PayerBenchmark Blog

Guides on healthcare price transparency, CPT benchmarking, and CMS MRF data — written for engineers and analysts.

CPT Code Benchmarking: How to Compare Negotiated Rates Across Payers

Cross-payer CPT benchmarks let you see exactly where any payer's rate lands relative to the market — p10 through p90, computed from 2B+ rows. Here's how to use them.

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CMS Transparency in Coverage: A Developer's Guide to Machine-Readable Files

The Transparency in Coverage rule (45 CFR § 180) requires every major health insurer to publish negotiated rate data as machine-readable files. Here's what's in them — and how to use the data without building the pipeline yourself.

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