Every renewal begins with the payer’s numbers. It should begin with yours.
Medlyze sets your fee schedules beside what commercial payers and hospitals have published for the same codes, with every renewal date and notice deadline in one view.
Use it to prepare for payer negotiations, benchmark contract performance, evaluate expansion opportunities, or prioritize contracting effort.
Send one contract. We show your rates beside the market, with the renewal date and the notice deadline, within 24 hours.
What changes when the decision is made on the rate of record.
| Code | Your contract | Payer median | Hospital median |
|---|---|---|---|
| DRG 194 | $21,500 | $24,254 | $13,757 |
Fields confirmed by you. Rates compared by code.
Every field read from your contract is marked for your review before anything is compared.
Know where to focus before the conversation.
Fee schedules, terms and renewal dates side by side, with the best rate on each code marked and the notice deadline for each contract.
| Term or code | Sample Payer 1 | Sample Payer 2 | Difference (A vs B) | Payer median | Hospital median |
|---|---|---|---|---|---|
| Effective | 1/1/2025 | 7/1/2024 | |||
| Renews | 3/31/2027 · renews first | 6/30/2027 | |||
| Notice period | 90 days | 120 days | |||
| Notice due by | 12/31/2026 | 3/2/2027 | |||
| Fee schedule basis | Fixed fee schedule | Fixed fee schedule | |||
| DRG 330 Major small and large bowel procedures with CC | $78,000 | $91,000 | −$13,000 (−14.3%) | $84,637 | $38,767 |
| DRG 194 Simple pneumonia and pleurisy with CC | $21,500 | $19,800 | +$1,700 (+8.6%) | $24,254 | $13,757 |
| DRG 291 Heart failure and shock with MCC | $36,000 | $41,000 | −$5,000 (−12.2%) | $38,794 | $19,440 |
Illustrative: three sample contracts written by Medlyze. The payer and hospital columns are real: the median of the rates New York payers and hospitals have published for each MS-DRG. In delivery the contracts are yours, loaded with you, every field confirmed before anything is compared, and those columns are the latest rates payers and hospitals have published for your payers and state, each with its source.
Contract load
Fee schedule, effective date, notice period and renewal date pulled from each contract. You confirm every field.
Compare contracts
Any two of your contracts side by side: rates, terms and renewal dates, with the best rate on each code marked.
Market view
What commercial payers and hospitals have published for the same codes and state, with Medicare and Medicaid for reference.
The gap
Your rate, the commercial payer median, the hospital median and Medicare for each code.
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.
Where do the market rates come from?
From the negotiated-rate files commercial payers publish and the price transparency files hospitals publish. We collect, match and check them, then add Medicare and Medicaid for reference.
This won’t help our contracting team.
Compare any two contracts, see the best rate on each code, and see every notice deadline in one view.
Is my contract safe?
We set up a secure load with you.