Hospital pricing,
finally solved.
Real-time negotiated rates for 6,000+ hospitals, every CPT/DRG code, every payer — with risk-adjusted value scores that tell you what no one else can: is it worth it?
Why we're better than RAND
RAND's Hospital Price Transparency Study is the gold standard — published every 2 years, using opt-in employer claims data. We use the same metric, but better inputs.
| Dimension | RAND Round 5 (2024) | PriceGuru |
|---|---|---|
| Data source | 12 state APCDs + employer claims | ✓ Mandated hospital MRFs (100% coverage) |
| Data year | 2022 (2-year lag) | ✓ Current (hospitals must update daily) |
| Hospital coverage | ~4,000 (depends on APCD participation) | ✓ 6,000+ (federal mandate, no opt-in) |
| Granularity | State-level averages | ✓ Per-hospital, per-code, per-payer |
| Risk adjustment | ✗ None (price only) | ✓ 4-factor composite (HRRP, PSI-90, Mortality, VBP) |
| Value scoring | ✗ Not available | ✓ Quality-per-dollar Value Index |
| Market concentration | ~ Qualitative ("market power drives prices") | ✓ Quantitative HHI with price correlation |
| Update frequency | Every 2 years | ✓ Continuous |
| Output format | PDF report + static interactive site | ✓ Live API + dashboard + embeddable |
| Access | Free (report), paid (raw data via Sage) | ✓ API + dashboard |
What you get
Medicare-Relative Pricing
Every negotiated rate expressed as a percentage of what Medicare would pay. Per code, per payer, per hospital. RAND gives you one national number (254%). We give you millions of data points.
Risk-Adjusted Value Index
A hospital charging 300% of Medicare with stellar outcomes is a better value than one charging 200% with high readmissions. Our Value Index quantifies this for the first time at scale.
Market Concentration (HHI)
Herfindahl-Hirschman Index per geographic market with proven price-HHI correlation. RAND says "market power drives prices." We prove it with r-values.
Real-Time from Mandate
Since January 2021, hospitals must publish machine-readable files with all negotiated rates. We ingest these continuously — not from 2-year-old insurance claims.
Code-Level Precision
Compare prices for CPT 27447 (knee replacement) across every hospital in Texas, by payer, with quality overlay. Not just "inpatient services averaged 254%."
API-First
JSON endpoints for everything. Embed pricing intelligence into benefits platforms, employee tools, provider negotiations, or policy research.
The Value Index
The metric RAND can't compute — because they don't have risk data at the same granularity as pricing.
Knowing a hospital charges 300% of Medicare tells you nothing about whether that price is justified.
Our Value Index combines four independent CMS quality dimensions — readmission performance, patient safety, mortality outcomes, and value-based purchasing scores — with real-time negotiated pricing data to produce a single, comparable number for every hospital in the country.
A hospital charging a premium with world-class outcomes scores higher than a cheap facility with dangerous readmission rates. For the first time, you can answer: "Am I getting what I'm paying for?"
Every hospital receives a tier — from Exceptional to Critical — updated continuously as new data flows in.
Built on public, mandated data
Stop guessing. Start knowing.
Hospital pricing intelligence that's actually current, actually granular, and actually risk-adjusted.
Explore the Dashboard →