Feb 2026 - Hospitals and Health Systems Release

Release Summary

2.26 billion negotiated rates
407,975 provider records
6,533 unique hospital and health system EINs
60 payers and their widest networks

Covered Hospital and Health Systems

Includes 6,533 unique hospital and health system EINs
Covers 12,602 total hospital NPIs
Represents acute care, psychiatric, rehabilitation, and military hospitals
Includes both single-facility hospitals and multi-facility health systems

Covered Payors and Networks

Includes 60 payors and their widest networks

#	Payer Name	Network Name	Covered EINs	TIC v2
1	Aetna	Aetna Exchange - Aetna PPO	5,874	✓
2	Anthem BC California	Blue Cross of California PAR providers	552	✓
3	Anthem BCBS Central States	Blue Traditional	856	✓
4	Anthem BCBS Colorado	BluePreferred PPO	113	✓
5	Anthem BCBS Connecticut	Century Preferred	76	✓
6	Anthem BCBS Georgia	BCBS Georgia PAR providers	291	✓
7	Anthem BCBS Kentucky	Anthem BCBS Blue High Performance	142	✓
8	Anthem BCBS Maine	Anthem Main Blue Choice	71	✓
9	Anthem BCBS Missouri	Blue Access Choice	192	✓
10	Anthem BCBS Nevada	Anthem Nevada BluePreferred	66	✓
11	Anthem BCBS New Hampshire	Anthem BCBS - Preferred Blue	89	✓
12	Anthem BCBS Ohio	Participating Providers	140	✓
13	Anthem BCBS Virginia	Anthem KeyCare PPO	178	✓
14	Anthem BCBS Wisconsin	Blue Preferred POS	237	✓
15	Arkansas BCBS	True Blue PPO	125	✓
16	BCBS of Mississippi	BCBS Mississippi - PAR Network	128	✓
17	BCBS of Rhode Island	Classic Blue	32	✓
18	BCBS Of Arizona	Blue Preferred	114
19	BCBS of Massachusetts	BCBS Massachusetts Blue Care Elect	568	✓
20	BCBS of Michigan	TRUST	452	✓
21	BCBS of Nebraska	Network BLUE	120
22	BCBS of North Dakota	Traditional	70	✓
23	BCBS of Wyoming	BCBS Wyoming - PAR Network	57	✓
24	BCBS of Alabama	BCBS Alabama - PAR Network	138
25	BCBS of Hawaii	Preferred Provider Network	62	✓
26	BCBS of Illinois	BCBS Illinois - Participating Provider Option	306	✓
27	BCBS of Kansas	BCBS Kansas Blue Choice	154	✓
28	BCBS of Kansas City	Preferred Care PPO	54	✓
29	BCBS of Louisiana	BCBS Louisiana Blue High Performance	198	✓
30	BCBS of Minnesota	BCBS Minnesota Aware	162
31	BCBS of Montana	BCBS Montana - PAR Network	76	✓
32	BCBS of New Mexico	New Mexico Par Network	64	✓
33	BCBS of North Carolina	Preferred Provider Network (PPN)	1,328	✓
34	BCBS of Oklahoma	Blue Traditional	155	✓
35	BCBS of Texas	PAR Network (Preview)	528	✓
36	BCBS of Vermont	BCBS Vermont - PAR providers	32	✓
37	BC of Idaho	BC Idaho - Preferred Blue	86	✓
38	BS of California	BS California - PPO Network	304	✓
39	BCBS of Puerto Rico	Triple S - PAR Network	63	✓
40	BCBS of South Carolina	PAR providers	90	✓
41	Capital BC	Capital Blue Cross Traditional	687
42	CareFirst BCBS	CareFirst BCBS - PAR Network	114	✓
43	Cigna	Localplus	5,475
44	Empire BCBS	Empire BCBS - PPO Network	419	✓
45	Excellus BCBS	BlueShield Par	99
46	Florida Blue	BlueChoice	243
47	Highmark BCBS Delaware	BCBS Delaware Blue Choice	27	✓
48	Highmark BCBS West Virginia	Super Blue Plus	64	✓
49	Highmark BCBS of Western New York	HighMark BlueCross BlueShield of Western New York-PPO	53	✓
50	Highmark BS Pennsylvania	Highmark BS Network	232	✓
51	Highmark BS of Northeastern New York	PPO	33	✓
52	Horizon BCBS of New Jersey	Select Hospitals/PAR Physicians	215	✓
53	Independence BC	Independence BC - PAR Network	181
54	Premera BC	Traditional	182	✓
55	Regence BCBS of Oregon	Regence BCBS Oregon - PAR Network	94	✓
56	Regence BCBS of Utah	ValueCare	47	✓
57	Regence BS of Idaho	Blue Shield Preferred Providers	71	✓
58	Regence BS of Washington	Regence BS BlueCard PPO	88	✓
59	UnitedHealthcare Insurance Company	Choice	5,356	✓
60	Wellmark BCBS of Iowa	Wellmark BCBS Iowa Alliance Select	163

Included Tables and Views

Tables

`providers`

Contains provider-level information from transparency in coverage files, including:

NPI and TIN identifiers
Business and provider names
Imputed EIN attribution for hospital and health system grouping
Network and payer associations
Provider taxonomy and location data

`rates`

Contains negotiated rate information for billing codes:

Billing codes (CPT, HCPCS, DRG, etc.) with modifiers
Negotiated rates and arrangement types
Service settings and classifications
Bundled code relationships
Rate descriptions and metadata

`payer_network_manifest`

Metadata table containing:

Payer and network names and identifiers
Count of covered EINs per payer-network combination
TIC v2 format indicator

Views

`V_PROVIDER_RATES`

A denormalized view that joins the providers and rates tables to provide complete provider and rate context in a single query. This view includes all provider attributes alongside their associated negotiated rates, enabling efficient analysis of provider-specific pricing without needing to manually join the tables. Join Keys:

schedule_id
payer_slug
network_slug
date_key

Payer Network Manifest

The payer_network_manifest table contains metadata about each payer-network combination in this release.

Table Columns

#	Column Name	Type	Description
1	payer_slug	string	Standardized payer identifier
2	payer_name	string	Full payer name
3	network_slug	string	Standardized network identifier
4	network_name	string	Full network name
5	num_covered_eins	number	Count of covered hospital/health system EINs
6	is_tic_v2	boolean	Indicates TIC v2 format compliance

Column Descriptions

payer_slug

Type: string Standardized payer identifier used for consistent referencing and filtering. Example Values:

bcbs_nc
anthem_bcbs_co
uhc
cigna
aetna

payer_name

Type: string Full legal or business name of the insurance payer organization. Example Values:

Blue Cross and Blue Shield of North Carolina
Anthem Blue Cross and Blue Shield Colorado
UnitedHealthcare Insurance Company

network_slug

Type: string Standardized network identifier, typically includes payer identifier and network name components. Example Values:

bcbs_nc_preferred_provider_network_ppn
anthem_bcbs_co_bluepreferred_ppo
uhc_choice

network_name

Type: string Full name of the insurance network or plan. Example Values:

Preferred Provider Network (PPN)
BluePreferred PPO
Choice

num_covered_eins

Type: number Count of unique hospital and health system EINs with negotiated rates in this payer-network combination. Example Values:

1328
113
5356

is_tic_v2

Type: boolean Indicates TIC v2 (Transparency in Coverage version 2) format compliance. Possible Values:

true - Complies with TIC v2 format
false - Uses earlier TIC format version

PriceMedic Core

Reports

Data Integrations

Feb 2026 - Hospitals and Health Systems Release

Release Summary

Covered Hospital and Health Systems

Covered Payors and Networks

Included Tables and Views

Tables

`providers`

`rates`

`payer_network_manifest`

Views

`V_PROVIDER_RATES`

Payer Network Manifest

Table Columns

Column Descriptions

payer_slug

payer_name

network_slug

network_name

num_covered_eins

is_tic_v2

​Release Summary

​Covered Hospital and Health Systems

​Covered Payors and Networks

​Included Tables and Views

​Tables

​providers

​rates

​payer_network_manifest

​Views

​V_PROVIDER_RATES

​Payer Network Manifest

​Table Columns

​Column Descriptions

​payer_slug

​payer_name

​network_slug

​network_name

​num_covered_eins

​is_tic_v2

Release Summary

Covered Hospital and Health Systems

Covered Payors and Networks

Included Tables and Views

Tables

`providers`

`rates`

`payer_network_manifest`

Views

`V_PROVIDER_RATES`

Payer Network Manifest

Table Columns

Column Descriptions

payer_slug

payer_name

network_slug

network_name

num_covered_eins

is_tic_v2