Every Payer. Every Provider. Every Negotiated Rate.

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.