BAY AREA REGION HEALTH NET SMARTCARE CONTRA COSTA HEALTH PLAN WESTERN HEALTH ADVANTAGE $831.44 $695.93 $135.51 $1,662.88 $1,391.85 $271.03 $2,161.74 $1,809.41 $352.33 $1,111.13 $800.23 $310.90 $2,222.26 $1,600.46 $621.80 $2,888.94 $2,080.61 $808.33 $970.90 $664.96 $305.94 $1,941.80 $1,329.92 $611.88 $2,524.34 $1,728.90 $795.44 $901.55 $657.30 $244.25 $1,803.10 $1,314.60 $488.50 $2,344.03 $1,708.99 $635.04 $1,034.68 $732.64 $302.04 $2,069.36 $1,547.11 $522.25 $2,690.16 $2,007.15 $683.01 $768.25 $621.63 $146.62 $1,536.50 $1,243.27 $293.23 $1,997.45 $1,616.26 $381.19 $866.27 $671.44 $194.83 $1,732.54 $1,342.89 $389.65 $2,252.30 $1,745.76 $506.54 $543.19 $515.19 $28.00 $1,086.38 $1,030.38 $56.00 $1,412.29 $1,339.50 $72.79 $1,131.68 $596.11 $535.57 $2,263.36 $1,192.22 $1,071.14 $2,942.37 $1,549.89 $1,392.48 $767.01 $571.82 $195.19 $1,534.02 $1,143.65 $390.37 $1,994.23 $1,486.75 $507.48 * Blue Shield Access + is no longer available for the following counties: Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma. Alameda, Amador, Contra Costa, Marin, Napa, Nevada, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, Sutter and Yuba Counties
SACRAMENTO AREA REGION UNITED HEALTH CARE WESTERN HEALTH ADVANTAGE $946.14 $703.85 $242.29 $1,892.28 $1,407.69 $484.59 $2,459.96 $1,830.00 $629.96 $1,178.79 $775.09 $403.70 $2,357.58 $1,550.18 $807.40 $3,064.85 $2,015.24 $1,049.61 $881.01 $660.95 $220.06 $1,762.02 $1,321.91 $440.11 $2,290.63 $1,718.49 $572.14 $687.99 $609.11 $78.88 $1,375.98 $1,218.22 $157.76 $1,788.77 $1,583.69 $205.08 $798.58 $660.87 $137.71 $1,597.16 $1,321.74 $275.42 $2,076.31 $1,718.27 $358.04 $508.68 $480.94 $27.74 $1,017.36 $961.88 $55.48 $1,322.57 $1,250.45 $72.12 $1,027.99 $582.05 $445.94 $2,055.98 $1,164.10 $891.88 $2,672.77 $1,513.34 $1,159.43 $928.85 $748.67 $180.18 $1,857.70 $1,497.33 $360.37 $2,415.01 $1,946.54 $468.47 $696.68 $571.82 $124.86 $1,393.36 $1,143.65 $249.71 $1,811.37 $1,486.75 $324.62 El Dorado, Placer, Sacramento and Yolo Counties
OTHER NORTHERN CALIFORNIA REGION ANTHEM EPO DEL NORTE BLUE SHIELD Access+ and EPO WESTERN HEALTH ADVANTAGE $592.23 $592.22 $0.01 $1,184.46 $1,184.45 $0.01 $1,539.80 $1,539.79 $0.01 $866.95 $699.91 $167.04 $1,733.90 $1,399.82 $334.08 $2,254.07 $1,819.77 $434.30 $1,334.38 $892.14 $442.24 $2,668.76 $1,784.29 $884.47 $3,469.39 $2,319.59 $1,149.80 $976.81 $671.46 $305.35 $1,953.62 $1,342.93 $610.69 $2,539.71 $1,745.82 $793.89 $783.13 $627.55 $155.58 $1,566.26 $1,255.10 $311.16 $2,036.14 $1,631.64 $404.50 $866.95 $680.41 $186.54 $1,733.90 $1,360.82 $373.08 $2,254.07 $1,769.07 $485.00 $511.34 $492.97 $18.37 $1,022.68 $985.94 $36.74 $1,329.48 $1,281.73 $47.75 $1,085.83 $587.19 $498.64 $2,171.66 $1,174.38 $997.28 $2,823.16 $1,526.70 $1,296.46 $696.68 $571.82 $124.86 $1,393.36 $1,143.65 $249.71 $1,811.37 $1,486.75 $324.62 Alpine, Butte, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Plumas, San Benito, Shasta, Sierra, Siskiyou, Stanislaus, Tehema, Trinity and Toulumne Counties
LOS ANGELES AREA REGION HEALTH NET SALUD Y MAS HEALTH NET SMARTCARE UNITED HEALTH CARE $627.07 $551.46 $75.61 $1,254.14 $1,102.92 $151.22 $1,630.38 $1,433.80 $196.58 $878.48 $686.45 $192.03 $1,756.96 $1,372.90 $384.06 $2,284.05 $1,784.78 $499.27 $669.75 $600.24 $69.51 $1,339.50 $1,200.49 $139.01 $1,741.35 $1,560.64 $180.71 $356.50 $356.49 $0.01 $713.00 $712.99 $0.01 $926.90 $926.89 $0.01 $584.27 $542.87 $41.40 $1,168.54 $1,085.74 $82.80 $1,519.10 $1,411.47 $107.63 $618.64 $560.51 $58.13 $1,237.28 $1,121.03 $116.25 $1,608.46 $1,457.34 $151.12 $654.50 $605.34 $49.16 $1,309.00 $1,210.69 $98.31 $1,701.70 $1,573.90 $127.80 $420.77 $420.76 $0.01 $841.54 $841.53 $0.01 $1,094.00 $1,093.99 $0.01 $843.78 $571.82 $271.96 $1,687.56 $1,143.65 $543.91 $2,193.83 $1,486.75 $707.08 $669.61 $578.68 $90.93 $1,339.22 $1,157.36 $181.86 $1,740.99 $1,504.58 $236.41 Los Angeles, San Bernadino and Ventura Counties
OTHER SOUTHERN CALIFORNIA REGION HEALTH NET SALUD Y MAS HEALTH NET SMARTCARE SHARP UNITED HEALTH CARE $625.07 $581.02 $44.05 $1,250.14 $1,162.05 $88.09 $1,625.18 $1,510.67 $114.51 $830.89 $700.21 $130.68 $1,661.78 $1,400.42 $261.36 $2,160.31 $1,820.55 $339.76 $760.04 $629.88 $130.16 $1,520.08 $1,259.76 $260.32 $1,976.10 $1,637.69 $338.41 $427.81 $427.80 $0.01 $855.62 $855.61 $0.01 $1,112.31 $1,112.30 $0.01 $642.71 $605.60 $37.11 $1,285.42 $1,211.21 $74.21 $1,671.05 $1,574.58 $96.47 $628.63 $593.78 $34.85 $1,257.26 $1,187.57 $69.69 $1,634.44 $1,543.85 $90.59 $721.11 $626.73 $94.38 $1,442.22 $1,253.46 $188.76 $1,874.89 $1,629.51 $245.38 $462.71 $454.59 $8.12 $925.42 $909.19 $16.23 $1,203.05 $1,181.95 $21.10 $907.29 $571.82 $335.47 $1,814.58 $1,143.65 $670.93 $2,358.95 $1,486.75 $872.20 $593.66 $566.12 $27.54 $1,187.32 $1,132.24 $55.08 $1,543.52 $1,471.92 $71.60 $646.65 $643.68 $2.97 $1,293.30 $1,287.37 $5.93 $1,681.29 $1,673.58 $7.71 Fresno, Imperial, Inyo, Kern, Kings, Madera, Riverside, Orange, San Diego, San Luis Obispo, Santa Barbara and Tulare Counties
OUT OF STATE REGION $964.68 $615.93 $348.75 $1,929.36 $1,231.87 $697.49 $2,508.17 $1,601.44 $906.73 $630.41 $571.82 $58.59 $1,260.82 $1,143.65 $117.17 $1,639.07 $1,486.75 $152.32 $813.47 $571.82 $241.65 $1,626.94 $1,143.65 $483.29 $2,115.02 $1,486.75 $628.27 Kaiser Out-of-State Regions Include: Colorado, Georgia, Hawaii, Mid-Atlantic and Northwest