Does University Hospitals Conneaut Medical Center publish its standard charges and chargemaster?

Yes. University Hospitals Conneaut Medical Center publishes a machine-readable file with 56,130 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 University Hospitals Conneaut Medical Center charge for procedures?

University Hospitals Conneaut Medical Center (Conneaut, 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 361308

University Hospitals Conneaut Medical Center

Conneaut, OH, 44030-

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

56,130

last crawl 2026-05-24

Procedures tracked

183

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/7900/340714550-1902996119_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	7	—	—	$936	$12,934	1.0×	$18,149
emergency
ED visit level 1	CPT	99281	38	$318	$238.5	$98.58	$208.29	1.5×	$722
ED visit level 2	CPT	99282	38	$605	$453.75	$187.55	$396.28	1.7×	$823
ED visit level 3	CPT	99283	38	$967	$725.25	$299.77	$633.39	1.6×	$2,150
ED visit level 4	CPT	99284	38	$1,375	$1,031.25	$426.25	$900.63	1.3×	$2,300
ED visit level 5	CPT	99285	38	$2,317	$1,737.75	$718.27	$1,517.64	1.5×	$4,000
Critical care, first hour	CPT	99291	38	$2,781	$2,085.75	$862.11	$1,807.65	1.7×	$6,087
imaging
CT head without contrast	CPT	70450	38	$1,887	$1,415.25	$520	$1,226.55	5.9×	$1,887
CT head with contrast	CPT	70460	38	$2,076	$1,557	$520	$1,349.4	5.8×	$2,076
CT head with and without contrast	CPT	70470	38	$2,284	$1,713	$520	$1,484.6	5.6×	$2,284
CT neck with contrast	CPT	70491	38	$2,319	$1,739.25	$520	$1,507.35	5.5×	$2,319
MRI brain without contrast	CPT	70551	38	$2,420	$1,815	$728	$1,573	3.9×	$2,420
MRI brain with contrast	CPT	70552	38	$2,573	$1,929.75	$728	$1,672.45	3.5×	$2,573
MRI brain with and without contrast	CPT	70553	38	$2,802	$2,101.5	$728	$1,821.3	3.1×	$2,802
Chest X-ray single view	CPT	71045	38	$428	$321	$45.15	$258.94	2.7×	$428
Chest X-ray 2 views	CPT	71046	38	$501	$375.75	$61.65	$303.11	3.1×	$501
Chest X-ray 3 views	CPT	71047	38	$422	$316.5	$78.18	$255.31	2.7×	$422
CT chest without contrast	CPT	71250	38	$1,913	$1,434.75	$520	$1,243.45	5.8×	$1,913
CT chest with contrast	CPT	71260	38	$2,263	$1,697.25	$520	$1,470.95	5.2×	$2,263
CT chest with and without contrast	CPT	71270	38	$3,057	$2,292.75	$520	$1,714.46	5.9×	$3,057
MRI chest without contrast	CPT	71550	38	$3,039	$2,279.25	$728	$1,975.35	4.6×	$3,039
MRI chest with contrast	CPT	71551	38	$3,059	$2,294.25	$728	$1,988.35	2.4×	$3,059
MRI chest with and without contrast	CPT	71552	38	$4,183	$3,137.25	$728	$2,338.3	3.9×	$4,183
Lumbosacral spine X-ray	CPT	72100	38	$520	$390	$77.25	$314.6	3.0×	$520
CT cervical spine without contrast	CPT	72125	38	$2,075	$1,556.25	$520	$1,348.75	6.7×	$2,075
CT thoracic spine without contrast	CPT	72128	38	$1,965	$1,473.75	$520	$1,277.25	6.4×	$1,965
CT lumbar spine without contrast	CPT	72131	38	$2,225	$1,668.75	$520	$1,446.25	7.1×	$2,225
MRI cervical spine without contrast	CPT	72141	38	$2,552	$1,914	$728	$1,658.8	4.2×	$2,552
MRI thoracic spine without contrast	CPT	72146	38	$2,636	$1,977	$728	$1,713.4	4.6×	$2,636
MRI lumbar spine without contrast	CPT	72148	38	$2,636	$1,977	$728	$1,713.4	4.6×	$2,636
MRI lumbar spine with and without contrast	CPT	72149	38	$3,549	$2,661.75	$728	$2,115.5	4.7×	$3,549
MRI cervical spine with and without contrast	CPT	72156	38	$3,012	$2,259	$728	$1,957.8	3.6×	$3,012
MRI lumbar spine with contrast	CPT	72158	38	$3,012	$2,259	$728	$1,957.8	3.6×	$3,012
CT pelvis without contrast	CPT	72192	38	$1,895	$1,421.25	$520	$1,231.75	6.2×	$1,895
CT pelvis with contrast	CPT	72193	38	$2,377	$1,782.75	$520	$1,545.05	5.5×	$2,377
Shoulder X-ray	CPT	73030	38	$592	$444	$67.17	$358.16	3.9×	$592
Humerus X-ray	CPT	73060	38	$380	$285	$64.41	$229.9	2.6×	$380
Hand X-ray 3 views	CPT	73130	38	$501	$375.75	$74.49	$303.11	3.3×	$501
MRI upper extremity joint without contrast	CPT	73221	38	$2,473	$1,854.75	$728	$1,607.45	3.9×	$2,473
MRI upper extremity joint with and without contrast	CPT	73223	38	$3,525	$2,643.75	$728	$2,115.5	3.5×	$3,525
Knee X-ray 1-2 views	CPT	73560	38	$357	$267.75	$69.9	$215.99	2.3×	$357
Ankle X-ray 3 views	CPT	73610	38	$589	$441.75	$75.42	$356.35	3.9×	$589
MRI lower extremity joint without contrast	CPT	73721	38	$3,056	$2,292	$728	$1,986.4	4.2×	$3,056
MRI lower extremity joint with and without contrast	CPT	73723	38	$3,056	$2,292	$728	$1,986.4	3.1×	$3,056
CT abdomen without contrast	CPT	74150	38	$2,009	$1,506.75	$520	$1,305.85	6.9×	$2,009
CT abdomen with contrast	CPT	74160	38	$2,282	$1,711.5	$520	$1,483.3	5.2×	$2,282
CT abdomen with and without contrast	CPT	74170	38	$2,532	$1,899	$520	$1,620.4	4.8×	$2,532
CT abdomen and pelvis without contrast	CPT	74176	38	$2,963	$2,222.25	$520	$1,688.14	4.6×	$2,963
CT abdomen and pelvis with contrast	CPT	74177	38	$3,129	$2,346.75	$520	$1,752.24	3.2×	$3,129
CT abdomen and pelvis with and without contrast	CPT	74178	38	$3,199	$2,399.25	$520	$1,791.44	3.1×	$3,199
MRI abdomen without contrast	CPT	74181	38	$2,658	$1,993.5	$728	$1,727.7	4.4×	$2,658
MRI abdomen with and without contrast	CPT	74183	38	$3,057	$2,292.75	$728	$1,987.05	3.5×	$3,057
Abdominal ultrasound complete	CPT	76700	38	$1,047	$785.25	$161.25	$633.44	4.2×	$1,047
Abdominal ultrasound limited	CPT	76705	38	$895	$671.25	$161.25	$541.48	3.7×	$895
Retroperitoneal ultrasound complete	CPT	76770	38	$972	$729	$161.25	$588.06	4.1×	$972
Obstetric ultrasound first trimester	CPT	76801	38	$996	$747	$161.25	$602.58	4.3×	$996
Obstetric ultrasound after first trimester	CPT	76805	1	—	—	$247.92	$247.92	1.6×	$247.92
Obstetric ultrasound with fetal anatomy	CPT	76811	1	—	—	$226.98	$226.98	0.96×	$226.98
Transvaginal ultrasound	CPT	76830	38	$1,165	$873.75	$161.25	$704.83	4.8×	$1,165
Pelvic ultrasound complete	CPT	76856	38	$1,016	$762	$161.25	$614.68	4.3×	$1,016
Scrotal ultrasound	CPT	76870	38	$925	$693.75	$161.25	$559.63	4.3×	$925
Diagnostic mammography unilateral	CPT	77065	38	$496	$372	$129	$275.23	1.8×	$471.2
Diagnostic mammography bilateral	CPT	77066	38	$632	$474	$129	$350.7	1.8×	$600.4
Screening mammography bilateral	CPT	77067	38	$420	$315	$129	$234.78	1.5×	$399
EKG tracing only	CPT	93005	38	$347	$260.25	$107.57	$225.55	1.9×	$347
Transthoracic echocardiogram complete	CPT	93306	38	$2,251	$1,688.25	$697.81	$1,463.15	2.4×	$2,251
Transthoracic echocardiogram	CPT	93307	38	$2,177	$1,632.75	$674.87	$1,415.05	5.7×	$2,177
Stress echocardiogram	CPT	93350	38	$3,081	$2,310.75	$955.11	$2,002.65	3.9×	$3,081
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	7	—	—	$10,978	$19,518	0.97×	$26,596
Intracranial hemorrhage/CVA w CC	MS-DRG	065	7	—	—	$9,283.28	$11,615	1.1×	$13,596
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	7	—	—	$6,283.49	$8,577.6	1.1×	$13,000
Respiratory infections & inflammations w MCC	MS-DRG	177	7	—	—	$10,978	$15,861	1.0×	$21,613
COPD w MCC	MS-DRG	190	7	—	—	$10,252	$12,196	1.1×	$15,015
COPD w CC	MS-DRG	191	7	—	—	$7,842.72	$10,665	1.2×	$13,000
COPD w/o CC/MCC	MS-DRG	192	7	—	—	$5,908.29	$8,065.41	1.2×	$13,000
Simple pneumonia & pleurisy w CC	MS-DRG	194	7	—	—	$7,485.78	$10,219	1.2×	$13,000
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	7	—	—	$5,684.63	$7,760.09	1.2×	$13,000
AMI discharged alive w MCC	MS-DRG	280	8	—	—	$10,978	$16,650	1.1×	$33,070
AMI discharged alive w CC	MS-DRG	281	8	—	—	$8,415.11	$11,107	1.1×	$28,970
AMI discharged alive w/o CC/MCC	MS-DRG	282	8	—	—	$6,619.44	$9,335.66	1.2×	$24,331
Heart failure & shock w MCC	MS-DRG	291	7	—	—	$10,978	$13,118	1.0×	$17,445
Heart failure & shock w CC	MS-DRG	292	7	—	—	$7,861.89	$10,677	1.2×	$13,000
Heart failure & shock w/o CC/MCC	MS-DRG	293	7	—	—	$5,009.08	$6,837.9	1.1×	$13,000
Cardiac arrhythmia w MCC	MS-DRG	308	7	—	—	$10,978	$12,616	1.0×	$16,123
Cardiac arrhythmia w CC	MS-DRG	309	7	—	—	$6,749.07	$9,213.16	1.2×	$13,000
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	—	—	$5,107.68	$6,972.49	1.1×	$13,000
GI hemorrhage w CC	MS-DRG	378	7	—	—	$9,000.28	$11,429	1.1×	$13,181
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	—	—	$5,812.43	$7,934.56	1.2×	$13,000
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	7	—	—	$7,123.36	$9,724.1	1.2×	$13,000
Fractures of femur w/o MCC	MS-DRG	533	7	—	—	$10,978	$14,962	0.98×	$20,388
Kidney/UTI w MCC	MS-DRG	689	7	—	—	$10,684	$12,436	1.1×	$15,647
Kidney/UTI w/o MCC	MS-DRG	690	7	—	—	$7,326.94	$10,002	1.2×	$13,000
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	—	—	$10,978	$19,252	1.0×	$26,233
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	—	—	$9,412	$11,700	1.1×	$13,784
lab
Basic metabolic panel (BMP)	CPT	80048	38	$209	$156.75	$3.47	$116.62	3.6×	$198.55
General health panel	CPT	80050	2	—	—	$17.1	$17.1	0.16×	$99.39
Electrolyte panel	CPT	80051	38	$206	$154.5	$2.14	$114.95	4.8×	$195.7
Comprehensive metabolic panel	CPT	80053	38	$309	$231.75	$5	$172.42	3.9×	$293.55
Lipid panel	CPT	80061	38	$234	$175.5	$6.02	$55.7	1.5×	$222.3
Renal function panel	CPT	80069	38	$306	$229.5	$4.11	$170.75	6.3×	$290.7
Hepatic function panel	CPT	80076	38	$242	$181.5	$2.99	$135.04	5.1×	$229.9
Urinalysis non-automated	CPT	81002	2	—	—	$2.77	$2.77	0.40×	$8.34
Urinalysis automated	CPT	81003	38	$68	$51	$1.06	$38.01	2.7×	$64.6
Glucose quantitative	CPT	82947	38	$78	$58.5	$5.13	$30.85	1.8×	$74.1
Hemoglobin A1c	CPT	83036	38	$195	$146.25	$9	$108.81	4.0×	$185.25
Thyroid stimulating hormone (TSH)	CPT	84443	38	$219	$164.25	$7.95	$122.2	2.6×	$208.05
Complete blood count with automated differential	CPT	85025	38	$116	$87	$3.68	$64.73	2.4×	$110.2
Complete blood count without differential	CPT	85027	38	$125	$93.75	$3.06	$69.75	3.2×	$118.75
Urine culture bacterial	CPT	87086	38	$130	$97.5	$10.16	$72.54	3.1×	$123.5
Urine culture identification	CPT	87088	2	—	—	$9.54	$9.54	0.43×	$19.41
Tissue exam by pathologist level IV	CPT	88305	38	$591	$443.25	$29.76	$90.58	0.88×	$561.45
maternity
Fetal non-stress test	CPT	59025	1	—	—	$505.32	$505.32	2.7×	$505.32
Vaginal delivery only	CPT	59409	2	—	—	$2,547.19	$3,284.14	1.5×	$4,021.08
Vaginal delivery with postpartum	CPT	59410	1	—	—	$2,547.19	$2,547.19	2.4×	$2,547.19
C-section with postpartum	CPT	59515	1	—	—	$5,784.48	$5,784.48	4.6×	$5,784.48
office
Office visit, established patient, 5 min	CPT	99211	37	$131	$98.25	$26.78	$73.36	1.1×	$131
Office visit, established patient, 10-19 min	CPT	99212	37	$141	$105.75	$26.78	$71.21	0.89×	$141
Office visit, established patient, 20-29 minutes	CPT	99213	37	$153	$114.75	$26.78	$97.5	0.85×	$153
Office visit, established patient, 30-39 minutes	CPT	99214	37	$200	$150	$26.78	$112	0.73×	$200
Office visit, established patient, 40-54 min	CPT	99215	37	$360	$270	$26.78	$201.6	1.1×	$360
preventive
Upper GI endoscopy diagnostic	CPT	43235	38	$3,078	$2,308.5	$954.18	$1,961	2.1×	$3,078
Upper GI endoscopy with biopsy	CPT	43239	38	$3,255	$2,441.25	$1,009.05	$2,064.43	2.1×	$3,601.91
Sigmoidoscopy diagnostic	CPT	45330	38	$947	$710.25	$293.57	$615.55	0.73×	$2,547.19
Sigmoidoscopy with biopsy	CPT	45331	38	$2,348	$1,761	$727.88	$1,483.82	1.7×	$2,547.19
Colonoscopy diagnostic	CPT	45378	38	$2,660	$1,995	$824.6	$1,729	2.0×	$3,601.91
Colonoscopy with biopsy	CPT	45380	38	$2,660	$1,995	$824.6	$1,729	1.4×	$3,601.91
Colonoscopy with polyp removal	CPT	45385	38	$2,660	$1,995	$824.6	$1,729	1.4×	$3,601.91
surgery
Total shoulder arthroplasty	CPT	23472	2	—	—	$5,784.48	$8,975.62	2.2×	$12,167
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$29,385	$32,650	1.2×	$56,920
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$24,031	$26,701	1.5×	$52,203
Hip hemiarthroplasty	CPT	27125	3	—	—	$6,599.21	$15,563	12.4×	$25,363
Total hip replacement	CPT	27130	3	—	—	$6,599.21	$17,084	3.9×	$25,363
Total knee replacement	CPT	27447	3	—	—	$12,167	$21,896	5.3×	$25,363
Knee revision arthroplasty single component	CPT	27486	3	—	—	$6,599.21	$17,084	10.2×	$25,363
Knee revision arthroplasty all components	CPT	27487	3	—	—	$6,599.21	$17,084	8.5×	$25,363
Shoulder arthroscopy with decompression	CPT	29826	4	—	—	$2,453.36	$3,464.63	10.6×	$13,691
Shoulder arthroscopy with rotator cuff repair	CPT	29827	4	—	—	$3,711.03	$4,951.44	1.5×	$9,124.55
Knee arthroscopy with meniscectomy	CPT	29881	4	—	—	$2,693.6	$4,048.98	2.0×	$9,254.72
ACL reconstruction	CPT	29888	4	—	—	$2,453.36	$3,464.63	1.0×	$19,850
Major small/large bowel procedures w MCC	MS-DRG	329	7	—	—	$10,978	$45,056	1.0×	$61,394
Major small/large bowel procedures w CC	MS-DRG	330	7	—	—	$10,978	$23,193	1.00×	$31,603
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	—	—	$10,978	$16,200	0.99×	$22,074
CABG single arterial graft	CPT	33533	1	—	—	$2,013.1	$2,013.1	1.1×	$2,013.1
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,013.1	$2,013.1	0.94×	$2,013.1
CABG 3 arterial grafts	CPT	33535	1	—	—	$2,013.1	$2,013.1	0.89×	$2,013.1
CABG 4+ arterial grafts	CPT	33536	1	—	—	$2,013.1	$2,013.1	0.82×	$2,013.1
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	7	—	—	$10,978	$16,272	0.99×	$22,173
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	7	—	—	$10,978	$13,183	0.97×	$17,616
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	7	—	—	$10,978	$34,631	1.1×	$47,189
Open appendectomy	CPT	44950	2	—	—	$4,947.09	$5,669.5	5.0×	$6,391.9
Laparoscopic appendectomy	CPT	44970	3	—	—	$3,150.87	$4,084.98	2.6×	$9,124.55
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$40,677	$42,937	1.3×	$45,197
Major joint replacement w MCC	MS-DRG	469	8	—	—	$10,978	$30,987	1.0×	$43,703
Major joint replacement w/o MCC	MS-DRG	470	8	—	—	$10,978	$22,826	1.2×	$40,765
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$5,784.48	$7,454.52	4.2×	$9,124.55
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$5,784.48	$7,454.52	4.0×	$9,124.55
Hip & femur procedures except major joint w MCC	MS-DRG	480	8	—	—	$10,978	$29,834	1.1×	$39,321
Hip & femur procedures except major joint w CC	MS-DRG	481	8	—	—	$10,978	$21,048	1.0×	$37,341
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	8	—	—	$10,978	$16,092	1.0×	$25,074
Open umbilical hernia repair	CPT	49560	2	—	—	$2,693.6	$2,922.24	1.5×	$3,150.87
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$2,693.6	$2,922.24	2.2×	$3,150.87
Lap inguinal hernia repair	CPT	49650	4	—	—	$2,693.6	$4,048.98	3.6×	$9,124.55
Lap incisional hernia repair	CPT	49652	1	—	—	$6,939.35	$6,939.35	2.6×	$6,939.35
Total abdominal hysterectomy	CPT	58150	2	—	—	$6,391.9	$7,214.5	7.4×	$8,037.09
Vaginal hysterectomy	CPT	58260	3	—	—	$5,784.48	$6,391.9	3.5×	$6,939.35
Lap-assisted vaginal hysterectomy	CPT	58550	4	—	—	$6,599.21	$6,862.68	4.6×	$9,124.55
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	—	—	$3,711.03	$8,037.09	3.6×	$9,124.55
Lap salpingo-oophorectomy	CPT	58661	4	—	—	$3,711.03	$4,951.44	2.4×	$9,124.55
OR procedure for obesity w MCC	MS-DRG	619	7	—	—	$22,795	$26,994	0.99×	$36,453
OR procedure for obesity w CC	MS-DRG	620	7	—	—	$14,579	$19,902	1.2×	$26,330
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	—	—	$13,345	$18,217	1.2×	$26,330
Complex cataract surgery	CPT	66982	4	—	—	$4,021.08	$5,152.75	2.3×	$7,715.73
Cataract surgery with lens implant	CPT	66984	4	—	—	$4,021.08	$5,152.75	2.4×	$7,715.73
Intravitreal injection	CPT	67028	3	—	—	$505.32	$1,921.29	5.6×	$2,547.19
Vitrectomy mechanical	CPT	67042	3	—	—	$5,784.48	$6,391.9	2.5×	$6,939.35
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	—	—	$10,943	$12,580	1.0×	$16,027
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	—	—	$10,978	$19,173	1.0×	$26,125
PCI single major coronary artery	CPT	92920	2	—	—	$9,124.55	$9,829.65	1.7×	$10,535
PCI with drug-eluting stent	CPT	92928	2	—	—	$9,124.55	$9,829.65	0.98×	$10,535
PCI bypass graft	CPT	92937	2	—	—	$9,124.55	$9,829.65	0.90×	$10,535
Left heart catheterization	CPT	93452	3	—	—	$6,391.9	$8,037.09	2.6×	$8,311.09
Coronary angiography with cath	CPT	93455	3	—	—	$6,391.9	$8,037.09	2.6×	$8,311.09
Coronary angiography with bypass cath	CPT	93458	3	—	—	$6,391.9	$8,037.09	2.6×	$8,311.09

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
Aetna	169	$947.67
Anthem BCBS	145	$1,340.63
university health employee plan (contigo)	140	$728
UnitedHealthcare	137	$827.17
the health plan	134	$791.12
aultcare	134	$1,377
summacare	134	$797.63
jp farley	134	$1,595
Cigna	114	$736.87
clarity	91	$609.6
configurenet	91	$1,143
devoted	91	$393.7
First Health	91	$1,054.1
fortified provider network	91	$1,143
healthsmart	91	$825.5
Humana	91	$393.7
immergrun	91	$635
medical mutual of ohio	91	$841.31
medical mutual traditional/health ohio	91	$889
Molina	91	$393.7
Multiplan	91	$1,143
ohio health choice	91	$995.4
ohio preferred network	91	$1,074.25
paramount	91	$405.51
perennial advantage of ohio	91	$413.39
primetime health plan	91	$393.7
private healthcare system	91	$1,092.2
sunrise plan communities	91	$635
valor health plans	91	$413.39
WellCare	91	$393.7

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