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Regional Payer (Puerto Rico)

Payer price transparency data

Triple-S Salud

Triple-S Salud is a regional (Puerto Rico) health insurer. They report 4 insurance plans covering 19K providers across 13K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 202618 monthly releases tracked

Monthly release

4

Plans

19K

Providers (NPIs)

XX% vs prior month

27K

Tax IDs

XX% vs prior month

13K

Billing codes

XX% vs prior month

6.8M

Rate rows

XX% vs prior month

September 2026 release

What's in Triple-S Salud's data

A profile of the machine-readable files Triple-S Salud publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT11K6.7M99%
  • CDT77083K1.2%
  • RC4807.1K0.1%
  • HCPCS7201.4K<0.1%

Billing class

Professional vs. institutional rate rows

  • Institutional6.8M100%
  • Professional20K0.3%

Negotiation arrangement

How each rate is expressed

  • Fee Schedule5.6M83%
  • Negotiated1.2M17%
  • Per Diem7.1K0.1%

Plan identifiers

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

  • EIN4100%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)13K72%
  • Organization (Type 2)5.2K28%

Tax IDs by type

How provider groups are identified

  • EIN15K58%
  • NPI (Individual)11K40%
  • NPI (Organization)6502.4%

Top states

States with the most providers in network

  • Florida210
  • California97
  • New York53
  • Texas51
  • Pennsylvania33
  • North Carolina28

Top specialties

Provider taxonomies with the most NPIs

  • General Practice Physician2.5K
  • Clinical Psychologist1.1K
  • Internal Medicine Physician840
  • General Practice Dentistry720
  • Clinical Medical Laboratory690
  • Community/Retail Pharmacy600

These are the files. Want the rates inside them?

Look up Triple-S Salud'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 2026419K27K13K6.8M
August 2026419K27K13K6.7M
July 2026819K27K13K6.7M
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 includes both professional and institutional billing class rates

  • Valid Tax IDs

    Less 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

    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

Triple-S Salud'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 Triple-S Salud's rates by code, provider or market and export the results. No setup required.

Start free trial
API

REST API

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

Explore the API
SQL

Snowflake & Databricks

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

See data sharing
AI

MCP server

Ask Claude, Cursor or your own agents questions like "What does Triple-S Salud pay for CPT 99213 near me?"

Read the MCP docs
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Other79

Frequently asked questions

About Triple-S Salud's price transparency data.

What price transparency data does Triple-S Salud publish?

Triple-S Salud's September 2026 Transparency in Coverage files list 4 plans, 19K providers (NPIs), 27K tax IDs and 13K billing codes, for 6.8M negotiated rate rows in total.

Which states does Triple-S Salud's network cover?

Triple-S Salud's files include providers in 47 states. The states with the most in-network providers are Florida, California, New York, Texas, Pennsylvania.

How often is Triple-S Salud's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes Triple-S Salud's files monthly; the latest processed release is September 2026, and 18 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 Triple-S Salud's negotiated rates?

Start a free PayerPrice trial to search Triple-S Salud'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.