▸ Hospital · OH · CCN 363302
Rainbow Babies And Childrens Hospital
11100 EUCLID AVENUE, CLEVELAND, OH, 44106-5022
266 bedsChildrens2
Compliance grade
A
100/100
Procedures tracked
176
of 209 target codes
Payers
30
with negotiated rates
Rates published
52,520
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 15 | — | — | $15,603 | $15,603 | $16,383 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 40 | $506 | $379.5 | $148.95 | $320.3 | $455.4 |
| Psychiatric eval with medical services | CPT | 90792 | 40 | $506 | $379.5 | $148.95 | $320.3 | $455.4 |
| Psychotherapy 30 minutes | CPT | 90832 | 40 | $248 | $186 | $82.58 | $156.98 | $223.2 |
| Psychotherapy 45 minutes | CPT | 90834 | 40 | $342 | $256.5 | $113.89 | $216.49 | $307.8 |
| Psychotherapy 60 minutes | CPT | 90837 | 40 | $421 | $315.75 | $140.19 | $266.49 | $378.9 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 40 | $727 | $545.25 | $148.95 | $460.19 | $654.3 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 40 | $329 | $246.75 | $81.63 | $212.21 | $364 |
| ED visit level 2 | CPT | 99282 | 40 | $539 | $404.25 | $146.81 | $347.66 | $494 |
| ED visit level 3 | CPT | 99283 | 40 | $1,029 | $771.75 | $256.69 | $663.71 | $926.1 |
| ED visit level 4 | CPT | 99284 | 40 | $1,406 | $1,054.5 | $394.75 | $906.87 | $1,265.4 |
| ED visit level 5 | CPT | 99285 | 40 | $10,275 | $7,706.25 | $568.37 | $3,299 | $9,247.5 |
| Critical care, first hour | CPT | 99291 | 40 | $3,879 | $2,909.25 | $781.13 | $2,455.41 | $3,491.1 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | — | — | $98.58 | $98.58 | $288.66 |
| CT head with contrast | CPT | 70460 | 15 | — | — | $165.03 | $165.03 | $418.63 |
| CT head with and without contrast | CPT | 70470 | 15 | — | — | $165.03 | $165.03 | $503.92 |
| CT neck with contrast | CPT | 70491 | 15 | — | — | $165.03 | $165.03 | $531 |
| MRI brain without contrast | CPT | 70551 | 15 | — | — | $224.08 | $224.08 | $575.96 |
| MRI brain with contrast | CPT | 70552 | 15 | — | — | $331.07 | $331.07 | $852.17 |
| MRI brain with and without contrast | CPT | 70553 | 40 | $3,352 | $2,514 | $331.07 | $2,111.76 | $3,016.8 |
| Chest X-ray single view | CPT | 71045 | 15 | — | — | $63.96 | $81.63 | $85.71 |
| Chest X-ray 2 views | CPT | 71046 | 40 | $376 | $282 | $81.63 | $238.01 | $338.4 |
| Chest X-ray 3 views | CPT | 71047 | 15 | — | — | $81.63 | $81.63 | $110.76 |
| CT chest without contrast | CPT | 71250 | 15 | — | — | $98.58 | $98.58 | $360.4 |
| CT chest with contrast | CPT | 71260 | 15 | — | — | $165.03 | $165.03 | $494.45 |
| CT chest with and without contrast | CPT | 71270 | 15 | — | — | $165.03 | $165.03 | $612.26 |
| MRI chest without contrast | CPT | 71550 | 15 | — | — | $224.08 | $224.08 | $892.5 |
| MRI chest with contrast | CPT | 71551 | 15 | — | — | $732.42 | $732.42 | $1,363.15 |
| MRI chest with and without contrast | CPT | 71552 | 15 | — | — | $331.07 | $331.07 | $1,429.23 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | — | — | $98.58 | $98.58 | $109.44 |
| CT cervical spine without contrast | CPT | 72125 | 15 | — | — | $98.58 | $98.58 | $364.48 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | — | — | $98.58 | $98.58 | $363.12 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | — | — | $98.58 | $98.58 | $361.76 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | — | — | $224.08 | $224.08 | $555.39 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | — | — | $224.08 | $224.08 | $555.39 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | — | — | $224.08 | $224.08 | $556.75 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | — | — | $331.07 | $331.07 | $860.29 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | — | — | $331.07 | $331.07 | $983.49 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | — | — | $331.07 | $331.07 | $980.77 |
| CT pelvis without contrast | CPT | 72192 | 15 | — | — | $98.58 | $98.58 | $360.4 |
| CT pelvis with contrast | CPT | 72193 | 15 | — | — | $165.03 | $165.03 | $693.47 |
| Shoulder X-ray | CPT | 73030 | 15 | — | — | $81.63 | $81.63 | $95.16 |
| Humerus X-ray | CPT | 73060 | 15 | — | — | $81.63 | $81.63 | $91.25 |
| Hand X-ray 3 views | CPT | 73130 | 15 | — | — | $81.63 | $81.63 | $105.53 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | — | — | $224.08 | $224.08 | $628.75 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | — | — | $331.07 | $331.07 | $1,340.92 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | — | — | $81.63 | $81.63 | $99.03 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | — | — | $81.63 | $81.63 | $106.85 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | — | — | $224.08 | $224.08 | $627.43 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | — | — | $331.07 | $331.07 | $1,336.88 |
| CT abdomen without contrast | CPT | 74150 | 15 | — | — | $98.58 | $98.58 | $356.36 |
| CT abdomen with contrast | CPT | 74160 | 15 | — | — | $165.03 | $165.03 | $693.47 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | — | — | $165.03 | $165.03 | $693.77 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | — | — | $224.08 | $224.08 | $445.7 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | — | — | $331.07 | $331.07 | $968.62 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | — | — | $331.07 | $331.07 | $1,094.5 |
| MRI abdomen without contrast | CPT | 74181 | 15 | — | — | $224.08 | $224.08 | $589.22 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | — | — | $331.07 | $331.07 | $1,094.5 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | — | — | $98.58 | $98.58 | $316.12 |
| Abdominal ultrasound limited | CPT | 76705 | 40 | $964 | $723 | $98.58 | $610.21 | $867.6 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | — | — | $98.58 | $98.58 | $294.02 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | — | — | $98.58 | $98.58 | $281.01 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | — | — | $98.58 | $98.58 | $351.22 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | — | — | $224.08 | $224.08 | $321.56 |
| Transvaginal ultrasound | CPT | 76830 | 40 | $1,181 | $885.75 | $98.58 | $747.57 | $1,062.9 |
| Pelvic ultrasound complete | CPT | 76856 | 40 | $996 | $747 | $98.58 | $630.47 | $896.4 |
| Scrotal ultrasound | CPT | 76870 | 15 | — | — | $98.58 | $98.58 | $282.33 |
| Diagnostic mammography unilateral | CPT | 77065 | 15 | — | — | $77.58 | $77.58 | $340.81 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | — | — | $98.8 | $98.8 | $435.67 |
| Screening mammography bilateral | CPT | 77067 | 15 | — | — | $81.66 | $81.66 | $360.32 |
| EKG tracing only | CPT | 93005 | 40 | $391 | $293.25 | $55.07 | $247.5 | $351.9 |
| Transthoracic echocardiogram complete | CPT | 93306 | 40 | $2,435 | $1,826.25 | $508.3 | $1,541.36 | $2,191.5 |
| Transthoracic echocardiogram | CPT | 93307 | 40 | $1,673 | $1,254.75 | $224.08 | $1,059.01 | $1,505.7 |
| Stress echocardiogram | CPT | 93350 | 40 | $2,499 | $1,874.25 | $508.3 | $1,581.87 | $2,249.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 15 | — | — | $20,998 | $20,998 | $22,048 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 15 | — | — | $11,947 | $11,947 | $12,544 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 15 | — | — | $8,888.17 | $8,888.17 | $9,332.58 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | — | — | $17,529 | $17,529 | $18,405 |
| COPD w MCC | MS-DRG | 190 | 15 | — | — | $12,935 | $12,935 | $13,581 |
| COPD w CC | MS-DRG | 191 | 15 | — | — | $10,478 | $10,478 | $11,002 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | — | — | $8,505.57 | $8,505.57 | $8,930.85 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | — | — | $10,114 | $10,114 | $10,620 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | — | — | $8,277.53 | $8,277.53 | $8,691.41 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | — | — | $17,760 | $17,760 | $18,649 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | — | — | $11,062 | $11,062 | $11,615 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | — | — | $9,230.75 | $9,230.75 | $9,692.29 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | — | — | $14,627 | $14,627 | $15,358 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | — | — | $10,498 | $10,498 | $11,023 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | — | — | $7,588.66 | $7,588.66 | $7,968.09 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | — | — | $13,706 | $13,706 | $14,392 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | — | — | $9,362.92 | $9,362.92 | $9,831.07 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | — | — | $7,689.18 | $7,689.18 | $8,073.64 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | — | — | $11,659 | $11,659 | $12,241 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | — | — | $8,407.85 | $8,407.85 | $8,828.24 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $9,744.6 | $9,744.6 | $10,232 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | — | — | $16,676 | $16,676 | $17,510 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | — | — | $13,375 | $13,375 | $14,044 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | — | — | $9,952.18 | $9,952.18 | $10,450 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | — | — | $20,746 | $20,746 | $21,783 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | — | — | $12,078 | $12,078 | $12,682 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | — | — | $3.47 | $8.46 | $8.88 |
| General health panel | CPT | 80050 | 1 | — | — | $17.1 | $17.1 | $17.1 |
| Electrolyte panel | CPT | 80051 | 15 | — | — | $2.14 | $7.01 | $7.36 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | — | — | $5 | $10.56 | $11.09 |
| Lipid panel | CPT | 80061 | 40 | $184 | $138 | $6.02 | $116.47 | $165.6 |
| Renal function panel | CPT | 80069 | 40 | $241 | $180.75 | $4.11 | $152.55 | $216.9 |
| Hepatic function panel | CPT | 80076 | 40 | $182 | $136.5 | $2.99 | $115.21 | $163.8 |
| Urinalysis non-automated | CPT | 81002 | 40 | $44 | $33 | $2.77 | $27.85 | $39.6 |
| Urinalysis automated | CPT | 81003 | 40 | $68 | $51 | $1.06 | $43.04 | $61.2 |
| Glucose quantitative | CPT | 82947 | 40 | $58 | $43.5 | $3.93 | $36.71 | $52.2 |
| Hemoglobin A1c | CPT | 83036 | 40 | $147 | $110.25 | $9 | $87.91 | $132.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 40 | $237 | $177.75 | $7.95 | $150.02 | $213.3 |
| Complete blood count with automated differential | CPT | 85025 | 40 | $126 | $94.5 | $3.68 | $79.76 | $113.4 |
| Complete blood count without differential | CPT | 85027 | 40 | $116 | $87 | $3.06 | $73.43 | $104.4 |
| Urine culture bacterial | CPT | 87086 | 40 | $162 | $121.5 | $8.07 | $102.55 | $145.8 |
| Urine culture identification | CPT | 87088 | 15 | — | — | $8.09 | $8.09 | $9.54 |
| Tissue exam by pathologist level IV | CPT | 88305 | 40 | $528 | $396 | $49.53 | $334.22 | $475.2 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 40 | $499 | $374.25 | $166.17 | $315.87 | $449.1 |
| Vaginal delivery only | CPT | 59409 | 40 | $3,028 | $2,271 | $914.75 | $1,922.9 | $3,094.93 |
| C-section delivery only | CPT | 59514 | 32 | $6,015 | $4,511.25 | $2,003 | $3,909.75 | $5,413.5 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 40 | $131 | $98.25 | $42.94 | $87.77 | $125.44 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 40 | $255 | $191.25 | $42.94 | $127.5 | $229.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 40 | $369 | $276.75 | $42.94 | $148.5 | $332.1 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 40 | $567 | $425.25 | $42.94 | $168.3 | $510.3 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 40 | $711 | $533.25 | $42.94 | $189 | $639.9 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 40 | $3,364 | $2,523 | $869.16 | $2,129.41 | $3,027.6 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 40 | $3,649 | $2,736.75 | $869.16 | $2,309.82 | $3,284.1 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 40 | $2,076 | $1,557 | $691.31 | $1,314.11 | $1,868.4 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 40 | $2,598 | $1,948.5 | $845.19 | $1,644.53 | $2,338.2 |
| Colonoscopy diagnostic | CPT | 45378 | 40 | $3,337 | $2,502.75 | $845.19 | $2,112.32 | $3,003.3 |
| Colonoscopy with biopsy | CPT | 45380 | 40 | $3,385 | $2,538.75 | $1,093.05 | $2,142.71 | $3,046.5 |
| Colonoscopy with polyp removal | CPT | 45385 | 40 | $3,297 | $2,472.75 | $1,093.05 | $2,087 | $2,967.3 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 15 | — | — | $17,048 | $17,048 | $17,901 |
| Total hip replacement | CPT | 27130 | 15 | — | — | $11,928 | $11,928 | $12,524 |
| Total knee replacement | CPT | 27447 | 15 | — | — | $11,928 | $11,928 | $12,524 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $2,453.36 | $2,453.36 | $2,453.36 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 16 | — | — | $4,118.4 | $6,622.52 | $6,953.65 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 16 | — | — | $2,693.6 | $3,007.88 | $3,158.28 |
| ACL reconstruction | CPT | 29888 | 16 | — | — | $2,453.36 | $6,622.52 | $6,953.65 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | — | — | $45,226 | $45,226 | $47,488 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | — | — | $24,484 | $24,484 | $25,709 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | — | — | $17,850 | $17,850 | $18,742 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | — | — | $17,919 | $17,919 | $18,815 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | — | — | $14,746 | $14,746 | $15,484 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | — | — | $35,337 | $35,337 | $37,103 |
| Open appendectomy | CPT | 44950 | 15 | — | — | $5,784.5 | $5,784.5 | $6,073.72 |
| Laparoscopic appendectomy | CPT | 44970 | 15 | — | — | $5,408.69 | $5,408.69 | $5,679.12 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | — | — | $32,909 | $32,909 | $34,554 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $20,033 | $20,033 | $21,034 |
| Laparoscopic cholecystectomy | CPT | 47562 | 15 | — | — | $5,408.69 | $5,408.69 | $5,679.12 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 15 | — | — | $5,408.69 | $5,408.69 | $5,679.12 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | — | — | $29,858 | $29,858 | $31,351 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | — | — | $21,796 | $21,796 | $22,886 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | — | — | $17,249 | $17,249 | $18,111 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $2,693.6 | $2,693.6 | $2,693.6 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $2,693.6 | $2,693.6 | $2,693.6 |
| Lap inguinal hernia repair | CPT | 49650 | 16 | — | — | $2,693.6 | $5,408.69 | $5,679.12 |
| Vaginal hysterectomy | CPT | 58260 | 15 | — | — | $4,576.29 | $4,576.29 | $4,805.1 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 16 | — | — | $5,408.69 | $5,408.69 | $6,786 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 15 | — | — | $9,651.62 | $9,651.62 | $10,134 |
| Lap salpingo-oophorectomy | CPT | 58661 | 16 | — | — | $4,118.4 | $5,408.69 | $5,679.12 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | — | $27,862 | $27,862 | $29,255 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | — | $17,347 | $17,347 | $18,215 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | — | $16,089 | $16,089 | $16,893 |
| Complex cataract surgery | CPT | 66982 | 16 | — | — | $2,114.33 | $2,114.33 | $4,914 |
| Cataract surgery with lens implant | CPT | 66984 | 16 | — | — | $2,114.33 | $2,114.33 | $4,914 |
| Intravitreal injection | CPT | 67028 | 15 | — | — | $307.49 | $307.49 | $322.86 |
| Vitrectomy mechanical | CPT | 67042 | 15 | — | — | $3,729.35 | $3,729.35 | $3,915.82 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $13,639 | $13,639 | $14,321 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | — | — | $20,670 | $20,670 | $21,704 |
| PCI single major coronary artery | CPT | 92920 | 15 | — | — | $5,285.54 | $5,285.54 | $5,549.81 |
| PCI with drug-eluting stent | CPT | 92928 | 15 | — | — | $10,513 | $10,513 | $11,039 |
| PCI bypass graft | CPT | 92937 | 40 | $39,092 | $29,319 | $10,513 | $24,745 | $35,183 |
| Left heart catheterization | CPT | 93452 | 40 | $20,147 | $15,110 | $2,981.74 | $12,995 | $18,132 |
| Coronary angiography with cath | CPT | 93455 | 40 | $11,746 | $8,809.5 | $2,981.74 | $7,576.17 | $14,352 |
| Coronary angiography with bypass cath | CPT | 93458 | 40 | $22,622 | $16,967 | $2,981.74 | $14,352 | $20,360 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 173 | $331.07 |
| Aetna | 172 | $402.27 |
| UnitedHealthcare | 172 | $355.21 |
| Cigna | 172 | $341.19 |
| summacare | 172 | $369.38 |
| medical mutual of ohio | 172 | $369.12 |
| the health plan | 172 | $354.2 |
| WellCare | 171 | $331.07 |
| 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) | 63 | $496 |
| First Health | 52 | $481.95 |
| fortified provider network | 52 | $510.3 |
| health ohio network | 52 | $379.89 |
| healthsmart | 52 | $368.55 |
| sunrise plain communities | 52 | $283.5 |
| immergrun | 52 | $340.2 |
| jp farley | 52 | $331.8 |
| beech street | 52 | $497.7 |
| medical mutual traditional/health ohio | 52 | $396.9 |
| amish church fund and workers aid plan | 52 | $283.5 |
| Multiplan | 52 | $510.3 |
| ohio health choice | 52 | $473.88 |
| ohio preferred network | 52 | $497.7 |
| amish aid community plan | 52 | $283.5 |