Healthcare Coverage Cost Transparency

Sutter Health Plus offers its communities affordable access to high-quality care. It is committed to supporting efforts that provide meaningful information, tools, and resources to help members better understand their coverage and out-of-pocket costs.

Sutter Health Plus is disclosing in-network provider negotiated rates and historical out-of-network allowed amounts and the associated billed charges through machine-readable files in accordance with the federal Transparency in Coverage Rule. Data in the machine-readable files is updated monthly.

Machine-Readable Files

Out-of-network provider historical allowed amounts and associated billed charges for IFP

Download JSON File

Out-of-network provider historical allowed amounts and associated billed charges for small group plans

Download JSON File

Out-of-network provider historical allowed amounts and associated billed charges for large group plans

Download JSON File

Members should refer to their benefit plan documents available on the Member Portal to better understand their out-of-pocket costs, such as copays, deductibles, or coinsurance. Members can also call Sutter Health Plus Member Services to help them better understand this information.

If you have additional questions, contact Sutter Health Plus Member Services weekdays, 8:00 am–7:00 pm, at (855) 315-5800.

Healthcare Coverage Cost Transparency

Machine-Readable Files

Sutter Health Index (JSON)

In-network provider negotiated rates for individual and family plans (IFP)

In-network provider negotiated rates for small group plans

In-network provider negotiated rates for large group plans

Out-of-network provider historical allowed amounts and associated billed charges for IFP

Out-of-network provider historical allowed amounts and associated billed charges for small group plans

Out-of-network provider historical allowed amounts and associated billed charges for large group plans

Supporting Our Members