{"reporting_entity_name":"Molina-Healthcare-of-Texas","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-08-11","version":"2.0.0","provider_references":[{"provider_group_id":216439,"network_name":["TX Network"],"provider_groups":[{"npi":[1306897277],"tin":{"type":"ein","value":"621682213","business_name":null}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"Nursery - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0170","description":"Nursery","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":723.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level I","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0171","description":"Nursery","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":723.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level II","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0172","description":"Nursery","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":5000.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level III","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0173","description":"Nursery","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":5000.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level IV","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0174","description":"Nursery","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":5000.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0179","description":"Nursery","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":723.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Trauma Response - Level I","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0681","description":"Trauma Response","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Trauma Response - Level II","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0682","description":"Trauma Response","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Trauma Response - Level III","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0683","description":"Trauma Response","negotiated_rates":[{"provider_references":[216439],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]}]}