
SOURCE: Payerset
Drill from market-level views into the exact dollar amount negotiated between any payer and provider — for any billing code, any plan.
Let The Sun Shine In……………
Leverage the Only Unified Healthcare Price Transparency Solution
Payer & hospital price transparency
Benchmark each reimbursement in your market by comparing every payer-provider contracted rate.
Full historical data for trending
Track reimbursement trends across your entire market & access all historical contract rates instantly.
Carveouts & non-standard codes
Account for the nuances of carveouts and non-standard codes to capture the full picture of healthcare cost transparency.
All-payer claims & remits
Unlock deeper benchmarking with claim volumes & amounts. Identify ghost rates with real-world claims.
Medicare fee schedules
Benchmark negotiated rates against Medicare fee schedules directly within your analysis.
HCO affiliations
Leverage healthcare organization ownership and affiliations to create accurate cohorts.
See What Makes Payerset’s Healthcare Price Transparency Solutions Different
All the details for every plan
We ingest every Machine Readable File (MRF) published by payers for every plan as well as every compliant hospital.
Historical depth & refresh cadence
Full historical data for every payer MRF, hospital MRF, & claims is accessible for trending and benchmarking.
360° view with claims & remits
Negotiated-rate data is linked to all-payer claims, surfacing what was actually paid, not just contracted.
Data enrichment
We map NPI to TIN, HCO affiliations, and standardize various file and schema formats for easy analysis.
Self-service & direct integration
A true, no-code self-service solution & enterprise-grade APIs & data sharing for solution partners.
Industry alignment & partnerships
We collaborate closely with CMS & trusted ecosystem partners to keep ahead & advise on standards & enforcement.
