Ultrasound Cost in Miami-Fort Lauderdale-West Palm Beach, FL

A complete abdominal ultrasound (HCPCS 76700) and a complete pelvic ultrasound (HCPCS 76856) are imaging procedures that use high-frequency sound waves to produce real-time images of structures inside the body. A technologist applies gel to the skin and moves a handheld device called a transducer across the area, and the returned sound waves are converted into images on a monitor. No radiation is involved. The facility fee covers the hospital's room, equipment, and technical staff. Prices on this page come from CMS-mandated hospital price transparency files, which hospitals must publish each year.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-10-13

Data may be outdated

This hospital's pricing file has not been updated since 12/2/2025 (317 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.

Scope note: These are hospital facility fees only. Standalone imaging centers (not hospitals) often charge significantly less for outpatient imaging but are not covered by the CMS Hospital Price Transparency Rule, so they are not included in this data. We currently track only hospital-published prices.

Incomplete rows: Some hospitals publish $0 / blank amounts for this procedure in their transparency file. Those cells show as N/A and are excluded from the cash range above.

Abdominal Ultrasound, Complete (HCPCS 76700)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Baptist Hospital Miami	$2,276	$1,479.40	$104.70	$2,276	Schedule →
Bethesda East	$2,276	$1,479.40	$104.70	$2,276	Schedule →
Boca Raton Regional	$2,040	$1,326	$107.21	$1,332.12	Schedule →
Doctors Hospital	$2,276	$1,479.40	$101.50	$2,276	Schedule →
Homestead Hospital	$2,276	$1,479.40	$101.50	$2,276	Schedule →
South Miami Hospital	$2,090	$1,358.50	$101.50	$2,276	Schedule →
West Kendall Baptist	$2,276	$1,479.40	$101.50	$2,276	Schedule →
Cleveland Clinic Weston	$918	$596.70	$33.52	$1,274	Schedule →
HCA Aventura *	$3,147	$3,147 *	$185.25	$3,776.40	Schedule →
HCA JFK *	$7,310	$7,310 *	$185.25	$8,772	Schedule →
HCA JFK North *	$7,310	$7,310 *	$185.25	$6,213.50	Schedule →
HCA Kendall *	$4,330	$4,330 *	$185.25	$5,196	Schedule →
HCA Mercy *	$5,365	$5,365 *	$185.25	$6,438	Schedule →
HCA Northwest *	$14,885	$14,885 *	$185.25	$12,652.25	Schedule →
HCA Palms West *	$6,361	$6,361 *	$185.25	$7,633.20	Schedule →
HCA University *	$5,611	$5,611 *	$185.25	$2,805.50	Schedule →
HCA Westside *	$10,311	$10,311 *	$185.25	$12,373.20	Schedule →
HCA Woodmont *	$5,363.25	$5,363.25 *	$185.25	$4,558.76	Schedule →
Holy Cross Fort Lauderdale	$683	$443.95	$89.30	$1,009	Schedule →
Jackson Memorial	$1,481	$116	$105	$3,040.05	Schedule →
Jackson North	$1,481	$116	$105	$3,040.05	Schedule →
Jackson South	$1,481	$116	$105	$3,040.05	Schedule →
Jackson West	$1,481	$116	$105	$3,040.05	Schedule →
Lakeside Medical Center	$1,045	$106.74	$26.64	$1,511.15	Schedule →
Memorial Miramar	$1,559	$1,091.30	$97.28	$2,726.34	Schedule →
Memorial Pembroke	$1,559	$1,091.30	$97.28	$2,726.34	Schedule →
Memorial West	$1,559	$1,091.30	$97.28	$2,726.34	Schedule →
Memorial Regional	$1,559	$1,091.30	$97.28	$2,726.34	Schedule →
Mount Sinai Miami Beach *	$1,668.24	$1,668.24 *	$73	$1,668.24	Schedule →
Nicklaus Children's	N/A	N/A	$573.68	$636.78	Schedule →

* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

Pelvic Ultrasound, Complete (HCPCS 76856)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Baptist Hospital Miami	$1,945	$1,264.25	$104.70	$1,945	Schedule →
Bethesda East	$1,945	$1,264.25	$104.70	$1,945	Schedule →
Boca Raton Regional	$1,745	$1,134.25	$107.21	$1,139.49	Schedule →
Doctors Hospital	$1,945	$1,264.25	$101.50	$1,945	Schedule →
Homestead Hospital	$1,945	$1,264.25	$101.50	$1,945	Schedule →
South Miami Hospital	$1,788	$1,162.20	$101.50	$1,945	Schedule →
West Kendall Baptist	$1,945	$1,264.25	$101.50	$1,945	Schedule →
Cleveland Clinic Weston	$918	$596.70	$28.27	$1,222	Schedule →
HCA Aventura *	$3,294	$3,294 *	$185.25	$3,952.80	Schedule →
HCA JFK *	$5,360	$5,360 *	$185.25	$6,432	Schedule →
HCA JFK North *	$5,360	$5,360 *	$185.25	$4,556	Schedule →
HCA Kendall *	$3,285	$3,285 *	$185.25	$3,942	Schedule →
HCA Mercy *	$2,107	$2,107 *	$181.20	$4,569.60	Schedule →
HCA Northwest *	$4,993	$4,993 *	$185.25	$4,244.05	Schedule →
HCA Palms West *	$4,806	$4,806 *	$185.25	$5,767.20	Schedule →
HCA University *	$3,982	$3,982 *	$185.25	$1,991	Schedule →
HCA Westside *	$2,760	$2,760 *	$185.25	$3,312	Schedule →
HCA Woodmont *	$5,646.25	$5,646.25 *	$185.25	$4,799.31	Schedule →
Holy Cross Fort Lauderdale	$1,514	$1,965.60	$82.65	$1,514	Schedule →
Jackson Memorial	$652	$116	$105	$2,499	Schedule →
Jackson North	$652	$116	$105	$1,400.10	Schedule →
Jackson South	$652	$116	$105	$1,400.10	Schedule →
Jackson West	$652	$116	$105	$1,400.10	Schedule →
Lakeside Medical Center	$545	$106.74	$23.01	$1,143.97	Schedule →
Memorial Miramar	$1,010	$707	$63.02	$2,726.34	Schedule →
Memorial Pembroke	$1,010	$707	$63.02	$2,726.34	Schedule →
Memorial West	$1,010	$707	$63.02	$2,726.34	Schedule →
Memorial Regional	$1,010	$707	$63.02	$2,726.34	Schedule →
Mount Sinai Miami Beach *	$1,253.50	$1,253.50 *	$57	$1,253.50	Schedule →
Nicklaus Children's	N/A	N/A	$573.68	$636.78	Schedule →

What These Prices Mean

Understanding the price columns
The gross charge is the hospital's list price, also called the chargemaster rate. The cash price is what a patient without insurance pays, and the insured range shows the lowest and highest negotiated rates across insurance plans. In this region, Jackson Memorial lists a gross charge of $1,481 for 76700 and a cash price of $116, which is 8% of gross. Mount Sinai Miami Beach lists $1,668.24 for the same code, with a cash price equal to 100% of gross. Holy Cross Fort Lauderdale lists a cash price of $1,965.6 for 76856 against a gross of $1,514, or 130%. Patients on high-deductible plans who have not met their deductible owe the negotiated rate, not the gross charge.

Code variations
Code 76700 covers a complete abdominal study, while 76856 covers a complete pelvic study. The abdominal code generally carries the higher price. At Jackson Memorial, gross is $1,481 versus $652, a $829 difference. At Memorial Regional, cash is $1,091.3 versus $707, a $384.30 difference. At Lakeside Medical Center, gross is $1,045 versus $545, though cash is $106.74 for both.

Why Ultrasound Prices Vary

Hospital pricing structures
Gross charges for 76700 range from $683 at Holy Cross Fort Lauderdale to $14,885 at HCA Northwest, a gap of $14,202. Cash prices span $106.74 at Lakeside Medical Center to $14,885 at HCA Northwest, a gap of $14,778.26. The gap does not narrow here because HCA hospitals set cash prices equal to gross charges (100%). Other systems apply discounts: Jackson hospitals set cash at 8% to 18% of gross, Memorial hospitals at 70%, and Baptist, Cleveland Clinic Weston, and Boca Raton Regional at 65%.

Facility type and alternatives
The hospitals in this dataset include public teaching hospitals, community hospitals, children's hospitals, and large for-profit systems. Pricing does not follow facility type alone; for example, Jackson Memorial and Lakeside Medical Center post some of the lowest cash prices, while other large systems post some of the highest. Outpatient or freestanding imaging facilities are not in this dataset and may charge differently. Cash prices across the dataset run from $106.74 to $14,885.

Paying cash? Health insurance could lower your Ultrasound cost.

Published cash prices on this page range from $106.74 to $14,885 (including hospitals that publish cash equal to gross charge, marked with * in the table). The lowest insured rate in the price table is $23.01 (Lakeside Medical Center). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for Ultrasound in Miami-Fort Lauderdale-West Palm Beach

How much does each insurance company pay for ultrasound at Miami-Fort Lauderdale-West Palm Beach hospitals?

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Aetna	$23.01	Lakeside Medical Center	$1,693.88	29
Florida Blue	$28.27	Cleveland Clinic Weston Hospital	$2,499	15
UnitedHealthcare	$33.76	Cleveland Clinic Weston Hospital	$245.73	29
WellCare	$33.76	Cleveland Clinic Weston Hospital	$1,418	18
AvMed	$33.76	Cleveland Clinic Weston Hospital	$2,167.01	27
Cigna	$86.32	Lakeside Medical Center	$4,517	26
Devoted Health	$92.13	Mount Sinai Medical Center	$1,605.77	8
Simply Healthcare	$98.25	Mount Sinai Medical Center	$734.01	17

Rates shown are the lowest and highest negotiated rates each insurer has published across Miami-Fort Lauderdale-West Palm Beach hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for Pelvic Ultrasound, Complete (HCPCS 76856) at Jackson Memorial, outpatient facility fee:

Pelvic Ultrasound, Complete (76856), Jackson Memorial Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
HUMANA MCAID	HUMANA MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
WELLCARE MCAID	WELLCARE MCAID	$105
HUMANA MCAID	HUMANA MCAID	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
HUMANA MCAID	HUMANA MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
HUMANA MCAID	HUMANA MCAID	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
AETNA BETTER HLTH MCAID	AETNA BETTER HLTH MCAID	$105
AMERIHEALTH MCAID	AMERIHEALTH MCAID	$105
COMM CARE MCAID - ALL OTHER PLANS	COMM CARE MCAID - ALL OTHER PLANS	$105
SIMPLY HLTH MCAID - ALL OTHER PLANS	SIMPLY HLTH MCAID - ALL OTHER PLANS	$105
UHC MCAID	UHC MCAID	$105
WELLCARE MCAID	WELLCARE MCAID	$105
HUMANA MCAID	HUMANA MCAID	$105
SUNSHINE MCAID - ALL OTHER PLANS	SUNSHINE MCAID - ALL OTHER PLANS	$105
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
MOLINA KIDCARE	MOLINA KIDCARE	$110.25
MOLINA MCAID	MOLINA MCAID	$110.25
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
AETNA BETTER HLTH CHIP	AETNA BETTER HLTH CHIP	$115.50
WELLCARE HLTHY KIDS - ALL OTHER PLANS	WELLCARE HLTHY KIDS - ALL OTHER PLANS	$115.50
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
PACE MCAID - ALL OTHER PLANS	PACE MCAID - ALL OTHER PLANS	$136.51
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
UHC INDIV EXCH	UHC INDIV EXCH	$196.15
UHC ALL PAYER - ALL OTHER PLANS	UHC ALL PAYER - ALL OTHER PLANS	$196.15
UHC OPTIONS PPO	UHC OPTIONS PPO	$196.15
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA SUREFIT IFP	CIGNA SUREFIT IFP	$221
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CIGNA HMO/PPO - ALL OTHER PLANS	CIGNA HMO/PPO - ALL OTHER PLANS	$280
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$280.36
CURATIVE - ALL PLANS	CURATIVE - ALL PLANS	$308.74
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$335.13
AETNA EXCHANGE	AETNA EXCHANGE	$369.05
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
AETNA FIRST HLTH	AETNA FIRST HLTH	$393.16
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$397.72
AETNA FIRST HLTH	AETNA FIRST HLTH	$432.95
MULTIPLAN - ALL PLANS	MULTIPLAN - ALL PLANS	$437.98
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
CIGNA BH	CIGNA BH	$469.44
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$489
CIGNA BH	CIGNA BH	$516.96
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$521.60
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$521.60
VELOCITY - ALL PLANS	VELOCITY - ALL PLANS	$538.50
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$567.24
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$567.24
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
HUMANA COMM - ALL OTHER PLANS	HUMANA COMM - ALL OTHER PLANS	$569
DIMENSION PHO - ALL PLANS	DIMENSION PHO - ALL PLANS	$574.40
TRICARE - ALL PLANS	TRICARE - ALL PLANS	$574.40
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$586.80
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$599.84
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$599.84
SIMPLY HLTH MCR	SIMPLY HLTH MCR	$624.66
HEALTHSUN MCR ADV - ALL PLANS	HEALTHSUN MCR ADV - ALL PLANS	$624.66
LEON HLTH MCR - ALL PLANS	LEON HLTH MCR - ALL PLANS	$646.20
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
AVMED MCR ADV	AVMED MCR ADV	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
UHC MCR ADV	UHC MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
AVMED MCR ADV	AVMED MCR ADV	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
UHC MCR ADV	UHC MCR ADV	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
UHC MCR ADV	UHC MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
UHC MCR ADV	UHC MCR ADV	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
UHC MCR ADV	UHC MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
UHC MCR ADV	UHC MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
UHC MCR ADV	UHC MCR ADV	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
UHC MCR ADV	UHC MCR ADV	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
UHC MCR ADV	UHC MCR ADV	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
UHC MCR ADV	UHC MCR ADV	$652
WELLCARE MCR	WELLCARE MCR	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
UHC MCR ADV	UHC MCR ADV	$652
WELLCARE MCR	WELLCARE MCR	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
AVMED MCR ADV	AVMED MCR ADV	$652
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$652
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$652
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$652
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$652
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$652
PACE MCR ADV	PACE MCR ADV	$652
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$652
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$652
HUMANA MCR ADV	HUMANA MCR ADV	$652
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$652
UHC MCR ADV	UHC MCR ADV	$652
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$652
WELLCARE MCR	WELLCARE MCR	$652
AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$660.56
AETNA INTERNATIONAL	AETNA INTERNATIONAL	$660.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$671.56
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
COMM CARE MCR ADV	COMM CARE MCR ADV	$684.60
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$684.60
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
MOLINA MCARE	MOLINA MCARE	$717.20
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$717.20
AVMED MCR ADV	AVMED MCR ADV	$718
AVMED SELECT/FIRST NTWRK	AVMED SELECT/FIRST NTWRK	$718
CAREPLUS MCR ADV - ALL PLANS	CAREPLUS MCR ADV - ALL PLANS	$718
DOCTORS HLTHCARE MCR ADV - ALL PLANS	DOCTORS HLTHCARE MCR ADV - ALL PLANS	$718
HEALTHSPRING - ALL PLANS	HEALTHSPRING - ALL PLANS	$718
PACE MCR ADV	PACE MCR ADV	$718
PREFERRED CARE - ALL PLANS	PREFERRED CARE - ALL PLANS	$718
SUNSHINE MCR ADV	SUNSHINE MCR ADV	$718
AVMED COMM - ALL OTHER PLANS	AVMED COMM - ALL OTHER PLANS	$718
CENTENE BH MCR - ALL PLANS	CENTENE BH MCR - ALL PLANS	$718
HUMANA MCR ADV	HUMANA MCR ADV	$718
UHC MCR ADV	UHC MCR ADV	$718
VA CCN - ALL PLANS	VA CCN - ALL PLANS	$718
WELLCARE MCR	WELLCARE MCR	$718
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$730.24
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$730.24
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$730.24
DEVOTED MCR ADV - ALL PLANS	DEVOTED MCR ADV - ALL PLANS	$739.54
COMM CARE MCR ADV	COMM CARE MCR ADV	$753.90
SOLIS MCR ADV - ALL PLANS	SOLIS MCR ADV - ALL PLANS	$753.90
AMBETTER EXCH - ALL PLANS	AMBETTER EXCH - ALL PLANS	$789.80
MOLINA MCARE	MOLINA MCARE	$789.80
ALIGN MCR ADV - ALL PLANS	ALIGN MCR ADV - ALL PLANS	$804.16
LONGEVITY HP - ALL PLANS	LONGEVITY HP - ALL PLANS	$804.16
GOLD KIDNEY - ALL PLANS	GOLD KIDNEY - ALL PLANS	$804.16
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AVMED EXCHANGE	AVMED EXCHANGE	$906.28
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$912.80
AVMED EXCHANGE	AVMED EXCHANGE	$998.02
AMERIHEALTH EXCH - ALL OTHER PLANS	AMERIHEALTH EXCH - ALL OTHER PLANS	$1,005.20
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,023.64
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,075.80
OSCAR COMM - ALL PLANS	OSCAR COMM - ALL PLANS	$1,127.26
MOLINA EXCH - ALL OTHER PLANS	MOLINA EXCH - ALL OTHER PLANS	$1,184.70
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
BCBS FL BLUE BSL	BCBS FL BLUE BSL	$1,260
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,271.40
CLAIMDOC - ALL PLANS	CLAIMDOC - ALL PLANS	$1,400.10
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE HMO	BCBS FL BLUE HMO	$1,576
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE NWB	BCBS FL BLUE NWB	$1,729
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PPO - ALL OTHER PLANS	BCBS FL BLUE PPO - ALL OTHER PLANS	$2,285
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499
BCBS FL BLUE PHS	BCBS FL BLUE PHS	$2,499

Key finding: For 76700, insured rates run from $26.64 (Aetna, Lakeside Medical Center) to $12,652.25 (Multiplan, HCA Florida Northwest), a 475x difference across 4,211 payer rates.

What to Do With These Ultrasound Prices

Which ultrasound, which code. This page covers two exams: 76700 (abdominal, complete) and 76856 (pelvic, complete). Ask the ordering office for the exact CPT code first, and whether the order is with or without contrast, since contrast changes the billing code. Then call the hospital's billing office, quote the code, and ask for the cash price and an itemized estimate in writing.

Check a quote against the page. Cash prices here run from $106.74 at Lakeside Medical Center (76700) up to $1,965.60 at Holy Cross Hospital (76856). At HCA Florida JFK Hospital, the 76700 cash price is $7,310 while the highest insured rate is $4,312.90, so a cash quote can sit above insured rates at the same hospital. This happens in 13 of 60 rows. Eleven of 30 hospitals publish cash equal to the gross charge, which means no separate cash discount appears in their data.

Sort the bill into pieces. The prices shown are the hospital (technical) charge only. Check for:

The facility fee for the scan itself.
A separate professional fee from the radiologist who reads the images.
Any extra line items, such as contrast, that were not in the estimate.

Gaps and limits. Nicklaus Children's Hospital has no published cash price and no gross charge for either code. A blank or $0 here means missing data, not a free exam. Outpatient and freestanding imaging centers are not in this dataset and may price differently.

Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. If you are uninsured or not using insurance for scheduled care, you can ask the provider for a good faith estimate before the appointment.

General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer

What Patients Ask About Ultrasound Costs

How much does a ultrasound cost without insurance in Miami-Fort Lauderdale-West Palm Beach?

Cash prices for a complete abdominal ultrasound (76700) range from $106.74 at Lakeside Medical Center to $14,885 at HCA Northwest. For a complete pelvic ultrasound (76856), cash prices range from $106.74 at Lakeside Medical Center to $5,646.25 at HCA Woodmont. The Jackson hospitals list $116 for both codes, Memorial hospitals list $707 for 76856 and $1,091.3 for 76700, and Baptist-affiliated hospitals list $1,264.25 and $1,479.4. Nicklaus Children's lists $0 for cash, which appears to be incomplete data; its insured range of $573.68 to $636.78 provides context instead. These amounts are facility fees, billed separately from physician or professional fees.

Why is the gross charge so much higher than the cash price?

The gross charge is the chargemaster price, a list price hospitals set before any discounts. Almost no one pays it. At Jackson Memorial, the cash price for 76700 is $116 against a gross charge of $1,481, or 8%. At Memorial Regional, cash is $1,091.3 against $1,559, or 70%. HCA Northwest lists $14,885 for both gross and cash, so there is no discount. A larger percentage discount can still produce a higher cash price: Memorial's 30% discount from a $1,559 gross leaves $1,091.3, which is nearly ten times Jackson Memorial's $116 despite Jackson's much deeper percentage discount.

Does insurance cover a ultrasound?

Coverage depends on your plan and on whether the service is considered medically necessary. Negotiated rates vary widely: for 76700, they range from $26.64 to $12,652.25, and for 76856, from $23.01 to $6,432. Non-emergency imaging may require prior authorization from the insurer before the procedure is performed. If you are on a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge, until the deductible is satisfied. Your insurer can confirm which rate applies to your plan at a specific hospital.

Are there additional fees beyond the ultrasound facility charge?

Yes. The amounts listed on this page are facility fees, which cover the hospital's room, equipment, and technical staff. A radiologist's fee for reading and interpreting the images is billed separately as a professional fee, and it often arrives as a separate bill from the radiology group. Ultrasounds performed through the emergency department also incur separate emergency room facility fees. These additional charges are not included in the price transparency data used here, so no dollar amounts are given for them.

What is the cash price for a pelvic ultrasound at Holy Cross Hospital in Fort Lauderdale?

Holy Cross Hospital lists a cash price of $1,965.60 for Pelvic Ultrasound, Complete (76856), which is 130% of its $1,514 gross charge. That is unusual, since cash is normally below gross. These figures are facility charges only. Its abdominal ultrasound (76700) cash price is $443.95.

Which Miami hospital has the lowest published ultrasound cash price?

Among Miami-area hospitals, the Jackson Health System hospitals, including Jackson Memorial Hospital, publish a cash price of $116 for both abdominal (76700) and pelvic (76856) ultrasound. The lowest on the whole page is $106.74 at Lakeside Medical Center. These are facility charges only and do not include other bills.

How do Aetna and UnitedHealthcare ultrasound rates compare in Miami-Fort Lauderdale-West Palm Beach?

Aetna rates run from $23.01 at Lakeside Medical Center to $1,693.88 at HCA Florida Woodmont Hospital across 29 hospitals. UnitedHealthcare rates run from $33.76 at Cleveland Clinic Weston Hospital to $245.73 at Boca Raton Regional Hospital across 29 hospitals. These are facility rates, not a quote.

Why does Nicklaus Children's Hospital show no cash price for an ultrasound?

Nicklaus Children's Hospital has no published cash price and no gross charge for either 76700 or 76856, because those fields were blank or $0. That means the data is missing, not that the service is free. Insured rates are listed from $573.68 to $636.78 for both codes, as facility charges only.

Compare Other Procedures in Miami-Fort Lauderdale-West Palm Beach

Echocardiogram Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $514 to $16,025.

Colonoscopy Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $698 to $4,388.30.

ER Visit Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $148 to $16,140.

Data Sources

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Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

Baptist Hospital of Miami

File updated: 2026-03-30 · Accessed by us: 2026-10-15

Attested by: Sarah Vaupen

We are not affiliated with Baptist Hospital of Miami. Published prices may not reflect your actual cost. Disclaimer

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