTHCARE | $376.56 | ↓ -99% |
| IOWA DEPT OF PUBLIC HEALTH | IOWA DEPT OF PUBLIC HEALTH | $391.79 | ↓ -99% |
| NEBRASKA TOTAL CARE | NEBRASKA TOTAL CARE MEDICAID | $421.00 | ↓ -99% |
| MEDICAID - NE | MEDICAID | $421.00 | ↓ -99% |
| MULTIPLAN | MULTIPLAN | $451.74 | ↓ -98% |
| NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $512.51 | ↓ -98% |
| GENEX WC | GENEX WORKERS COMP | $631.50 | ↓ -98% |
| WC ALIGN NETWORK | ALIGN NETWORKS WORKERS COMP | $673.60 | ↓ -98% |
| HEALTH SMART | HEALTHSMART DMPL | $705.21 | ↓ -98% |
| WC PRAXIS HEALTH NETWORK | PRAXIS HEALTH NETWORK WORKERS COMP | $715.70 | ↓ -98% |
| WC VELOCITY | VELOCITY WORKERS COMP | $732.54 | ↓ -97% |
| WC RENY COMPANY | RENY WORKERS COMP | $732.54 | ↓ -97% |
| WC O'HARA CORP | OHARA WORKERS COMP | $757.80 | ↓ -97% |
| AUTO VELOCITY | VELOCITY AUTO | $757.80 | ↓ -97% |
| UNITED HEALTHCARE | UBH OPTUM | $783.57 | ↓ -97% |
| OPTUM HEALTH | UBH OPTUM | $783.57 | ↓ -97% |
| WC ICW GROUP | WORKERS COMP | $842.00 | ↓ -97% |
| RX SAIF OPDP WC | WORKERS COMP | $842.00 | ↓ -97% |
| WC MEIJERS | WORKERS COMP | $842.00 | ↓ -97% |
| WC NCA COMP | WORKERS COMP | $842.00 | ↓ -97% |
| WC TACONIC (MRO) | WORKERS COMP | $842.00 | ↓ -97% |
| WC WEST BEND | WORKERS COMP | $842.00 | ↓ -97% |
| WC KEY INS & BENEFIT SOLUTIONS | WORKERS COMP | $842.00 | ↓ -97% |
| WC SHEAKLEY UNICOMP | WORKERS COMP | $842.00 | ↓ -97% |
| WC SRS | WORKERS COMP | $842.00 | ↓ -97% |
| WC MAC RISK MANAGEMENT | WORKERS COMP | $842.00 | ↓ -97% |
| UNITED HEALTHCARE MEDICARE | UBH OPTUM MEDICARE ADVANTAGE | $842.00 | ↓ -97% |
| WC HASTINGS | WORKERS COMP | $842.00 | ↓ -97% |
| WC GENERAL MOTORS | WORKERS COMP | $842.00 | ↓ -97% |
| WC DONEGAL INSURANCE GROUP | WORKERS COMP | $842.00 | ↓ -97% |
| WC BERKLEY ADMIN | WORKERS COMP | $842.00 | ↓ -97% |
| WC CHUBB | WORKERS COMP | $842.00 | ↓ -97% |
| WC NEW YORK SPECIAL FUNDS | WORKERS COMP | $842.00 | ↓ -97% |
| WC WALMART | WORKERS COMP | $842.00 | ↓ -97% |
| JAG SOURCE | WORKERS COMP | $842.00 | ↓ -97% |
| WC FRESNO UNIFIED EMP | WORKERS COMP | $842.00 | ↓ -97% |
| WC IDAHO STATE INS FUND | WORKERS COMP | $842.00 | ↓ -97% |
| WC MICHIGAN | WORKERS COMP | $842.00 | ↓ -97% |
| WC UNITED HEARTLAND | WORKERS COMP | $842.00 | ↓ -97% |
| WC RURAL MUTUAL | WORKERS COMP | $842.00 | ↓ -97% |
| WC NOVANET | WORKERS COMP | $842.00 | ↓ -97% |
| WC ONE CALL MEDICAL | WORKERS COMP | $842.00 | ↓ -97% |
| WC ADVANTAGE | WORKERS COMP | $842.00 | ↓ -97% |
| WC TRIAD GROUP | WORKERS COMP | $842.00 | ↓ -97% |
| WC INTERCARE INSURANCE | WORKERS COMP | $842.00 | ↓ -97% |
| WC CIRMA | WORKERS COMP | $842.00 | ↓ -97% |
| WC CAPITOL AREA HEALTH CONSORTIUM | WORKERS COMP | $842.00 | ↓ -97% |
| WC HIRERIGHT | WORKERS COMP | $842.00 | ↓ -97% |
| WC OCC HEALTH ALLEN | WORKERS COMP | $842.00 | ↓ -97% |
| WC PARADIGM | WORKERS COMP | $842.00 | ↓ -97% |
| WC MITCHELL FRANKENMUTH | WORKERS COMP | $842.00 | ↓ -97% |
| WC TRAVELERS | WORKERS COMP | $842.00 | ↓ -97% |
| WC HORIZON | WORKERS COMP | $842.00 | ↓ -97% |
| WC EMPLOYEE MUTUAL | WORKERS COMP | $842.00 | ↓ -97% |
| WC NEW YORK | WORKERS COMP | $842.00 | ↓ -97% |
| WC TRISTAR | WORKERS COMP | $842.00 | ↓ -97% |
| WC YANKEE TRAILS | WORKERS COMP | $842.00 | ↓ -97% |
| WC BUNCH & ASSOCIATES | WORKERS COMP | $842.00 | ↓ -97% |
| WC CITY OF ALBANY | WORKERS COMP | $842.00 | ↓ -97% |
| WC ALLIED | WORKERS COMP | $842.00 | ↓ -97% |
| WC COMP ONE ADMIN C/O MANAGEABILITY | WORKERS COMP | $842.00 | ↓ -97% |
| WC FCCI | WORKERS COMP | $842.00 | ↓ -97% |
| WC MEDICAL ADMINISTRATORS | WORKERS COMP | $842.00 | ↓ -97% |
| RX RESTAT | WORKERS COMP | $842.00 | ↓ -97% |
| WC FED EX | WORKERS COMP | $842.00 | ↓ -97% |
| WC FIRST AGENCY/OCCUNET | WORKERS COMP | $842.00 | ↓ -97% |
| WC AEGIS | WORKERS COMP | $842.00 | ↓ -97% |
| WC ERIE | WORKERS COMP | $842.00 | ↓ -97% |
| WC CALIFORNIA STATE COMP INS | WORKERS COMP | $842.00 | ↓ -97% |
| WC CALIFORNIA STATE INS FUND | WORKERS COMP | $842.00 | ↓ -97% |
| WC ZURICH | WORKERS COMP | $842.00 | ↓ -97% |
| WC AM TRUST N AMERICA | WORKERS COMP | $842.00 | ↓ -97% |
| WC TYSON | WORKERS COMP | $842.00 | ↓ -97% |
| WC CT HEALTHCARE TRUST | WORKERS COMP | $842.00 | ↓ -97% |
| WC JOHNS EASTERN | WORKERS COMP | $842.00 | ↓ -97% |
| WC MERCY WORKCARE | WORKERS COMP | $842.00 | ↓ -97% |
| WC SENTRY | WORKERS COMP | $842.00 | ↓ -97% |
| WC AIMS | WORKERS COMP | $842.00 | ↓ -97% |
| WC NATIONWIDE | WORKERS COMP | $842.00 | ↓ -97% |
| WC HEALTH MANAGEMENT | WORKERS COMP | $842.00 | ↓ -97% |
| WC TROY NY | WORKERS COMP | $842.00 | ↓ -97% |
| WC ALASKA NATIONAL INS | WORKERS COMP | $842.00 | ↓ -97% |
| WC KEMBERTON | WORKERS COMP | $842.00 | ↓ -97% |
| WC GALLAGHER BASSETT | WORKERS COMP | $842.00 | ↓ -97% |
| HEALTHSMART WORKERS COMP | WORKERS COMP | $842.00 | ↓ -97% |
| WC CCMSI | WORKERS COMP | $842.00 | ↓ -97% |
| WC AMERICAN CLAIMS MGMT | WORKERS COMP | $842.00 | ↓ -97% |
| WC TACONIC FARMS | WORKERS COMP | $842.00 | ↓ -97% |
| WC SOCIETY | WORKERS COMP | $842.00 | ↓ -97% |
| WC MRA | WORKERS COMP | $842.00 | ↓ -97% |
| WC ASU RISK MGT | WORKERS COMP | $842.00 | ↓ -97% |
| WC ACCIDENT FUND | WORKERS COMP | $842.00 | ↓ -97% |
| WC PMA | WORKERS COMP | $842.00 | ↓ -97% |
| WC LIBERTY MUTUAL | WORKERS COMP | $842.00 | ↓ -97% |
| WC GENEX CARE FOR OHIO | WORKERS COMP | $842.00 | ↓ -97% |
| WC SEDGWICK | WORKERS COMP | $842.00 | ↓ -97% |
| WC AMERISURE | WORKERS COMP | $842.00 | ↓ -97% |
| RX WORKER'S COMP | WORKERS COMP | $842.00 | ↓ -97% |
| ANDRIE INC | WORKERS COMP | $842.00 | ↓ -97% |
| WC GUARD INSURANCE COMPANY | WORKERS COMP | $842.00 | ↓ -97% |
| WC ACE | WORKERS COMP | $842.00 | ↓ -97% |
| WC HERITAGE SUMMIT | WORKERS COMP | $842.00 | ↓ -97% |
| WC ENABLECOMP | WORKERS COMP | $842.00 | ↓ -97% |
| WC ACUITY | WORKERS COMP | $842.00 | ↓ -97% |
| WC CNA | WORKERS COMP | $842.00 | ↓ -97% |
| WC PRICE CHOPPER | WORKERS COMP | $842.00 | ↓ -97% |
| WC BROADSPIRE | WORKERS COMP | $842.00 | ↓ -97% |
| WC RISICO | WORKERS COMP | $842.00 | ↓ -97% |
| WC BENETECH | WORKERS COMP | $842.00 | ↓ -97% |
| WC ZENITH | WORKERS COMP | $842.00 | ↓ -97% |
| WC US DEPT OF LABOR | WORKERS COMP | $842.00 | ↓ -97% |
| WC WINNEBAGO INDUSTRIES | WORKERS COMP | $842.00 | ↓ -97% |
| WC UNIFIED HEALTH SERVICES | WORKERS COMP | $842.00 | ↓ -97% |
| WC HARTFORD | WORKERS COMP | $842.00 | ↓ -97% |
| WC SECURA | WORKERS COMP | $842.00 | ↓ -97% |
| WC NORTHEAST HEALTH | WORKERS COMP | $842.00 | ↓ -97% |
| WC WEST BEND MUTUAL/ARGENT | WORKERS COMP | $842.00 | ↓ -97% |
| WC FORD MOTOR | WORKERS COMP | $842.00 | ↓ -97% |
| WC MEADOWBROOK CLAIM | WORKERS COMP | $842.00 | ↓ -97% |
| WC QUIKTRIP | WORKERS COMP | $842.00 | ↓ -97% |
| WC MASSACHUSETTS | WORKERS COMP | $842.00 | ↓ -97% |
| RX HEATLHCOMP | WORKERS COMP | $842.00 | ↓ -97% |
| WC AETNA | WORKERS COMP | $842.00 | ↓ -97% |
| WC EMC INSURANCE COMPANY | WORKERS COMP | $842.00 | ↓ -97% |
| WC AMTRUST | WORKERS COMP | $842.00 | ↓ -97% |
| NJM INSURANCE GROUP | WORKERS COMP | $842.00 | ↓ -97% |
| WC YORK RISK | WORKERS COMP | $842.00 | ↓ -97% |
| EAST GREENBUSH CENTRAL SCHOOL DISTRICT | WORKERS COMP | $842.00 | ↓ -97% |
| WC OHIO BUREAU | WORKERS COMP | $842.00 | ↓ -97% |
| WC AIG | WORKERS COMP | $842.00 | ↓ -97% |
| WC HAB | WORKERS COMP | $842.00 | ↓ -97% |
| WC ACS FEDERAL EMPLOYEES | WORKERS COMP | $842.00 | ↓ -97% |
| WC ESIS | WORKERS COMP | $842.00 | ↓ -97% |
| WC FEDERAL BLACK LUNG | WORKERS COMP | $842.00 | ↓ -97% |
| NEW YORK STATE INSURANCE FUND | WORKERS COMP | $842.00 | ↓ -97% |
| WC SAIF OREGON | WORKERS COMP | $842.00 | ↓ -97% |
| WC NOTRE DAME | WORKERS COMP | $842.00 | ↓ -97% |
| WC PEERLESS | WORKERS COMP | $842.00 | ↓ -97% |
| WC QUALCARE | WORKERS COMP | $842.00 | ↓ -97% |
| WC INTERMOUNTAIN | WORKERS COMP | $842.00 | ↓ -97% |
| WC ENCORE HEALTH NETWORK | WORKERS COMP | $842.00 | ↓ -97% |
| WC SMILE LODGE | WORKERS COMP | $842.00 | ↓ -97% |
| WC GENERIC | WORKERS COMP | $842.00 | ↓ -97% |
| WC FEDERATED | WORKERS COMP | $842.00 | ↓ -97% |
| WC NORTH AMERICAN RISHCES | WORKERS COMP | $842.00 | ↓ -97% |
| WC MICHIGAN MILLERS MUTUAL | WORKERS COMP | $842.00 | ↓ -97% |
| WC CLAIMS MGMT INC | WORKERS COMP | $842.00 | ↓ -97% |
| WC GREAT WEST CASUALTY | WORKERS COMP | $842.00 | ↓ -97% |
| WC REV CLAIMS | WORKERS COMP | $842.00 | ↓ -97% |
| WC BROWARD COUNTY | WORKERS COMP | $842.00 | ↓ -97% |
| WC EVOLUTIONS | WORKERS COMP | $842.00 | ↓ -97% |
| WC CHARTIS | WORKERS COMP | $842.00 | ↓ -97% |
| WC FINLEY OCCUPATIONAL HEALTH | WORKERS COMP | $842.00 | ↓ -97% |
| WC MEMIC | WORKERS COMP | $842.00 | ↓ -97% |
| WC GUARANTEE INSURANCE | WORKERS COMP | $842.00 | ↓ -97% |
| WC COMPONE ADMIN | WORKERS COMP | $842.00 | ↓ -97% |
| WC CITY OF SIOUX CITY | WORKERS COMP | $842.00 | ↓ -97% |
| WC MDIA | WORKERS COMP | $842.00 | ↓ -97% |
| WC PROCURA MANAGEMENT | WORKERS COMP | $842.00 | ↓ -97% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $3,068.68 | ↓ -89% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $3,068.68 | ↓ -89% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $3,099.37 | ↓ -89% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $3,102.01 | ↓ -89% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $3,130.05 | ↓ -89% |
| BLUE CROSS - SC | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - AL | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE SHIELD - CA | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NM | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - RI | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - KS | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - LA | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - TN | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - OK | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NC | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - WY | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BCBS GENERIC | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NE | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - AR | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $3,312.15 | ↓ -89% |
| BLUE CROSS - FL | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - ID | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - HI | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - MN | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - MS | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - AZ | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - MT | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - TX | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - IL | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CARE NETWORK | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - MA | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - VT | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - FEDERAL | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - MI | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - ND | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $3,312.15 | ↓ -89% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $3,563.33 | ↓ -88% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $4,164.64 | ↓ -86% |
| AMBETTER | AMBETTER MARKETPLACE | $5,260.60 | ↓ -82% |
| MEDICAL MUTUAL | AETNA | $6,151.62 | ↓ -79% |
| COVENTRY | AETNA | $6,151.62 | ↓ -79% |
| ASR HEALTH BENEFITS | AETNA | $6,151.62 | ↓ -79% |
| LUCENT HEALTH | AETNA | $6,151.62 | ↓ -79% |
| FIRST HEALTH | AETNA | $6,151.62 | ↓ -79% |
| ALLIED BENEFIT SYSTEMS | AETNA | $6,151.62 | ↓ -79% |
| WEBTPA | AETNA | $6,151.62 | ↓ -79% |
| LUMINARE HEALTH | AETNA | $6,151.62 | ↓ -79% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $6,151.62 | ↓ -79% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $6,151.62 | ↓ -79% |
| CHRISTIAN BROTHER SERVICES | AETNA | $6,151.62 | ↓ -79% |
| NOVA | CLAIMDOC | $6,293.93 | ↓ -78% |
| CIGNA EAP | CIGNA | $10,636.80 | ↓ -63% |
| CIGNA | CIGNA | $10,636.80 | ↓ -63% |
| MEDICA | MIDLANDS CHOICE PPO | $11,523.20 | ↓ -60% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $11,523.20 | ↓ -60% |
| AUXIANT | MIDLANDS CHOICE PPO | $11,523.20 | ↓ -60% |
| MIDLANDS | MIDLANDS CHOICE PPO | $11,523.20 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $14,714.24 | ↓ -49% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $17,728.00 | ↓ -39% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $17,728.00 | ↓ -39% |
Visitor-reported prices
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Coronary art/grft angio s&i at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $11,422.80 | $240.23 – $4,197.88 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $7,407.00 | $3,078.81 – $4,310.34 |
| MercyOne Dubuque Medical Center | Dubuque | $10,231.00 | $2,908.49 – $15,740.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $12,700.00 | $2,552.70 – $12,700.00 |
| MercyOne North Iowa Medical Center | Mason City | $21,072.76 | $9.09 – $12,738.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $9,333.00 | $3,078.81 – $4,310.34 |
| MercyOne Waterloo Medical Center | Waterloo | $3,785.60 | $86.69 – $6,264.37 |
| UnityPoint Health - Allen Hospital | Waterloo | $7,923.88 | $240.23 – $5,219.85 |