Every insurance company and self-insured company must share all the rates they have negotiated with providers on a code by code basis. The data must be made available in Machine Readable Files available on the web and updated monthly. With this data and our help you can finally discover and compare prices.
The pricing data is publicly available on the web. They include the negotiated rates for all procedures, supplies and drugs. The rates are for care at hospitals, ambulatory surgical centers, imaging centers, infusion centers, cancer centers, birthing centers, doctors offices, labs and any other organization that provides healthcare covered by insurance.
The files are massive and in are format designed for computers and not intended to be directly viewed by people. Many of the files are tens of gigabytes in size and several insurance companies have posted more than 10,000 files. The files are in JSON format and require specialized tools to extract and collate the rates.
We have developed tools to extract the pricing data from the files and store the data into a database.
With our tools and database we can prepare simple reports targeted to your needs. The reports can cover a single market defined by a city or an MSA or a wider geographic region. The report can be for a set of clinical areas or they can compare price across a wider set of codes.
We can produce reports now so you can start viewing this extremely valuable data right away. There is no need to wait.