Machine-Readable Files

This pricing information, provided in machine-readable files, is available to the public and can be used by third parties, including researchers and application developers, for purposes such as to help members better understand the costs associated with their health care. These files do not provide or generate an estimate of the cost a member will be responsible for paying for health care services they receive. Coverage of any item or service is subject to the terms, limitations, and conditions of the member’s policy. Always refer to the member’s plan materials for coverage and limitations.

Please note: Files are in a JSON format and may contain hundreds of thousands up to millions of lines of data and be up to 1 terabyte (TB) in size. Please consider your system’s capacity and memory when downloading these files.

To receive an estimate of the costs they may be responsible for paying for an item or service, members can access Viva Health’s online Cost Calculator or call Viva Health at 205-558-7474 or toll-free 1-800-294-7780 (TTY: 711). This cost tool allows members to search a covered service for price per code based on negotiated rates as mandated in the Transparency in Coverage Rule.