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MedBillResolve
For Insurance Brokers, TPAs & Benefits Consultants

Help Clients Navigate Medical Bills Without Adding Work

Give clients a clear path when medical bills don't make sense — without increasing operational burden. Support client issues as they arise, strengthen renewal conversations, and add measurable value without adding staff.

Send us a few hospitals + payer and we'll send back a real comparison. No login required.

What you get:

A clear, usable reportSupporting data + explanationNext steps you can act on immediately

MedBillResolve provides informational tools only. Not legal advice or representation.

WEEKLY PRICING INTELLIGENCE

This Week in Hospital Pricing

Week of March 24–26, 2026 · 655M+ pricing records · 494 hospitals

1

Knee replacement spreads in Austin hit 645% — UHC pays $14,112 at Dell Seton but $1,894 at Ascension Seton Williamson, 12 miles apart.

Impact: $24,436/year overspend for a 500-life group with 2 annual cases

2

Cigna PPO ER rates at Dell Seton are 4,901% above floor — $5,592 vs $112 for the same CPT 99285 at the same facility.

Impact: $438,400 annual overspend for a 1,000-life Cigna group

3

Ascension Seton charges Cigna $40,016 for a knee replacement across all 7 locations. No other payer exceeds $32K.

Impact: Cigna members subsidizing every other payer's discount

4

CHI St. Joseph (Bryan) shows 11,610% payer variance on ER visits — $16,536 vs $141 for the same service.

Impact: Municipal and small-group plans are the worst performers

Steerage Opportunities Found This Week

Same procedure. Same payer. Different hospital. Massive savings.

Total Knee Replacement (CPT 27447)UHC
Save $12,218/case
$14,112Dell Seton Medical Center
$1,894Ascension Seton Williamson
Procedure (CPT XXXXX) — Payer NameSave $X,XXX/case
$XX,XXX at Hospital A → $X,XXX at Hospital B
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Procedure (CPT XXXXX) — Payer NameSave $X,XXX/case
$XX,XXX at Hospital A → $X,XXX at Hospital B
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What Inaction Costs Your Clients

Knee Replacement (CPT 27447), Austin Metro, UHC PPO

Group SizeEst. Cases/yrCurrent CostSteered CostAnnual Savings
1,000 lives4$56,448$7,576$48,872
2,500 lives10$141,120$18,940$122,180
5,000 lives20$282,240$37,880$244,360

132 insights found this week across 14 procedures.

Full report includes all steerage opportunities, payer contract gaps, and estimated dollar impact by group size.

Use This on Your Next Client

This isn't a data science project. It's a tool you use before decisions get made — in the meetings where plans get chosen, hospitals get recommended, and renewals get signed.

Renewals

Show clients how their current plan rates stack up against alternatives at the hospitals their employees actually use. Data-backed renewal conversations reduce churn.

Proposals

Walk into a pitch with side-by-side hospital pricing that no other broker has. Concrete cost differences close deals that generic plan comparisons can't.

Client Conversations

When an employer asks "which hospital is cheapest for this?" — answer with data instead of guessing. One conversation like this changes the relationship.

This Is What You'd Show a Client

Same procedure, same payer, same metro — 86% price difference. This is what hospital choice costs your clients.

CPT 27447 — Total Knee Replacement

Dallas-Fort Worth · BCBS TX PPO

Parkland HealthLowest
$22,100
Texas Health Resources
$28,900
Baylor Scott & White
$32,450
Methodist Health SystemHighest
$41,200
Price spread$19,100 (86%)

Imagine putting this in front of an employer during renewal. That's what Broker Intelligence does.

Rates from hospital machine-readable files published under the CMS Price Transparency Rule (45 CFR 180).

Get a free pricing comparison — your hospitals, your payer

Tell us which hospitals and payer to compare. We'll send you a real rate comparison within one business day. No login, no commitment.

One report. No sales calls. No subscription required.

The Data Exists. It's Just Unusable.

Since 2021, every hospital must publish negotiated rates in machine-readable files. But each file is 5-50GB, in a different format, and nearly impossible to use. We parse all of them so you can search in seconds.

309M+ negotiated rates parsed2,000+ hospitals indexed across 10 states50+ payers including BCBS, Aetna, UHC, Cigna, Humana10 states live — expanding monthly

What You Can Do With It

Everything is built for broker workflows — not data analysts.

Search by CPT Code

Look up any procedure and see negotiated rates across hospitals and payers instantly.

Compare Hospitals Side-by-Side

Pick hospitals in a metro and see how rates differ for the same procedure under the same payer.

Compare Payers at One Hospital

See how BCBS, Aetna, UHC, and others negotiate differently at the same facility.

Export for Proposals

Pull rate comparisons into CSV or PDF and drop them into your next proposal or renewal deck.

API Access (Enterprise)

Pipe rate data directly into your quoting tools, CRM, or benefits admin platform.

National Coverage

10 states live including TX, FL, NY, CA, and more. Additional states launching monthly.

Plans Built for How Brokers Work

Monthly. Cancel anytime. All plans include one state. Pro plans can add states as coverage expands.

Starter

$299/mo

For individual brokers

  • 1 state included
  • Rate lookup by CPT code
  • Up to 100 searches/month
  • Hospital comparison (by metro)
  • CSV export for proposals
  • Email support
Most Popular

Pro

$799/mo

For agencies with active books

  • 1 state included
  • Unlimited searches
  • All hospitals in state
  • Payer-by-payer analysis
  • PDF report generation
  • Up to 5 team members
  • Priority support
  • Additional states available (+$200/mo each)

Enterprise

$2,499+/mo

For large agencies & TPAs

  • Multi-state access
  • REST API access
  • Custom integrations
  • Unlimited team members
  • White-label reports
  • Dedicated account manager

Get a free pricing comparison — your hospitals, your payer

Tell us which hospitals and payer to compare. We'll send you a real rate comparison within one business day. No login, no commitment.

One report. No sales calls. No subscription required.

Questions

Where does the data come from?+

Actual negotiated rates from hospital machine-readable files published under the CMS Price Transparency Rule (45 CFR 180). Every US hospital is legally required to publish these. We parse, normalize, and index them so you can search in seconds instead of downloading 50GB files.

How do I use this in practice?+

Pull up a procedure your client cares about, compare rates across hospitals in their area, and drop the comparison into your renewal deck or proposal. When a client asks "which hospital is cheapest for a knee replacement under BCBS?" — you answer with data.

Which payers are included?+

All major payers that hospitals report: BCBS TX, Aetna, UnitedHealthcare, Cigna, Humana, and dozens of regional plans. If a hospital published it, we indexed it.

How current is the data?+

We re-crawl hospital files regularly. Most hospitals update quarterly. When they republish, we re-parse within days.

What if I just want to see a sample first?+

Email reports@medbillresolve.com with a few hospital names and a payer. We'll send you back a real comparison report — free, no login, no commitment.

Do you cover states outside Texas?+

10 states are live with 2,000+ hospitals including TX, FL, NY, CA, IL, OH, PA, NJ, NC, and VA. More states launching monthly. Full national coverage is on the roadmap.

Stop Guessing What Hospitals Cost

The data is public. The advantage is knowing how to use it. Put real hospital pricing into your next renewal, proposal, or client conversation.

Get a free pricing comparison — your hospitals, your payer

Tell us which hospitals and payer to compare. We'll send you a real rate comparison within one business day. No login, no commitment.

One report. No sales calls. No subscription required.

Or email tony@medbillresolve.com to pick a plan and go live this week.

MedBillResolve is not a law firm and does not provide legal advice. Use of this platform does not create an attorney-client relationship. Documents and templates are self-help tools. Laws, billing rules, and payer policies change frequently — always verify current information and consult a licensed attorney or qualified professional for advice specific to your situation.