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Health First New York
Health First New York is a health insurer. They report 320 insurance plans covering 15K providers across 500 billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked
Monthly release
320
Plans
15K
Providers (NPIs)
XX% vs prior month
5.9K
Tax IDs
XX% vs prior month
500
Billing codes
770
Rate rows
September 2026 release
What's in Health First New York's data
A profile of the machine-readable files Health First New York publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CDT36061079%
- CPT12014019%
- HCPCS16222.9%
Billing class
Professional vs. institutional rate rows
- Professional770100%
Negotiation arrangement
How each rate is expressed
- Fee Schedule61079%
- Negotiated14018%
- Per Diem253.2%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID32099%
- EIN30.9%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)12K83%
- Organization (Type 2)2.5K17%
Tax IDs by type
How provider groups are identified
- EIN4.5K76%
- NPI (Individual)1.3K21%
- NPI (Organization)1803.1%
Top states
States with the most providers in network
- New York6.1K
- Florida2.7K
- Texas760
- California560
- Illinois460
- Michigan350
Top specialties
Provider taxonomies with the most NPIs
- Optometrist10K
- General Practice Dentistry870
- Ophthalmology Physician740
- Dentist610
- Chiropractor450
- Pediatric Dentistry230
These are the files. Want the rates inside them?
Look up Health First New York'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 |
|---|---|---|---|---|---|
| September 2026 | 320 | 15K | 5.9K | 500 | 770 |
| August 2026 | 320 | 15K | 5.9K | 500 | 770 |
| July 2026 | 320 | 15K | 5.9K | 500 | 770 |
| June 2026 | — | — | — | — | |
| May 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 September 2026 release.
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
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
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
Health First New York'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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REST API
Pull negotiated rates, providers and benchmarks into your own products and pipelines.
Explore the APISQL
Snowflake & Databricks
Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.
See data sharingAI
MCP server
Ask Claude, Cursor or your own agents questions like "What does Health First New York pay for CPT 99213 near me?"
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Frequently asked questions
About Health First New York's price transparency data.
What price transparency data does Health First New York publish?
Health First New York's September 2026 Transparency in Coverage files list 320 plans, 15K providers (NPIs), 5.9K tax IDs and 500 billing codes, for 770 negotiated rate rows in total.
Which states does Health First New York's network cover?
Health First New York's files include providers in 51 states. The states with the most in-network providers are New York, Florida, Texas, California, Illinois.
How often is Health First New York's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Health First New York's files monthly; the latest processed release is September 2026, and 19 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 Health First New York's negotiated rates?
Start a free PayerPrice trial to search Health First New York'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.