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Healthcare Pricing Intelligence

You May Be Overpaying 2–4x for the Same Procedure

We analyze real hospital pricing data to show what procedures SHOULD cost — and where you’re overpaying.

Hospital pricing varies up to 500% for the same CPT code in the same city. We use Machine Readable File data to find where your spend is above market — and prove it.

Check One Procedure FreeNo commitment. Results in 48 hours.
What We Do

We find the overpayments
hiding in your claims

Identify claims paid above market rates
Benchmark providers against regional pricing
Flag negotiation opportunities before or after payment
Detect pricing outliers across CPT codes
What You Get

Everything you need to
challenge pricing

  • Overpayment Detection Report
  • CPT-Level Price Benchmarks (local + regional)
  • Provider Cost Rankings
  • Negotiation Targets & Supporting Data
  • Ongoing Monitoring (optional)
Real Data

This is what we find
in almost every analysis

$78 → $415
Same procedure, same city — up to 5x price difference
2.8x
Provider pricing significantly above market average
22%
Claims likely overpaid vs fair market rates
Who This Is For

Built for the people who
manage healthcare spend

Self-Insured Employers
TPAs / Benefits Administrators
Revenue Cycle Management Firms
Legal / Personal Injury Firms
Why This Works

The missing layer

Most organizations have access to claims data —
but lack the market intelligence to challenge pricing.

We provide the missing layer:

→ What should this have cost?
How It Works

From question to answer
in days, not months

01
Send 1–2 CPT codes or provider names
02
We analyze local hospital pricing data
03
Receive a clear breakdown of pricing variance
04
Decide if deeper analysis is worth it
Pricing

Start small. Scale when it pays.

Pilot Analysis
$500 – $2,000
One-time deep dive into your claims
Monthly Monitoring
$500 – $5,000/mo
Ongoing overpayment detection
Performance Model
% of identified savings
We only win when you save

Pilot analyses are credited toward ongoing services. If no meaningful pricing variance is found, no charge.

Most clients discover meaningful pricing differences within the first analysis.

Fast Start

Send a sample of claims
or a provider list

→ Receive initial findings within 3–5 days

Immediate visibility into:

Overpayments
Negotiation leverage
Cost reduction opportunities
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