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Geisinger Health Plan
Geisinger Health Plan is a health insurer. They report 24K insurance plans covering 5 providers across 32 billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest July 202610 monthly releases tracked
Monthly release
24K
Plans
5
Providers (NPIs)
2
Tax IDs
32
Billing codes
64
Rate rows
July 2026 release
What's in Geisinger Health Plan's data
A profile of the machine-readable files Geisinger Health Plan publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- RC153047%
- CPT132641%
- HCPCS4813%
Billing class
Professional vs. institutional rate rows
- Institutional64100%
Negotiation arrangement
How each rate is expressed
- Negotiated64100%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID10K44%
- EIN13K56%
Providers by type
Distinct NPIs by entity type
- Organization (Type 2)5100%
Tax IDs by type
How provider groups are identified
- EIN2100%
Top states
States with the most providers in network
- Pennsylvania5
Top specialties
Provider taxonomies with the most NPIs
- Home Health Agency3
- Community Based Hospice Care Agency2
These are the files. Want the rates inside them?
Look up Geisinger 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.
| Month | Plans | NPIs | Tax IDs | Billing codes | Rate rows |
|---|---|---|---|---|---|
| July 2026 | 24K | 5 | 2 | 32 | 64 |
| June 2026 | — | — | — | — | |
| May 2026 | — | — | — | — | |
| March 2026 | — | — | — | — | |
| October 2025 | — | — | — | — |
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 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
Geisinger 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.
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Frequently asked questions
About Geisinger Health Plan's price transparency data.
What price transparency data does Geisinger Health Plan publish?
Geisinger Health Plan's July 2026 Transparency in Coverage files list 24K plans, 5 providers (NPIs), 2 tax IDs and 32 billing codes, for 64 negotiated rate rows in total.
Which states does Geisinger Health Plan's network cover?
Geisinger Health Plan's files include providers in 1 states. The states with the most in-network providers are Pennsylvania.
How often is Geisinger Health Plan's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Geisinger Health Plan's files monthly; the latest processed release is July 2026, and 10 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 Geisinger Health Plan's negotiated rates?
Start a free PayerPrice trial to search Geisinger 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.