Turquoise Consumer Pricing API

REST API providing consumer-friendly healthcare price estimates — cash and insurer-negotiated rates — for shoppable services, addressed by Standard Service Package rather than raw billing code so every provider is priced on the same definition of a service. Fifteen operations across providers, payers, networks, packages, prices and personalized estimates. The personalized-estimates endpoints run a consented X12 270/271 eligibility check and return a member's actual cost share broken into deductible, copayment and coinsurance, alongside their current accumulator state. OpenAPI 3.1.0 published publicly and unauthenticated; all endpoints require an OAuth 2.0 client-credentials bearer token.

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OpenAPI Specification

turquoise-health-consumer-pricing-openapi.yml Raw ↑
openapi: 3.1.0
info:
  title: Turquoise Health Consumer Pricing API v3
  version: 0.1.0
paths:
  /v3/providers/types:
    get:
      tags:
      - Consumer Pricing
      summary: Get Provider Types
      description: Fetch provider types. Results return valid inputs to filter by provider types across the API.
      operationId: v3_get_provider_types
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                items:
                  type: string
                type: array
                title: Response V3 Get Provider Types
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
      security:
      - BearerAuth: []
  /v3/providers:
    get:
      tags:
      - Consumer Pricing
      summary: List Providers
      description: Retrieve a list of providers, filtered over a search by name, NPI, provider type, or location. Additionally,
        filter to a list of providers with Turquoise price estimates available by a selected payer, network, or package. Results
        reflect provider, payer, and package combinations that Turquoise has priced services for; the list may not be comprehensive
        of all contacted payer networks or services that are available.
      operationId: v3_list_providers
      parameters:
      - name: name
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Case-insensitive substring match on provider name.
          examples:
          - Intermountain Health Saint Joseph Hospital
          title: Name
        description: Case-insensitive substring match on provider name.
      - name: npi
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Exact NPI match.
          examples:
          - '1417946021'
          title: Npi
        description: Exact NPI match.
      - name: type
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Provider type as reported in the dataset (exact match).
          examples:
          - Short Term Acute Care Hospital
          title: Type
        description: Provider type as reported in the dataset (exact match).
      - name: package_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Providers with at least one price for this package.
          examples:
          - OB002
          title: Package Id
        description: Providers with at least one price for this package.
      - name: network_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Providers with at least one price under this network (combined with package_id/payer_id, the same price
            row must match).
          examples:
          - '-3776001016975145508'
          title: Network Id
        description: Providers with at least one price under this network (combined with package_id/payer_id, the same price
          row must match).
      - name: payer_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Providers priced under any of this payer's networks (combined with other relationship filters, the
            same price row must match).
          examples:
          - '76'
          title: Payer Id
        description: Providers priced under any of this payer's networks (combined with other relationship filters, the same
          price row must match).
      - name: search
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Semantic search over provider names. Composes with the other filters and a near/zip location; returns
            a single relevance-ordered page. 503 search_unavailable until the provider embedding index is populated.
          examples:
          - Saint Joseph hospital in Denver
          title: Search
        description: Semantic search over provider names. Composes with the other filters and a near/zip location; returns
          a single relevance-ordered page. 503 search_unavailable until the provider embedding index is populated.
      - name: min_score
        in: query
        required: false
        schema:
          anyOf:
          - type: number
            maximum: 1.0
            minimum: 0.0
          - type: 'null'
          description: Minimum similarity score (0-1).
          title: Min Score
        description: Minimum similarity score (0-1).
      - name: page_size
        in: query
        required: false
        schema:
          type: integer
          maximum: 250
          minimum: 1
          default: 25
          title: Page Size
      - name: cursor
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Opaque cursor from a previous page.next_cursor.
          title: Cursor
        description: Opaque cursor from a previous page.next_cursor.
      - name: location.near.lat
        in: query
        required: false
        schema:
          anyOf:
          - type: number
          - type: 'null'
          examples:
          - 39.745961
          title: Location.Near.Lat
      - name: location.near.lng
        in: query
        required: false
        schema:
          anyOf:
          - type: number
          - type: 'null'
          examples:
          - -104.971559
          title: Location.Near.Lng
      - name: location.near.radius_m
        in: query
        required: false
        schema:
          anyOf:
          - type: integer
            minimum: 1
          - type: 'null'
          examples:
          - 25000
          title: Location.Near.Radius M
      - name: location.within.state
        in: query
        required: false
        schema:
          anyOf:
          - type: string
            minLength: 2
            maxLength: 2
          - type: 'null'
          examples:
          - CO
          title: Location.Within.State
      - name: location.within.cbsa
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          examples:
          - Denver-Aurora-Centennial, CO
          title: Location.Within.Cbsa
      - name: location.within.zip_codes
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Comma-separated ZIP codes (exact match, any-of).
          examples:
          - 80218,80210
          title: Location.Within.Zip Codes
        description: Comma-separated ZIP codes (exact match, any-of).
      - name: location.zip
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Resolves the ZIP to its centroid, then runs `near` with the default radius.
          examples:
          - '80218'
          title: Location.Zip
        description: Resolves the ZIP to its centroid, then runs `near` with the default radius.
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ListEnvelope_Provider_'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
      security:
      - BearerAuth: []
  /v3/providers/{provider_id}:
    get:
      tags:
      - Consumer Pricing
      summary: Get Provider Details
      description: Fetch details for a single provider by provider ID.
      operationId: v3_get_provider
      parameters:
      - name: provider_id
        in: path
        required: true
        schema:
          type: string
          description: Provider identifier.
          examples:
          - '5756'
          title: Provider Id
        description: Provider identifier.
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Provider'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
      security:
      - BearerAuth: []
  /v3/payers:
    get:
      tags:
      - Consumer Pricing
      summary: List Payers
      description: Retrieve a list of payers, filtered over a search by name, location for care, or specific providers and
        services priced in the Turquoise data. Location scopes to payers with at least one price at an in-area provider. Results
        reflect provider, payer, and package combinations that Turquoise has priced services for; the list may not be comprehensive
        of all contracted providers or services that are available.
      operationId: v3_list_payers
      parameters:
      - name: name
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Case-insensitive substring match on payer name.
          examples:
          - Cigna
          - Blue Cross
          title: Name
        description: Case-insensitive substring match on payer name.
      - name: provider_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Payers with at least one price at this provider.
          examples:
          - '5756'
          title: Provider Id
        description: Payers with at least one price at this provider.
      - name: package_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Payers with at least one price for this package.
          examples:
          - OB002
          title: Package Id
        description: Payers with at least one price for this package.
      - name: page_size
        in: query
        required: false
        schema:
          type: integer
          maximum: 250
          minimum: 1
          default: 25
          title: Page Size
      - name: cursor
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Opaque cursor from a previous page.next_cursor.
          title: Cursor
        description: Opaque cursor from a previous page.next_cursor.
      - name: location.near.lat
        in: query
        required: false
        schema:
          anyOf:
          - type: number
          - type: 'null'
          examples:
          - 39.745961
          title: Location.Near.Lat
      - name: location.near.lng
        in: query
        required: false
        schema:
          anyOf:
          - type: number
          - type: 'null'
          examples:
          - -104.971559
          title: Location.Near.Lng
      - name: location.near.radius_m
        in: query
        required: false
        schema:
          anyOf:
          - type: integer
            minimum: 1
          - type: 'null'
          examples:
          - 25000
          title: Location.Near.Radius M
      - name: location.within.state
        in: query
        required: false
        schema:
          anyOf:
          - type: string
            minLength: 2
            maxLength: 2
          - type: 'null'
          examples:
          - CO
          title: Location.Within.State
      - name: location.within.cbsa
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          examples:
          - Denver-Aurora-Centennial, CO
          title: Location.Within.Cbsa
      - name: location.within.zip_codes
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Comma-separated ZIP codes (exact match, any-of).
          examples:
          - 80218,80210
          title: Location.Within.Zip Codes
        description: Comma-separated ZIP codes (exact match, any-of).
      - name: location.zip
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Resolves the ZIP to its centroid, then runs `near` with the default radius.
          examples:
          - '80218'
          title: Location.Zip
        description: Resolves the ZIP to its centroid, then runs `near` with the default radius.
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ListEnvelope_Payer_'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
      security:
      - BearerAuth: []
  /v3/payers/{payer_id}:
    get:
      tags:
      - Consumer Pricing
      summary: Get Payer Details
      description: Fetch details about a single payer by payer ID.
      operationId: v3_get_payer
      parameters:
      - name: payer_id
        in: path
        required: true
        schema:
          type: string
          description: Payer identifier.
          examples:
          - '76'
          title: Payer Id
        description: Payer identifier.
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Payer'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
      security:
      - BearerAuth: []
  /v3/networks:
    get:
      tags:
      - Consumer Pricing
      summary: List Networks
      description: Retrieve a list of payer networks, filtered over a search by name, payer organization (e.g., Cigna), location
        for care, or specific providers and services priced in the Turquoise data. Location scopes to payer networks with
        at least one price at an in-area provider. Results reflect provider, payer network, and package combinations that
        Turquoise has priced services for; the list may not be comprehensive of all contracted providers or services that
        are available.
      operationId: v3_list_networks
      parameters:
      - name: name
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Case-insensitive substring match on network or payer name.
          examples:
          - Cigna
          - National OAP
          title: Name
        description: Case-insensitive substring match on network or payer name.
      - name: payer_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Exact payer id match.
          examples:
          - '76'
          title: Payer Id
        description: Exact payer id match.
      - name: provider_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Networks with at least one price at this provider.
          examples:
          - '5756'
          title: Provider Id
        description: Networks with at least one price at this provider.
      - name: package_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Networks with at least one price for this package.
          examples:
          - OB002
          title: Package Id
        description: Networks with at least one price for this package.
      - name: search
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Semantic search over network and payer names. Composes with the other filters; returns a single relevance-ordered
            page (no cursor).
          examples:
          - Cigna
          title: Search
        description: Semantic search over network and payer names. Composes with the other filters; returns a single relevance-ordered
          page (no cursor).
      - name: min_score
        in: query
        required: false
        schema:
          anyOf:
          - type: number
            maximum: 1.0
            minimum: 0.0
          - type: 'null'
          description: Minimum similarity score (0-1).
          title: Min Score
        description: Minimum similarity score (0-1).
      - name: page_size
        in: query
        required: false
        schema:
          type: integer
          maximum: 250
          minimum: 1
          default: 25
          title: Page Size
      - name: cursor
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Opaque cursor from a previous page.next_cursor.
          title: Cursor
        description: Opaque cursor from a previous page.next_cursor.
      - name: location.near.lat
        in: query
        required: false
        schema:
          anyOf:
          - type: number
          - type: 'null'
          examples:
          - 39.745961
          title: Location.Near.Lat
      - name: location.near.lng
        in: query
        required: false
        schema:
          anyOf:
          - type: number
          - type: 'null'
          examples:
          - -104.971559
          title: Location.Near.Lng
      - name: location.near.radius_m
        in: query
        required: false
        schema:
          anyOf:
          - type: integer
            minimum: 1
          - type: 'null'
          examples:
          - 25000
          title: Location.Near.Radius M
      - name: location.within.state
        in: query
        required: false
        schema:
          anyOf:
          - type: string
            minLength: 2
            maxLength: 2
          - type: 'null'
          examples:
          - CO
          title: Location.Within.State
      - name: location.within.cbsa
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          examples:
          - Denver-Aurora-Centennial, CO
          title: Location.Within.Cbsa
      - name: location.within.zip_codes
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Comma-separated ZIP codes (exact match, any-of).
          examples:
          - 80218,80210
          title: Location.Within.Zip Codes
        description: Comma-separated ZIP codes (exact match, any-of).
      - name: location.zip
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Resolves the ZIP to its centroid, then runs `near` with the default radius.
          examples:
          - '80218'
          title: Location.Zip
        description: Resolves the ZIP to its centroid, then runs `near` with the default radius.
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ListEnvelope_Network_'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
      security:
      - BearerAuth: []
  /v3/networks/{network_id}:
    get:
      tags:
      - Consumer Pricing
      summary: Get Network Details
      description: Fetch details about a single network by network ID.
      operationId: v3_get_network
      parameters:
      - name: network_id
        in: path
        required: true
        schema:
          type: string
          description: Network identifier (string-wrapped 64-bit integer).
          examples:
          - '-3776001016975145508'
          title: Network Id
        description: Network identifier (string-wrapped 64-bit integer).
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Network'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
      security:
      - BearerAuth: []
  /v3/packages:
    get:
      tags:
      - Consumer Pricing
      summary: List Packages
      description: Return a list of service packages, filtered over name or anchor code. Additionally, filter to a list of
        packages with Turquoise price estimates available by a selected payer, network, or provider. Results reflect provider,
        payer, and package combinations that Turquoise has priced services for; the list may not be comprehensive of all payer
        networks or providers that support this service. When multiple relationship filters are combined, they must be satisfied
        by the same price row, so results are always fulfillable via GET /v3/prices.
      operationId: v3_list_packages
      parameters:
      - name: name
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Case-insensitive substring match on package name.
          examples:
          - delivery
          title: Name
        description: Case-insensitive substring match on package name.
      - name: anchor_code
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Billing code lookup; matches against anchor_codes[].code (package base codes only). Returns every package
            anchored by the code — exactly one in the current catalog, but uniqueness is not contractual (an anchor's full
            upstream identity includes revenue code and billing class, which this API collapses).
          examples:
          - '59510'
          title: Anchor Code
        description: Billing code lookup; matches against anchor_codes[].code (package base codes only). Returns every package
          anchored by the code — exactly one in the current catalog, but uniqueness is not contractual (an anchor's full upstream
          identity includes revenue code and billing class, which this API collapses).
      - name: provider_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Packages priced at this provider.
          examples:
          - '5756'
          title: Provider Id
        description: Packages priced at this provider.
      - name: network_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Packages with at least one price under this network (combined with provider_id/payer_id, the same price
            row must match).
          examples:
          - '-3776001016975145508'
          title: Network Id
        description: Packages with at least one price under this network (combined with provider_id/payer_id, the same price
          row must match).
      - name: payer_id
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Packages priced under any of this payer's networks (combined with other relationship filters, the same
            price row must match).
          examples:
          - '76'
          title: Payer Id
        description: Packages priced under any of this payer's networks (combined with other relationship filters, the same
          price row must match).
      - name: search
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Semantic search over package name and description. Composes with the other filters; returns a single
            relevance-ordered page (no cursor). 503 search_unavailable when the embedding index is not populated.
          examples:
          - cesarean delivery
          title: Search
        description: Semantic search over package name and description. Composes with the other filters; returns a single
          relevance-ordered page (no cursor). 503 search_unavailable when the embedding index is not populated.
      - name: min_score
        in: query
        required: false
        schema:
          anyOf:
          - type: number
            maximum: 1.0
            minimum: 0.0
          - type: 'null'
          description: Minimum similarity score (0-1).
          title: Min Score
        description: Minimum similarity score (0-1).
      - name: page_size
        in: query
        required: false
        schema:
          type: integer
          maximum: 250
          minimum: 1
          default: 25
          title: Page Size
      - name: cursor
        in: query
        required: false
        schema:
          anyOf:
          - type: string
          - type: 'null'
          description: Opaque cursor from a previous page.next_cursor.
          title: Cursor
        description: Opaque cursor from a previous page.next_cursor.
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ListEnvelope_Package_'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '422':
          description: Validation error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '429':
          description: Rate limit exceeded
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorResponse'
        '500':
          description: Internal server error
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ErrorRespons

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