Molina Health: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Molina Health appears in disclosed negotiated rates across 1 hospital and 546 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

546 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ABDOMINAL PAIN Inpatient	Gundersen Lutheran Medical Center	251-1 APR-DRG	—	—	$2,556 – $9,751	—
ABDOMINAL PAIN Inpatient	Gundersen Lutheran Medical Center	251-2 APR-DRG	—	—	$3,254 – $12,413	—
ABDOMINAL PAIN Inpatient	Gundersen Lutheran Medical Center	251-3 APR-DRG	—	—	$4,856 – $18,525	—
ABDOMINAL PAIN Inpatient	Gundersen Lutheran Medical Center	251-4 APR-DRG	—	—	$6,188 – $23,605	—
ACUTE AND SUBACUTE ENDOCARDITIS Inpatient	Gundersen Lutheran Medical Center	193-1 APR-DRG	—	—	$6,365 – $24,283	—
ACUTE AND SUBACUTE ENDOCARDITIS Inpatient	Gundersen Lutheran Medical Center	193-2 APR-DRG	—	—	$7,438 – $28,374	—
ACUTE AND SUBACUTE ENDOCARDITIS Inpatient	Gundersen Lutheran Medical Center	193-3 APR-DRG	—	—	$10,789 – $41,158	—
ACUTE AND SUBACUTE ENDOCARDITIS Inpatient	Gundersen Lutheran Medical Center	193-4 APR-DRG	—	—	$16,024 – $61,132	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Gundersen Lutheran Medical Center	145-1 APR-DRG	—	—	$2,751 – $10,496	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Gundersen Lutheran Medical Center	145-2 APR-DRG	—	—	$3,033 – $11,571	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Gundersen Lutheran Medical Center	145-3 APR-DRG	—	—	$4,757 – $18,147	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Gundersen Lutheran Medical Center	145-4 APR-DRG	—	—	$8,289 – $31,621	—
ACUTE MYOCARDIAL INFARCTION Inpatient	Gundersen Lutheran Medical Center	190-1 APR-DRG	—	—	$3,759 – $14,339	—
ACUTE MYOCARDIAL INFARCTION Inpatient	Gundersen Lutheran Medical Center	190-2 APR-DRG	—	—	$3,987 – $15,209	—
ACUTE MYOCARDIAL INFARCTION Inpatient	Gundersen Lutheran Medical Center	190-3 APR-DRG	—	—	$5,395 – $20,581	—
ACUTE MYOCARDIAL INFARCTION Inpatient	Gundersen Lutheran Medical Center	190-4 APR-DRG	—	—	$10,353 – $39,497	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	Gundersen Lutheran Medical Center	007-1 APR-DRG	—	—	$38,336 – $146,247	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	Gundersen Lutheran Medical Center	007-2 APR-DRG	—	—	$42,624 – $162,607	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	Gundersen Lutheran Medical Center	007-3 APR-DRG	—	—	$66,268 – $252,804	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	Gundersen Lutheran Medical Center	007-4 APR-DRG	—	—	$94,403 – $360,136	—
ALTERATION IN CONSCIOUSNESS Inpatient	Gundersen Lutheran Medical Center	052-1 APR-DRG	—	—	$2,130 – $8,127	—
ALTERATION IN CONSCIOUSNESS Inpatient	Gundersen Lutheran Medical Center	052-2 APR-DRG	—	—	$3,713 – $14,165	—
ALTERATION IN CONSCIOUSNESS Inpatient	Gundersen Lutheran Medical Center	052-3 APR-DRG	—	—	$6,048 – $23,074	—
ALTERATION IN CONSCIOUSNESS Inpatient	Gundersen Lutheran Medical Center	052-4 APR-DRG	—	—	$10,288 – $39,246	—
ANAL AND PERINEAL PROCEDURES Inpatient	Gundersen Lutheran Medical Center	226-1 APR-DRG	—	—	$4,239 – $16,172	—