# Cost Tier Code System - CARIN Digital Insurance Card v2.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Cost Tier Code System**

## CodeSystem: Cost Tier Code System (Experimental) 

| | |
| :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier | *Version*:2.0.0-ballot |
| * Standards status: *[Informative](http://hl7.org/fhir/R4/versions.html#std-process) | *Computable Name*:CostTierCS |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.9.16.7 | |

 
Code system for cost-sharing tiers that distinguish multiple cost amounts for the same benefit and network status, based on provider designation or modality of care 

 This Code system is referenced in the content logical definition of the following value sets: 

* [CostTierVS](ValueSet-cost-tier.md)



## Resource Content

```json
{
  "resourceType" : "CodeSystem",
  "id" : "cost-tier",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "claims"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "informative",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.9.16.7"
  }],
  "version" : "2.0.0-ballot",
  "name" : "CostTierCS",
  "title" : "Cost Tier Code System",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-08-13T02:29:19+10:00",
  "publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
  "contact" : [{
    "name" : "HL7 International / Payer/Provider Information Exchange Work Group",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/claims"
    },
    {
      "system" : "email",
      "value" : "pie@lists.HL7.org"
    }]
  }],
  "description" : "Code system for cost-sharing tiers that distinguish multiple cost amounts for the same benefit and network status, based on provider designation or modality of care",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 3,
  "concept" : [{
    "code" : "value-choice",
    "display" : "Value Choice Provider",
    "definition" : "Cost sharing that applies when the service is delivered by a provider the plan has designated in its value or preferred-value tier"
  },
  {
    "code" : "standard",
    "display" : "Standard Provider",
    "definition" : "Cost sharing that applies when the service is delivered by an in-network provider without a special designation"
  },
  {
    "code" : "virtual",
    "display" : "Virtual Visit",
    "definition" : "Cost sharing that applies when the service is delivered virtually (telehealth modality) rather than in person"
  }]
}

```
