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Payer price transparency data

Community Health Choice

Community Health Choice is a health insurer. They report 2 insurance plans covering 2 providers across 150 billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest August 202616 monthly releases tracked

Monthly release

2

Plans

XX% vs prior month

2

Providers (NPIs)

XX% vs prior month

1

Tax IDs

XX% vs prior month

150

Billing codes

XX% vs prior month

150

Rate rows

XX% vs prior month

August 2026 release

What's in Community Health Choice's data

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

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • MS-DRG150150100%

Billing class

Professional vs. institutional rate rows

  • Unknown150100%

Negotiation arrangement

How each rate is expressed

  • Negotiated150100%

Plan identifiers

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

  • HIOS ID150%
  • EIN150%

Providers by type

Distinct NPIs by entity type

  • Organization (Type 2)2100%

Tax IDs by type

How provider groups are identified

  • EIN1100%

Top states

States with the most providers in network

  • Texas2

Top specialties

Provider taxonomies with the most NPIs

  • General Acute Care Hospital2

These are the files. Want the rates inside them?

Look up Community Health Choice'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
August 2026221150150
July 2026118138303.7K
June 2026————
May 2026————
April 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 August 2026 release.

  • Professional & Institutional Rates

    Data is missing professional and/or 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

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

  • Common Taxonomies

    NPIs in the dataset cover fewer than 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

Community Health Choice'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 Community Health Choice'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 Community Health Choice pay for CPT 99213 near me?"

Read the MCP docs
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Centene Group7
Cigna Healthcare1
Dean Health Plan Group2
United Healthcare1
Other79

Frequently asked questions

About Community Health Choice's price transparency data.

What price transparency data does Community Health Choice publish?

Community Health Choice's August 2026 Transparency in Coverage files list 2 plans, 2 providers (NPIs), 1 tax IDs and 150 billing codes, for 150 negotiated rate rows in total.

Which states does Community Health Choice's network cover?

Community Health Choice's files include providers in 1 states. The states with the most in-network providers are Texas.

How often is Community Health Choice's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes Community Health Choice's files monthly; the latest processed release is August 2026, and 16 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 Community Health Choice's negotiated rates?

Start a free PayerPrice trial to search Community Health Choice'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.