7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$2,750.62 |
$2,817.38 |
$2,886.40 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$1,962.57 |
$2,010.25 |
$2,059.53 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$1,625.43 |
$1,664.81 |
$1,705.52 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$1,554.67 |
$1,592.30 |
$1,631.20 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Adult |
$217.76 |
$225.09 |
$232.78 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
BCCTP |
$1,115.42 |
$1,148.45 |
$1,182.85 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$2,750.62 |
$2,817.38 |
$2,886.40 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$1,625.43 |
$1,664.81 |
$1,705.52 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Child |
$70.97 |
$74.07 |
$77.36 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion |
$348.89 |
$360.55 |
$372.72 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion - Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
SPD |
$718.74 |
$739.67 |
$761.46 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Anthem Blue Cross |
SPD/Full-Dual |
$138.36 |
$143.21 |
$148.30 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Adult |
$258.79 |
$267.29 |
$276.18 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
BCCTP |
$1,152.35 |
$1,186.96 |
$1,223.02 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Child |
$87.27 |
$90.94 |
$94.82 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Optional Expansion |
$410.55 |
$424.28 |
$438.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Optional Expansion - Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
SPD |
$729.86 |
$751.20 |
$773.43 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
SPD/Full-Dual |
$163.55 |
$169.01 |
$174.75 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Behavioral Health Treatment 0-6 |
$1,962.57 |
$2,010.25 |
$2,059.53 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Behavioral Health Treatment 7-20 |
$1,554.67 |
$1,592.30 |
$1,631.20 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Adult |
$288.83 |
$298.19 |
$307.98 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
BCCTP |
$1,142.77 |
$1,176.74 |
$1,212.12 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 0-6 |
$1,962.57 |
$2,010.25 |
$2,059.53 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 7-20 |
$1,554.67 |
$1,592.30 |
$1,631.20 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Child |
$87.11 |
$90.70 |
$94.49 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Optional Expansion |
$420.87 |
$434.94 |
$449.61 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
Optional Expansion - Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
SPD |
$809.47 |
$832.99 |
$857.48 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Community Health Group |
SPD/Full-Dual |
$107.72 |
$111.90 |
$116.31 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Adult |
$211.52 |
$218.64 |
$226.09 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Adult |
$250.24 |
$258.34 |
$266.81 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
BCCTP |
$1,061.78 |
$1,093.53 |
$1,126.60 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
BCCTP |
$1,082.96 |
$1,115.18 |
$1,148.74 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 0-6 |
$2,750.62 |
$2,817.38 |
$2,886.40 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 0-6 |
$1,962.57 |
$2,010.25 |
$2,059.53 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 7-20 |
$1,625.43 |
$1,664.81 |
$1,705.52 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 7-20 |
$1,554.67 |
$1,592.30 |
$1,631.20 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Child |
$65.23 |
$68.14 |
$71.21 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Child |
$92.69 |
$96.45 |
$100.42 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion |
$329.10 |
$340.10 |
$351.58 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Optional Expansion |
$362.33 |
$374.44 |
$387.07 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion - Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
Optional Expansion - Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
SPD |
$696.55 |
$716.79 |
$737.87 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
SPD |
$753.82 |
$775.72 |
$798.51 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Health Net of California |
SPD/Full-Dual |
$159.14 |
$164.17 |
$169.45 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Health Net of California |
SPD/Full-Dual |
$107.41 |
$111.55 |
$115.91 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Adult |
$254.10 |
$262.50 |
$271.29 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Adult |
$293.22 |
$302.63 |
$312.47 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
BCCTP |
$1,142.84 |
$1,176.93 |
$1,212.44 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
BCCTP |
$1,103.34 |
$1,136.39 |
$1,170.83 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Child |
$77.82 |
$81.11 |
$84.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Child |
$94.83 |
$98.64 |
$102.66 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Optional Expansion |
$398.65 |
$411.98 |
$425.88 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Optional Expansion |
$429.56 |
$443.92 |
$458.90 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Optional Expansion - Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Optional Expansion - Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
SPD |
$684.51 |
$704.68 |
$725.70 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
SPD |
$631.58 |
$649.94 |
$669.05 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
SPD/Full-Dual |
$121.67 |
$125.96 |
$130.48 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
SPD/Full-Dual |
$106.08 |
$110.08 |
$114.30 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Behavioral Health Treatment 0-6 |
$2,750.62 |
$2,817.38 |
$2,886.40 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Behavioral Health Treatment 0-6 |
$1,962.57 |
$2,010.25 |
$2,059.53 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Behavioral Health Treatment 7-20 |
$1,625.43 |
$1,664.81 |
$1,705.52 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Behavioral Health Treatment 7-20 |
$1,554.67 |
$1,592.30 |
$1,631.20 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Adult |
$235.36 |
$243.29 |
$251.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Adult |
$265.77 |
$274.41 |
$283.45 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
BCCTP |
$1,054.39 |
$1,085.64 |
$1,118.18 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
BCCTP |
$1,141.99 |
$1,175.57 |
$1,210.53 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$2,750.62 |
$2,817.38 |
$2,886.40 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$1,962.57 |
$2,010.25 |
$2,059.53 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$1,625.43 |
$1,664.81 |
$1,705.52 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$1,554.67 |
$1,592.30 |
$1,631.20 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Child |
$70.92 |
$74.06 |
$77.37 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Child |
$84.74 |
$88.21 |
$91.87 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion |
$366.94 |
$379.20 |
$392.00 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion |
$406.19 |
$419.77 |
$433.93 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion - Maternity |
$8,572.74 |
$8,813.72 |
$9,063.38 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion - Maternity |
$6,679.19 |
$6,866.94 |
$7,061.47 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
SPD |
$723.59 |
$744.79 |
$766.87 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
SPD |
$779.31 |
$801.98 |
$825.57 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
Molina Healthcare |
SPD/Full-Dual |
$179.47 |
$185.08 |
$190.99 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
Molina Healthcare |
SPD/Full-Dual |
$106.15 |
$110.17 |
$114.41 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 0-6 |
$2,750.62 |
$2,817.38 |
$2,886.40 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 0-6 |
$1,962.57 |
$2,010.25 |
$2,059.53 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 7-20 |
$1,625.43 |
$1,664.81 |
$1,705.52 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 7-20 |
$1,554.67 |
$1,592.30 |
$1,631.20 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
United Healthcare |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
7/16-6/17 |
2016-17 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
7/16-6/17 |
2016-17 |
GMC |
San Diego |
United Healthcare |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |