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Payer price transparency data

CareSource (incl Common Ground Health Coop)

CareSource (incl Common Ground Health Coop) is a health insurer. They report 19 insurance plans covering 120K providers across 33K billing codes.

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

Monthly release

19

Plans

120K

Providers (NPIs)

XX% vs prior month

8.3K

Tax IDs

XX% vs prior month

33K

Billing codes

XX% vs prior month

290M

Rate rows

XX% vs prior month

September 2026 release

What's in CareSource (incl Common Ground Health Coop)'s data

A profile of the machine-readable files CareSource (incl Common Ground Health Coop) publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT24K230M79%
  • HCPCS8.3K61M21%
  • CDT810580K0.2%

Billing class

Professional vs. institutional rate rows

  • Institutional190M66%
  • Professional100M34%

Negotiation arrangement

How each rate is expressed

  • Fee Schedule210M71%
  • Negotiated79M27%
  • Percentage7.7M2.6%
  • Per Diem71K<0.1%

Plan identifiers

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

  • HIOS ID19100%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)120K95%
  • Organization (Type 2)6.8K5.5%

Tax IDs by type

How provider groups are identified

  • EIN8.2K99%
  • NPI (Individual)1201.4%

Top states

States with the most providers in network

  • Kentucky25K
  • Indiana17K
  • Michigan16K
  • Wisconsin13K
  • Ohio13K
  • West Virginia10K

Top specialties

Provider taxonomies with the most NPIs

  • Family Nurse Practitioner13K
  • Physician Assistant7K
  • Family Medicine Physician6.6K
  • Nurse Practitioner5.9K
  • Internal Medicine Physician5.3K
  • Clinical Social Worker4.8K

These are the files. Want the rates inside them?

Look up CareSource (incl Common Ground Health Coop)'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 202619120K8.3K33K290M
August 202619110K7.1K33K220M
July 202619110K6.9K33K220M
June 2026————
April 2026————

Data quality scorecard

6/6Good

This payer meets all 6 data quality criteria — their transparency files are comprehensive and well-structured.

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

    Less than 10% of negotiation entries are derived or percentage type

  • Standard Code Coverage

    Sufficient CPT and HCPCS code coverage with low proportion of 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

CareSource (incl Common Ground Health Coop)'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 CareSource (incl Common Ground Health Coop)'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 CareSource (incl Common Ground Health Coop) pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About CareSource (incl Common Ground Health Coop)'s price transparency data.

What price transparency data does CareSource (incl Common Ground Health Coop) publish?

CareSource (incl Common Ground Health Coop)'s September 2026 Transparency in Coverage files list 19 plans, 120K providers (NPIs), 8.3K tax IDs and 33K billing codes, for 290M negotiated rate rows in total.

Which states does CareSource (incl Common Ground Health Coop)'s network cover?

CareSource (incl Common Ground Health Coop)'s files include providers in 51 states. The states with the most in-network providers are Kentucky, Indiana, Michigan, Wisconsin, Ohio.

How often is CareSource (incl Common Ground Health Coop)'s data updated?

Payers must post updated machine-readable files every month. PayerPrice processes CareSource (incl Common Ground Health Coop)'s files monthly; the latest processed release is September 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 CareSource (incl Common Ground Health Coop)'s negotiated rates?

Start a free PayerPrice trial to search CareSource (incl Common Ground Health Coop)'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.