The best hospitals charge less.
Now there’s data to prove it.
ClearPrice Health analyzes 200M+ payer-negotiated rates across 2,062 hospitals in 5 states — overlaying CMS quality ratings to reveal which hospitals deliver the best outcomes at the lowest cost.
For a routine colonoscopy, 5-star hospitals charge 67% less than 2-star hospitals. Across 294 quality-rated facilities.
See the data ↓Live across five states — and growing.
Every data point traces back to a hospital’s federally mandated pricing file. We archive, normalize, and overlay quality ratings so you can compare what matters.
Quality and cost are inversely correlated.
Across 4,789 quality-scored hospitals, a consistent pattern emerges: the highest-rated facilities have the lowest negotiated rates. Mayo Clinic — 93% patient recommendation — consistently has among the lowest rates for common procedures.
This finding challenges the assumption that higher price means better care. ClearPrice makes this pattern visible and actionable.
Higher-rated hospitals cluster at lower cost. Lower-rated hospitals show higher, more erratic pricing.
171x price spread on the same procedure. Here’s how we make sense of it.
Price Intelligence
Find out if a hospital is charging 3x the market rate for the same procedure — and show the proof across 200M+ rates.
Quality Overlay
See which hospitals have the highest patient satisfaction and best clinical outcomes — alongside their pricing.
Value Scoring
Rank every hospital by the combination of quality, price, and patient experience that matters to your client.
Episode Bundles
Know the total cost of a hip replacement before it happens — facility, physician, and post-discharge combined.
Medicare Coverage
Show your Medicare clients what they’ll actually pay — across Original Medicare, Medigap, and 2,776 MA plans.
Compliance Monitoring
Know which hospitals are publishing compliant pricing data — and which are failing, with grades A through F.
We don’t estimate. We don’t model.
Every rate in ClearPrice comes from a hospital’s federally mandated pricing file — required by CMS under the Hospital Price Transparency Rule. We normalize raw machine-readable data, overlay quality scores from CMS Hospital Compare and HCAHPS surveys, and integrate 2,776 Medicare Advantage plan benefit structures. The result is the most complete picture of healthcare value available anywhere.
Built for the data you can’t get anywhere else.
Benchmark TPA rates against market
See how your client’s negotiated rates compare to the market median — procedure by procedure, hospital by hospital. Bring data their TPA can’t dispute.
Show total episode costs
Combine facility DRG pricing, physician fees, and post-discharge care into the full cost picture for renewal negotiations. Not line items — episodes.
Identify best-value hospitals
Find which hospitals in your client’s network deliver the best clinical outcomes at the most competitive rates — and which don’t.
Competitive rate benchmarking
See how your negotiated rates stack up against other payers at the same hospitals — identify where you’re overpaying.
Network design with quality data
Build narrower, higher-value networks using composite quality + cost scores instead of cost alone.
Rate negotiation leverage
Walk into hospital negotiations with market data showing what their competitors charge for the same procedures.
Monitor hospital compliance
Track which hospitals are publishing machine-readable files, which are non-compliant, and which have data quality issues.
Data quality grades A–F
Every hospital gets a letter grade based on file completeness, format compliance, and rate coverage — updated with each pipeline run.
CMS requirement cross-referencing
Map hospital pricing data against CMS transparency requirements to identify gaps and enforcement risk.
Find the lowest-cost hospitals near you
Compare negotiated rates at hospitals in your area for common procedures — before you schedule.
Compare quality alongside price
See CMS star ratings and patient satisfaction scores next to pricing so you’re not choosing blind.
Estimate out-of-pocket costs
Understand what you’ll actually pay across Original Medicare, Medigap, and 2,776 Medicare Advantage plans.
Request a Briefing
We’ll reach out within 24 hours with data specific to your market.