Does Colleton Medical Center publish its standard charges and chargemaster?

Yes. Colleton Medical Center publishes a machine-readable file with 27,124 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 Colleton Medical Center charge for procedures?

Colleton Medical Center (Walterboro, SC) 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 · SC · CCN 420030

Colleton Medical Center

Walterboro, SC, 29488-

102 bedsAcute Care Hospitals4

Compliance grade

100/100

Rates published

27,124

last crawl 2026-05-23

Procedures tracked

193

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All SC 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://core.secure.ehc.com/src/util/json-detail-price-list/57-0712623_colleton-medical-center_standardcharges.json · JSON

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	39	—	—	$45	$1,067.15	0.08×	$25,227
Psychiatric diagnostic evaluation	CPT	90791	3	—	—	$304.42	$328.42	1.9×	$649
Psychiatric eval with medical services	CPT	90792	3	—	—	$304.42	$328.42	1.9×	$649
Psychotherapy 30 minutes	CPT	90832	3	—	—	$244.31	$246.41	1.7×	$486.94
Psychotherapy 45 minutes	CPT	90834	3	—	—	$304.42	$328.42	2.0×	$649
Psychotherapy 60 minutes	CPT	90837	3	—	—	$304.42	$328.42	1.7×	$649
Crisis psychotherapy 60 minutes	CPT	90839	3	—	—	$304.42	$328.42	2.1×	$649
emergency
ED visit level 1	CPT	99281	22	$1,212	$1,212	$45	$90	0.64×	$3,615
ED visit level 2	CPT	99282	22	$1,053	$1,053	$45	$90	0.38×	$3,615
ED visit level 3	CPT	99283	22	$1,869	$1,869	$45	$90	0.22×	$3,615
ED visit level 4	CPT	99284	22	$2,623	$2,623	$45	$90	0.13×	$4,513
ED visit level 5	CPT	99285	22	$4,031	$4,031	$45	$90	0.09×	$4,530
Critical care, first hour	CPT	99291	22	$4,336	$4,336	$45	$85	0.08×	$4,530
imaging
CT head without contrast	CPT	70450	24	$4,458	$4,458	$18	$80	0.39×	$1,165
CT head with contrast	CPT	70460	24	$4,954	$4,954	$18	$80	0.34×	$1,581.96
CT head with and without contrast	CPT	70470	24	$5,193	$5,193	$18	$80	0.30×	$1,881.69
CT neck with contrast	CPT	70491	24	$7,051	$7,051	$18	$80	0.29×	$1,581.96
MRI brain without contrast	CPT	70551	24	$6,222	$6,222	$18	$80	0.20×	$2,162.74
MRI brain with contrast	CPT	70552	24	$6,222	$6,222	$18	$80	0.17×	$2,297.77
MRI brain with and without contrast	CPT	70553	24	$10,459	$10,459	$18	$80	0.14×	$3,135.49
Chest X-ray single view	CPT	71045	25	$429	$429	$9.65	$70.7	0.75×	$280.35
Chest X-ray 2 views	CPT	71046	25	$534	$534	$15.2	$70.7	0.72×	$280.35
Chest X-ray 3 views	CPT	71047	25	$642	$642	$15.2	$70.7	0.74×	$280.35
CT chest without contrast	CPT	71250	24	$4,655	$4,655	$18	$80	0.37×	$1,165
CT chest with contrast	CPT	71260	24	$5,537	$5,537	$18	$80	0.28×	$1,581.96
CT chest with and without contrast	CPT	71270	24	$4,986	$4,986	$18	$80	0.27×	$1,881.69
MRI chest without contrast	CPT	71550	24	$5,554	$5,554	$18	$80	0.19×	$2,254.65
MRI chest with contrast	CPT	71551	24	$8,645	$8,645	$18	$80	0.10×	$2,395.42
MRI chest with and without contrast	CPT	71552	24	$10,635	$10,635	$18	$80	0.13×	$3,135.49
Lumbosacral spine X-ray	CPT	72100	25	$1,155	$1,155	$15.2	$70.7	0.68×	$280.35
CT cervical spine without contrast	CPT	72125	24	$4,995	$4,995	$18	$80	0.40×	$1,165
CT thoracic spine without contrast	CPT	72128	24	$5,290	$5,290	$18	$80	0.40×	$1,165
CT lumbar spine without contrast	CPT	72131	24	$5,290	$5,290	$18	$80	0.39×	$1,165
MRI cervical spine without contrast	CPT	72141	24	$6,286	$6,286	$18	$80	0.20×	$2,162.74
MRI thoracic spine without contrast	CPT	72146	24	$6,286	$6,286	$18	$80	0.21×	$2,162.74
MRI lumbar spine without contrast	CPT	72148	24	$6,286	$6,286	$18	$80	0.21×	$2,162.74
MRI lumbar spine with and without contrast	CPT	72149	24	$6,790	$6,790	$18	$80	0.18×	$2,395.42
MRI cervical spine with and without contrast	CPT	72156	24	$10,635	$10,635	$18	$80	0.15×	$3,135.49
MRI lumbar spine with contrast	CPT	72158	24	$10,635	$10,635	$18	$80	0.15×	$3,135.49
CT pelvis without contrast	CPT	72192	24	$4,739	$4,739	$18	$80	0.40×	$1,165
CT pelvis with contrast	CPT	72193	24	$5,004	$5,004	$18	$80	0.28×	$1,581.96
Shoulder X-ray	CPT	73030	25	$1,620	$1,620	$15.2	$69.09	0.74×	$280.35
Humerus X-ray	CPT	73060	25	$1,354	$1,354	$15.2	$67.7	0.76×	$280.35
Hand X-ray 3 views	CPT	73130	25	$1,354	$1,354	$15.2	$68.63	0.74×	$280.35
MRI upper extremity joint without contrast	CPT	73221	24	$13,092	$13,092	$18	$80	0.19×	$2,162.74
MRI upper extremity joint with and without contrast	CPT	73223	24	$14,622	$14,622	$18	$80	0.13×	$3,135.49
Knee X-ray 1-2 views	CPT	73560	25	$1,104	$1,104	$15.2	$67.7	0.73×	$280.35
Ankle X-ray 3 views	CPT	73610	25	$1,395	$1,395	$15.2	$68.44	0.74×	$280.35
MRI lower extremity joint without contrast	CPT	73721	24	$13,092	$13,092	$18	$80	0.17×	$2,162.74
MRI lower extremity joint with and without contrast	CPT	73723	24	$14,622	$14,622	$18	$80	0.13×	$3,135.49
CT abdomen without contrast	CPT	74150	24	$4,611	$4,611	$18	$80	0.43×	$1,165
CT abdomen with contrast	CPT	74160	24	$4,887	$4,887	$18	$80	0.28×	$1,581.96
CT abdomen with and without contrast	CPT	74170	24	$5,459	$5,459	$18	$80	0.24×	$1,881.69
CT abdomen and pelvis without contrast	CPT	74176	24	$9,347	$9,347	$18	$80	0.22×	$2,132.86
CT abdomen and pelvis with contrast	CPT	74177	24	$9,650	$9,650	$18	$80	0.15×	$3,056.08
CT abdomen and pelvis with and without contrast	CPT	74178	24	$11,021	$11,021	$18	$80	0.14×	$3,056.08
MRI abdomen without contrast	CPT	74181	24	$5,554	$5,554	$18	$80	0.20×	$2,162.74
MRI abdomen with and without contrast	CPT	74183	24	$6,715	$6,715	$18	$80	0.14×	$3,135.49
Abdominal ultrasound complete	CPT	76700	25	$3,617	$3,617	$15.2	$77.5	0.52×	$610.29
Abdominal ultrasound limited	CPT	76705	25	$2,439	$2,439	$15.2	$77.5	0.53×	$610.29
Retroperitoneal ultrasound complete	CPT	76770	25	$1,737	$1,737	$15.2	$77.5	0.54×	$610.29
Obstetric ultrasound first trimester	CPT	76801	25	$928	$928	$15.2	$72.86	0.51×	$610.29
Obstetric ultrasound after first trimester	CPT	76805	25	$1,776	$1,776	$15.2	$77.5	0.51×	$610.29
Obstetric ultrasound with fetal anatomy	CPT	76811	25	$2,231	$2,231	$15.2	$77.5	0.33×	$981.47
Transvaginal ultrasound	CPT	76830	25	$2,231	$2,231	$15.2	$77.5	0.52×	$610.29
Pelvic ultrasound complete	CPT	76856	25	$2,419	$2,419	$15.2	$77.5	0.54×	$610.29
Scrotal ultrasound	CPT	76870	25	$910	$910	$15.2	$77.5	0.59×	$610.29
Diagnostic mammography unilateral	CPT	77065	41	$799	$799	$15.2	$79.79	0.53×	$205.7
Diagnostic mammography bilateral	CPT	77066	41	$839	$839	$15.2	$90	0.47×	$263
Screening mammography bilateral	CPT	77067	41	$643	$643	$15.2	$84.15	0.53×	$217.46
EKG complete	CPT	93000	2	—	—	$11.13	$59.4	2.4×	$59.4
EKG tracing only	CPT	93005	25	$496	$496	$15.2	$67.7	0.57×	$149.16
EKG interpretation only	CPT	93010	3	—	—	$24.6	$34.4	1.9×	$59.4
Transthoracic echocardiogram complete	CPT	93306	25	$4,701	$4,701	$18	$67.7	0.11×	$1,256.99
Transthoracic echocardiogram	CPT	93307	25	$3,309	$3,309	$18	$67.7	0.27×	$1,256.99
Stress echocardiogram	CPT	93350	4	—	—	$59.4	$636.11	1.3×	$1,256.99
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	43	—	—	$45	$13,178	0.65×	$35,601
Intracranial hemorrhage/CVA w CC	MS-DRG	065	43	—	—	$45	$6,737.74	0.63×	$29,340
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	43	—	—	$45	$4,560.06	0.60×	$29,340
Respiratory infections & inflammations w MCC	MS-DRG	177	43	—	—	$45	$10,709	0.69×	$43,313
COPD w MCC	MS-DRG	190	43	—	—	$45	$7,441.98	0.66×	$24,841
COPD w CC	MS-DRG	191	43	—	—	$45	$5,691.63	0.65×	$24,841
COPD w/o CC/MCC	MS-DRG	192	43	—	—	$45	$4,287.77	0.61×	$24,841
Simple pneumonia & pleurisy w CC	MS-DRG	194	43	—	—	$45	$5,432.59	0.64×	$38,548
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	43	—	—	$45	$4,126.12	0.62×	$38,548
AMI discharged alive w MCC	MS-DRG	280	43	—	—	$45	$10,875	0.69×	$39,009
AMI discharged alive w CC	MS-DRG	281	43	—	—	$45	$6,107.03	0.63×	$34,098
AMI discharged alive w/o CC/MCC	MS-DRG	282	43	—	—	$45	$4,803.87	0.62×	$28,877
Heart failure & shock w MCC	MS-DRG	291	43	—	—	$45	$8,645.1	0.68×	$24,683
Heart failure & shock w CC	MS-DRG	292	43	—	—	$45	$5,706.21	0.64×	$24,683
Heart failure & shock w/o CC/MCC	MS-DRG	293	43	—	—	$45	$3,637.18	0.59×	$24,683
Cardiac arrhythmia w MCC	MS-DRG	308	43	—	—	$45	$7,989.88	0.66×	$21,585
Cardiac arrhythmia w CC	MS-DRG	309	43	—	—	$45	$4,897.94	0.63×	$19,764
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	43	—	—	$45	$3,706.75	0.60×	$18,137
GI hemorrhage w CC	MS-DRG	378	43	—	—	$45	$6,531.69	0.65×	$25,168
GI hemorrhage w/o CC/MCC	MS-DRG	379	43	—	—	$45	$4,217.54	0.62×	$25,168
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	43	—	—	$45	$5,169.57	0.64×	$21,962
Fractures of femur w/o MCC	MS-DRG	533	43	—	—	$45	$10,102	0.66×	$27,291
Kidney/UTI w MCC	MS-DRG	689	43	—	—	$45	$7,754.03	0.67×	$38,548
Kidney/UTI w/o MCC	MS-DRG	690	43	—	—	$45	$5,317.31	0.64×	$21,962
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	43	—	—	$45	$13,000	0.70×	$54,410
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	43	—	—	$45	$6,830.49	0.66×	$54,410
lab
Basic metabolic panel (BMP)	CPT	80048	41	$544	$544	$7.22	$18	0.56×	$164.02
General health panel	CPT	80050	25	$1,580	$1,580	$15.2	$65	0.61×	$129.86
Electrolyte panel	CPT	80051	41	$275	$275	$5.98	$18	0.76×	$95
Comprehensive metabolic panel	CPT	80053	41	$595	$595	$9.01	$19	0.43×	$181.73
Lipid panel	CPT	80061	41	$517	$517	$11.43	$23.43	0.61×	$158.84
Renal function panel	CPT	80069	41	$453	$453	$7.41	$18.23	0.67×	$95.7
Hepatic function panel	CPT	80076	41	$531	$531	$6.97	$18	0.68×	$162.53
Urinalysis non-automated	CPT	81002	26	—	—	$2.97	$3.57	0.51×	$27.36
Urinalysis automated	CPT	81003	41	$163	$163	$1.92	$6.75	0.48×	$95
Glucose quantitative	CPT	82947	41	$248	$248	$3.36	$11.79	0.67×	$95
Hemoglobin A1c	CPT	83036	41	$559	$559	$8.28	$19	0.71×	$170.64
Thyroid stimulating hormone (TSH)	CPT	84443	41	$629	$629	$14.34	$29.4	0.62×	$192.09
Complete blood count with automated differential	CPT	85025	26	—	—	$6.63	$8.16	0.31×	$107.13
Complete blood count without differential	CPT	85027	41	$356	$356	$5.52	$18	0.83×	$95
Urine culture bacterial	CPT	87086	26	—	—	$6.89	$8.47	0.36×	$68.34
Urine culture identification	CPT	87088	41	$653	$653	$6.91	$18	0.81×	$199.48
Tissue exam by pathologist level IV	CPT	88305	26	$453	$453	$15.2	$66.35	0.65×	$180.21
maternity
Fetal non-stress test	CPT	59025	26	$770	$770	$9.02	$80	0.43×	$4,256
Routine obstetric care including vaginal delivery	CPT	59400	5	—	—	$24.6	$34.4	0.01×	$2,550
Vaginal delivery only	CPT	59409	8	—	—	$1,966.31	$2,940.6	1.3×	$9,036
Vaginal delivery with postpartum	CPT	59410	5	—	—	$24.6	$34.4	0.03×	$2,550
Routine obstetric care with C-section	CPT	59510	5	—	—	$24.6	$34.4	0.01×	$2,550
C-section delivery only	CPT	59514	5	—	—	$24.6	$34.4	0.04×	$2,550
C-section with postpartum	CPT	59515	5	—	—	$24.6	$34.4	0.03×	$2,550
office
Office visit, new patient, 15-29 min	CPT	99202	24	$757	$757	$15.2	$67.7	0.78×	$174.98
Office visit, new patient, 30-44 minutes	CPT	99203	24	$1,153	$1,153	$15.2	$67.7	0.55×	$229.06
Office visit, new patient, 45-59 min	CPT	99204	24	$1,828	$1,828	$15.2	$67.7	0.39×	$292.52
Office visit, new patient, 60-74 min	CPT	99205	24	$2,808	$2,808	$15.2	$67.7	0.31×	$414.5
Office visit, established patient, 5 min	CPT	99211	24	$599	$599	$15.2	$59.4	0.92×	$135.28
Office visit, established patient, 10-19 min	CPT	99212	24	$757	$757	$15.2	$59.4	0.74×	$172.9
Office visit, established patient, 20-29 minutes	CPT	99213	24	$1,369	$1,369	$15.2	$67.7	0.59×	$175.95
Office visit, established patient, 30-39 minutes	CPT	99214	24	$2,173	$2,173	$15.2	$67.7	0.44×	$230.15
Office visit, established patient, 40-54 min	CPT	99215	24	$3,335	$3,335	$15.2	$67.7	0.36×	$292.63
preventive
Upper GI endoscopy diagnostic	CPT	43235	8	—	—	$743.4	$2,082.74	2.3×	$6,342
Upper GI endoscopy with biopsy	CPT	43239	8	—	—	$814.62	$2,520.32	2.6×	$6,342
Sigmoidoscopy diagnostic	CPT	45330	8	—	—	$943.01	$1,696.43	2.0×	$5,469
Sigmoidoscopy with biopsy	CPT	45331	8	—	—	$744.63	$1,696.43	1.9×	$5,469
Colonoscopy diagnostic	CPT	45378	8	—	—	$814.62	$2,132.06	2.4×	$6,342
Colonoscopy with biopsy	CPT	45380	8	—	—	$814.62	$2,132.06	1.8×	$6,342
Colonoscopy with polyp removal	CPT	45385	8	—	—	$814.62	$2,520.32	2.1×	$6,342
surgery
Total shoulder arthroplasty	CPT	23472	13	—	—	$24.6	$4,950	1.2×	$52,917
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$53,553	$53,553	2.9×	$53,553
Hip hemiarthroplasty	CPT	27125	11	—	—	$24.6	$2,550	2.0×	$24,079
Total hip replacement	CPT	27130	15	—	—	$24.6	$12,000	2.8×	$52,917
Total knee replacement	CPT	27447	15	—	—	$24.6	$10,500	2.5×	$52,917
Knee revision arthroplasty single component	CPT	27486	11	—	—	$24.6	$12,300	7.3×	$52,917
Knee revision arthroplasty all components	CPT	27487	12	—	—	$24.6	$10,600	5.3×	$52,917
Shoulder arthroscopy with decompression	CPT	29826	10	—	—	$1,966.31	$4,950	15.1×	$11,109
Shoulder arthroscopy with rotator cuff repair	CPT	29827	10	—	—	$1,660.42	$4,950	1.5×	$17,496
Knee arthroscopy with meniscectomy	CPT	29881	10	—	—	$1,966.31	$4,950	2.4×	$11,109
ACL reconstruction	CPT	29888	10	—	—	$1,660.42	$4,950	1.5×	$17,238
Major small/large bowel procedures w MCC	MS-DRG	329	43	—	—	$45	$30,421	0.71×	$105,442
Major small/large bowel procedures w CC	MS-DRG	330	43	—	—	$45	$15,660	0.67×	$103,139
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	43	—	—	$45	$10,938	0.67×	$63,786
CABG single arterial graft	CPT	33533	8	—	—	$24.6	$2,550	1.4×	$8,214
CABG 2 arterial grafts	CPT	33534	8	—	—	$24.6	$2,550	1.2×	$8,214
CABG 3 arterial grafts	CPT	33535	8	—	—	$24.6	$2,550	1.1×	$8,214
CABG 4+ arterial grafts	CPT	33536	8	—	—	$24.6	$2,550	1.0×	$8,214
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	43	—	—	$45	$10,988	0.67×	$54,932
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	43	—	—	$45	$8,729.24	0.65×	$31,494
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	43	—	—	$45	$23,381	0.72×	$63,166
Open appendectomy	CPT	44950	8	—	—	$1,966.31	$3,474.13	3.1×	$9,845
Laparoscopic appendectomy	CPT	44970	10	—	—	$1,966.31	$5,492	3.5×	$17,038
Major joint replacement w MCC	MS-DRG	469	43	—	—	$45	$21,654	0.73×	$86,430
Major joint replacement w/o MCC	MS-DRG	470	43	—	—	$45	$12,492	0.66×	$74,008
Laparoscopic cholecystectomy	CPT	47562	9	—	—	$1,019.57	$4,950	2.8×	$17,038
Lap cholecystectomy with cholangiography	CPT	47563	9	—	—	$1,019.57	$4,950	2.6×	$17,038
Hip & femur procedures except major joint w MCC	MS-DRG	480	43	—	—	$45	$19,484	0.70×	$65,129
Hip & femur procedures except major joint w CC	MS-DRG	481	43	—	—	$45	$13,746	0.68×	$60,952
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	43	—	—	$45	$10,510	0.66×	$50,030
Lap inguinal hernia repair	CPT	49650	10	—	—	$1,660.42	$5,492	4.9×	$17,038
Total abdominal hysterectomy	CPT	58150	6	—	—	$24.6	$2,550	2.6×	$9,845
Vaginal hysterectomy	CPT	58260	9	—	—	$1,966.31	$4,950	2.7×	$10,605
Lap-assisted vaginal hysterectomy	CPT	58550	11	—	—	$1,966.31	$5,734	3.9×	$25,205
Lap-assisted vaginal hysterectomy >250g	CPT	58552	11	—	—	$1,966.31	$5,734	2.6×	$17,038
Lap salpingo-oophorectomy	CPT	58661	10	—	—	$1,660.42	$5,492	2.7×	$17,038
OR procedure for obesity w MCC	MS-DRG	619	43	—	—	$45	$18,063	0.67×	$56,024
OR procedure for obesity w CC	MS-DRG	620	43	—	—	$45	$10,580	0.65×	$56,024
OR procedure for obesity w/o CC/MCC	MS-DRG	621	43	—	—	$45	$9,683.92	0.64×	$56,024
Complex cataract surgery	CPT	66982	8	—	—	$2,076.48	$4,670.13	2.1×	$9,228.7
Cataract surgery with lens implant	CPT	66984	8	—	—	$2,076.48	$4,670.13	2.1×	$9,228.7
Intravitreal injection	CPT	67028	9	—	—	$364.13	$1,030.21	3.0×	$4,950
Vitrectomy mechanical	CPT	67042	10	—	—	$1,660.42	$4,950	2.0×	$14,595
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	43	—	—	$45	$7,940.86	0.65×	$22,971
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	43	—	—	$45	$12,945	0.68×	$34,971
PCI single major coronary artery	CPT	92920	11	—	—	$1,660.42	$8,170.5	1.4×	$21,876
PCI with drug-eluting stent	CPT	92928	11	—	—	$1,660.42	$8,170.5	0.81×	$31,972
PCI bypass graft	CPT	92937	11	—	—	$1,660.42	$8,170.5	0.75×	$31,972
Left heart catheterization	CPT	93452	11	—	—	$59.4	$3,850	1.2×	$14,995
Coronary angiography with cath	CPT	93455	11	—	—	$59.4	$3,787	1.2×	$14,995
Coronary angiography with bypass cath	CPT	93458	11	—	—	$59.4	$3,850	1.2×	$14,995

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 30)

Payer	Codes covered	Median rate
blue choice health plan	191	$1,022.46
Blue Cross Blue Shield	191	$943.01
sc state employees	179	$3,432.31
UnitedHealthcare	178	$841.64
nhc advantage	174	$995
apex health	174	$995
pruitt health	171	$995
absolute total care	161	$644.75
Humana	143	$90
Aetna	142	$59.4
Cigna	141	$67.7
prime health	136	$85
vocational rehab	133	$54
north american administrators	133	$85
employers health network	133	$45
medcost	133	$65.3
novanet	133	$90
Multiplan	133	$85
First Health	133	$90
galaxy health network	133	$90
healthsmart preferred care	133	$80
evernorth	132	$80
blue choice	108	$945.47
value option	90	$50
Molina	85	$5,482.45
select health	74	$8,214
eon health	65	$995
clover	65	$5,423.66
devoted health	64	$5,348.31
WellCare	61	$4,995.9

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