Does Uh Cleveland Medical Center publish its standard charges and chargemaster?

Yes. Uh Cleveland Medical Center publishes a machine-readable file with 89,845 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 Uh Cleveland Medical Center charge for procedures?

Uh Cleveland Medical Center (Cleveland, OH) 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 · OH · CCN 360137

Uh Cleveland Medical Center

Cleveland, OH, 44106-5022

656 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

89,845

last crawl 2026-05-24

Procedures tracked

181

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All OH 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://sthpiprd.blob.core.windows.net/machine-readable-files/7901/341567805-1043397292_university-hospitals-health-system_standardcharges.csv · CSV

Procedures & rates

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

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	20	—	—	$936	$15,603	1.2×	$31,051
Psychiatric diagnostic evaluation	CPT	90791	40	$506	$379.5	$142.69	$283.36	1.6×	$455.4
Psychiatric eval with medical services	CPT	90792	40	$506	$379.5	$142.69	$283.36	1.6×	$455.4
Psychotherapy 30 minutes	CPT	90832	40	$248	$186	$69.94	$148.95	1.0×	$297.9
Psychotherapy 45 minutes	CPT	90834	40	$342	$256.5	$96.44	$198.36	1.2×	$307.8
Psychotherapy 60 minutes	CPT	90837	40	$421	$315.75	$118.72	$244.18	1.3×	$378.9
Crisis psychotherapy 60 minutes	CPT	90839	40	$727	$545.25	$148.95	$407.12	2.6×	$654.3
emergency
ED visit level 1	CPT	99281	40	$329	$246.75	$81.63	$184.24	1.3×	$969
ED visit level 2	CPT	99282	40	$539	$404.25	$146.81	$301.84	1.3×	$1,941
ED visit level 3	CPT	99283	40	$1,029	$771.75	$256.69	$576.24	1.4×	$4,051
ED visit level 4	CPT	99284	40	$1,406	$1,054.5	$394.75	$787.36	1.2×	$4,051
ED visit level 5	CPT	99285	40	$10,275	$7,706.25	$568.37	$3,299	3.2×	$9,247.5
Critical care, first hour	CPT	99291	40	$3,879	$2,909.25	$781.13	$2,172.24	2.0×	$4,864
imaging
CT head without contrast	CPT	70450	40	$1,581	$1,185.75	$98.58	$907.49	4.4×	$2,142
CT head with contrast	CPT	70460	40	$1,882	$1,411.5	$165.03	$1,053.92	4.5×	$2,142
CT head with and without contrast	CPT	70470	40	$2,050	$1,537.5	$165.03	$1,148	4.3×	$2,142
CT neck with contrast	CPT	70491	40	$2,176	$1,632	$165.03	$1,218.56	4.5×	$2,142
MRI brain without contrast	CPT	70551	40	$2,876	$2,157	$224.08	$1,610.56	4.0×	$3,270
MRI brain with contrast	CPT	70552	40	$3,162	$2,371.5	$331.07	$1,770.72	3.7×	$3,270
MRI brain with and without contrast	CPT	70553	40	$3,352	$2,514	$331.07	$1,877.12	3.2×	$3,270
Chest X-ray single view	CPT	71045	40	$322	$241.5	$63.96	$180.32	1.9×	$289.8
Chest X-ray 2 views	CPT	71046	40	$376	$282	$81.63	$210.56	2.1×	$338.4
Chest X-ray 3 views	CPT	71047	40	$506	$379.5	$81.63	$283.36	3.0×	$455.4
CT chest without contrast	CPT	71250	40	$2,170	$1,627.5	$98.58	$1,215.2	5.7×	$2,142
CT chest with contrast	CPT	71260	40	$2,198	$1,648.5	$165.03	$1,230.88	4.4×	$2,142
CT chest with and without contrast	CPT	71270	40	$2,300	$1,725	$165.03	$1,288	4.4×	$2,142
MRI chest without contrast	CPT	71550	40	$2,598	$1,948.5	$224.08	$1,454.88	3.4×	$3,270
MRI chest with contrast	CPT	71551	40	$3,308	$2,481	$728	$1,852.48	2.3×	$3,270
MRI chest with and without contrast	CPT	71552	40	$3,857	$2,892.75	$331.07	$2,159.92	3.6×	$3,471.3
Lumbosacral spine X-ray	CPT	72100	40	$444	$333	$98.58	$248.64	2.4×	$399.6
CT cervical spine without contrast	CPT	72125	40	$1,974	$1,480.5	$98.58	$1,105.44	5.5×	$2,142
CT thoracic spine without contrast	CPT	72128	40	$1,843	$1,382.25	$98.58	$1,032.08	5.2×	$2,142
CT lumbar spine without contrast	CPT	72131	40	$2,182	$1,636.5	$98.58	$1,221.92	6.0×	$2,142
MRI cervical spine without contrast	CPT	72141	40	$2,760	$2,070	$224.08	$1,545.6	3.9×	$3,270
MRI thoracic spine without contrast	CPT	72146	40	$2,904	$2,178	$224.08	$1,626.24	4.4×	$3,270
MRI lumbar spine without contrast	CPT	72148	40	$2,877	$2,157.75	$224.08	$1,611.12	4.3×	$3,270
MRI lumbar spine with and without contrast	CPT	72149	40	$3,489	$2,616.75	$331.07	$1,953.84	4.3×	$3,270
MRI cervical spine with and without contrast	CPT	72156	40	$3,701	$2,775.75	$331.07	$2,072.56	3.8×	$3,330.9
MRI lumbar spine with contrast	CPT	72158	40	$3,701	$2,775.75	$331.07	$2,072.56	3.8×	$3,330.9
CT pelvis without contrast	CPT	72192	40	$1,752	$1,314	$98.58	$981.12	4.9×	$2,142
CT pelvis with contrast	CPT	72193	40	$2,152	$1,614	$165.03	$1,205.12	4.3×	$2,142
Shoulder X-ray	CPT	73030	40	$506	$379.5	$81.63	$283.36	3.1×	$455.4
Humerus X-ray	CPT	73060	40	$512	$384	$81.63	$286.72	3.2×	$460.8
Hand X-ray 3 views	CPT	73130	40	$428	$321	$81.63	$239.68	2.6×	$385.2
MRI upper extremity joint without contrast	CPT	73221	40	$3,039	$2,279.25	$224.08	$1,701.84	4.1×	$3,270
MRI upper extremity joint with and without contrast	CPT	73223	40	$3,755	$2,816.25	$331.07	$2,102.8	3.4×	$3,379.5
Knee X-ray 1-2 views	CPT	73560	40	$412	$309	$81.63	$230.72	2.5×	$370.8
Ankle X-ray 3 views	CPT	73610	40	$504	$378	$81.63	$282.24	3.1×	$453.6
MRI lower extremity joint without contrast	CPT	73721	40	$3,305	$2,478.75	$224.08	$1,850.8	4.0×	$3,270
MRI lower extremity joint with and without contrast	CPT	73723	40	$3,755	$2,816.25	$331.07	$2,102.8	3.3×	$3,379.5
CT abdomen without contrast	CPT	74150	40	$2,166	$1,624.5	$98.58	$1,212.96	6.4×	$2,142
CT abdomen with contrast	CPT	74160	40	$2,468	$1,851	$165.03	$1,382.08	4.8×	$2,221.2
CT abdomen with and without contrast	CPT	74170	40	$2,577	$1,932.75	$165.03	$1,443.12	4.3×	$2,319.3
CT abdomen and pelvis without contrast	CPT	74176	40	$3,093	$2,319.75	$224.08	$1,732.08	4.8×	$2,783.7
CT abdomen and pelvis with contrast	CPT	74177	40	$3,137	$2,352.75	$331.07	$1,753	3.2×	$2,823.3
CT abdomen and pelvis with and without contrast	CPT	74178	40	$3,276	$2,457	$331.07	$1,753	3.0×	$2,948.4
MRI abdomen without contrast	CPT	74181	40	$3,267	$2,450.25	$224.08	$1,829.52	4.7×	$3,270
MRI abdomen with and without contrast	CPT	74183	40	$3,756	$2,817	$331.07	$2,103.36	3.7×	$3,380.4
Abdominal ultrasound complete	CPT	76700	40	$1,429	$1,071.75	$98.58	$800.24	5.4×	$1,286.1
Abdominal ultrasound limited	CPT	76705	40	$964	$723	$98.58	$539.84	3.7×	$867.6
Retroperitoneal ultrasound complete	CPT	76770	40	$1,415	$1,061.25	$98.58	$792.4	5.5×	$1,273.5
Obstetric ultrasound first trimester	CPT	76801	40	$1,077	$807.75	$98.58	$603.12	4.3×	$969.3
Obstetric ultrasound after first trimester	CPT	76805	40	$1,097	$822.75	$98.58	$614.32	4.0×	$987.3
Obstetric ultrasound with fetal anatomy	CPT	76811	40	$1,487	$1,115.25	$161.25	$832.72	3.5×	$1,338.3
Transvaginal ultrasound	CPT	76830	40	$1,181	$885.75	$98.58	$661.36	4.5×	$1,062.9
Pelvic ultrasound complete	CPT	76856	40	$996	$747	$98.58	$557.76	3.9×	$896.4
Scrotal ultrasound	CPT	76870	40	$943	$707.25	$98.58	$528.08	4.0×	$848.7
Diagnostic mammography unilateral	CPT	77065	40	$476	$357	$77.58	$239.99	1.6×	$428.4
Diagnostic mammography bilateral	CPT	77066	40	$667	$500.25	$98.8	$333.5	1.8×	$600.3
Screening mammography bilateral	CPT	77067	40	$484	$363	$81.66	$242	1.5×	$435.6
EKG tracing only	CPT	93005	40	$391	$293.25	$55.07	$218.96	1.9×	$351.9
EKG interpretation only	CPT	93010	30	$22	$16.5	$6.2	$13.4	0.74×	$19.8
Transthoracic echocardiogram complete	CPT	93306	40	$2,435	$1,826.25	$508.3	$1,363.6	2.3×	$2,191.5
Transthoracic echocardiogram	CPT	93307	40	$1,673	$1,254.75	$224.08	$936.88	3.8×	$1,505.7
Stress echocardiogram	CPT	93350	40	$2,499	$1,874.25	$508.3	$1,399.44	2.8×	$2,249.1
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	20	—	—	$20,998	$28,068	1.4×	$43,818
Intracranial hemorrhage/CVA w CC	MS-DRG	065	20	—	—	$11,947	$14,348	1.3×	$22,400
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	20	—	—	$8,088.9	$9,711.91	1.3×	$15,999
Respiratory infections & inflammations w MCC	MS-DRG	177	20	—	—	$17,529	$22,809	1.5×	$35,608
COPD w MCC	MS-DRG	190	20	—	—	$12,935	$15,846	1.4×	$24,737
COPD w CC	MS-DRG	191	20	—	—	$10,096	$12,122	1.4×	$18,924
COPD w/o CC/MCC	MS-DRG	192	20	—	—	$7,605.89	$9,131.99	1.3×	$15,310
Simple pneumonia & pleurisy w CC	MS-DRG	194	20	—	—	$9,636.64	$11,570	1.4×	$18,206
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	20	—	—	$7,317.97	$8,786.3	1.3×	$14,900
AMI discharged alive w MCC	MS-DRG	280	20	—	—	$17,760	$23,160	1.5×	$36,157
AMI discharged alive w CC	MS-DRG	281	20	—	—	$10,833	$13,007	1.3×	$20,305
AMI discharged alive w/o CC/MCC	MS-DRG	282	20	—	—	$8,521.38	$10,231	1.3×	$16,615
Heart failure & shock w MCC	MS-DRG	291	20	—	—	$14,627	$18,411	1.4×	$28,742
Heart failure & shock w CC	MS-DRG	292	20	—	—	$10,121	$12,152	1.4×	$18,971
Heart failure & shock w/o CC/MCC	MS-DRG	293	20	—	—	$6,448.32	$7,968.09	1.3×	$13,660
Cardiac arrhythmia w MCC	MS-DRG	308	20	—	—	$13,706	$17,015	1.4×	$26,564
Cardiac arrhythmia w CC	MS-DRG	309	20	—	—	$8,688.25	$10,432	1.3×	$16,853
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	20	—	—	$6,575.24	$8,073.64	1.3×	$13,841
GI hemorrhage w CC	MS-DRG	378	20	—	—	$11,586	$13,911	1.4×	$21,717
GI hemorrhage w/o CC/MCC	MS-DRG	379	20	—	—	$7,482.5	$8,983.84	1.3×	$15,134
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	20	—	—	$9,170.09	$11,010	1.4×	$17,540
Fractures of femur w/o MCC	MS-DRG	533	20	—	—	$16,676	$21,516	1.4×	$33,591
Kidney/UTI w MCC	MS-DRG	689	20	—	—	$13,375	$16,513	1.4×	$25,779
Kidney/UTI w/o MCC	MS-DRG	690	20	—	—	$9,432.16	$11,325	1.4×	$17,914
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	20	—	—	$20,746	$27,685	1.5×	$43,221
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	20	—	—	$12,078	$14,547	1.4×	$22,711
lab
Basic metabolic panel (BMP)	CPT	80048	40	$157	$117.75	$3.47	$87.92	2.7×	$141.3
General health panel	CPT	80050	1	—	—	$17.1	$17.1	0.16×	$17.1
Electrolyte panel	CPT	80051	40	$156	$117	$2.14	$87.36	3.7×	$140.4
Comprehensive metabolic panel	CPT	80053	40	$254	$190.5	$5	$142.24	3.2×	$228.6
Lipid panel	CPT	80061	40	$184	$138	$6.02	$51.32	1.3×	$165.6
Renal function panel	CPT	80069	40	$241	$180.75	$4.11	$134.96	4.9×	$216.9
Hepatic function panel	CPT	80076	40	$182	$136.5	$2.99	$101.92	3.8×	$163.8
Urinalysis non-automated	CPT	81002	40	$44	$33	$2.77	$24.64	3.5×	$39.6
Urinalysis automated	CPT	81003	40	$68	$51	$1.06	$38.08	2.7×	$61.2
Glucose quantitative	CPT	82947	40	$58	$43.5	$3.93	$29	1.6×	$52.2
Hemoglobin A1c	CPT	83036	40	$147	$110.25	$9	$82.32	3.1×	$132.3
Thyroid stimulating hormone (TSH)	CPT	84443	40	$237	$177.75	$7.95	$132.72	2.8×	$213.3
Complete blood count with automated differential	CPT	85025	40	$126	$94.5	$3.68	$70.56	2.7×	$113.4
Complete blood count without differential	CPT	85027	40	$116	$87	$3.06	$64.96	3.0×	$104.4
Urine culture bacterial	CPT	87086	40	$162	$121.5	$8.07	$90.72	3.9×	$145.8
Urine culture identification	CPT	87088	17	—	—	$8.09	$8.09	0.36×	$14.56
Tissue exam by pathologist level IV	CPT	88305	40	$528	$396	$49.53	$209.84	2.0×	$475.2
maternity
Fetal non-stress test	CPT	59025	40	$499	$374.25	$140.72	$289.42	1.5×	$449.1
Vaginal delivery only	CPT	59409	40	$3,028	$2,271	$774.65	$1,895.53	0.86×	$5,895.1
C-section delivery only	CPT	59514	30	$6,015	$4,511.25	$1,696.23	$3,663.14	3.8×	$5,413.5
office
Office visit, established patient, 5 min	CPT	99211	40	$141	$105.75	$26.78	$80.5	1.3×	$215.04
Office visit, established patient, 10-19 min	CPT	99212	39	$255	$191.25	$26.78	$127.5	1.6×	$229.5
Office visit, established patient, 20-29 minutes	CPT	99213	39	$369	$276.75	$26.78	$141.9	1.2×	$332.1
Office visit, established patient, 30-39 minutes	CPT	99214	39	$567	$425.25	$26.78	$160.82	1.1×	$510.3
Office visit, established patient, 40-54 min	CPT	99215	39	$711	$533.25	$26.78	$184.8	0.98×	$639.9
preventive
Upper GI endoscopy diagnostic	CPT	43235	40	$3,364	$2,523	$869.16	$1,883.84	2.1×	$3,027.6
Upper GI endoscopy with biopsy	CPT	43239	40	$3,649	$2,736.75	$869.16	$2,043.44	2.1×	$3,284.1
Sigmoidoscopy diagnostic	CPT	45330	40	$2,076	$1,557	$585.43	$1,191.62	1.4×	$1,868.4
Sigmoidoscopy with biopsy	CPT	45331	40	$2,598	$1,948.5	$732.64	$1,491.25	1.7×	$2,338.2
Colonoscopy diagnostic	CPT	45378	40	$3,337	$2,502.75	$845.19	$1,868.72	2.1×	$3,003.3
Colonoscopy with biopsy	CPT	45380	40	$3,385	$2,538.75	$954.57	$1,942.99	1.6×	$3,046.5
Colonoscopy with polyp removal	CPT	45385	40	$3,297	$2,472.75	$929.75	$1,892.48	1.6×	$2,967.3
surgery
Total shoulder arthroplasty	CPT	23472	17	—	—	$17,048	$17,048	4.1×	$30,687
Hip hemiarthroplasty	CPT	27125	1	—	—	$32,594	$34,405	27.5×	$36,215
Total hip replacement	CPT	27130	17	—	—	$11,928	$11,928	2.8×	$36,215
Total knee replacement	CPT	27447	17	—	—	$11,928	$12,107	2.9×	$36,817
Knee revision arthroplasty single component	CPT	27486	1	—	—	$32,594	$34,405	20.5×	$36,215
Knee revision arthroplasty all components	CPT	27487	1	—	—	$32,594	$34,405	17.2×	$36,215
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$2,453.36	$2,453.36	7.5×	$2,453.36
Shoulder arthroscopy with rotator cuff repair	CPT	29827	18	—	—	$4,118.4	$6,622.52	2.0×	$11,921
Knee arthroscopy with meniscectomy	CPT	29881	18	—	—	$2,693.6	$3,007.88	1.5×	$5,414.19
ACL reconstruction	CPT	29888	18	—	—	$2,453.36	$6,622.52	2.0×	$11,921
Major small/large bowel procedures w MCC	MS-DRG	329	20	—	—	$45,226	$64,792	1.5×	$101,150
Major small/large bowel procedures w CC	MS-DRG	330	20	—	—	$24,484	$33,352	1.4×	$52,068
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	20	—	—	$17,850	$23,296	1.4×	$36,368
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	20	—	—	$17,919	$23,400	1.4×	$36,531
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	20	—	—	$14,746	$18,591	1.4×	$29,024
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	20	—	—	$35,337	$49,801	1.5×	$77,748
Open appendectomy	CPT	44950	17	—	—	$5,784.5	$5,784.5	5.1×	$10,412
Laparoscopic appendectomy	CPT	44970	17	—	—	$5,408.69	$5,408.69	3.5×	$9,735.63
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$54,349	$57,369	1.7×	$60,388
Major joint replacement w MCC	MS-DRG	469	20	—	—	$32,863	$36,514	1.2×	$72,003
Major joint replacement w/o MCC	MS-DRG	470	20	—	—	$20,033	$26,604	1.4×	$41,534
Laparoscopic cholecystectomy	CPT	47562	17	—	—	$5,408.69	$5,408.69	3.0×	$9,735.63
Lap cholecystectomy with cholangiography	CPT	47563	17	—	—	$5,408.69	$5,408.69	2.9×	$9,735.63
Hip & femur procedures except major joint w MCC	MS-DRG	480	20	—	—	$29,858	$41,498	1.5×	$64,784
Hip & femur procedures except major joint w CC	MS-DRG	481	20	—	—	$21,796	$29,277	1.4×	$45,706
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	20	—	—	$17,249	$22,384	1.4×	$34,945
Open umbilical hernia repair	CPT	49560	1	—	—	$2,693.6	$2,693.6	1.4×	$2,693.6
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$2,693.6	$2,693.6	2.0×	$2,693.6
Lap inguinal hernia repair	CPT	49650	18	—	—	$2,693.6	$5,408.69	4.8×	$9,735.63
Vaginal hysterectomy	CPT	58260	17	—	—	$4,576.29	$4,576.29	2.5×	$8,237.32
Lap-assisted vaginal hysterectomy	CPT	58550	18	—	—	$5,408.69	$5,408.69	3.7×	$9,735.63
Lap-assisted vaginal hysterectomy >250g	CPT	58552	17	—	—	$9,651.62	$9,651.62	4.3×	$17,373
Lap salpingo-oophorectomy	CPT	58661	18	—	—	$4,118.4	$5,408.69	2.7×	$9,735.63
OR procedure for obesity w MCC	MS-DRG	619	20	—	—	$27,862	$38,471	1.4×	$60,059
OR procedure for obesity w CC	MS-DRG	620	20	—	—	$17,347	$22,534	1.4×	$35,179
OR procedure for obesity w/o CC/MCC	MS-DRG	621	20	—	—	$16,089	$20,626	1.4×	$32,201
Complex cataract surgery	CPT	66982	18	—	—	$2,114.33	$2,114.33	0.95×	$4,914
Cataract surgery with lens implant	CPT	66984	18	—	—	$2,114.33	$2,114.33	0.97×	$4,914
Intravitreal injection	CPT	67028	17	—	—	$307.49	$307.49	0.90×	$553.48
Vitrectomy mechanical	CPT	67042	17	—	—	$3,729.35	$3,729.35	1.5×	$6,712.83
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	20	—	—	$13,639	$16,482	1.3×	$26,405
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	20	—	—	$20,670	$27,571	1.4×	$43,043
PCI single major coronary artery	CPT	92920	40	$12,068	$9,051	$3,403.18	$6,999.44	1.2×	$14,352
PCI with drug-eluting stent	CPT	92928	40	$19,286	$14,465	$5,438.65	$11,186	1.1×	$21,026
PCI bypass graft	CPT	92937	40	$39,092	$29,319	$10,513	$21,892	2.0×	$35,183
Left heart catheterization	CPT	93452	40	$20,147	$15,110	$2,981.74	$11,282	3.6×	$18,132
Coronary angiography with cath	CPT	93455	40	$11,746	$8,809.5	$2,981.74	$6,577.76	2.1×	$14,352
Coronary angiography with bypass cath	CPT	93458	40	$22,622	$16,967	$2,981.74	$12,668	4.1×	$20,360

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
Anthem BCBS	178	$1,261.65
Aetna	173	$758.67
Cigna	173	$948
medical mutual of ohio	173	$887.51
the health plan	173	$1,115.93
summacare	173	$1,766.64
UnitedHealthcare	173	$1,885
WellCare	171	$331.07
Ambetter	171	$595.93
CareSource	171	$595.93
devoted health	171	$331.07
Humana	171	$331.07
Molina	171	$331.07
paramount	171	$341.01
perennial advantage of ohio	171	$347.63
primetime health plan	171	$331.07
valor health plans	171	$347.63
university health employee plan (contigo)	160	$728
jp farley	153	$1,594
aultcare	153	$1,377
sunrise plain communities	110	$711
immergrun	110	$711
buckeye plain ministries	110	$600
medical mutual traditional/health ohio	110	$995.4
Multiplan	110	$1,279.8
ohio health choice	110	$1,045.28
ohio preferred network	110	$1,227.2
amish church fund and workers aid plan	110	$600
amish aid community plan	110	$600
private healthcare system	110	$1,222.92

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