Uses for the data
Who uses price transparency data, and how.
Negotiated rates from machine-readable files are the most detailed public record of what US healthcare costs. Here's what people do with them.
Shop for care before the bill arrives
Compare what your plan pays different providers for the same procedure, and estimate your share before you book.
- Compare the negotiated price of a scan, lab test or surgery across nearby providers
- See whether an ambulatory surgery center is cheaper than a hospital outpatient department
- Estimate out-of-pocket cost against your deductible and coinsurance
- Check a bill against the rate your plan actually agreed to
Know what your health plan is paying
Self-funded employers can benchmark the rates their network pays and steer employees to high-value providers.
- Benchmark your plan's rates against other carriers in the same market
- Evaluate networks and TPAs before renewal with real price data
- Design centers-of-excellence and reference-based pricing programs
- Meet fiduciary duties under the Consolidated Appropriations Act with evidence
Negotiate with the whole market in view
Hospitals and practices can see how their contracted rates compare to peers before sitting down with a payer.
- Compare your rates to competitors for the same codes and payers
- Find underpaid services and prioritise contract renegotiations
- Model the impact of a new payer contract
- Spot market opportunities by service line and region
Study prices at a scale never possible before
Economists, policy analysts and journalists can measure price variation, market power and policy effects.
- Measure price dispersion within and across markets
- Study the effect of hospital consolidation on negotiated rates
- Track how prices change month over month
- Report on local healthcare costs with primary-source data
Bring data to every renewal
Benefits advisors can compare carriers' networks on price, not just discounts off billed charges.
- Compare carriers' negotiated rates for a client's most-used services
- Back plan recommendations with transparent price data
- Identify high-cost providers driving claims
Build on clean, structured prices
Navigation, care-search and fintech products can use normalised price data instead of crawling MRFs themselves.
- Power care-search and price-estimate features
- Rank providers by cost alongside quality
- Underwrite medical financing with expected costs
Know the price, everywhere.
We’re bringing insurance and cash prices for common procedures to every city in the US. Get a note when your area goes live.