Molina Healthcare
What does Molina Healthcare actually pay hospitals? We analyzed 457 negotiated rates from 3 hospitals across 1 states.
$7,921
Avg Negotiated Rate
457
Total Rates
89
Procedures Covered
3
Hospitals in Network
1
States
Is Molina Healthcare Expensive or Cheap?
Avg Rate
$7,921
Range: $7 - $412,960
vs All Payers Average
-22%
All-payer avg: $10,146
vs Medicare
0.5x Medicare
Medicare avg: $15,331
Based on our analysis of 457 negotiated rates, Molina Healthcare is significantly cheaper than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Molina Healthcare has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 71046 | Radiologic examination, chest; 2 views | 12 | $37 | $37 | $37 |
| 72100 | Radiologic examination, spine, lumbosacral; 2 or 3 views | 12 | $44 | $44 | $44 |
| 71250 | Computed tomography, thorax, diagnostic; without contrast material | 12 | $115 | $115 | $115 |
| 99282 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | 12 | $140 | $140 | $140 |
| 99281 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | 12 | $140 | $140 | $140 |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material(s) | 12 | $189 | $189 | $189 |
| 99283 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | 12 | $200 | $200 | $200 |
| 62322 | Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i | 12 | $289 | $289 | $289 |
| 99284 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | 12 | $320 | $320 | $320 |
| 99285 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | 12 | $400 | $400 | $400 |
| 22612 | Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) | 12 | $7,756 | $7,756 | $7,756 |
| 85025 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 10 | $9 | $7 | $17 |
| 71045 | Radiologic examination, chest; single view | 8 | $28 | $28 | $28 |
| 73590 | Radiologic examination; tibia and fibula, 2 views | 8 | $35 | $35 | $35 |
| 20611 | Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting | 8 | $52 | $52 | $52 |
| 25600 | Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation | 8 | $94 | $94 | $94 |
| 72131 | Computed tomography, lumbar spine; without contrast material | 8 | $115 | $115 | $115 |
| 72125 | Computed tomography, cervical spine; without contrast material | 8 | $115 | $115 | $115 |
| 12031 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less | 8 | $157 | $157 | $157 |
| 72133 | Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections | 8 | $193 | $193 | $193 |
| 70551 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | 8 | $222 | $222 | $222 |
| 73721 | Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material | 8 | $230 | $230 | $230 |
| 73221 | Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) | 8 | $230 | $230 | $230 |
| 70552 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) | 8 | $307 | $307 | $307 |
| 72149 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) | 8 | $307 | $307 | $307 |
Hospitals with Molina Healthcare Rates
Hospitals where we have negotiated rate data for Molina Healthcare
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE MEDICAL CENTER | TX | 171 | 65 | $8,840 | $7 - $412,960 |
| HCA HOUSTON HEALTHCARE TOMBALL | TX | 162 | 59 | $8,596 | $7 - $404,133 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 124 | 46 | $5,774 | $20 - $306,513 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.