Before you rely on a rate, know whether it is on record, and from where.
Four sources: hospital and commercial payer published rates, with Medicare and Medicaid fee schedules. Here is what is covered, and what is not.
Use it to confirm your payers, states and codes are covered, know what is not covered, or scope a first sample.
| Source | Coverage | Not included |
|---|---|---|
| Hospital published rates | 5,600+ hospitals tracked negotiated rates by payer, cash prices, gross charges | — |
| Payer published rates | 200+ payers tracked in-network negotiated rates and out-of-network allowed amounts | 1 tracked payers have no file we can rate |
| Medicare | Every fee schedule, every locality | Medicare Advantage plan rates |
| Medicaid | Every non-MCO state (49 states + DC) | Managed Medicaid plan rates; Tennessee is managed care only |
Each delivery is stamped with the date each source was pulled.
The latest rate on record, from every source.
One view of all four sources. Hospitals and payers show the tracked universe by file-quality grade. Medicare is every fee schedule in every locality; Medicaid is every non-MCO state. Every rate keeps its source and the date the source says it took effect; each delivery is built to your scope and stamped with the pull date.
Built to your scope, from the latest published files.
You send the scope
The codes, payers, hospitals and states you care about.
We pull the latest
The newest published file from each source for that scope.
You get the record
Each rate with its source, the date the source says it took effect, and the date we pulled it.
Gaps are listed
What a source does not publish is named, not left blank.
4,161 of 5,630 scored. “–” = not rated: no price file on record. Snapshot 2026-10-02.
265 of 266 scored. “–” = not rated: no price file on record. Snapshot 2026-10-02.
Not covered
- Medicare Advantage plan rates
- Managed Medicaid plan rates
- Rates not published by the source
Quality grades
- Hospital and payer files are graded A–F on how complete and usable they are
- A grade is not a compliance finding
- Method: Methodology
Where do the commercial and hospital rates come from?
From the files payers and hospitals are required to publish: payers’ negotiated-rate files and hospitals’ price transparency files. We collect, match and check them, then add Medicare and Medicaid for reference.
Do you cover my payers and codes?
Send them. Coverage for your payers and codes is stated before you commit, and what a source does not publish is named.
Send your codes and payers. We tell you what is covered, within 24 hours.