Table cy_2022_two_plan_model_rates

Table: cy_2022_two_plan_model_rates

rating_period calendar_year model county health_plan category_of_aid lower_bound midpoint upper_bound

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'Child' ' $98.52 ' ' $103.13 ' ' $108.01 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'Adult' ' $254.79 ' ' $264.31 ' ' $274.31 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'ACA Optional Expansion' ' $329.50 ' ' $341.22 ' ' $353.51 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'SPD' ' $856.88 ' ' $884.47 ' ' $913.28 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'SPD/Full-Dual' ' $181.53 ' ' $188.36 ' ' $195.56 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'Maternity' ' $9,156.23 ' ' $9,437.63 ' ' $9,729.71 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'Behavioral Health Treatment 0-6' ' $3,367.77 ' ' $3,480.05 ' ' $3,596.80 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Alameda Alliance for Health' 'Behavioral Health Treatment 7-20' ' $2,383.91 ' ' $2,463.39 ' ' $2,546.03 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'Child' ' $88.91 ' ' $93.14 ' ' $97.61 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'Adult' ' $223.78 ' ' $232.11 ' ' $240.86 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $272.83 ' ' $282.54 ' ' $292.72 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'SPD' ' $786.96 ' ' $812.27 ' ' $838.70 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $201.41 ' ' $208.59 ' ' $216.14 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'Maternity' ' $9,156.23 ' ' $9,437.63 ' ' $9,729.71 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,876.90 ' ' $4,006.15 ' ' $4,140.55 '

'1/22-12/22' '2022' 'Two Plan' 'Alameda' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,779.24 ' ' $2,871.89 ' ' $2,968.24 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'Child' ' $86.85 ' ' $91.11 ' ' $95.63 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'Adult' ' $287.71 ' ' $298.28 ' ' $309.38 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'ACA Optional Expansion' ' $367.89 ' ' $380.87 ' ' $394.48 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'SPD' ' $962.33 ' ' $993.22 ' ' $1,025.46 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'SPD/Full-Dual' ' $141.44 ' ' $147.20 ' ' $153.29 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'Maternity' ' $10,708.16 ' ' $11,037.20 ' ' $11,378.74 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'Behavioral Health Treatment 0-6' ' $3,455.53 ' ' $3,570.74 ' ' $3,690.53 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Contra Costa HP' 'Behavioral Health Treatment 7-20' ' $2,702.19 ' ' $2,792.28 ' ' $2,885.95 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'Child' ' $82.48 ' ' $86.45 ' ' $90.67 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'Adult' ' $226.47 ' ' $234.72 ' ' $243.38 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $263.19 ' ' $272.45 ' ' $282.16 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'SPD' ' $692.14 ' ' $714.42 ' ' $737.68 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $168.12 ' ' $174.17 ' ' $180.52 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'Maternity' ' $10,708.16 ' ' $11,037.20 ' ' $11,378.74 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,623.46 ' ' $3,744.26 ' ' $3,869.87 '

'1/22-12/22' '2022' 'Two Plan' 'Contra Costa' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,440.64 ' ' $2,522.00 ' ' $2,606.61 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'Child' ' $63.29 ' ' $66.28 ' ' $69.44 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'Adult' ' $185.47 ' ' $192.22 ' ' $199.30 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $228.18 ' ' $236.18 ' ' $244.55 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'SPD' ' $589.77 ' ' $608.74 ' ' $628.53 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $150.14 ' ' $155.63 ' ' $161.40 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'Maternity' ' $8,466.01 ' ' $8,726.20 ' ' $8,996.26 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,988.25 ' ' $4,121.20 ' ' $4,259.47 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,689.80 ' ' $2,779.47 ' ' $2,872.72 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'Child' ' $66.85 ' ' $69.99 ' ' $73.31 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'Adult' ' $208.18 ' ' $215.78 ' ' $223.76 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'ACA Optional Expansion' ' $264.06 ' ' $273.32 ' ' $283.02 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'SPD' ' $734.99 ' ' $758.55 ' ' $783.14 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'SPD/Full-Dual' ' $165.02 ' ' $170.91 ' ' $177.11 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'Maternity' ' $8,468.22 ' ' $8,728.48 ' ' $8,998.61 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'Behavioral Health Treatment 0-6' ' $3,872.08 ' ' $4,001.17 ' ' $4,135.40 '

'1/22-12/22' '2022' 'Two Plan' 'Fresno' 'CalViva Health' 'Behavioral Health Treatment 7-20' ' $2,659.81 ' ' $2,748.49 ' ' $2,840.69 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'Child' ' $74.63 ' ' $78.16 ' ' $81.89 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'Adult' ' $249.40 ' ' $258.41 ' ' $267.86 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'ACA Optional Expansion' ' $298.75 ' ' $309.19 ' ' $320.12 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'SPD' ' $800.22 ' ' $825.61 ' ' $852.10 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'SPD/Full-Dual' ' $177.42 ' ' $183.85 ' ' $190.60 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'Maternity' ' $7,498.79 ' ' $7,729.23 ' ' $7,968.43 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'Behavioral Health Treatment 0-6' ' $4,400.90 ' ' $4,547.62 ' ' $4,700.18 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Kern Health Systems' 'Behavioral Health Treatment 7-20' ' $3,164.86 ' ' $3,270.38 ' ' $3,380.09 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'Child' ' $66.65 ' ' $69.86 ' ' $73.26 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'Adult' ' $211.84 ' ' $219.56 ' ' $227.66 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'ACA Optional Expansion' ' $263.98 ' ' $273.17 ' ' $282.80 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'SPD' ' $711.46 ' ' $733.96 ' ' $757.43 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'SPD/Full-Dual' ' $158.85 ' ' $164.62 ' ' $170.68 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'Maternity' ' $7,498.79 ' ' $7,729.23 ' ' $7,968.43 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' $3,356.74 ' ' $3,468.65 ' ' $3,585.01 '

'1/22-12/22' '2022' 'Two Plan' 'Kern' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' $2,376.90 ' ' $2,456.14 ' ' $2,538.54 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'Child' ' $66.85 ' ' $69.99 ' ' $73.31 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'Adult' ' $208.18 ' ' $215.78 ' ' $223.76 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'ACA Optional Expansion' ' $264.06 ' ' $273.32 ' ' $283.02 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'SPD' ' $734.99 ' ' $758.55 ' ' $783.14 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'SPD/Full-Dual' ' $165.02 ' ' $170.91 ' ' $177.11 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'Maternity' ' $8,468.22 ' ' $8,728.48 ' ' $8,998.61 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'Behavioral Health Treatment 0-6' ' $3,872.08 ' ' $4,001.17 ' ' $4,135.40 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'CalViva Health' 'Behavioral Health Treatment 7-20' ' $2,659.81 ' ' $2,748.49 ' ' $2,840.69 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'Child' ' $63.29 ' ' $66.28 ' ' $69.44 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'Adult' ' $185.47 ' ' $192.22 ' ' $199.30 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $228.18 ' ' $236.18 ' ' $244.55 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'SPD' ' $589.77 ' ' $608.74 ' ' $628.53 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $150.14 ' ' $155.63 ' ' $161.40 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'Maternity' ' $8,466.01 ' ' $8,726.20 ' ' $8,996.26 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,988.25 ' ' $4,121.20 ' ' $4,259.47 '

'1/22-12/22' '2022' 'Two Plan' 'Kings' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,689.80 ' ' $2,779.47 ' ' $2,872.72 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'Child' ' $75.50 ' ' $78.99 ' ' $82.69 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'Adult' ' $180.44 ' ' $187.23 ' ' $194.36 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'ACA Optional Expansion' ' $263.48 ' ' $272.76 ' ' $282.49 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'SPD' ' $670.55 ' ' $691.05 ' ' $712.43 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'SPD/Full-Dual' ' $125.87 ' ' $130.70 ' ' $135.80 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'Maternity' ' $7,719.01 ' ' $7,956.28 ' ' $8,202.56 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'Behavioral Health Treatment 0-6' ' $3,068.68 ' ' $3,170.99 ' ' $3,277.37 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'LA Care HP' 'Behavioral Health Treatment 7-20' ' $2,405.75 ' ' $2,485.95 ' ' $2,569.35 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'Child' ' $70.02 ' ' $73.27 ' ' $76.71 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'Adult' ' $169.27 ' ' $175.61 ' ' $182.28 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'ACA Optional Expansion' ' $255.22 ' ' $264.18 ' ' $273.56 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'SPD' ' $555.85 ' ' $573.23 ' ' $591.36 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'SPD/Full-Dual' ' $162.29 ' ' $167.97 ' ' $173.93 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'Maternity' ' $7,719.01 ' ' $7,956.28 ' ' $8,202.56 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' $3,095.85 ' ' $3,199.06 ' ' $3,306.38 '

'1/22-12/22' '2022' 'Two Plan' 'Los Angeles' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' $2,423.87 ' ' $2,504.68 ' ' $2,588.70 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'Child' ' $66.85 ' ' $69.99 ' ' $73.31 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'Adult' ' $208.18 ' ' $215.78 ' ' $223.76 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'ACA Optional Expansion' ' $264.06 ' ' $273.32 ' ' $283.02 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'SPD' ' $734.99 ' ' $758.55 ' ' $783.14 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'SPD/Full-Dual' ' $165.02 ' ' $170.91 ' ' $177.11 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'Maternity' ' $8,468.22 ' ' $8,728.48 ' ' $8,998.61 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'Behavioral Health Treatment 0-6' ' $3,872.08 ' ' $4,001.17 ' ' $4,135.40 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'CalViva Health' 'Behavioral Health Treatment 7-20' ' $2,659.81 ' ' $2,748.49 ' ' $2,840.69 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'Child' ' $63.29 ' ' $66.28 ' ' $69.44 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'Adult' ' $185.47 ' ' $192.22 ' ' $199.30 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $228.18 ' ' $236.18 ' ' $244.55 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'SPD' ' $589.77 ' ' $608.74 ' ' $628.53 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $150.14 ' ' $155.63 ' ' $161.40 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'Maternity' ' $8,466.01 ' ' $8,726.20 ' ' $8,996.26 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,988.25 ' ' $4,121.20 ' ' $4,259.47 '

'1/22-12/22' '2022' 'Two Plan' 'Madera' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,689.80 ' ' $2,779.47 ' ' $2,872.72 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'Child' ' $84.77 ' ' $88.63 ' ' $92.71 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'Adult' ' $249.47 ' ' $258.48 ' ' $267.94 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'ACA Optional Expansion' ' $304.22 ' ' $314.82 ' ' $325.93 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'SPD' ' $815.90 ' ' $841.80 ' ' $868.82 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'SPD/Full-Dual' ' $155.17 ' ' $160.98 ' ' $167.10 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'Maternity' ' $7,579.88 ' ' $7,812.84 ' ' $8,054.64 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'Behavioral Health Treatment 0-6' ' $2,707.66 ' ' $2,797.92 ' ' $2,891.78 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Inland Empire HP' 'Behavioral Health Treatment 7-20' ' $1,928.76 ' ' $1,993.06 ' ' $2,059.92 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'Child' ' $74.06 ' ' $77.41 ' ' $80.95 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'Adult' ' $169.60 ' ' $175.78 ' ' $182.25 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'ACA Optional Expansion' ' $217.25 ' ' $224.83 ' ' $232.78 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'SPD' ' $570.25 ' ' $588.36 ' ' $607.25 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'SPD/Full-Dual' ' $111.40 ' ' $115.45 ' ' $119.72 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'Maternity' ' $7,578.32 ' ' $7,811.23 ' ' $8,052.98 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'Behavioral Health Treatment 0-6' ' $2,725.91 ' ' $2,816.79 ' ' $2,911.29 '

'1/22-12/22' '2022' 'Two Plan' 'Riverside' 'Molina Healthcare' 'Behavioral Health Treatment 7-20' ' $2,010.06 ' ' $2,077.07 ' ' $2,146.75 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'Child' ' $84.77 ' ' $88.63 ' ' $92.71 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'Adult' ' $249.47 ' ' $258.48 ' ' $267.94 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'ACA Optional Expansion' ' $304.22 ' ' $314.82 ' ' $325.93 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'SPD' ' $815.90 ' ' $841.80 ' ' $868.82 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'SPD/Full-Dual' ' $155.17 ' ' $160.98 ' ' $167.10 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'Maternity' ' $7,579.88 ' ' $7,812.84 ' ' $8,054.64 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'Behavioral Health Treatment 0-6' ' $2,707.66 ' ' $2,797.92 ' ' $2,891.78 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Inland Empire HP' 'Behavioral Health Treatment 7-20' ' $1,928.76 ' ' $1,993.06 ' ' $2,059.92 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'Child' ' $74.06 ' ' $77.41 ' ' $80.95 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'Adult' ' $169.60 ' ' $175.78 ' ' $182.25 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'ACA Optional Expansion' ' $217.25 ' ' $224.83 ' ' $232.78 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'SPD' ' $570.25 ' ' $588.36 ' ' $607.25 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'SPD/Full-Dual' ' $111.40 ' ' $115.45 ' ' $119.72 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'Maternity' ' $7,578.32 ' ' $7,811.23 ' ' $8,052.98 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'Behavioral Health Treatment 0-6' ' $2,725.91 ' ' $2,816.79 ' ' $2,911.29 '

'1/22-12/22' '2022' 'Two Plan' 'San Bernardino' 'Molina Healthcare' 'Behavioral Health Treatment 7-20' ' $2,010.06 ' ' $2,077.07 ' ' $2,146.75 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'Child' ' $106.20 ' ' $111.22 ' ' $116.53 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'Adult' ' $240.87 ' ' $250.12 ' ' $259.84 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'ACA Optional Expansion' ' $362.86 ' ' $375.80 ' ' $389.36 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'SPD' ' $869.07 ' ' $897.54 ' ' $927.26 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'SPD/Full-Dual' ' $164.54 ' ' $171.17 ' ' $178.17 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'Maternity' ' $8,520.44 ' ' $8,782.32 ' ' $9,054.15 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'Behavioral Health Treatment 0-6' ' $3,083.12 ' ' $3,185.90 ' ' $3,292.78 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'San Francisco Health Plan' 'Behavioral Health Treatment 7-20' ' $2,297.02 ' ' $2,373.59 ' ' $2,453.22 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'Child' ' $92.69 ' ' $97.30 ' ' $102.19 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'Adult' ' $249.69 ' ' $259.20 ' ' $269.20 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $311.40 ' ' $322.64 ' ' $334.43 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'SPD' ' $869.13 ' ' $897.58 ' ' $927.30 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $413.46 ' ' $427.99 ' ' $443.22 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'Maternity' ' $8,520.44 ' ' $8,782.32 ' ' $9,054.15 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,230.62 ' ' $3,338.32 ' ' $3,450.31 '

'1/22-12/22' '2022' 'Two Plan' 'San Francisco' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,343.62 ' ' $2,421.76 ' ' $2,503.00 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'Child' ' $74.64 ' ' $78.21 ' ' $81.99 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'Adult' ' $244.54 ' ' $253.42 ' ' $262.73 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'ACA Optional Expansion' ' $315.36 ' ' $326.37 ' ' $337.90 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'SPD' ' $820.24 ' ' $846.32 ' ' $873.53 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'SPD/Full-Dual' ' $119.37 ' ' $124.19 ' ' $129.28 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'Maternity' ' $8,024.51 ' ' $8,271.15 ' ' $8,527.15 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'Behavioral Health Treatment 0-6' ' $3,536.88 ' ' $3,654.79 ' ' $3,777.41 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'HP of San Joaquin' 'Behavioral Health Treatment 7-20' ' $2,108.37 ' ' $2,178.66 ' ' $2,251.75 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'Child' ' $66.09 ' ' $69.34 ' ' $72.80 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'Adult' ' $211.39 ' ' $219.13 ' ' $227.26 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'ACA Optional Expansion' ' $287.61 ' ' $297.62 ' ' $308.11 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'SPD' ' $753.09 ' ' $777.05 ' ' $802.06 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'SPD/Full-Dual' ' $144.39 ' ' $149.68 ' ' $155.25 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'Maternity' ' $8,497.34 ' ' $8,758.50 ' ' $9,029.59 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' $3,273.69 ' ' $3,382.83 ' ' $3,496.31 '

'1/22-12/22' '2022' 'Two Plan' 'San Joaquin' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' $2,258.57 ' ' $2,333.86 ' ' $2,412.16 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'Child' ' $84.19 ' ' $88.05 ' ' $92.14 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'Adult' ' $225.18 ' ' $233.46 ' ' $242.15 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'ACA Optional Expansion' ' $268.17 ' ' $277.69 ' ' $287.66 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'SPD' ' $605.03 ' ' $624.62 ' ' $645.08 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'SPD/Full-Dual' ' $159.42 ' ' $165.21 ' ' $171.31 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'Maternity' ' $9,024.18 ' ' $9,301.49 ' ' $9,589.33 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'Behavioral Health Treatment 0-6' ' $3,389.48 ' ' $3,502.48 ' ' $3,619.98 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Santa Clara Family HP' 'Behavioral Health Treatment 7-20' ' $2,788.65 ' ' $2,881.62 ' ' $2,978.29 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'Child' ' $73.78 ' ' $77.22 ' ' $80.87 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'Adult' ' $187.84 ' ' $194.76 ' ' $202.03 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $223.21 ' ' $231.14 ' ' $239.45 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'SPD' ' $541.89 ' ' $559.32 ' ' $577.53 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $141.44 ' ' $146.50 ' ' $151.83 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'Maternity' ' $9,024.18 ' ' $9,301.49 ' ' $9,589.33 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,298.35 ' ' $3,408.31 ' ' $3,522.65 '

'1/22-12/22' '2022' 'Two Plan' 'Santa Clara ' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,324.62 ' ' $2,402.12 ' ' $2,482.71 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'Child' ' $74.64 ' ' $78.21 ' ' $81.99 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'Adult' ' $244.54 ' ' $253.42 ' ' $262.73 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'ACA Optional Expansion' ' $315.36 ' ' $326.37 ' ' $337.90 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'SPD' ' $820.24 ' ' $846.32 ' ' $873.53 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'SPD/Full-Dual' ' $119.37 ' ' $124.19 ' ' $129.28 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'Maternity' ' $8,024.51 ' ' $8,271.15 ' ' $8,527.15 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'Behavioral Health Treatment 0-6' ' $3,536.88 ' ' $3,654.79 ' ' $3,777.41 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'HP of San Joaquin' 'Behavioral Health Treatment 7-20' ' $2,108.37 ' ' $2,178.66 ' ' $2,251.75 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'Child' ' $66.09 ' ' $69.34 ' ' $72.80 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'Adult' ' $211.39 ' ' $219.13 ' ' $227.26 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'ACA Optional Expansion' ' $287.61 ' ' $297.62 ' ' $308.11 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'SPD' ' $753.09 ' ' $777.05 ' ' $802.06 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'SPD/Full-Dual' ' $144.39 ' ' $149.68 ' ' $155.25 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'Maternity' ' $8,497.34 ' ' $8,758.50 ' ' $9,029.59 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' $3,273.69 ' ' $3,382.83 ' ' $3,496.31 '

'1/22-12/22' '2022' 'Two Plan' 'Stanislaus' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' $2,258.57 ' ' $2,333.86 ' ' $2,412.16 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'Child' ' $54.03 ' ' $56.62 ' ' $59.37 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'Adult' ' $173.59 ' ' $179.92 ' ' $186.56 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'ACA Optional Expansion' ' $223.16 ' ' $230.95 ' ' $239.11 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'SPD' ' $562.42 ' ' $580.46 ' ' $599.28 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'SPD/Full-Dual' ' $122.81 ' ' $127.31 ' ' $132.04 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'Maternity' ' $7,633.30 ' ' $7,867.90 ' ' $8,111.41 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' $3,719.61 ' ' $3,843.61 ' ' $3,972.56 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' $2,508.35 ' ' $2,591.97 ' ' $2,678.93 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'Child' ' $53.29 ' ' $55.87 ' ' $58.59 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'Adult' ' $180.40 ' ' $187.00 ' ' $193.92 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'ACA Optional Expansion' ' $246.29 ' ' $254.86 ' ' $263.85 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'SPD' ' $586.69 ' ' $605.44 ' ' $625.01 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'SPD/Full-Dual' ' $142.50 ' ' $147.54 ' ' $152.83 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'Maternity' ' $7,633.30 ' ' $7,867.90 ' ' $8,111.41 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' $2,826.05 ' ' $2,920.26 ' ' $3,018.23 '

'1/22-12/22' '2022' 'Two Plan' 'Tulare' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' $2,208.71 ' ' $2,282.35 ' ' $2,358.92 '