Health Alliance
Last updated: October 2025
Price Transparency Machine-Readable Files Snapshot
Overview
440
Plans
81K
Providers (NPIs)
5.3K
Tax IDs
0
Billing Codes
0
Data Rows
Data Breakdown
Plans Type (HIOS vs EIN)
HIOS | 12 |
EIN | 430 |
NPIs
Individual | 77K |
Group | 4.5K |
Tax IDs
EIN | 5.2K |
NPI (Individual) | 90 |
NPI (Group) | 1 |
Top States by # NPIs
Illinois | 32K |
North Carolina | 12K |
Iowa | 9.4K |
Indiana | 7.9K |
Missouri | 6.1K |
Top Taxonomies by # NPIs
Family Nurse Practitioner | 5.5K |
Physician Assistant | 4.9K |
Family Medicine Physician | 4.5K |
Nurse Practitioner | 3.8K |
Internal Medicine Physician | 3.7K |
Monthly Metrics
| Month | Plans | NPIs | Tax IDs | Billing Codes | Data Rows |
|---|---|---|---|---|---|
October 2025 | 440 | 81K | 5.3K | 0 | 0 |
Data Coverage Scorecard
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 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.