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Payer price transparency data

Ventura County Health Care Plan

Ventura County Health Care Plan is a health insurer. They report 1 insurance plans covering 4.5K providers across 17K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 20268 monthly releases tracked

Monthly release

1

Plans

4.5K

Providers (NPIs)

180

Tax IDs

17K

Billing codes

XX% vs prior month

2.2M

Rate rows

XX% vs prior month

September 2026 release

What's in Ventura County Health Care Plan's data

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

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT11K1.5M69%
  • HCPCS5.6K680K30%
  • RC4909.4K0.4%
  • CDT11770<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional2.1M95%
  • Institutional100K4.6%

Negotiation arrangement

How each rate is expressed

  • Fee Schedule1.7M76%
  • Percentage410K19%
  • Negotiated120K5.2%
  • Per Diem410<0.1%
  • Derived4<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)4.1K92%
  • Organization (Type 2)3608.0%

Tax IDs by type

How provider groups are identified

  • EIN180100%

Top states

States with the most providers in network

  • California3.9K
  • Texas61
  • Washington46
  • New York39
  • Florida37
  • Arizona30

Top specialties

Provider taxonomies with the most NPIs

  • Diagnostic Radiology Physician400
  • Family Medicine Physician320
  • Anesthesiology Physician270
  • Pediatrics Physician160
  • Physical Therapist140
  • Internal Medicine Physician130

These are the files. Want the rates inside them?

Look up Ventura County Health Care 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 202614.5K18017K2.2M
August 202614.5K18017K2.2M
July 202623.1K10017K1.1M
June 2026————
May 2026————

Data quality scorecard

4/6Acceptable

This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: hios plan and low derived/percentage rates.

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

    10% or more 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

Ventura County Health Care 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 Ventura County Health Care Plan'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 Ventura County Health Care Plan pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About Ventura County Health Care Plan's price transparency data.

What price transparency data does Ventura County Health Care Plan publish?

Ventura County Health Care Plan's September 2026 Transparency in Coverage files list 1 plans, 4.5K providers (NPIs), 180 tax IDs and 17K billing codes, for 2.2M negotiated rate rows in total.

Which states does Ventura County Health Care Plan's network cover?

Ventura County Health Care Plan's files include providers in 44 states. The states with the most in-network providers are California, Texas, Washington, New York, Florida.

How often is Ventura County Health Care Plan's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes Ventura County Health Care Plan's files monthly; the latest processed release is September 2026, and 8 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 Ventura County Health Care Plan's negotiated rates?

Start a free PayerPrice trial to search Ventura County Health Care 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.