Your launch plan assumes a reimbursement rate. Can you show where it came from?
Medlyze provides what commercial payers and hospitals have published for the codes your product bills under, by payer and state, each with its source, with Medicare and Medicaid for reference.
Use it to evaluate reimbursement risk before launch, prioritize market opportunities, assess payer exposure, or support pricing assumptions.
Send your codes and the payers you are targeting. You get the latest commercial and hospital rates on record for each, by payer and state, within 24 hours.
What changes when the decision is made on the rate of record.
Four New York payers publish four different medians for the same code.
A single national number hides that spread. Real published commercial rates, by payer and hospital; switch the code to see another. Your codes come in the same record, with Medicare and Medicaid for reference.
Dot = median · thin line = lowest to highest rate · shaded bar = middle half of a payer’s providers
A rate brief for your codes
The latest commercial payer and hospital rates on record by payer and state, with Medicare and Medicaid, each with its source and effective date.
A coverage statement
Which payers and states are in, and what a source does not publish.
A reference your whole team can check
Pricing, market access and finance work from the same numbers.
These files are public.
They are. The work is collecting payer and hospital files, matching them to your codes and checking them, so you get an answer instead of a pile of files.
Do you cover my payers and codes?
Coverage for your payers and codes is stated before you commit. What a source does not publish is named.
We already have consultants.
Bring them. They can work from the same record: every rate has its source, so what they cite and what you cite match.
We already have benchmarks.
A benchmark compares. The rate of record shows the rate and where it came from. Send three codes and the benchmark you use, and we reconcile them.
Is the example real data?
Yes: New York payers’ August 2026 negotiated-rate files and New York hospitals’ price transparency files. Commercial payer and hospital rates for your codes come in the same record, each with its source.