Build a defensible negotiation position.
Compare hospital-published payer and plan prices, market position, and Percent of Medicare while holding procedure, setting, billing class, methodology, measure, and period constant.
Healthcare contracting intelligence
See the decision. Keep the proof.
Healthdex shows what hospitals publish, how prices compare with Medicare and available accounting-cost evidence, how they move over time, and exactly what supports—or limits—the comparison.
Cleveland · Total knee arthroplastyComparable context
Contracting positionPublished price above peersFacility, setting, payer, plan, methodology, and period held constant.
Lower published priceHigher published price
Percent of MedicareEligible · context matched
Accounting-cost evidenceAvailable · departmental
Illustrative workflow · exact source, calculation, period, and limitations remain attached
The challenge
The evidence is detailed. The decision cannot wait.
Hospital price-transparency files, Medicare fee schedules, and hospital cost reports answer different questions at different grains. Comparing them safely takes more than putting the numbers in one table.
Healthdex gives network managers, contract negotiators, health plans, TPAs, self-funded-plan advisers, and hospital teams a consistent path from market variation to facility evidence—without turning public prices into claims or accounting estimates into exact case cost.
Focused workflows
Move from market variation to a defensible position.
Start with a procedure or clinical service line, compare facilities at one explicit contracting grain, and inspect every supporting observation.
Separate price, benchmark, and cost.
Review published price beside compatible Medicare payment and eligible departmental accounting-cost evidence—never as an unexplained blended score.
See what changed—and what did not.
Trace comparable price and Percent-of-Medicare movement across retained periods, with explicit gaps when reporting context or component populations change.
Governed architecture
One system, evidence from source to decision.
Healthdex connects hospital price-transparency files, Medicare payment sources, HCRIS cost reports, canonical hospital identity, and governed clinical categories.
Every displayed amount retains its comparison context, source period, calculation contract, eligibility state, and visible limitations.
Open the Healthdex platformMarket → Compare → Facility → Evidence
One retained analysis context across market findings, facility comparison, and row-level review.
Price, Medicare, cost & trend
Distinct measures, versioned calculations, comparability rules, and explicit unavailable states.
Hospital MRF · CMS Medicare · HCRIS
Retained releases, canonical identities, source lineage, and reproducible calculations.
Trust by design
Nothing important gets hidden in the footnotes.
Comparison grain comes first.
Procedure, setting, billing class, payer, plan, methodology, measure, and period stay visible.
Different measures stay different.
Published price, Medicare payment, accounting-cost estimate, market statistic, and modeled episode are never relabeled as one number.
Gaps are part of the evidence.
Missing history, incompatible Medicare context, ineligible cost evidence, and changed reporting basis remain explicit—not zero.
Public data has boundaries.
Published negotiated prices are not paid claims, and departmental accounting cost is not marginal or patient-specific cost.
A clearer contracting position
Know the price. Know the benchmark. Keep the proof.
Healthdex is built for network, contracting, plan, TPA, self-funded, and hospital teams that need public healthcare evidence to be useful without overstating what it can prove.