Healthcare Price Transparency Data for Payers and Providers

This file contains actual data from a limited number of payers, plans, and providers. Full nationwide data is available and is priced based on the number of plans and providers required. Contact us for pricing information and for access to the data warehouse scripts mentioned below.

CMS-mandated (85 FR 72158) Transparency in Coverage (Price Transparency) data has created new opportunities for healthcare organizations to develop actionable competitive intelligence. Healthcare IT Leaders has partnered with Cascade Health to provide cleaned and aggregated Price Transparency data and a curated set of data warehouse transformations and Streamlit dashboards.

Healthcare Price Check from Healthcare IT Leaders offers powerful data tools and comprehensive datasets to analyze negotiated rates from participating hospitals and providers by geography, service line, billing code, payer, and other critical variables.
CMS price transparency data allows providers to benchmark their negotiated rates with other providers in the same market or region. This previously unavailable information gives health systems new leverage for negotiating with payers.

A subset of the CMS-mandated reporting fields is provided and will support most provider rate negotiations. Additional fields may be requested, including any field available in the CMS Price Transparency Guide. A DBT package and Streamlit application are available for customers to use and/or modify to fit their requirements.

Reported data is updated monthly, and the most recent contracts and rates will be automatically available to you with no action on your part.