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Hawaii Medical Service Association

Blue Cross Blue Shield (BCBS)
Regional Payer (Hawaii)

Last updated: May 2026

Hawaii Medical Service Association is a regional (Hawaii) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 38 insurance plans covering 95K providers across 20K billing codes.

Data Version

Price Transparency Machine-Readable Files Snapshot
May 2026
Overview
38

Plans

95K

Providers (NPIs)

50K

Tax IDs

20K

Billing Codes

4.6M

Data Rows

XX% vs prev
Geographic Coverage

Top states by provider count:

California (12K)
Hawaii (8.3K)
Texas (6.6K)
Florida (6.1K)
Data Breakdown
Plans Type (HIOS vs EIN)

HIOS

14

EIN

24

NPIs

Individual

81K

Group

15K

Tax IDs

EIN

38K

NPI (Individual)

10K

NPI (Group)

1.6K

Billing Code Type
CodesRows

CPT

12K

3.2M

HCPCS

7.4K

1.3M

LOCAL

21

4.3K

CDT

850

770

Billing Class
Rows

Professional

4.6M

Negotiated Type
Rows

Fee Schedule

3.4M

Negotiated

610K

Percentage

540K

Per Diem

120

Top States by # NPIs

California

12K

Hawaii

8.3K

Texas

6.6K

Florida

6.1K

New York

5.7K

Top Taxonomies by # NPIs

Optometrist

50K

Chiropractor

16K

Ophthalmology Physician

6.2K

Acupuncturist

4.2K

Massage Therapist

1.5K

Want to explore Hawaii Medical Service Association's actual negotiated rates?

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
May 2026
3895K50K20K4.6M
April 2026
3896K51K20K5.1M
March 2026
3896K51K20K4.9M
February 2026

January 2026

Show all 15 months

Data Coverage Scorecard
3/6 — Acceptable

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

Professional & Institutional Rates

Data is missing professional and/or institutional billing class rates

Valid Tax IDs

Less 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.

PRICE TRANSPARENCY DATA

Explore Hawaii Medical Service Association negotiated rates.