Does Arroyo Grande Community Hospital publish its standard charges and chargemaster?

Yes. Arroyo Grande Community Hospital publishes a machine-readable file with 6,307 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Arroyo Grande Community Hospital charge for procedures?

Arroyo Grande Community Hospital publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · · CCN 050016

Arroyo Grande Community Hospital

53 beds11

Compliance grade

100/100

Rates published

6,307

last crawl 2026-05-22

Procedures tracked

181

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/price-transparency-4-30-2022/central-coast/941196203_Arroyo-Grande-Community-Hospital_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	6	—	—	$12,009	$12,009	0.94×	$12,009
emergency
ED visit level 1	CPT	99281	14	$604	$422.8	$21.77	$409.82	2.9×	$8,401
ED visit level 2	CPT	99282	14	$845	$591.5	$34.97	$573.34	2.4×	$8,401
ED visit level 3	CPT	99283	14	$1,387	$970.9	$63.97	$941.08	2.3×	$18,001
ED visit level 4	CPT	99284	14	$1,901	$1,330.7	$98.04	$1,382.03	2.1×	$18,001
ED visit level 5	CPT	99285	14	$2,663	$1,864.1	$155.03	$1,936.01	1.9×	$18,001
Critical care, first hour	CPT	99291	13	$5,315	$3,720.5	$945.69	$4,232.99	3.9×	$18,001
imaging
CT head without contrast	CPT	70450	12	$2,737	$1,915.9	$138.22	$492.09	2.4×	$2,687.74
CT head with contrast	CPT	70460	12	$5,316	$3,721.2	$209.04	$705.48	3.0×	$5,220.32
CT head with and without contrast	CPT	70470	12	$5,795	$4,056.5	$226.78	$822.35	3.1×	$5,690.69
CT neck with contrast	CPT	70491	12	$5,123	$3,586.1	$226.78	$808.71	3.0×	$5,030.79
MRI brain without contrast	CPT	70551	12	$8,252	$5,776.4	$283.78	$2,004.52	5.0×	$8,103.47
MRI brain with contrast	CPT	70552	12	$8,829	$6,180.3	$396.44	$1,224.17	2.6×	$8,670.08
MRI brain with and without contrast	CPT	70553	12	$9,596	$6,717.2	$467.23	$2,216.8	3.8×	$9,423.28
Chest X-ray single view	CPT	71045	13	$626	$438.2	$17.67	$158.54	1.7×	$614.74
Chest X-ray 2 views	CPT	71046	13	$971	$679.7	$27.48	$182.03	1.9×	$953.53
Chest X-ray 3 views	CPT	71047	13	$1,198	$838.6	$35.27	$182.03	1.9×	$1,176.44
CT chest without contrast	CPT	71250	12	$4,442	$3,109.4	$138.22	$2,113.88	9.8×	$4,362.05
CT chest with contrast	CPT	71260	12	$5,123	$3,586.1	$226.78	$1,410.61	5.0×	$5,030.79
CT chest with and without contrast	CPT	71270	12	$5,738	$4,016.6	$226.78	$919.87	3.2×	$5,634.72
MRI chest without contrast	CPT	71550	12	$3,652	$2,556.4	$292.13	$804.71	1.9×	$3,586.27
MRI chest with contrast	CPT	71551	12	$5,373	$3,761.1	$395.33	$1,529.94	1.9×	$5,276.29
MRI chest with and without contrast	CPT	71552	12	$5,939	$4,157.3	$467.53	$1,215.9	2.0×	$5,832.1
Lumbosacral spine X-ray	CPT	72100	13	$1,036	$725.2	$43.45	$240.94	2.3×	$1,017.36
CT cervical spine without contrast	CPT	72125	12	$5,930	$4,151	$138.22	$609.29	3.0×	$5,823.26
CT thoracic spine without contrast	CPT	72128	12	$5,834	$4,083.8	$138.22	$609.29	3.1×	$5,728.99
CT lumbar spine without contrast	CPT	72131	12	$6,338	$4,436.6	$138.22	$609.29	3.0×	$6,223.92
MRI cervical spine without contrast	CPT	72141	12	$4,671	$3,269.7	$277.53	$1,700.53	4.3×	$4,586.93
MRI thoracic spine without contrast	CPT	72146	12	$4,671	$3,269.7	$277.53	$1,700.53	4.6×	$4,586.93
MRI lumbar spine without contrast	CPT	72148	12	$4,671	$3,269.7	$277.97	$1,700.53	4.5×	$4,586.93
MRI lumbar spine with and without contrast	CPT	72149	12	$5,891	$4,123.7	$399.67	$1,209.42	2.7×	$5,784.97
MRI cervical spine with and without contrast	CPT	72156	12	$7,185	$5,029.5	$467.53	$1,860.48	3.4×	$7,055.67
MRI lumbar spine with contrast	CPT	72158	12	$6,984	$4,888.8	$467.53	$1,833.34	3.3×	$6,858.29
CT pelvis without contrast	CPT	72192	12	$3,931	$2,751.7	$138.22	$599.06	3.0×	$3,860.25
CT pelvis with contrast	CPT	72193	12	$5,123	$3,586.1	$226.78	$796.76	2.8×	$5,030.79
Shoulder X-ray	CPT	73030	13	$1,514	$1,059.8	$37.09	$274.88	3.0×	$1,486.75
Humerus X-ray	CPT	73060	13	$626	$438.2	$29.81	$205.07	2.3×	$614.74
Hand X-ray 3 views	CPT	73130	13	$1,068	$747.6	$36.06	$255.6	2.7×	$1,048.78
MRI upper extremity joint without contrast	CPT	73221	12	$6,289	$4,402.3	$292.13	$1,739.52	4.2×	$6,175.8
MRI upper extremity joint with and without contrast	CPT	73223	12	$8,670	$6,069	$408.36	$2,060.95	3.4×	$8,513.94
Knee X-ray 1-2 views	CPT	73560	13	$1,394	$975.8	$27.28	$251.52	2.7×	$1,368.91
Ankle X-ray 3 views	CPT	73610	13	$1,394	$975.8	$36.06	$255.6	2.8×	$1,368.91
MRI lower extremity joint without contrast	CPT	73721	12	$5,931	$4,151.7	$292.13	$1,700.53	3.6×	$5,824.25
MRI lower extremity joint with and without contrast	CPT	73723	12	$8,655	$6,058.5	$407.06	$2,058.93	3.2×	$8,499.21
CT abdomen without contrast	CPT	74150	12	$4,576	$3,203.2	$138.22	$1,336.76	7.1×	$4,493.64
CT abdomen with contrast	CPT	74160	12	$4,815	$3,370.5	$226.78	$850.9	3.0×	$4,728.33
CT abdomen with and without contrast	CPT	74170	12	$4,893	$3,425.1	$226.78	$866.78	2.6×	$4,804.93
CT abdomen and pelvis without contrast	CPT	74176	12	$7,892	$5,524.4	$178.43	$589.49	1.6×	$7,749.95
CT abdomen and pelvis with contrast	CPT	74177	12	$8,285	$5,799.5	$281.8	$1,044.99	1.9×	$8,135.87
CT abdomen and pelvis with and without contrast	CPT	74178	12	$8,602	$6,021.4	$319.24	$1,133.14	2.0×	$8,447.17
MRI abdomen without contrast	CPT	74181	12	$4,671	$3,269.7	$287.28	$889.48	2.3×	$4,586.93
MRI abdomen with and without contrast	CPT	74183	12	$6,403	$4,482.1	$351.25	$1,224.17	2.2×	$6,287.75
Abdominal ultrasound complete	CPT	76700	13	$2,216	$1,551.2	$119.34	$462.49	3.1×	$2,176.12
Abdominal ultrasound limited	CPT	76705	13	$1,578	$1,104.6	$87.13	$391.62	2.7×	$1,549.6
Retroperitoneal ultrasound complete	CPT	76770	13	$1,578	$1,104.6	$115.78	$482.05	3.4×	$1,549.6
Obstetric ultrasound first trimester	CPT	76801	13	$1,896	$1,327.2	$78.42	$394.49	2.8×	$1,861.88
Obstetric ultrasound after first trimester	CPT	76805	13	$1,592	$1,114.4	$135.29	$429.84	2.8×	$1,563.35
Obstetric ultrasound with fetal anatomy	CPT	76811	13	$2,918	$2,042.6	$159.03	$517.79	2.2×	$2,865.48
Transvaginal ultrasound	CPT	76830	13	$1,578	$1,104.6	$97.04	$426.06	2.9×	$1,549.6
Pelvic ultrasound complete	CPT	76856	13	$1,635	$1,144.5	$97.04	$441.45	3.1×	$1,605.57
Scrotal ultrasound	CPT	76870	13	$1,683	$1,178.1	$85.75	$454.41	3.5×	$1,652.71
Diagnostic mammography unilateral	CPT	77065	10	$742	$519.4	$117.89	$469.2	3.1×	$742
Diagnostic mammography bilateral	CPT	77066	10	$929	$650.3	$149.36	$597.55	3.1×	$929
Screening mammography bilateral	CPT	77067	10	$868	$607.6	$120.94	$623.32	4.0×	$868
EKG tracing only	CPT	93005	12	$874	$611.8	$29.84	$512.28	4.3×	$874
Transthoracic echocardiogram complete	CPT	93306	12	$3,197	$2,237.9	$239.76	$2,329.81	3.9×	$3,197
Transthoracic echocardiogram	CPT	93307	12	$1,743	$1,220.1	$215.3	$784.35	3.2×	$1,743
Stress echocardiogram	CPT	93350	12	$2,407	$1,684.9	$137.87	$722.69	1.4×	$2,407
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	6	—	—	$17,707	$17,707	1.1×	$17,707
COPD w MCC	MS-DRG	190	6	—	—	$10,940	$10,940	0.97×	$10,940
COPD w CC	MS-DRG	191	6	—	—	$8,689.82	$8,689.82	0.98×	$8,689.82
COPD w/o CC/MCC	MS-DRG	192	6	—	—	$6,926.22	$6,926.22	0.99×	$6,926.22
Simple pneumonia & pleurisy w CC	MS-DRG	194	6	—	—	$8,499.16	$8,499.16	1.0×	$8,499.16
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	6	—	—	$6,647.71	$6,647.71	0.99×	$6,647.71
AMI discharged alive w MCC	MS-DRG	280	6	—	—	$15,443	$15,443	0.99×	$15,443
AMI discharged alive w CC	MS-DRG	281	6	—	—	$9,122.54	$9,122.54	0.94×	$9,122.54
AMI discharged alive w/o CC/MCC	MS-DRG	282	6	—	—	$7,211.28	$7,211.28	0.92×	$7,211.28
Heart failure & shock w MCC	MS-DRG	291	6	—	—	$12,279	$12,279	0.96×	$12,279
Heart failure & shock w CC	MS-DRG	292	6	—	—	$8,495.42	$8,495.42	0.95×	$8,495.42
Heart failure & shock w/o CC/MCC	MS-DRG	293	6	—	—	$5,938.35	$5,938.35	0.96×	$5,938.35
Cardiac arrhythmia w MCC	MS-DRG	308	6	—	—	$11,649	$11,649	0.96×	$11,649
Cardiac arrhythmia w CC	MS-DRG	309	6	—	—	$7,439.32	$7,439.32	0.96×	$7,439.32
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	6	—	—	$5,651.42	$5,651.42	0.91×	$5,651.42
GI hemorrhage w CC	MS-DRG	378	6	—	—	$9,710.4	$9,710.4	0.97×	$9,710.4
GI hemorrhage w/o CC/MCC	MS-DRG	379	6	—	—	$6,380.41	$6,380.41	0.93×	$6,380.41
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	6	—	—	$7,582.31	$7,582.31	0.94×	$7,582.31
Fractures of femur w/o MCC	MS-DRG	533	6	—	—	$13,661	$13,661	0.90×	$13,661
Kidney/UTI w MCC	MS-DRG	689	6	—	—	$10,838	$10,838	0.93×	$10,838
Kidney/UTI w/o MCC	MS-DRG	690	6	—	—	$7,845.87	$7,845.87	0.94×	$7,845.87
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	6	—	—	$17,923	$17,923	0.96×	$17,923
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	6	—	—	$10,017	$10,017	0.97×	$10,017
lab
Basic metabolic panel (BMP)	CPT	80048	13	$688	$481.6	$8.46	$37.71	1.2×	$675.62
General health panel	CPT	80050	10	$1,784	$1,248.8	$54.43	$752.29	7.0×	$1,751.89
Electrolyte panel	CPT	80051	13	$311	$217.7	$7.01	$31.27	1.3×	$305.41
Comprehensive metabolic panel	CPT	80053	13	$945	$661.5	$3.02	$11.18	0.25×	$927.99
Lipid panel	CPT	80061	13	$1,021	$714.7	$3.12	$15.31	0.40×	$1,002.63
Renal function panel	CPT	80069	13	$805	$563.5	$8.68	$38.7	1.4×	$790.51
Hepatic function panel	CPT	80076	13	$650	$455	$8.17	$36.41	1.4×	$638.3
Urinalysis non-automated	CPT	81002	13	$146	$102.2	$3.08	$41.72	6.0×	$143.38
Urinalysis automated	CPT	81003	13	$247	$172.9	$2.25	$38.88	2.8×	$242.56
Glucose quantitative	CPT	82947	13	$255	$178.5	$3.93	$26.81	1.5×	$250.41
Hemoglobin A1c	CPT	83036	13	$484	$338.8	$1.35	$9.71	0.36×	$475.29
Thyroid stimulating hormone (TSH)	CPT	84443	13	$286	$200.2	$2.16	$20.39	0.43×	$283.05
Complete blood count with automated differential	CPT	85025	13	$403	$282.1	$7.77	$34.65	1.3×	$395.75
Complete blood count without differential	CPT	85027	13	$233	$163.1	$6.47	$28.85	1.3×	$228.81
Urine culture identification	CPT	87088	13	$193	$135.1	$8.09	$90.44	4.1×	$189.53
Tissue exam by pathologist level IV	CPT	88305	13	$346	$242.2	$9.02	$64.09	0.63×	$346
maternity
Fetal non-stress test	CPT	59025	9	—	—	$32.7	$405.97	2.2×	$14,083
Routine obstetric care including vaginal delivery	CPT	59400	4	—	—	$1,994.02	$7,139.82	3.1×	$14,083
Vaginal delivery only	CPT	59409	9	—	—	$780.72	$4,258	1.9×	$14,821
Vaginal delivery with postpartum	CPT	59410	4	—	—	$4,849.17	$7,685.41	7.2×	$14,083
Routine obstetric care with C-section	CPT	59510	4	—	—	$1,995.21	$8,159.8	3.3×	$14,083
C-section delivery only	CPT	59514	4	—	—	$781.35	$8,159.8	8.5×	$14,083
C-section with postpartum	CPT	59515	4	—	—	$5,541.9	$8,974	7.1×	$14,083
office
Office visit, new patient, 15-29 min	CPT	99202	7	$318	$222.6	$49.2	$249.33	2.9×	$318
Office visit, new patient, 30-44 minutes	CPT	99203	7	$400	$280	$82.05	$326.4	2.7×	$400
Office visit, new patient, 45-59 min	CPT	99204	7	$500	$350	$98.83	$392.03	2.3×	$500
Office visit, new patient, 60-74 min	CPT	99205	7	$625	$437.5	$118.62	$490.04	2.2×	$625
Office visit, established patient, 5 min	CPT	99211	7	$313	$219.1	$17.21	$231.97	3.6×	$313
Office visit, established patient, 10-19 min	CPT	99212	7	$318	$222.6	$16.37	$249.33	3.1×	$318
Office visit, established patient, 20-29 minutes	CPT	99213	7	$369	$258.3	$34.43	$289.32	2.5×	$369
Office visit, established patient, 30-39 minutes	CPT	99214	7	$500	$350	$53.79	$392.03	2.6×	$500
Office visit, established patient, 40-54 min	CPT	99215	7	$625	$437.5	$82.05	$490.04	2.6×	$625
preventive
Upper GI endoscopy diagnostic	CPT	43235	9	—	—	$405.42	$3,137	3.4×	$10,920
Upper GI endoscopy with biopsy	CPT	43239	9	—	—	$423.61	$3,137	3.2×	$10,920
Sigmoidoscopy diagnostic	CPT	45330	9	—	—	$99	$2,802	3.3×	$9,750
Sigmoidoscopy with biopsy	CPT	45331	9	—	—	$130.65	$2,802	3.1×	$9,750
Colonoscopy diagnostic	CPT	45378	9	—	—	$534.04	$3,137	3.6×	$10,920
Colonoscopy with biopsy	CPT	45380	9	—	—	$597.36	$3,137	2.6×	$10,920
Colonoscopy with polyp removal	CPT	45385	9	—	—	$723.96	$3,137	2.6×	$10,920
surgery
Total shoulder arthroplasty	CPT	23472	8	—	—	$5,541.9	$15,559	3.8×	$31,200
PCI w drug-eluting stent w MCC	MS-DRG	246	6	—	—	$29,625	$29,625	1.1×	$29,625
PCI w drug-eluting stent w/o MCC	MS-DRG	247	6	—	—	$18,867	$18,867	1.0×	$18,867
Hip hemiarthroplasty	CPT	27125	6	—	—	$1,885.66	$9,500	7.6×	$27,301
Total hip replacement	CPT	27130	9	—	—	$2,693.8	$12,730	2.9×	$31,200
Total knee replacement	CPT	27447	9	—	—	$2,693.8	$15,655	3.8×	$31,200
Knee revision arthroplasty single component	CPT	27486	5	—	—	$5,541.9	$11,876	7.1×	$31,200
Knee revision arthroplasty all components	CPT	27487	6	—	—	$2,584.03	$10,090	5.0×	$31,200
Shoulder arthroscopy with decompression	CPT	29826	6	—	—	$605.06	$6,822	20.9×	$12,268
Shoulder arthroscopy with rotator cuff repair	CPT	29827	9	—	—	$623.03	$8,078.96	2.5×	$27,301
Knee arthroscopy with meniscectomy	CPT	29881	9	—	—	$790.35	$5,379	2.6×	$18,719
ACL reconstruction	CPT	29888	9	—	—	$1,220.29	$8,078.96	2.4×	$27,301
Major small/large bowel procedures w MCC	MS-DRG	329	6	—	—	$46,092	$46,092	1.1×	$46,092
Major small/large bowel procedures w CC	MS-DRG	330	6	—	—	$24,251	$24,251	1.0×	$24,251
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	6	—	—	$16,412	$16,412	1.00×	$16,412
CABG single arterial graft	CPT	33533	5	—	—	$3,386.12	$11,611	6.2×	$22,621
CABG 2 arterial grafts	CPT	33534	5	—	—	$3,807.69	$13,555	6.3×	$22,621
CABG 3 arterial grafts	CPT	33535	5	—	—	$4,228.6	$13,555	6.0×	$22,621
CABG 4+ arterial grafts	CPT	33536	5	—	—	$4,650.86	$13,555	5.5×	$22,621
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	6	—	—	$16,211	$16,211	0.98×	$16,211
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	6	—	—	$12,718	$12,718	0.94×	$12,718
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	6	—	—	$33,290	$33,290	1.0×	$33,290
Open appendectomy	CPT	44950	9	—	—	$724.63	$4,103.67	3.6×	$18,719
Laparoscopic appendectomy	CPT	44970	9	—	—	$494.31	$6,526.38	4.2×	$27,301
Spinal fusion (non-cervical) w MCC	MS-DRG	459	6	—	—	$63,357	$63,357	1.3×	$63,357
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	6	—	—	$37,162	$37,162	1.1×	$37,162
Major joint replacement w MCC	MS-DRG	469	6	—	—	$29,266	$29,266	0.99×	$29,266
Major joint replacement w/o MCC	MS-DRG	470	6	—	—	$18,185	$18,185	0.96×	$18,185
Laparoscopic cholecystectomy	CPT	47562	9	—	—	$843.15	$7,844	4.4×	$27,301
Lap cholecystectomy with cholangiography	CPT	47563	9	—	—	$970.44	$7,844	4.2×	$27,301
Hip & femur procedures except major joint w MCC	MS-DRG	480	6	—	—	$28,704	$28,704	1.0×	$28,704
Hip & femur procedures except major joint w CC	MS-DRG	481	6	—	—	$20,015	$20,015	0.99×	$20,015
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	6	—	—	$15,807	$15,807	0.99×	$15,807
Open umbilical hernia repair	CPT	49560	9	—	—	$839.12	$5,379	2.8×	$18,719
Umbilical hernia repair age 5+	CPT	49585	9	—	—	$534.04	$5,379	4.1×	$18,719
Lap inguinal hernia repair	CPT	49650	9	—	—	$379.7	$6,852.78	6.1×	$27,301
Lap incisional hernia repair	CPT	49652	9	—	—	$524.57	$7,844	2.9×	$27,301
Total abdominal hysterectomy	CPT	58150	6	—	—	$1,162.9	$7,125	7.3×	$18,719
Vaginal hysterectomy	CPT	58260	9	—	—	$1,162.9	$5,687.55	3.1×	$18,719
Lap-assisted vaginal hysterectomy	CPT	58550	9	—	—	$838.74	$7,844	5.3×	$27,301
Lap-assisted vaginal hysterectomy >250g	CPT	58552	9	—	—	$616.65	$11,488	5.2×	$27,301
Lap salpingo-oophorectomy	CPT	58661	9	—	—	$701.38	$7,790.63	3.8×	$27,301
OR procedure for obesity w MCC	MS-DRG	619	6	—	—	$29,040	$29,040	1.1×	$29,040
OR procedure for obesity w CC	MS-DRG	620	6	—	—	$16,899	$16,899	1.0×	$16,899
OR procedure for obesity w/o CC/MCC	MS-DRG	621	6	—	—	$15,352	$15,352	1.0×	$15,352
Complex cataract surgery	CPT	66982	9	—	—	$1,272.35	$4,258	1.9×	$15,519
Cataract surgery with lens implant	CPT	66984	9	—	—	$1,818.32	$4,258	1.9×	$15,519
Intravitreal injection	CPT	67028	9	—	—	$404.81	$2,240	6.5×	$7,800
Vitrectomy mechanical	CPT	67042	9	—	—	$1,186.9	$5,541.9	2.2×	$22,621
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	6	—	—	$11,012	$11,012	0.90×	$11,012
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	6	—	—	$17,205	$17,205	0.90×	$17,205

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 15)

Payer	Codes covered	Median rate
Anthem BCBS	172	$1,438
Aetna	169	$1,023.57
Kaiser Permanente	167	$652.68
Blue Cross Blue Shield	165	$1,043.66
Humana	154	$474.97
Medicare	154	$467.53
UnitedHealthcare	132	$2,941.84
Medicaid	131	$222.08
First Health	92	$1,178.95
commercial \| mhs hspcc \| all plans	92	$374.49
commercial \| healthsmart \| all plans	92	$1,276.04
Multiplan	92	$1,362.04
Cigna	82	$496.12
commercial \| western growers \| all plans	6	$1,254
Health Net	6	$2,075.8

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