Independence Blue Cross Plans Pricing
Independence Blue Cross exposes HL7 FHIR R4 APIs (Patient Access, Provider Directory, Drug Formulary) to satisfy the CMS Interoperability and Patient Access final rule (CMS-9115-F). API access is free to registered third-party applications: it is governed by SMART on FHIR / OAuth 2.0, member consent, and a CMS-aligned attestation rather than a commercial price tier. There is no list price, no metered rate card, and no paid subscription. Member health-plan products (commercial, Medicare Advantage, CHIP, dental, vision) are sold through employer brokers, the federal/PA Marketplace, CMS, and the Pennsylvania CHIP program and are out of scope for an API pricing surface.
Independence Blue Cross Plans Pricing is the machine-readable pricing-plan profile for Independence Blue Cross on the APIs.io network, in the API Commons Plans shape.
It defines 5 plans, covering freemium and free tiers, with named plans including Developer Sandbox, CMS Patient Access (Production), Provider Directory (Public), Drug Formulary (Public), Transparency In Coverage Machine-Readable Files.
This profile was written by API Evangelist and has not been verified against a page the provider published; treat every figure as unconfirmed until a dated transcription replaces it.
Tagged areas include FHIR, Healthcare, Health Insurance, Medicare Advantage, and CHIP.
generated, dated 2026-05-23.
Plans
Free sandbox access for testing against the IBX developer portal sandbox services. Sandbox member credentials are issued to registered developers after account activation.
- FHIR R4 sandbox endpoints (Patient Access, Provider Directory, Drug Formulary)
- Synthetic patient credentials issued to registered developers
- Live CapabilityStatements for all three APIs
- SMART App Launch / OAuth 2.0 / PKCE test flows
- No commercial cost
Production access for third-party member-facing apps under CMS-9115-F. Requires developer registration via https://devportal.ibx.com/cmssignin/, app attestation, and SMART on FHIR / OAuth 2.0 with member consent. In scope for Independence Medicare Advantage and Keystone HMO CHIP members. No fees are charged to the application or member.
- Member-consented FHIR R4 read access
- SMART App Launch 1.0.0 / OAuth 2.0 / PKCE
- CARIN BB / Da Vinci PDex / US Core 3.1.1 conformance
- No commercial price; access is regulatory-free
- Member consent revocation honored at any time
Public Da Vinci PDex Plan-Net Provider Directory FHIR API. No authentication required; intended for member-facing apps, brokers, care navigation tools, and price/transparency apps.
- Practitioner, PractitionerRole, Organization, OrganizationAffiliation
- Location, HealthcareService, InsurancePlan, Endpoint
- Da Vinci PDex Plan-Net IG conformance
- Public; no authentication
Public Da Vinci US Drug Formulary (USDF) FHIR API exposing the IBX covered drug list, tier information, and prior authorization indicators. No authentication required.
- MedicationKnowledge and List resources
- Da Vinci USDF IG conformance
- Public; no authentication
Monthly machine-readable JSON files of in-network rates, allowed amounts, and prescription drug pricing for three IBX-operated carrier brands (Keystone Health Plan East, QCC Insurance Company, Independence Assurance Co, Inc.). Public bulk download surface driven by the federal Transparency in Coverage rule.
- In-network negotiated rates per carrier brand
- Out-of-network allowed amounts per carrier brand
- Prescription drug pricing files
- Monthly refresh cadence
- Public; no authentication
Sources
- https://devportal.ibx.com/
- https://devportal.ibx.com/documentation/
- https://www.ibx.com/developer-resources
- https://www.ibx.com/scripts/custom/swagger/cmsSwagger.json
- https://www.cms.gov/priorities/key-initiatives/burden-reduction/interoperability
Work with this as data
Every plan here is available over the APIs.io API and to AI agents over MCP.