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SummaCare Pricing Transparency

As part of the Transparency in Coverage Act, health plans are required to post Machine-Readable Files (MRFs) containing the following costs for items and services when accessing care:

  • In-Network Rate File: Rates for all covered items and services between the plan or issuer and in-network providers
  • Allowed Amount File: Allowed amounts for, and billed charges from, out-of-network providers.

This information is intended to help you better understand the cost of seeking care for specific services under your SummaCare plan.

View Machine Readable Files containing pricing information from SummaCare.

If you have any questions, please contact

Learn more about pricing transparency by visiting the Centers for Medicare and Medicaid Services website.