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Payer price transparency data

Baylor Scott & White Health Plan

Baylor Scott & White Health Plan is a health insurer. They report 10 insurance plans covering 83K providers across 6.5K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest July 202614 monthly releases tracked

Monthly release

10

Plans

83K

Providers (NPIs)

11K

Tax IDs

6.5K

Billing codes

950K

Rate rows

July 2026 release

What's in Baylor Scott & White Health Plan's data

A profile of the machine-readable files Baylor Scott & White Health Plan publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT4.4K820K86%
  • HCPCS1.7K110K12%
  • MS-DRG39021K2.3%

Billing class

Professional vs. institutional rate rows

  • Professional710K75%
  • Institutional240K25%

Negotiation arrangement

How each rate is expressed

  • Negotiated740K79%
  • Percentage200K21%

Plan identifiers

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

  • EIN10100%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)74K90%
  • Organization (Type 2)8.5K10%

Tax IDs by type

How provider groups are identified

  • EIN10K99%
  • NPI (Individual)1301.2%
  • NPI (Organization)8<0.1%

Top states

States with the most providers in network

  • Texas72K
  • California940
  • Florida930
  • New York510
  • Colorado420
  • Oklahoma410

Top specialties

Provider taxonomies with the most NPIs

  • Family Nurse Practitioner5.9K
  • Certified Registered Nurse Anesthetist4.6K
  • Family Medicine Physician4.4K
  • Physician Assistant3.6K
  • Internal Medicine Physician3.5K
  • Professional Counselor3.4K

These are the files. Want the rates inside them?

Look up Baylor Scott & White Health Plan'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
July 20261083K11K6.5K950K
June 2026————
May 2026————
April 2026————
March 2026————

Data quality scorecard

3/6Acceptable

This payer scores 3/6 on data quality (Acceptable). 3 criteria did not meet the threshold.

Evaluated on the July 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 does not include any HIOS-identified plans

  • 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

Baylor Scott & White Health Plan'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 Baylor Scott & White Health Plan'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 Baylor Scott & White Health Plan pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About Baylor Scott & White Health Plan's price transparency data.

What price transparency data does Baylor Scott & White Health Plan publish?

Baylor Scott & White Health Plan's July 2026 Transparency in Coverage files list 10 plans, 83K providers (NPIs), 11K tax IDs and 6.5K billing codes, for 950K negotiated rate rows in total.

Which states does Baylor Scott & White Health Plan's network cover?

Baylor Scott & White Health Plan's files include providers in 51 states. The states with the most in-network providers are Texas, California, Florida, New York, Colorado.

How often is Baylor Scott & White Health Plan's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes Baylor Scott & White Health Plan's files monthly; the latest processed release is July 2026, and 14 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 Baylor Scott & White Health Plan's negotiated rates?

Start a free PayerPrice trial to search Baylor Scott & White Health Plan'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.