Inf thrc fascial pln blk bi w/wo image cost in Ohio

HC INF THRC FASCIAL PLN BLK BI W/WO IMAGE · CPT 64469

Hospital	City	Cash price	Negotiated range	Payers
University Hospitals Cleveland Medical Center	Cleveland OH 44106\|3999 Richmond Road	not published	$386.59 – $695.87	16
University Hospitals Portage Medical Center	Ravenna OH 44266	not published	$386.59 – $695.87	16
University Hospitals Parma Medical Center	Parma OH 44129\|7007 Powers Boulevard	not published	$386.59 – $695.87	17
University Hospitals Lake West Medical Center	Willoughby OH 44094\|7590 Auburn Road	not published	$386.59 – $695.87	19