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Texas Children's Health Plan
Texas Children's Health Plan is a health insurer. They report 1 insurance plans covering 8.9K providers across 18K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked
Monthly release
1
Plans
8.9K
Providers (NPIs)
XX% vs prior month
620
Tax IDs
XX% vs prior month
18K
Billing codes
XX% vs prior month
1.9M
Rate rows
XX% vs prior month
September 2026 release
What's in Texas Children's Health Plan's data
A profile of the machine-readable files Texas Children's Health Plan publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT11K1.3M70%
- HCPCS7K550K30%
- MS-DRG7407K0.4%
- RC120560<0.1%
- CSTM-ALL1120<0.1%
Billing class
Professional vs. institutional rate rows
- Professional1.8M97%
- Institutional55K2.9%
Negotiation arrangement
How each rate is expressed
- Fee Schedule1.9M100%
- Percentage6.6K0.3%
- Per Diem440<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)8.8K99%
- Organization (Type 2)1001.1%
Tax IDs by type
How provider groups are identified
- EIN62099%
- NPI (Individual)81.3%
Top states
States with the most providers in network
- Texas8.2K
- Florida49
- California49
- New York45
- Ohio44
- Pennsylvania39
Top specialties
Provider taxonomies with the most NPIs
- Pediatrics Physician770
- Family Medicine Physician680
- Internal Medicine Physician580
- Physician Assistant490
- Family Nurse Practitioner390
- Obstetrics & Gynecology Physician310
These are the files. Want the rates inside them?
Look up Texas Children's 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 |
|---|---|---|---|---|---|
| September 2026 | 1 | 8.9K | 620 | 18K | 1.9M |
| August 2026 | 1 | 8.8K | 620 | 18K | 1.9M |
| July 2026 | 1 | 8.9K | 630 | 18K | 1.9M |
| 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
Texas Children's 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 Texas Children's Health Plan's price transparency data.
What price transparency data does Texas Children's Health Plan publish?
Texas Children's Health Plan's September 2026 Transparency in Coverage files list 1 plans, 8.9K providers (NPIs), 620 tax IDs and 18K billing codes, for 1.9M negotiated rate rows in total.
Which states does Texas Children's Health Plan's network cover?
Texas Children's Health Plan's files include providers in 49 states. The states with the most in-network providers are Texas, Florida, California, New York, Ohio.
How often is Texas Children's Health Plan's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Texas Children's Health Plan'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 Texas Children's Health Plan's negotiated rates?
Start a free PayerPrice trial to search Texas Children's 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.