This sample contains negotiated reimbursement rates sourced from Transparency in Coverage machine-readable files (MRFs). Unlike other datasets that only cover select plans and networks, PayerPrice processes every available file across all network types (PPO, HMO, EPO, ACO, self-insured) each month. Rates are normalized and mapped across all code types, with EIN, TIN, NPI, and CCN relationships mapped.
Medicare baselining and claims-driven filtering intelligently remove "ghost" rates to deliver you the most accurate reimbursement data. This sample includes 100 rows of United's rates for CPT 99213 in MA covering Pediatrics providers . The full dataset includes all commercial payers nationwide, including all covered services and provider types.
Intelligence Score
52/100
Your Rating
Products
5
Platforms
2
Domain
payerprice.com
Data Quality SignalsD
Freshness
Single-source
API Status
No API
Completeness
Compliance (vendor-reported)
SOC 2
ISO 27001
GDPR
CCPA
Quality Breakdown
Data Coverage40
Documentation75
Compliance0
Pricing Clarity100
Signal Analysis
Categories
Data Quality and CleansingFinancialHealth and Life SciencesLife Sciences CommercializationMarket AnalysisPricing AnalysisRisk Analysis
Listed On
databricks_marketplacesnowflake_marketplace
Intelligence Scores4/7 pillars scored
Market Presence
35
Integration
40
Business Maturity
11
Product Quality
45
Extended Analytics
Price Compete
78
Price Clarity
100
Products (5)
Price Transparency Data Sample | United MA Pediatrics - CPT 99213
databricks_marketplaceFree
In-Network Negotiated Rates for Pediatrics providers in MA
MonthlyUnited States and Canada
HEALTHECONOMICS
Price P22Coverage 48Trial 40
Pricing
Top Infusion J-Codes in CA, WA, OR | Price Transparency Data Sample
databricks_marketplaceFree
In-Network Negotiated Rates for Infusion / Oncology providers in CA, WA, OR.
MonthlyUnited States and Canada
HEALTHECONOMICS
Price P22Coverage 48Trial 40
Pricing
Top Hospital Inpatient DRGs in NY, NJ, PA | Price Transparency Data Sample
databricks_marketplaceFree
In-Network Negotiated Rates across all BUCA health plans for Hospital providers in NY, NJ, PA.
MonthlyUnited States and Canada
HEALTHECONOMICS
Price P22Coverage 48Trial 40
Pricing
Internal Medicine Evaluation & Management CPTs in IN, IL, OH | Price Transparency Data Sample
databricks_marketplaceFree
In-Network Negotiated Rates for Internal Medicine providers in IN, IL, OH.
MonthlyUnited States and Canada
HEALTHECONOMICS
Price P22Coverage 48Trial 40
Pricing
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About PayerPrice
PayerPrice is an alternative data vendor. PayerPrice specializes in data quality and cleansing, financial, health and life sciences, life sciences commercialization, market analysis data. This vendor has a Vedex Intelligence Score of 52 out of 100, reflecting market presence, compliance posture, integration readiness, and business maturity.
Data Categories
PayerPrice operates in the following alternative data categories.
Data Quality and CleansingFinancialHealth and Life SciencesLife Sciences CommercializationMarket AnalysisPricing AnalysisRisk Analysis