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Payer price transparency data

Ameri Health

Ameri Health is a health insurer. They report 11 insurance plans covering 41K providers across 4.7K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 202618 monthly releases tracked

Monthly release

11

Plans

XX% vs prior month

41K

Providers (NPIs)

XX% vs prior month

30K

Tax IDs

XX% vs prior month

4.7K

Billing codes

XX% vs prior month

5.3M

Rate rows

September 2026 release

What's in Ameri Health's data

A profile of the machine-readable files Ameri Health publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT2.9K4.6M86%
  • HCPCS1.4K720K13%
  • MS-DRG32056K1.0%
  • CDT354.2K<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional4.1M77%
  • Institutional1.2M23%

Negotiation arrangement

How each rate is expressed

  • Negotiated3.6M68%
  • Percentage1.7M32%
  • Fee Schedule1.4K<0.1%

Plan identifiers

HIOS IDs mark individual and small-group plans; EINs mark employer plans

  • HIOS ID1091%
  • EIN19.1%

Providers by type

Distinct NPIs by entity type

  • Organization (Type 2)33K80%
  • Individual (Type 1)8.1K20%

Tax IDs by type

How provider groups are identified

  • EIN30K100%

Top states

States with the most providers in network

  • New Jersey12K
  • Pennsylvania11K
  • Texas1.9K
  • New York1.8K
  • California1.6K
  • Florida1.3K

Top specialties

Provider taxonomies with the most NPIs

  • Optometrist12K
  • Eyewear Supplier2.9K
  • Internal Medicine Physician1.5K
  • Ophthalmology Physician1.4K
  • Chiropractor1.1K
  • Family Medicine Physician1.1K

These are the files. Want the rates inside them?

Look up Ameri Health's negotiated rates by provider, TIN, billing code and plan.

Month-over-month history

Track how network size and rate volume change with each monthly release.

MonthPlansNPIsTax IDsBilling codesRate rows
September 20261141K30K4.7K5.3M
August 20261041K30K4.6K5.4M
July 20261041K30K4.5K5.1M
June 2026————
May 2026————

Data quality scorecard

4/6Acceptable

This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: low derived/percentage rates and standard code coverage.

Evaluated on the September 2026 release.

  • Professional & Institutional Rates

    Data includes both professional and institutional billing class rates

  • Valid Tax IDs

    More than 80% of Tax IDs are EIN or NPI (Organization) type

  • HIOS Plan

    Data includes at least one HIOS-identified plan

  • Low Derived/Percentage Rates

    10% or more of negotiation entries are derived or percentage type

  • Standard Code Coverage

    Insufficient CPT / HCPCS code coverage, or too many LOCAL entries

  • Common Taxonomies

    NPIs in the dataset cover at least 50 distinct provider taxonomies

How the score works

Each monthly release is checked against six criteria. 5–6 passing criteria rate Good, 3–4 rate Acceptable, and 0–2 rate Poor.

Behavioral, RX, and other specialty networks may not pass all criteria but can still contain complete and usable data.

Access the data

Ameri Health's negotiated rates, in the tools your team already uses

PayerPrice turns raw transparency files into one clean, normalized dataset across 180+ payers, refreshed every month. Pick how you want to work with it.

UI

Web app

Search Ameri Health's rates by code, provider or market and export the results. No setup required.

Start free trial
API

REST API

Pull negotiated rates, providers and benchmarks into your own products and pipelines.

Explore the API
SQL

Snowflake & Databricks

Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.

See data sharing
AI

MCP server

Ask Claude, Cursor or your own agents questions like "What does Ameri Health pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About Ameri Health's price transparency data.

What price transparency data does Ameri Health publish?

Ameri Health's September 2026 Transparency in Coverage files list 11 plans, 41K providers (NPIs), 30K tax IDs and 4.7K billing codes, for 5.3M negotiated rate rows in total.

Which states does Ameri Health's network cover?

Ameri Health's files include providers in 51 states. The states with the most in-network providers are New Jersey, Pennsylvania, Texas, New York, California.

How often is Ameri Health's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes Ameri Health's files monthly; the latest processed release is September 2026, and 18 monthly releases are available.

What is the Transparency in Coverage rule?

Since July 2022, the federal Transparency in Coverage rule has required most group health plans and health insurers to publish machine-readable files of their in-network negotiated rates and out-of-network allowed amounts, updated monthly. These files are the source for the data on this page.

How can I access Ameri Health's negotiated rates?

Start a free PayerPrice trial to search Ameri Health's rates in the web app, or book a demo to get the full dataset through the REST API, SQL in Snowflake or Databricks, or AI assistants through the PayerPrice MCP server.