File Name
2023-02-06_Connecticare_060924891_allowed-amounts.json
2023-02-06_Connecticare_061123961_allowed-amounts.json
2023-02-06_Connecticare_066002003_allowed-amounts.json
2023-02-06_Connecticare_10000010_allowed-amounts.json
2023-02-06_Connecticare_208007566_allowed-amounts.json
2023-02-06_Connecticare_261330097_allowed-amounts.json
2023-02-06_Connecticare_75091CT1100002_allowed-amounts.json
2023-02-06_Connecticare_75091CT1100007_allowed-amounts.json
2023-02-06_Connecticare_75091CT1130001_allowed-amounts.json
2023-02-06_Connecticare_75091CT1130002_allowed-amounts.json
2023-02-06_Connecticare_75091CT1150001_allowed-amounts.json
2023-02-06_Connecticare_75091CT1150002_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000100_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000101_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000102_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000103_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000200_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000201_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000500_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000501_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000502_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000503_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000504_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000505_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000506_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000600_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000601_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000602_allowed-amounts.json
2023-02-06_Connecticare_76962CT001000603_allowed-amounts.json
2023-02-06_Connecticare_76962CT001001100_allowed-amounts.json
2023-02-06_Connecticare_76962CT001001101_allowed-amounts.json
2023-02-06_Connecticare_76962CT001001102_allowed-amounts.json
2023-02-06_Connecticare_76962CT001001103_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002300_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002301_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002302_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002303_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002600_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002601_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002602_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002603_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002700_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002701_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002702_allowed-amounts.json
2023-02-06_Connecticare_76962CT001002703_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000100_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000101_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000102_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000103_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000200_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000201_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000202_allowed-amounts.json
2023-02-06_Connecticare_76962CT003000203_allowed-amounts.json
2023-02-06_Connecticare_76962CT004000100_allowed-amounts.json
2023-02-06_Connecticare_76962CT004000101_allowed-amounts.json
2023-02-06_Connecticare_76962CT004000102_allowed-amounts.json
2023-02-06_Connecticare_76962CT004000103_allowed-amounts.json
2023-02-06_Connecticare_94815CT0020021_allowed-amounts.json
2023-02-06_Connecticare_94815CT0020024_allowed-amounts.json
2023-02-06_Connecticare_94815CT0020031_allowed-amounts.json
2023-02-06_Connecticare_94815CT0020033_allowed-amounts.json
2023-02-06_Connecticare_94815CT0020039_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000100_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000101_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000102_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000103_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000200_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000201_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000202_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000203_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000300_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000301_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000302_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000303_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000400_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000401_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000402_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000403_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000500_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000501_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000502_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000503_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000504_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000505_allowed-amounts.json
2023-02-06_Connecticare_94815CT005000506_allowed-amounts.json
2023-02-06_Connecticare_94815CT006000100_allowed-amounts.json
2023-02-06_Connecticare_94815CT006000101_allowed-amounts.json
2023-02-06_Connecticare_94815CT006000102_allowed-amounts.json
2023-02-06_Connecticare_94815CT006000103_allowed-amounts.json
2023-02-06_Connecticare_DP030040_allowed-amounts.json
2023-02-06_Connecticare_DP030041_allowed-amounts.json
2023-02-06_Connecticare_DP040001_allowed-amounts.json
2023-02-06_Connecticare_DP040004_allowed-amounts.json
2023-02-06_Connecticare_DP040005_allowed-amounts.json
2023-02-06_Connecticare_ME030148_allowed-amounts.json
2023-02-06_Connecticare_ME030149_allowed-amounts.json
2023-02-06_Connecticare_ME030150_allowed-amounts.json
2023-02-06_Connecticare_ME030151_allowed-amounts.json
2023-02-06_Connecticare_ME030152_allowed-amounts.json
2023-02-06_Connecticare_ME030153_allowed-amounts.json
2023-02-06_Connecticare_ME030179_allowed-amounts.json
2023-02-06_Connecticare_ME030180_allowed-amounts.json
2023-02-06_Connecticare_ME030181_allowed-amounts.json
2023-02-06_Connecticare_ME030227_allowed-amounts.json
2023-02-06_Connecticare_ME030228_allowed-amounts.json
2023-02-06_Connecticare_ME030229_allowed-amounts.json
2023-02-06_Connecticare_MS030233_allowed-amounts.json
2023-02-06_Connecticare_MS031889_allowed-amounts.json
2023-02-06_Connecticare_MS031890_allowed-amounts.json
2023-02-06_Connecticare_MS031891_allowed-amounts.json
2023-02-06_Connecticare_MS031892_allowed-amounts.json
2023-02-06_Connecticare_MS031893_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CC CHOICE SOLO POS $60 OP 60% AFTER DED IP CY_CC06481B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $0 AFTER DED OP 50% AFTER DED IP CY_CC06417B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $10 OP $75 DAY UP TO $300 ADMIT IP CY_CC06437B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $20 OP $100 DAY UP TO $400 ADMIT AFTER DED IP CY_CC06456B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $40 OP $500 DAY UP TO $2000 ADMIT AFTER DED IP CY_CC06405B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $40 OP $500 DAY UP TO $2000 ADMIT AFTER DED IP CY_CC06428B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $50 OP $500 DAY UP TO $1000 ADMIT AFTER DED IP CY_CC06431B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $50 OP $500 DAY UP TO $1000 ADMIT AFTER DED IP CY_CC06467B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $60 OP 55% AFTER DED IP CY_CC06436B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS $60 OP 60% AFTER DED IP CY_CC06446B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CHOICE POS VIS 1-3 $30,VIS 4+ $0 AFTER DED OP 100% AFTER DED IP CY_CC06448B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI CHOICE SOLO POS $70 OP 70% AFTER DED IP CY_CC06483B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI FLEX POS $20 OP $500 DAY UP TO $1000 ADMIT AFTER DED IP CY_CC06433B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI FLEX POS $20 OP 90% AFTER DED IP CY_CC06459B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI FLEX POS $30 OP 100% AFTER DED IP PY_CC07988B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI FLEX POS $30 OP 100% AFTER DED IP PY_CC08086B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI FLEX POS $40 OP $500 DAY UP TO $2000 ADMIT AFTER DED IP CY_CC06406B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI FLEX POS $50 OP $500 DAY UP TO $1000 ADMIT AFTER DED IP CY_CC06432B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI HDHP FLEX POS $0 AFTER DED OP 100% AFTER DED IP FAM PY_CC10993B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI HDHP FLEX POS $0 AFTER DED OP 90% AFTER DED IP PY_CC08519B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI CI HDHP FLEX POS 20% AFTER DED OP 80% AFTER DED IP CY_CC06472B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI HDHP CHOICE POS 20% AFTER DED OP 80% AFTER DED IP CY_CC06443B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI HDHP CHOICE POS 20% AFTER DED OP 80% AFTER DED IP CY_CC06460B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI HDHP CHOICE POS 50% AFTER DED OP 50% AFTER DED IP PY_CC00423B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI HUSKY CHOICE POS $0 OP 100% IP CY_CC06413B_allowed-amounts.json
2023-02-14_OPTUMBH_CCI PASSAGE POS $0 AFTER DED OP 50% AFTER DED IP CY_CC06447B_allowed-amounts.json
2023-02-14_OPTUMBH_Choice Gold Standard POS_CC06434B_allowed-amounts.json
2023-02-14_OPTUMBH_Choice POS-OA-CNT-HSA-3000I 6000F-18_CC17583B_allowed-amounts.json
2023-02-14_OPTUMBH_FLEXPOS $30 $50 $2,000_CC00510B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS 30 45 $5000Ded CNT 08_CC10963B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS Copay $3000_CC05202B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS Copay Coins. $2500_CC05205B_allowed-amounts.json
2023-02-14_OPTUMBH_FLEXPOS HSA $3,000 25%_CC00507B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS HSA Coins. $5800 $11600 ded. with Dental_CC05199B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS HSA Copay Coins 3000 6000 ded with Dental_CC05207B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS HSA Copay Coins 6400 12800 ded with Dental_CC05208B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CAL-30-30-100-100D-02_CC29099B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CAL-HSA-2250I 4500F-04-Combined_CC29223B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CNT-30-45-300-500D-03_CC29723B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CNT-HSA-2000I 4000F-43-Combined_CC29116B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CNT-HSA-2000I 4000F-72_CC33169B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CNT-HSA-2250I 4500F-10-10-02-Combined_CC32063B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CNT-HSA-2500I 5000F-30-45-11_CC30245B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CNT-HSA-2500I 5000F-30-45-11_CC30246B_allowed-amounts.json
2023-02-14_OPTUMBH_FlexPOS-CNT-HSA-2750I 5500F-02-Combined_CC29196B_allowed-amounts.json
PLEASE NOTE: Not all In-Network files are listed. Files will be continuously added/updated when available.
BACKGROUND

Federal regulations require non-grandfathered group health plans and health insurance issuers in the individual and group markets to disclose certain pricing information, like in-network negotiated rates and out-of-network-allowed amounts through machine-readable files. While these files are available to the public, they are technical in nature and may be most helpful to data analysts for education or research purposes.

USE OF THE FILES

The machine-readable files follow a format set out by the Centers for Medicare & Medicaid Services (CMS) and are updated monthly. They are presented in a JSON format and are made available to the public in good faith without restriction. They may be downloaded for reuse. Our employer customers may link to this page to provide access to the files via their website. CMS provides additional technical information about machine-readable files at github.com/CMSgov/price-transparency-guide.

DISCLAIMERS

The machine-readable files contain information generated from our systems and from our vendors. While we believe the information to be accurate, we can’t guarantee that the information is error-free, complete, or will operate without interruption. Any use by a third party of the pricing information within the files and any liability attached thereto is at the risk of such third party. Rates represented in the files do not guarantee that items or services described in the files will be covered under any particular benefit plan. Members can access cost estimates for services under their plan through a cost-estimator tool located on our member website. CMS will release updated versions of the file requirements. As additional guidance is released, ConnectiCare will update the files within a commercially reasonable time frame.

TO THE MAXIMUM EXTENT ALLOWED BY LAW, CONNECTICARE MAKES NO WARRANTY, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE REGARDING HOSTED MACHINE-READABLE FILES (INCLUDING BUT NOT LIMITED TO USE OF DATA IN ANY THIRD-PARTY DATABASE OR PRODUCT), UNDERLYING SOFTWARE OR DATA, OR THE NON-INFRINGEMENT OF THIRD-PARTY RIGHTS. CONNECTICARE SPECIFICALLY DISCLAIMS ANY WARRANTY OR GUARANTEE THAT ANY PARTICULAR DATA OR THE DATA OF ANY PARTICULAR PROVIDER IS AVAILABLE OR MAINTAINED IN SAID FILES.