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Price Transparency

Deliver greater value for money with insight into negotiated rates.

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Transform machine-readable files into actionable insights.

By combining our proprietary provider directory and market analytics with data from the machine-readable files (MRFs) posted by hospitals and payers, we can connect any facility or physician with the negotiated reimbursement rate for any payer for any services rendered at any location.

Benchmark Rates

Understand how rates for specific providers compare against the market rate to prepare for managed care negotiations.

Develop Networks

Identify providers with above- and below-market rates to design networks that deliver more value for money.

Calculate Cost of Care

Combine professional and institutional rates to assess risk based on the actual total cost of care for a population.

Gain a competitive advantage by understanding inpatient and outpatient negotiated rates across the U.S.

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Group 178
A view of negotiated rates for a facility alongside its volumes for that service

Incorporated Utilization Volumes

Claims data tied to negotiated rates to identify zombie rates and highlight discrepancies between volume and price.
A conceptual diagram of human-in-the-loop curation of the Transparency in Coverage data

Human-in-the-Loop Curation

Our team of experts curates the data to provide accurate provider-facility affiliations, facility NPIs with negotiated rates and rates above the Medicare base rate.
Table of negotiated rates for DRG 280

Complex Data, Simplified

Advanced de-duplication efforts eliminate trillions of irrelevant data points, providing you with accurate and actionable insights.
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Data Sources
Hospital MRFs
Health Plan MRFs
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Provider Directory
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Claims Data
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Facility Coverage
Hospitals
Non-Hospital Facilities
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Physician Rates
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Payer Coverage
Commercial Plans
Medicare Advantage
Medicaid
Self-Pay
Features
AI Chat Interface
Dedicated Support
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Enterprise
Health Plan Price Transparency
Book a Demo
Data Sources
Hospital MRFs
—
Health Plan MRFs
Provider Directory
Claims Data
Facility Coverage
Hospitals
Non-Hospital Facilities
Physician Rates
Payer Coverage
Commercial Plans
Medicare Advantage
—
Medicaid
—
Self-Pay
—
Features
AI Chat Interface
—
Dedicated Support

Embrace value-based competition.

See how our Health Plan Price Transparency Analytics will improve your strategies. Fill out the form to get started.

abstracted image of Trilliant Health's health plan price transparency insights

Methodology

Converting Raw Rates Into Real Insights: Trilliant Health’s Approach to Price Transparency

Transforming the Transparency in Coverage (TiC) data into actionable insights requires enriching that raw data with provider and utilization data.
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