Resource Hub
Free healthcare pricing tools
Explore real price transparency data, look up Medicare reimbursement, translate EDI files, and start payer negotiations with practical tools built for contracting and revenue cycle teams.
Featured tool
Price Transparency Data Explorer
Explore real negotiated rates by state, payer, specialty, and procedure code — then see where the federal price transparency data comes from and how contracting teams use it.
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Choose the job you need to finish
Quick utilities for reimbursement lookup, file translation, and payer outreach.
Data
IDR Insights
See how No Surprises Act billing disputes resolve — provider win rates, IDRE fees, and the payers and states driving the most federal arbitration volume.
Explore IDR data
Tool
Medicare Fee Schedule Lookup
Instantly look up Medicare reimbursement rates by code, locality, and modifier — updated with the latest CMS data.
Try itTool
Medicaid Fee Schedule Lookup
Compare Medicaid physician rates for a CPT or HCPCS code across 47 states — taken from the fee schedule each state Medicaid agency publishes.
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Tool
EDI 835/837 to CSV Converter
Instantly convert 835 (remittance) and 837 (claim) EDI files to readable CSV — no special software needed.
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Template
Payer Negotiation Letter Template
Use a ready-to-send letter structure for opening payer negotiations with rate data, context, and a clear commercial ask.
Get the templatePayer Contract Guides
Negotiation guides by payer
Profiles for 20 major payers, with sourced company information, available rate benchmarks, and guidance for reading machine-readable files.
Blue Cross Blue Shield
0 members · ~0% of tracked membership
Independent local companies with nationwide BlueCard access
View guideUnitedHealthcare
0 members · ~0% of tracked membership
Employer, individual, Medicare, and Medicaid coverage
View guideAetna
0 members · ~0% of tracked membership
CVS Health company with commercial and Medicare products
View guideCentene
0 members · ~0% of tracked membership
Medicaid, Medicare, and Health Insurance Marketplace products
View guideCigna Healthcare
0 members · ~0% of tracked membership
U.S. employer-sponsored and international health benefits
View guideKaiser Permanente
0 members · ~0% of tracked membership
Integrated care and coverage across 10 states and D.C.
View guideMolina Healthcare
0 members · ~0% of tracked membership
Medicaid, Medicare, and state Marketplace coverage
View guideAmeriHealth
0 members · ~0% of tracked membership
Commercial AmeriHealth and affiliated Medicaid operations
View guideBrowse all 20 payer guides
The data behind the tools
See the negotiated rates your payers are paying everyone else
PayerPrice structures commercial payer and hospital machine-readable files into data contracting teams can benchmark, negotiate, and forecast from in minutes.