Pricing Transparency
HPSM is committed to ensuring members have access to high quality care, services and supports so that they can live the healthiest lives possible. Under the new CMS Transparency rule, comprehensive machine-readable files for all Healthworx (HMO) services - including standard charges and negotiated rates - are provided here. This pricing information can be used by third parties, such as researchers and app developers to help HealthWorx (HMO) members better understand the costs associated with their health care.
Below are the machine readable files containing the following sets of costs for items and services
In-network provider rates for covered items and services (json file index, 46 kb)
Out-of-network allowed amounts and billed charges for covered items and services (json file, 20900 kb)
If more information is required, complete the form below and someone from HPSM will respond to you.