▸ Hospital · WI · CCN 520076
BEAVER DAM COMMUNITY HOSPITALS
707 SOUTH UNIVERSITY AVENUE, BEAVER DAM, WI, 53916
43 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
167
of 209 target codes
Payers
21
with negotiated rates
Rates published
49,930
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $13,227 | $13,624 | $37,397 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 20 | $231 | $219.45 | $117.3 | $170.94 | $221.76 |
| Psychiatric eval with medical services | CPT | 90792 | 20 | $254 | $241.3 | $128.98 | $187.96 | $243.84 |
| Psychotherapy 30 minutes | CPT | 90832 | 20 | $112 | $106.4 | $56.87 | $100.8 | $477 |
| Psychotherapy 45 minutes | CPT | 90834 | 20 | $149 | $141.55 | $75.66 | $134.1 | $477 |
| Psychotherapy 60 minutes | CPT | 90837 | 20 | $224 | $212.8 | $113.75 | $176.96 | $477 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 20 | $233 | $221.35 | $118.32 | $184.07 | $477 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 20 | $359 | $341.05 | $83.93 | $294.38 | $796 |
| ED visit level 2 | CPT | 99282 | 20 | $503 | $477.85 | $150.95 | $412.46 | $796 |
| ED visit level 3 | CPT | 99283 | 20 | $967 | $918.65 | $263.93 | $792.94 | $1,540.37 |
| ED visit level 4 | CPT | 99284 | 20 | $1,511 | $1,435.45 | $405.89 | $1,193.69 | $2,297.62 |
| ED visit level 5 | CPT | 99285 | 20 | $2,747 | $2,609.65 | $530 | $2,059 | $3,894.14 |
| Critical care, first hour | CPT | 99291 | 20 | $4,225 | $4,013.75 | $530 | $3,126.5 | $4,056 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 17 | $1,252 | $1,189.4 | $323.3 | $1,064.2 | $5,836 |
| CT head with contrast | CPT | 70460 | 17 | $1,797 | $1,707.15 | $464.3 | $1,527.45 | $5,836 |
| CT head with and without contrast | CPT | 70470 | 17 | $2,201 | $2,090.95 | $554.15 | $1,870.85 | $5,836 |
| CT neck with contrast | CPT | 70491 | 17 | $2,864 | $2,720.8 | $582.35 | $2,434.4 | $5,836 |
| MRI brain without contrast | CPT | 70551 | 17 | $2,678 | $2,544.1 | $619.95 | $2,276.3 | $3,396 |
| MRI brain with contrast | CPT | 70552 | 17 | $3,936 | $3,739.2 | $911.95 | $3,316.08 | $3,778.56 |
| MRI brain with and without contrast | CPT | 70553 | 17 | $4,522 | $4,295.9 | $1,032.6 | $3,741.96 | $4,341.12 |
| Chest X-ray single view | CPT | 71045 | 17 | $199 | $189.05 | $80.45 | $166.16 | $477.84 |
| Chest X-ray 2 views | CPT | 71046 | 17 | $372 | $353.4 | $108.65 | $310.62 | $477.84 |
| Chest X-ray 3 views | CPT | 71047 | 17 | $470 | $446.5 | $136.85 | $392.45 | $477.84 |
| CT chest without contrast | CPT | 71250 | 17 | $2,436 | $2,314.2 | $401.65 | $2,070.6 | $5,836 |
| CT chest with contrast | CPT | 71260 | 17 | $3,618 | $3,437.1 | $546.35 | $3,075.3 | $5,836 |
| CT chest with and without contrast | CPT | 71270 | 17 | $4,460 | $4,237 | $670.1 | $3,757.55 | $5,836 |
| MRI chest without contrast | CPT | 71550 | 17 | $5,887 | $5,592.65 | $1,284.36 | $4,871.5 | $5,651.52 |
| MRI chest with contrast | CPT | 71551 | 17 | $8,116 | $7,710.2 | $1,422.7 | $6,715.99 | $7,791.36 |
| MRI chest with and without contrast | CPT | 71552 | 17 | $9,760 | $9,272 | $1,778.95 | $8,076.4 | $9,369.6 |
| Lumbosacral spine X-ray | CPT | 72100 | 20 | $438 | $416.1 | $101.36 | $304.85 | $587.84 |
| CT cervical spine without contrast | CPT | 72125 | 17 | $1,931 | $1,834.45 | $406.35 | $1,641.35 | $5,836 |
| CT thoracic spine without contrast | CPT | 72128 | 17 | $2,423 | $2,301.85 | $404.8 | $2,059.55 | $5,836 |
| CT lumbar spine without contrast | CPT | 72131 | 17 | $2,423 | $2,301.85 | $401.65 | $2,059.55 | $5,836 |
| MRI cervical spine without contrast | CPT | 72141 | 17 | $2,565 | $2,436.75 | $593.35 | $2,180.25 | $3,396 |
| MRI thoracic spine without contrast | CPT | 72146 | 17 | $3,240 | $3,078 | $591.75 | $2,729.7 | $3,396 |
| MRI lumbar spine without contrast | CPT | 72148 | 17 | $3,224 | $3,062.8 | $594.9 | $2,716.22 | $3,396 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 17 | $4,994 | $4,744.3 | $911.95 | $4,132.54 | $4,794.24 |
| MRI cervical spine with and without contrast | CPT | 72156 | 17 | $4,544 | $4,316.8 | $1,038.85 | $3,760.16 | $4,362.24 |
| MRI lumbar spine with contrast | CPT | 72158 | 20 | $5,728 | $5,441.6 | $340.42 | $3,986.69 | $5,498.88 |
| CT pelvis without contrast | CPT | 72192 | 17 | $1,990 | $1,890.5 | $400.1 | $1,691.5 | $5,836 |
| CT pelvis with contrast | CPT | 72193 | 20 | $3,661 | $3,477.95 | $169.69 | $2,892.19 | $5,836 |
| Shoulder X-ray | CPT | 73030 | 17 | $355 | $337.25 | $121.2 | $296.43 | $477.84 |
| Humerus X-ray | CPT | 73060 | 17 | $377 | $358.15 | $113.35 | $314.8 | $477.84 |
| Hand X-ray 3 views | CPT | 73130 | 20 | $400 | $380 | $83.93 | $278.4 | $477.84 |
| MRI upper extremity joint without contrast | CPT | 73221 | 17 | $3,618 | $3,437.1 | $679.5 | $3,048.17 | $3,473.28 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 17 | $7,799 | $7,409.05 | $1,394.5 | $6,453.67 | $7,487.04 |
| Knee X-ray 1-2 views | CPT | 73560 | 20 | $416 | $395.2 | $83.93 | $289.54 | $477.84 |
| Ankle X-ray 3 views | CPT | 73610 | 17 | $415 | $394.25 | $132.15 | $346.52 | $477.84 |
| MRI lower extremity joint without contrast | CPT | 73721 | 17 | $3,624 | $3,442.8 | $677.95 | $3,053.22 | $3,479.04 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 17 | $7,828 | $7,436.6 | $1,388.25 | $6,477.67 | $7,514.88 |
| CT abdomen without contrast | CPT | 74150 | 17 | $1,939 | $1,842.05 | $395.4 | $1,648.15 | $5,836 |
| CT abdomen with contrast | CPT | 74160 | 17 | $3,641 | $3,458.95 | $842.45 | $3,094.85 | $5,836 |
| CT abdomen with and without contrast | CPT | 74170 | 17 | $4,198 | $3,988.1 | $955.25 | $3,536.82 | $5,836 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 17 | $2,424 | $2,302.8 | $497.75 | $2,060.4 | $5,836 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 17 | $4,775 | $4,536.25 | $1,061.8 | $4,022.94 | $5,836 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 17 | $5,494 | $5,219.3 | $1,198.65 | $4,628.7 | $5,836 |
| MRI abdomen without contrast | CPT | 74181 | 17 | $5,614 | $5,333.3 | $623.1 | $4,645.59 | $5,389.44 |
| MRI abdomen with and without contrast | CPT | 74183 | 20 | $8,539 | $8,112.05 | $340.42 | $5,943.14 | $8,197.44 |
| Abdominal ultrasound complete | CPT | 76700 | 17 | $1,492 | $1,417.4 | $367.7 | $1,234.63 | $1,432.32 |
| Abdominal ultrasound limited | CPT | 76705 | 17 | $1,129 | $1,072.55 | $279.45 | $948.86 | $1,083.84 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 17 | $1,401 | $1,330.95 | $345.25 | $1,159.33 | $1,344.96 |
| Obstetric ultrasound first trimester | CPT | 76801 | 17 | $1,342 | $1,274.9 | $332.7 | $1,110.51 | $1,288.32 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 17 | $1,676 | $1,592.2 | $416.3 | $1,386.89 | $1,608.96 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 17 | $1,545 | $1,467.75 | $412.15 | $1,287.22 | $1,483.2 |
| Transvaginal ultrasound | CPT | 76830 | 17 | $799 | $759.05 | $405.73 | $679.15 | $955 |
| Pelvic ultrasound complete | CPT | 76856 | 17 | $1,377 | $1,308.15 | $343.65 | $1,139.47 | $1,321.92 |
| Scrotal ultrasound | CPT | 76870 | 17 | $648 | $615.6 | $329.05 | $550.8 | $955 |
| Diagnostic mammography unilateral | CPT | 77065 | 17 | $1,016 | $965.2 | $318 | $840.74 | $975.36 |
| Diagnostic mammography bilateral | CPT | 77066 | 17 | $1,298 | $1,233.1 | $318 | $1,074.1 | $1,246.08 |
| Screening mammography bilateral | CPT | 77067 | 17 | $1,398 | $1,328.1 | $318 | $950.4 | $1,342.08 |
| EKG tracing only | CPT | 93005 | 20 | $193 | $183.35 | $56.62 | $142.82 | $185.28 |
| Transthoracic echocardiogram complete | CPT | 93306 | 17 | $3,176 | $3,017.2 | $1,612.77 | $2,628.14 | $3,048.96 |
| Transthoracic echocardiogram | CPT | 93307 | 17 | $1,643 | $1,560.85 | $834.32 | $1,359.58 | $1,577.28 |
| Stress echocardiogram | CPT | 93350 | 17 | $4,666 | $4,432.7 | $2,369.39 | $3,861.12 | $4,479.36 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $18,074 | $18,616 | $52,773 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $9,942.61 | $10,241 | $26,978 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $7,194.43 | $7,410.26 | $18,261 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $14,957 | $15,406 | $42,886 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $10,830 | $11,155 | $29,793 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $8,622.88 | $8,881.57 | $22,792 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $6,850.7 | $7,056.22 | $17,170 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $8,295.87 | $8,544.75 | $21,755 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $6,645.78 | $6,845.15 | $16,520 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $15,165 | $15,620 | $43,546 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $9,147.26 | $9,421.68 | $24,455 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $7,502.2 | $7,727.27 | $19,237 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $12,350 | $12,721 | $34,616 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $8,640.44 | $8,899.65 | $22,848 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $6,026.91 | $6,207.72 | $14,557 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $11,523 | $11,869 | $31,993 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $7,620.95 | $7,849.58 | $19,614 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $6,117.25 | $6,300.77 | $14,844 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $9,683.36 | $9,973.86 | $26,156 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $6,762.9 | $6,965.79 | $16,892 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $7,963.86 | $8,202.78 | $20,701 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $14,191 | $14,617 | $40,456 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $11,226 | $11,562 | $31,048 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $8,150.35 | $8,394.86 | $21,293 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $17,848 | $18,383 | $52,055 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $10,061 | $10,362 | $27,352 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 21 | $159 | $151.05 | $8.46 | $91.84 | $152.64 |
| General health panel | CPT | 80050 | 17 | $618 | $587.1 | $144.13 | $511.4 | $593.28 |
| Electrolyte panel | CPT | 80051 | 21 | $137 | $130.15 | $7.01 | $79.13 | $131.52 |
| Comprehensive metabolic panel | CPT | 80053 | 21 | $198 | $188.1 | $10.56 | $114.36 | $190.08 |
| Lipid panel | CPT | 80061 | 21 | $251 | $238.45 | $13.39 | $144.98 | $240.96 |
| Renal function panel | CPT | 80069 | 21 | $170 | $161.5 | $8.68 | $98.19 | $163.2 |
| Hepatic function panel | CPT | 80076 | 21 | $160 | $152 | $8.17 | $92.42 | $153.6 |
| Urinalysis non-automated | CPT | 81002 | 21 | $56 | $53.2 | $3.48 | $32.35 | $53.76 |
| Urinalysis automated | CPT | 81003 | 21 | $47 | $44.65 | $2.25 | $34.78 | $45.12 |
| Glucose quantitative | CPT | 82947 | 21 | $68.8 | $65.36 | $3.93 | $48.98 | $66.05 |
| Hemoglobin A1c | CPT | 83036 | 21 | $160 | $152 | $9.71 | $92.42 | $153.6 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 21 | $266 | $252.7 | $16.8 | $153.64 | $255.36 |
| Complete blood count with automated differential | CPT | 85025 | 21 | $137 | $130.15 | $7.77 | $79.13 | $131.52 |
| Complete blood count without differential | CPT | 85027 | 21 | $114 | $108.3 | $6.47 | $65.85 | $109.44 |
| Urine culture bacterial | CPT | 87086 | 21 | $148 | $140.6 | $8.07 | $85.48 | $142.08 |
| Urine culture identification | CPT | 87088 | 21 | $148 | $140.6 | $8.09 | $85.48 | $142.08 |
| Tissue exam by pathologist level IV | CPT | 88305 | 17 | $926 | $879.7 | $177.63 | $406.08 | $888.96 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 20 | $181 | $171.95 | $91.91 | $153.85 | $205.18 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 17 | $301 | $285.95 | $39.1 | $156.46 | $796 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | $415 | $394.25 | $53.83 | $215.72 | $796 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | $610 | $579.5 | $79.22 | $313.42 | $796 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 17 | $800 | $760 | $103.59 | $411.04 | $796 |
| Office visit, established patient, 5 min | CPT | 99211 | 17 | $107 | $101.65 | $12.7 | $72.01 | $796 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 17 | $180 | $171 | $23.36 | $93.56 | $796 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | $258 | $245.1 | $33.51 | $134.11 | $796 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | $392 | $372.4 | $50.78 | $203.76 | $796 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 17 | $599 | $569.05 | $77.69 | $307.77 | $796 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | — | — | $893.68 | $893.68 | $5,571 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | — | — | $893.68 | $893.68 | $5,571 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | — | — | $869.04 | $869.04 | $5,571 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | — | — | $869.04 | $869.04 | $5,571 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | — | — | $1,123.9 | $1,123.9 | $7,959 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | — | — | $1,123.9 | $1,123.9 | $7,959 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 11 | — | — | $10,387 | $17,529 | $23,877 |
| Total hip replacement | CPT | 27130 | 11 | — | — | $10,387 | $12,265 | $23,877 |
| Total knee replacement | CPT | 27447 | 11 | — | — | $10,387 | $12,265 | $26,530 |
| Knee revision arthroplasty all components | CPT | 27487 | 2 | — | — | $10,387 | $20,428 | $23,877 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $6,809.4 | $6,809.4 | $23,877 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $3,092.76 | $3,092.76 | $12,204 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $6,809.4 | $6,809.4 | $23,877 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $39,841 | $41,037 | $121,823 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $21,206 | $21,843 | $62,709 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $15,246 | $15,703 | $43,801 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $15,308 | $15,767 | $43,997 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $12,457 | $12,831 | $34,956 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $30,956 | $31,885 | $93,638 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $5,561.31 | $5,561.31 | $20,694 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $28,775 | $29,638 | $86,719 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $17,207 | $17,723 | $50,022 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $5,561.31 | $5,561.31 | $20,694 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $5,561.31 | $5,561.31 | $20,694 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $26,034 | $26,815 | $78,025 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $18,791 | $19,355 | $55,047 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $14,706 | $15,147 | $42,087 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $5,561.31 | $5,561.31 | $20,694 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $5,561.31 | $5,561.31 | $20,694 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $5,561.31 | $5,561.31 | $20,694 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $24,241 | $24,968 | $72,334 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $14,794 | $15,238 | $42,368 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $13,663 | $14,073 | $38,782 |
| Complex cataract surgery | CPT | 66982 | 11 | — | — | $2,173.99 | $2,173.99 | $7,959 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $2,173.99 | $2,173.99 | $7,959 |
| Intravitreal injection | CPT | 67028 | 20 | $295 | $280.25 | $149.8 | $262.55 | $338.3 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $3,834.59 | $3,834.59 | $14,857 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $11,463 | $11,807 | $31,802 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $17,780 | $18,313 | $51,840 |
| Coronary angiography with bypass cath | CPT | 93458 | 17 | $17,273 | $16,409 | $7,477 | $14,682 | $16,979 |
Payer mix (top 21)
| Payer | Codes covered | Median rate |
|---|---|---|
| unitedhealth group of wi | 167 | $1,284.36 |
| Anthem BCBS | 167 | $3,396 |
| security health plan (shp) | 166 | $481.33 |
| quartz | 166 | $1,381.11 |
| group health cooperative of eau claire | 166 | $759.32 |
| Humana | 166 | $813.66 |
| network health plan | 166 | $887.72 |
| Molina | 166 | $821.95 |
| the alliance | 145 | $1,010.52 |
| wps health insurance | 102 | $400.1 |
| Cigna | 102 | $657.56 |
| First Health | 102 | $650.62 |
| health partners | 102 | $687.33 |
| health payment systems | 102 | $503.56 |
| Multiplan | 102 | $679.34 |
| trilogy | 102 | $556.2 |
| amish/mennonite | 102 | $397.93 |
| veteran's administration (va ccn) | 100 | $5,561.31 |
| icare | 100 | $2,326.17 |
| managed health services | 100 | $2,173.99 |
| my choice | 15 | $8.36 |