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Payer price transparency data

OSU Health Plan

OSU Health Plan is a health insurer. They report 1 insurance plans covering 34K providers across 15K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 202612 monthly releases tracked

Monthly release

1

Plans

34K

Providers (NPIs)

4K

Tax IDs

15K

Billing codes

69M

Rate rows

September 2026 release

What's in OSU Health Plan's data

A profile of the machine-readable files OSU Health Plan publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT10K51M74%
  • HCPCS4.2K18M26%
  • MS-DRG7705.4K<0.1%
  • CSTM-ALL15.3K<0.1%
  • RC463.2K<0.1%
  • CDT2857<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional66M95%
  • Institutional3.1M4.5%

Negotiation arrangement

How each rate is expressed

  • Fee Schedule69M100%
  • Percentage8.4K<0.1%
  • Negotiated6.7K<0.1%
  • Per Diem400<0.1%
  • Derived46<0.1%

Plan identifiers

HIOS IDs mark individual and small-group plans; EINs mark employer plans

  • EIN1100%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)33K97%
  • Organization (Type 2)9102.7%

Tax IDs by type

How provider groups are identified

  • EIN3.8K96%
  • NPI (Individual)1503.8%
  • NPI (Organization)3<0.1%

Top states

States with the most providers in network

  • Ohio30K
  • Kentucky920
  • Florida350
  • West Virginia300
  • Michigan280
  • Indiana240

Top specialties

Provider taxonomies with the most NPIs

  • Family Nurse Practitioner3.7K
  • Family Medicine Physician2.6K
  • Physician Assistant2.3K
  • Internal Medicine Physician1.8K
  • Nurse Practitioner1.2K
  • Obstetrics & Gynecology Physician920

These are the files. Want the rates inside them?

Look up OSU 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.

MonthPlansNPIsTax IDsBilling codesRate rows
September 2026134K4K15K69M
August 2026134K4K15K69M
July 2026133K4K15K68M
June 2026————
May 2026————

Data quality scorecard

5/6Good

This payer scores 5/6 on data quality (Good). Areas that don't meet the threshold: hios plan.

Evaluated on the September 2026 release.

  • 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 does not include any HIOS-identified plans

  • Low Derived/Percentage Rates

    Less than 10% 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

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

OSU 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.

UI

Web app

Search OSU Health Plan's rates by code, provider or market and export the results. No setup required.

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API

REST API

Pull negotiated rates, providers and benchmarks into your own products and pipelines.

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SQL

Snowflake & Databricks

Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.

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AI

MCP server

Ask Claude, Cursor or your own agents questions like "What does OSU Health Plan pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About OSU Health Plan's price transparency data.

What price transparency data does OSU Health Plan publish?

OSU Health Plan's September 2026 Transparency in Coverage files list 1 plans, 34K providers (NPIs), 4K tax IDs and 15K billing codes, for 69M negotiated rate rows in total.

Which states does OSU Health Plan's network cover?

OSU Health Plan's files include providers in 51 states. The states with the most in-network providers are Ohio, Kentucky, Florida, West Virginia, Michigan.

How often is OSU Health Plan's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes OSU Health Plan's files monthly; the latest processed release is September 2026, and 12 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 OSU Health Plan's negotiated rates?

Start a free PayerPrice trial to search OSU 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.