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1 HOSPITAL COUNTY TIER Adams County Regional Medical Center Adams Tier 1 Adena Greenfield Medical Center Highland Tier 1 Adena Pike Medical Center Pike Tier 1 Adena Regional Medical Center Ross Tier 1 Affinity Medical Center Doctors Campus Stark Tier 1 Akron General Medical Center Summit Tier 1 Alliance Community Hospital Stark Tier 1 Ashtabula County Medical Center Ashtabula Tier 1 Beavercreek (Soin) Medical Center Greene Tier 1 Bellevue Hospital Sandusky Tier 1 Belmont Community Hospital Belmont Tier 1 Bethesda Butler Hospital Butler Tier 1 Bethesda Hospital Hamilton Tier 1 Blanchard Valley Hospital Hancock Tier 1 Bluffton Hospital Allen Tier 1 Bucyrus Community Hospital Crawford Tier 1 Christ Hospital Hamilton Tier 1 Cincinnati Children s Hospital Medical Center Butler Tier 1 Cincinnati Children s Hospital Medical Center Hamilton Tier 1 Clinton Memorial Hospital Clinton Tier 1 Community Hospitals and Wellness Centers Archbold Medical Ctr Fulton Tier 1 Community Hospitals and Wellness Centers Bryan Hospitals Williams Tier 1 Community Hospitals and Wellness Centers Montpelier Hospital Williams Tier 1 Coshocton County Memorial Hospital Coshocton Tier 1 Dayton Children's Hospital Montgomery Tier 1 Diley Ridge Medical Center Franklin Tier 1 East Liverpool City Hospital Columbiana Tier 1 East Ohio Regional Hospital (a.k.a., Ohio Valley Medical Ctr) Belmont Tier 1 Edwin Shaw Rehab Summit Tier 1 Fairfield Medical Center Fairfield Tier 1 Fayette County Memorial Hospital Fayette Tier 1 Firelands Regional Medical Center Erie Tier 1 Fort Hamilton Hughes Hospital Butler Tier 1 Galion Community Hospital Crawford Tier 1 Genesis Healthcare Systems Muskingum Tier 2 Good Samaritan Hospital Hamilton Tier 1 Grandview Medical Center Montgomery Tier 1 Greene Memorial Hospital Greene Tier 1 Page 1 of 9

2 HOSPITAL COUNTY TIER Henry County Hospital Inc Henry Tier 1 Highland District Hospital Highland Tier 1 Hillside Rehab Hospital Trumbull Tier 1 Holzer Medical Center Gallia Tier 1 Holzer Medical Center Jackson Jackson Tier 1 Kettering Medical Center Montgomery Tier 1 Kings Daughters Medical Center Scioto Tier 1 Lake West Hospital Lake Tier 1 Lima Memorial Hospital Allen Tier 1 Lodi Community Hospital Medina Tier 1 Madison County Hospital Madison Tier 1 Marietta Memorial Hospital Washington Tier 1 Memorial Hospital Sandusky Tier 1 Mercy Medical Center Canton Stark Tier 1 Metrohealth System Medical Center Cuyahoga Tier 1 Mount Carmel East Franklin Tier 1 Mount Carmel New Albany Surgical Hospital Franklin Tier 1 Mount Carmel West Franklin Tier 1 Nationwide Children s Hospital Franklin Tier 1 Northside Medical Center Mahoning Tier 1 Ohio Valley Medical Center* Clark Tier 1 Paulding County Hospital Paulding Tier 1 ProMedica Bay Park Hospital Lucas Tier 1 ProMedica Defiance Regional Hospital Defiance Tier 1 ProMedica Flower Hospital Lucas Tier 1 ProMedica Fostoria Community Hospital Seneca Tier 1 ProMedica St. Luke's Hospital Lucas Tier 1 ProMedica Toledo Children s Hospital Lucas Tier 1 ProMedica Toledo Hospital Lucas Tier 1 Robinson Memorial Hospital Portage Tier 1 Salem Comm Hospital Columbiana Tier 1 Samaritan Regional Health System Ashland Tier 1 Selby General Hospital Washington Tier 1 Southeastern Ohio Regional Medical Center (SEORMC) Guernsey Tier 1 Southern Ohio Medical Center (SOMC) Scioto Tier 1 Southview Medical Center Montgomery Tier 1 Southwest General Health Center Cuyahoga Tier 1 St. Ann's Hospital Franklin Tier 1 Page 2 of 9

3 HOSPITAL COUNTY TIER St. Elizabeth Boardman Health Center Mahoning Tier 1 St. Elizabeth Health Center Mahoning Tier 1 St. John Medical Center Cuyahoga Tier 1 St. Joseph Health Center Trumbull Tier 1 St. Vincent Charity Hospital Cuyahoga Tier 1 Summa Akron City Hospital Summit Tier 1 Summa Barberton Hospital Summit Tier 1 Summa Health Center at Wadsworth** Medina Tier 1 Summa Rehab Hospital Summit Tier 1 Summa St. Thomas Hospital Summit Tier 1 Surgical Hospital at Southwoods Mahoning Tier 1 Sycamore Medical Center (Kettering) Montgomery Tier 1 TriHealth Evendale Hospital Hamilton Tier 1 Trinity Health System Jefferson Tier 1 Trinity Hospital Twin City Tuscarawas Tuscarawas Tier 1 Tripoint Medical Center Lake Tier 1 Trumbull Memorial Hospital Trumbull Tier 1 University Hospitals Ahuja Medical Center Cuyahoga Tier 1 University Hospitals Bedford Medical Center Cuyahoga Tier 1 University Hospitals Case Medical Center Cuyahoga Tier 1 University Hospitals Conneaut Medical Center Ashtabula Tier 1 University Hospitals Elyria Medical Center Lorain Tier 1 University Hospitals Geauga Medical Center Geauga Tier 1 University Hospitals Geneva Medical Center Ashtabula Tier 1 University Hospitals MacDonald Women's Hospital Cuyahoga Tier 1 University Hospitals Parma Comm General Hospital Cuyahoga Tier 1 University Hospitals Rainbow Babies and Children's Hospital Cuyahoga Tier 1 University Hospitals Richmond Medical Center Cuyahoga Tier 1 University Hospitals Seidman Cancer Center Cuyahoga Tier 1 Van Wert County Hospital Van Wert Tier 1 Western Reserve Hospital Summit Tier 1 Wilson Memorial Hospital Shelby Tier 1 Wooster Community Hospital Wayne Tier 1 Page 3 of 9

4 AMBULATORY SURGERY CENTER (ASC) FACILITY An ASC is a facility where outpatient surgeries and procedures are performed. The patient is treated and released the same day. COUNTY TIER Affiliated Ambulatory Surgery Center, LLC Franklin Tier 1 Artisan Surgery Center Lucas Tier 1 Avamar Center for Endoscopy Trumbull Tier 1 Beacon Orthopaedics Surgical Center, LLC Hamilton Tier 1 Belmont Eye Surgery Mahoning Tier 1 Big Creek Surgery Center Cuyahoga Tier 1 Blanchester Medical Services Clinton Tier 1 CDH Endoscopy Center Lake Tier 1 Center for Advanced Eye Surgery Mahoning Tier 1 Center for Surgery Summit Tier 1 CG Endoscopy Center Stark Tier 1 Chardon Surgery Center Geauga Tier 1 Cincinnati Eye Institute Hamilton Tier 1 Clinton County Outpatient Surgery Center Clinton Tier 1 Dayton Eye Surgery Center Greene Tier 1 Dayton Eye Surgery Center Greene Tier 1 Digestive Care Inc Montgomery Tier 1 Digestive Health Center Ltd Summit Tier 1 Digestive Health Complex Belmont Tier 1 Eastwind Surgical Center Franklin Tier 1 Endoscopy Center at Bainbridge Geauga Tier 1 Endoscopy Center Of Dayton North Montgomery Tier 1 Eyes on Stark/Vista Surgery Center Stark Tier 1 Fairfield Community Health Center Fairfield Tier 1 Findlay Surgery Center Hancock Tier 1 Gastroenterology Associates Stark Tier 1 Gastroenterology Specialists Stark Tier 1 Global Ambulatory Surgical Center Stark Tier 1 Governors Place ASC, LLC Montgomery Tier 1 Lee Surgery Center Mahoning Tier 1 Legacy Surgery Center Cuyahoga Tier 1 Lippy Surgery Center Trumbull Tier 1 Marietta Surgery Center Washington Tier 1 Mentor Surgery Center Lake Tier 1 Mill Creek Endoscopy Suites Mahoning Tier 1 Page 4 of 9

5 AMBULATORY SURGERY CENTER (ASC) FACILITY An ASC is a facility where outpatient surgeries and procedures are performed. The patient is treated and released the same day. COUNTY TIER Nationwide Children s Hospital Delaware Tier 1 Nationwide Children s Hospital Franklin Tier 1 New Albany Surgery Center Franklin Tier 1 North Ohio Endoscopy Center Cuyahoga Tier 1 North Ohio Heart Inc Cuyahoga Tier 1 North Ohio Heart Inc Erie Tier 1 North Shore Endoscopy Center Cuyahoga Tier 1 Northwest Ohio Endoscopy Center Lucas Tier 1 Norwood Endoscopy Center Hamilton Tier 1 NovaMed Surgery Center of Sandusky Erie Tier 1 Ohio Valley Ambulatory Surgery Center Washington Tier 1 Orthopaedic Surgery Center Mahoning Tier 1 Physicians Ambulatory Surgery Center Pickaway Tier 1 Planned Parenthood East Columbus Surgical Center Franklin Tier 1 Planned Parenthood of Greater Cleveland Cuyahoga Tier 1 Planned Parenthood of Southwest Ohio Hamilton Tier 1 Premier Physicians Ambulatory Surgery Center Cuyahoga Tier 1 Premier Physicians Center, Inc. Cuyahoga Tier 1 Premium Surgery Center, LLC Lorain Tier 1 Revision Advanced Surgery Center, Inc. Richland Tier 1 Ridgepark Medical Associates, Inc. Cuyahoga Tier 1 St Clare Surgery Center Summit Tier 1 Stark Ambulatory Surgery Center Stark Tier 1 Surgery Center at Akron General Health and Wellness Summit Tier 1 Surgery Center of Canfield, LLC Mahoning Tier 1 Surgicare Ambulatory Surgery Center Lucas Tier 1 SW Ohio Ambulatory Surgery Center Butler Tier 1 System Optics (Novus Clinic) Summit Tier 1 Taylor Station Surgery Center Franklin Tier 1 The Center of GI Endoscopy Cuyahoga Tier 1 The Christ Hospital Spine Surgery Center Hamilton Tier 1 The Endoscopy Center of Lake County Lake Tier 1 The Eye Center of Columbus Franklin Tier 1 The Eye Surg Center Wooster Wayne Tier 1 The GI Endoscopy Center Butler Tier 1 Page 5 of 9

6 AMBULATORY SURGERY CENTER (ASC) FACILITY An ASC is a facility where outpatient surgeries and procedures are performed. The patient is treated and released the same day. COUNTY TIER The Surgery Center Cuyahoga Tier 1 The Surgery Center Pearl Cuyahoga Tier 1 The Urology Center Hamilton Tier 1 Tri State Endoscopy Hamilton Tier 1 Tri State Eye Surgery Center Hamilton Tier 1 Tuscarawas Amb Surgery Center Tuscarawas Tier 1 University Endoscopy Center Hamilton Tier 1 University Hospitals Lyndhurst Surgery Center Cuyahoga Tier 1 University Hospitals Mentor Surgery Center Lake Tier 1 University Hospitals Westlake Surgery Center Cuyahoga Tier 1 University Suburban Endoscopy Center Cuyahoga Tier 1 Valley Endoscopy Center Belmont Tier 1 Valley Surgery Center Jefferson Tier 1 Warren Gastrointestinal Endoscopy Center Trumbull Tier 1 Western Reserve Surgery Center Portage Tier 1 Wilmington Surgical Services Clinton Tier 1 Wooster ASC Wayne Tier 1 LARGE PRIMARY CARE PHYSICIAN GROUPS COUNTY TIER Adena Fayette Tier 1 Adena Jackson Tier 1 Adena Pickaway Tier 1 Adena Pike Tier 1 Adena Ross Tier 1 Ashtabula County Medical Center Group Ashtabula Tier 1 Atrium Medical Group, Inc. Cuyahoga Tier 1 Aurora Primary Care Portage Tier 1 Bethesda Family Practice TriHealth Hamilton Tier 1 Blanchard Valley Medical Practice, LLC Hancock Tier 1 Blanchard Valley Medical Practice, LLC Hardin Tier 1 Blanchard Valley Medical Practice, LLC Wyandot Tier 1 Blanchard Valley Medical Practice, LLC Putnam Tier 1 Brimfield Family Practice Portage Tier 1 Central Ohio Primary Care Delaware Tier 1 Central Ohio Primary Care Franklin Tier 1 Page 6 of 9

7 LARGE PRIMARY CARE PHYSICIAN GROUPS COUNTY TIER Central Ohio Primary Care Licking Tier 1 Dayton Children's Professional Montgomery Tier 1 East Clinton Medical Services Clinton Tier 1 Fairfield Healthcare Professionals, Inc. Fairfield Tier 1 Family Physicians of Springfield Clark Tier 1 Fremont Cooperative Care Lucas Tier 1 Fremont Cooperative Care Sandusky Tier 1 Genesis Area Muskingum Tier 1 Genesis Primary Care Physicians, LLC Muskingum Tier 1 Greene Memorial Hospital Services - Kettering Greene Tier 1 Greene Memorial Hospital Services - Kettering Montgomery Tier 1 Group Health TriHealth Butler Tier 1 Group Health TriHealth Hamilton Tier 1 Group Health TriHealth Warren Tier 1 Health First Physicians TriHealth Clermont Tier 1 Holzer Gallia Tier 1 Holzer Jackson Tier 1 Huber Heights Medical Montgomery Tier 1 Kettering Alliance Butler Tier 1 Kettering Alliance Greene Tier 1 Kettering Alliance Miami Tier 1 Kettering Alliance Montgomery Tier 1 Kettering Alliance Warren Tier 1 Lake PHO Lake Tier 1 Lima Memorial Professional Corporation Allen Tier 1 Main Street Family Practice Montgomery Tier 1 Marietta Healthcare Physicians Washington Tier 1 MedCentral Professional Foundation Richland Tier 1 Medical Care Foundation Inc (SOMC) Scioto Tier 1 Mercy Professional Care Corporation Stark Tier 1 Metrohealth Physicians and Health Centers Cuyahoga Tier 1 Mount Carmel Health Providers Inc. Franklin Tier 1 Mount Carmel Health Providers, LLC Franklin Tier 1 Mount Carmel Health System Physicians Franklin Tier 1 Nationwide Children s Hospital Lawrence Tier 1 Nationwide Children s Hospital Licking Tier 1 North Ohio Heart, Inc. Lorain Tier 1 Ohio Pediatrics, Inc. Montgomery Tier 1 Page 7 of 9

8 LARGE PRIMARY CARE PHYSICIAN GROUPS COUNTY TIER PCH Physicians Services Paulding Tier 1 Pediatric Academic Associates, Inc. Franklin Tier 1 Poland Medical Group Mahoning Tier 1 Portage Internal Medicine Associates Portage Tier 1 PPG Partners Physician Group (Akron General) Summit Tier 1 Prima Health Care Columbiana Tier 1 Prima Health Care Mahoning Tier 1 Primary Health Network Mercer Tier 1 ProMedica Physician Groups Defiance Tier 1 ProMedica Physician Groups Lucas Tier 1 ProMedica Physician Groups Wood Tier 1 Providence Medical Group Clark Tier 1 Providence Medical Group Greene Tier 1 Providence Medical Group Miami Tier 1 Providence Medical Group Montgomery Tier 1 Providence Medical Group Warren Tier 1 Queen City Physicians TriHealth Butler Tier 1 Queen City Physicians TriHealth Hamilton Tier 1 Ravenna Primary Care Portage Tier 1 Robinson Health Affiliates Portage Internal Medicine Portage Tier 1 SCH Professional Group Mahoning Tier 1 SCH Professional Group Trumbull Tier 1 Springfield Center for Family Medicine Clark Tier 1 Springfield Health Care Clark Tier 1 Streetsboro Family Practice Portage Tier 1 Summa Physicians, Inc. Medina Tier 1 Summa Physicians, Inc. Stark Tier 1 Summa Physicians, Inc. Summit Tier 1 Summa Physicians, Inc. Wayne Tier 1 Superior Medical Care Lorain Tier 1 Superior Medical Center Guernsey Tier 1 Superior Medical Center Noble Tier 1 Sycamore Primary Care Kettering Montgomery Tier 1 The Christ Hospital Medical Associates Hamilton Tier 1 The Christ Hospital Medical Associates Kenton Tier 1 Toledo Clinic Lucas Tier 1 TriHealth Physician Practices, LLC Butler Tier 1 TriHealth Physician Practices, LLC Hamilton Tier 1 Page 8 of 9

9 LARGE PRIMARY CARE PHYSICIAN GROUPS COUNTY TIER Trinity Family Care Centers (Trinity) Jefferson Tier 1 Trumbull Mahoning Medical Group (TMMG) Mahoning Tier 1 Trumbull Mahoning Medical Group (TMMG) Trumbull Tier 1 Ulrich Professional Group Portage Tier 1 Unity Health Network/SWRH Summit Tier 1 University Hospitals Medical Group Ashtabula Tier 1 University Hospitals Medical Group Cuyahoga Tier 1 University Hospitals Medical Group Erie Tier 1 University Hospitals Medical Group Geauga Tier 1 University Hospitals Medical Group Lake Tier 1 University Hospitals Medical Group Lorain Tier 1 University Hospitals Medical Group Medina Tier 1 University Hospitals Medical Group Portage Tier 1 University Hospitals Medical Group Summit Tier 1 University Hospitals Primary Care Practices Ashtabula Tier 1 University Hospitals Primary Care Practices Cuyahoga Tier 1 University Hospitals Primary Care Practices Erie Tier 1 University Hospitals Primary Care Practices Geauga Tier 1 University Hospitals Primary Care Practices Lake Tier 1 University Hospitals Primary Care Practices Lorain Tier 1 University Hospitals Primary Care Practices Medina Tier 1 University Hospitals Primary Care Practices Portage Tier 1 University Hospitals Primary Care Practices Summit Tier 1 Wellcare Physicians Groups, LLC Lucas Tier 1 Westshore Primary Care Associates Inc Cuyahoga Tier 1 Westshore Primary Care Associates, Inc. Lorain Tier 1 Wilmington Medical Associates Clinton Tier 1 Wilson Care Shelby Tier 1 *ER services are not available at this facility. **Inpatient services are not available at this facility. While we make efforts to ensure that this list of 2015 Pathway X Tiered Hospital Network providers is updated and accurate, it is not all-inclusive and the list changes periodically. Therefore, we recommend you contact the provider to confirm that they are in your network prior to your appointment. Page 9 of 9

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