Molina Healthcare: disclosed hospital rates

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Based on the published hospital price files, Molina Healthcare appears in disclosed negotiated rates across 2 hospitals and 1168 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.

1,168 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ABDOMINAL PAIN Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	251-3 APR-DRG	$55,931	$39,152	$900 – $53,135	—
ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	543-1 APR-DRG	—	—	$900 – $3,678	—
ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	543-3 APR-DRG	—	—	$900 – $5,680	—
Abortion With D&C, Aspiration Curettage Or Hysterotomy Inpatient	Endeavor Health Edward Hospital	770 MS-DRG	—	—	$7,675 – $13,110	—
Abortion Without D&C Inpatient	Endeavor Health Edward Hospital	779 MS-DRG	—	—	$6,440 – $11,389	—
ABORTION WITHOUT D&C ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	564-3 APR-DRG	—	—	$900 – $3,784	—
ABORTION WITHOUT D&C ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	564-2 APR-DRG	—	—	$900 – $3,678	—
Acute Adjustment Reaction And Psychosocial Dysfunction Inpatient	Endeavor Health Edward Hospital	880 MS-DRG	—	—	$7,350 – $11,790	—
ACUTE AND SUBACUTE ENDOCARDITIS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	193-4 APR-DRG	$635,016	$444,511	$900 – $603,265	—
Acute And Subacute Endocarditis With Cc Inpatient	Endeavor Health Edward Hospital	289 MS-DRG	—	—	$13,066 – $20,958	—
Acute And Subacute Endocarditis With Mcc Inpatient	Endeavor Health Edward Hospital	288 MS-DRG	—	—	$20,715 – $33,281	—
Acute And Subacute Endocarditis Without Cc/Mcc Inpatient	Endeavor Health Edward Hospital	290 MS-DRG	—	—	$7,117 – $11,929	—
ACUTE ANXIETY AND DELIRIUM STATES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	756-2 APR-DRG	$56,798	$39,759	$900 – $53,958	$13,038
ACUTE ANXIETY AND DELIRIUM STATES Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	756-4 APR-DRG	—	—	$900 – $8,206	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	145-3 APR-DRG	$93,755	$65,629	$900 – $89,067	—
ACUTE BRONCHITIS AND RELATED SYMPTOMS Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	145-1 APR-DRG	$18,785	$13,149	$900 – $17,845	—
ACUTE KIDNEY INJURY Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	469-1 APR-DRG	$34,365	$24,056	$900 – $32,647	—
ACUTE LEUKEMIA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	690-3 APR-DRG	$272,327	$190,629	$900 – $258,711	$35,317
ACUTE LEUKEMIA Inpatient	Ann & Robert H. Lurie Children's Hospital of Chicago	690-4 APR-DRG	$381,397	$266,978	$900 – $362,327	—
Acute Leukemia With Cc Inpatient	Endeavor Health Edward Hospital	835 MS-DRG	—	—	$15,966 – $26,025	—
Acute Leukemia With Mcc Inpatient	Endeavor Health Edward Hospital	834 MS-DRG	—	—	$42,024 – $67,406	—
Acute Leukemia With Other Procedures Inpatient	Endeavor Health Edward Hospital	850 MS-DRG	—	—	$66,286 – $112,240	—
Acute Leukemia Without Cc/Mcc Inpatient	Endeavor Health Edward Hospital	836 MS-DRG	—	—	$9,335 – $15,483	—
Acute Major Eye Infections With Cc/Mcc Inpatient	Endeavor Health Edward Hospital	121 MS-DRG	—	—	$8,905 – $14,283	—
Acute Major Eye Infections Without Cc/Mcc Inpatient	Endeavor Health Edward Hospital	122 MS-DRG	—	—	$6,015 – $9,648	—