Geisinger Health Plan
Last updated: May 2026
Geisinger Health Plan is a health insurer. They report 10K insurance plans covering 55K providers across 95K billing codes.
Data Version
Price Transparency Machine-Readable Files Snapshot
Overview
10K
Plans
XX% vs prev55K
Providers (NPIs)
1.6K
Tax IDs
95K
Billing Codes
17M
Data Rows
Geographic Coverage
Top states by provider count:
Data Breakdown
Plans Type (HIOS vs EIN)
HIOS | 5K |
EIN | 5.4K |
NPIs
Individual | 52K |
Group | 3.1K |
Tax IDs
EIN | 1.6K |
NPI (Individual) | 7 |
Billing Code Type
| Codes | Rows | |
|---|---|---|
CPT | 13K | 13M |
HCPCS | 8.8K | 2.1M |
ICD | 35K | 1.6M |
HIPPS | 35K | 180K |
APC | 850 | 130K |
MS-DRG | 830 | 110K |
CDT | 960 | 63K |
RC | 220 | 7K |
ASC | 45 | 6.3K |
PROC | 1 | 22 |
Billing Class
| Rows | |
|---|---|
Professional | 14M |
Institutional | 3.6M |
Negotiated Type
| Rows | |
|---|---|
Fee Schedule | 13M |
Percentage | 2.7M |
Negotiated | 970K |
Per Diem | 130K |
Top States by # NPIs
Pennsylvania | 41K |
New Jersey | 3.7K |
New York | 2.2K |
Delaware | 870 |
Maryland | 740 |
Top Taxonomies by # NPIs
Family Medicine Physician | 3.3K |
Internal Medicine Physician | 2.9K |
Professional Counselor | 2.9K |
Diagnostic Radiology Physician | 2.8K |
Clinical Social Worker | 2.4K |
Want to explore Geisinger Health Plan's actual negotiated rates?
See code-level rates by provider, specialty, and geography.
Historical Metrics
| Month | Plans | NPIs | Tax IDs | Billing Codes | Data Rows |
|---|---|---|---|---|---|
May 2026 | 10K | 55K | 1.6K | 95K | 17M |
March 2026 | 13K | 0 | 0 | 0 | 0 |
October 2025 | 29 | 61K | 6.4K | 94K | 11M |
September 2025 | — | — | — | — | |
July 2025 | — | — | — | — |
Show all 8 months
Data Coverage Scorecard
This payer scores 5/6 on data quality (Good). Areas that don't meet the threshold: low derived/percentage rates.
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
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
Methodology
The scorecard evaluates each payer's monthly price transparency data against six quality criteria:
If 5–6 criteria pass, the overall rating is Good.
If 3–4 criteria pass, the rating is Acceptable.
If 0–2 criteria pass, the rating is Poor.
Behavioral, RX, and other specialty networks may not pass all criteria but can still contain complete and usable data.