Table calendar_year_2022_cohs_rates

Table: calendar_year_2022_cohs_rates

rating_period calendar_year model county health_plan category_of_aid lower_bound midpoint upper_bound

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Del Norte' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Humboldt' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Lake' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Lassen' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Marin' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Mendocino' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Modoc' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Napa' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Shasta' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Siskiyou' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Solano' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Sonoma' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Trinity' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'Child' ' $91.00 ' ' $94.65 ' ' $98.47 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'Adult' ' $342.79 ' ' $353.67 ' ' $364.99 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'Adult Expansion' ' $415.41 ' ' $428.17 ' ' $441.43 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'SPD' ' $1,100.71 ' ' $1,131.19 ' ' $1,162.76 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'SPD Dual' ' $270.22 ' ' $276.80 ' ' $283.63 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'LTC' ' $8,992.79 ' ' $9,112.14 ' ' $9,234.60 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'LTC Dual' ' $7,661.48 ' ' $7,749.03 ' ' $7,838.62 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'WCM' ' $1,927.40 ' ' $1,984.15 ' ' $2,042.92 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'Maternity' ' $11,833.18 ' ' $12,167.96 ' ' $12,513.97 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'Behavioral Health Treatment 0-6' ' $2,879.40 ' ' $2,968.35 ' ' $3,060.45 '

'1/22-12/22' '2022' 'COHS' 'Yolo' 'Partnership Health Plan' 'Behavioral Health Treatment 7-20' ' $2,300.51 ' ' $2,371.58 ' ' $2,445.17 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'Child' ' $90.88 ' ' $94.42 ' ' $98.12 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'Adult' ' $311.17 ' ' $321.11 ' ' $331.46 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'Adult Expansion' ' $331.71 ' ' $342.07 ' ' $352.85 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'SPD' ' $814.45 ' ' $838.03 ' ' $862.49 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'SPD Dual' ' $326.73 ' ' $333.52 ' ' $340.56 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'LTC' ' $14,940.19 ' ' $15,130.14 ' ' $15,324.88 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'LTC Dual' ' $7,743.11 ' ' $7,830.66 ' ' $7,920.23 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'WCM' ' $1,990.57 ' ' $2,047.42 ' ' $2,106.33 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'Maternity' ' $10,226.00 ' ' $10,517.41 ' ' $10,818.70 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'Behavioral Health Treatment 0-6' ' $2,777.66 ' ' $2,864.03 ' ' $2,953.50 '

'1/22-12/22' '2022' 'COHS' 'San Mateo' 'Health Plan of San Mateo' 'Behavioral Health Treatment 7-20' ' $2,070.07 ' ' $2,134.44 ' ' $2,201.11 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'Child' ' $84.30 ' ' $87.67 ' ' $91.21 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'Adult' ' $294.68 ' ' $304.22 ' ' $314.15 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'Adult Expansion' ' $383.54 ' ' $395.24 ' ' $407.40 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'SPD' ' $967.05 ' ' $993.03 ' ' $1,019.96 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'SPD Dual' ' $274.98 ' ' $281.67 ' ' $288.63 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'LTC' ' $12,928.13 ' ' $13,106.46 ' ' $13,289.57 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'LTC Dual' ' $8,973.35 ' ' $9,074.23 ' ' $9,177.43 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'Maternity' ' $8,902.69 ' ' $9,156.79 ' ' $9,419.52 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'Behavioral Health Treatment 0-6' ' $2,450.90 ' ' $2,527.23 ' ' $2,606.30 '

'1/22-12/22' '2022' 'COHS' 'Ventura' 'Gold Coast' 'Behavioral Health Treatment 7-20' ' $1,712.15 ' ' $1,765.47 ' ' $1,820.71 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'Child' ' $81.71 ' ' $85.02 ' ' $88.50 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'Adult' ' $345.14 ' ' $356.15 ' ' $367.59 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'Adult Expansion' ' $361.01 ' ' $372.23 ' ' $383.89 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'SPD' ' $1,081.32 ' ' $1,111.67 ' ' $1,143.13 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'SPD Dual' ' $237.14 ' ' $243.10 ' ' $249.30 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'LTC' ' $10,342.46 ' ' $10,486.62 ' ' $10,634.67 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'LTC Dual' ' $7,399.84 ' ' $7,484.78 ' ' $7,571.71 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'WCM' ' $1,394.80 ' ' $1,436.20 ' ' $1,479.12 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'Maternity' ' $11,472.33 ' ' $11,799.71 ' ' $12,138.21 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'Behavioral Health Treatment 0-6' ' $3,534.56 ' ' $3,644.61 ' ' $3,758.61 '

'1/22-12/22' '2022' 'COHS' 'Merced' 'Central CA Alliance for Health' 'Behavioral Health Treatment 7-20' ' $2,349.84 ' ' $2,423.00 ' ' $2,498.79 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'Child' ' $81.71 ' ' $85.02 ' ' $88.50 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'Adult' ' $345.14 ' ' $356.15 ' ' $367.59 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'Adult Expansion' ' $361.01 ' ' $372.23 ' ' $383.89 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'SPD' ' $1,081.32 ' ' $1,111.67 ' ' $1,143.13 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'SPD Dual' ' $237.14 ' ' $243.10 ' ' $249.30 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'LTC' ' $10,342.46 ' ' $10,486.62 ' ' $10,634.67 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'LTC Dual' ' $7,399.84 ' ' $7,484.78 ' ' $7,571.71 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'WCM' ' $1,394.80 ' ' $1,436.20 ' ' $1,479.12 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'Maternity' ' $11,472.33 ' ' $11,799.71 ' ' $12,138.21 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'Behavioral Health Treatment 0-6' ' $3,534.56 ' ' $3,644.61 ' ' $3,758.61 '

'1/22-12/22' '2022' 'COHS' 'Monterey' 'Central CA Alliance for Health' 'Behavioral Health Treatment 7-20' ' $2,349.84 ' ' $2,423.00 ' ' $2,498.79 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'Child' ' $81.71 ' ' $85.02 ' ' $88.50 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'Adult' ' $345.14 ' ' $356.15 ' ' $367.59 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'Adult Expansion' ' $361.01 ' ' $372.23 ' ' $383.89 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'SPD' ' $1,081.32 ' ' $1,111.67 ' ' $1,143.13 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'SPD Dual' ' $237.14 ' ' $243.10 ' ' $249.30 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'LTC' ' $10,342.46 ' ' $10,486.62 ' ' $10,634.67 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'LTC Dual' ' $7,399.84 ' ' $7,484.78 ' ' $7,571.71 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'WCM' ' $1,394.80 ' ' $1,436.20 ' ' $1,479.12 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'Maternity' ' $11,472.33 ' ' $11,799.71 ' ' $12,138.21 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'Behavioral Health Treatment 0-6' ' $3,534.56 ' ' $3,644.61 ' ' $3,758.61 '

'1/22-12/22' '2022' 'COHS' 'Santa Cruz' 'Central CA Alliance for Health' 'Behavioral Health Treatment 7-20' ' $2,349.84 ' ' $2,423.00 ' ' $2,498.79 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'Child' ' $85.34 ' ' $88.62 ' ' $92.05 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'Adult' ' $289.86 ' ' $299.09 ' ' $308.68 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'Adult Expansion' ' $333.89 ' ' $344.17 ' ' $354.85 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'SPD' ' $886.28 ' ' $910.30 ' ' $935.18 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'SPD Dual' ' $250.00 ' ' $255.91 ' ' $262.05 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'LTC' ' $10,261.55 ' ' $10,394.16 ' ' $10,530.18 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'LTC Dual' ' $7,239.08 ' ' $7,321.99 ' ' $7,406.85 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'WCM' ' $1,655.04 ' ' $1,703.81 ' ' $1,754.36 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'Maternity' ' $7,493.44 ' ' $7,706.70 ' ' $7,927.16 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'Behavioral Health Treatment 0-6' ' $2,492.75 ' ' $2,570.15 ' ' $2,650.32 '

'1/22-12/22' '2022' 'COHS' 'San Luis Obispo' 'CenCal Health' 'Behavioral Health Treatment 7-20' ' $1,808.64 ' ' $1,864.80 ' ' $1,922.97 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'Child' ' $85.34 ' ' $88.62 ' ' $92.05 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'Adult' ' $289.86 ' ' $299.09 ' ' $308.68 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'Adult Expansion' ' $333.89 ' ' $344.17 ' ' $354.85 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'SPD' ' $886.28 ' ' $910.30 ' ' $935.18 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'SPD Dual' ' $250.00 ' ' $255.91 ' ' $262.05 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'LTC' ' $10,261.55 ' ' $10,394.16 ' ' $10,530.18 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'LTC Dual' ' $7,239.08 ' ' $7,321.99 ' ' $7,406.85 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'WCM' ' $1,655.04 ' ' $1,703.81 ' ' $1,754.36 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'Maternity' ' $7,493.44 ' ' $7,706.70 ' ' $7,927.16 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'Behavioral Health Treatment 0-6' ' $2,492.75 ' ' $2,570.15 ' ' $2,650.32 '

'1/22-12/22' '2022' 'COHS' 'Santa Barbara' 'CenCal Health' 'Behavioral Health Treatment 7-20' ' $1,808.64 ' ' $1,864.80 ' ' $1,922.97 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'Child' ' $82.55 ' ' $85.73 ' ' $89.07 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'Adult' ' $245.78 ' ' $253.62 ' ' $261.77 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'Adult Expansion' ' $336.90 ' ' $347.15 ' ' $357.80 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'SPD' ' $665.32 ' ' $684.64 ' ' $704.66 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'SPD Dual' ' $211.09 ' ' $216.38 ' ' $221.89 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'LTC' ' $11,919.55 ' ' $12,081.63 ' ' $12,247.96 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'LTC Dual' ' $7,762.15 ' ' $7,849.29 ' ' $7,938.42 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'WCM' ' $1,716.87 ' ' $1,765.12 ' ' $1,815.06 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'Maternity' ' $7,396.27 ' ' $7,605.51 ' ' $7,821.75 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'Behavioral Health Treatment 0-6' ' $2,347.43 ' ' $2,419.94 ' ' $2,495.02 '

'1/22-12/22' '2022' 'COHS' 'Orange' 'CalOptima' 'Behavioral Health Treatment 7-20' ' $1,776.56 ' ' $1,831.43 ' ' $1,888.25 '