These Terms of Service ("Terms") govern your access to and use of the PayerBenchmark website and API (collectively, the "Service"), operated by PayerBenchmark ("we," "our," or "us"). By accessing or using the Service, you agree to be bound by these Terms.
By creating an account, requesting an API key, or otherwise using the Service, you confirm that you are at least 18 years of age, have the legal authority to enter into these Terms, and agree to comply with them in full.
PayerBenchmark provides a REST API and web interface that indexes and serves healthcare price transparency data sourced from CMS Machine-Readable Files (MRFs) published under the Transparency in Coverage rule (45 CFR § 180). The Service allows authorized users to query negotiated rates, out-of-network amounts, and CPT/HCPCS code benchmarks across major US health payers.
You may use the Service to:
You may not use the Service to:
All rate data served by PayerBenchmark originates from publicly available CMS Machine-Readable Files. While we make reasonable efforts to normalize and validate this data, we make no warranties regarding the accuracy, completeness, or fitness for purpose of any data provided. The Service is not a substitute for direct payer contract verification.
PayerBenchmark is not affiliated with any health insurance payer, CMS, or any government agency.
The PayerBenchmark brand, logo, website design, and proprietary data pipeline are owned by PayerBenchmark and protected by applicable intellectual property laws. The underlying MRF data is publicly available under CMS regulations and is not claimed as proprietary by PayerBenchmark.
We may suspend or terminate your access to the Service at any time, with or without notice, for violation of these Terms or for any other reason at our discretion. You may cancel your account at any time by contacting us. Upon termination, your right to access the Service ceases immediately.
To the maximum extent permitted by law, PayerBenchmark shall not be liable for any indirect, incidental, special, consequential, or punitive damages, including loss of profits or data, arising from your use of or inability to use the Service, even if we have been advised of the possibility of such damages.
You agree to indemnify and hold harmless PayerBenchmark and its officers, employees, and agents from any claims, damages, or expenses (including reasonable legal fees) arising from your use of the Service, your violation of these Terms, or your violation of any third-party rights.
These Terms are governed by the laws of the State of Delaware, United States, without regard to conflict of law principles. Any disputes shall be resolved in the federal or state courts located in Delaware.
We may update these Terms at any time. We will notify registered users of material changes via email and update the "Last updated" date above. Continued use of the Service after changes constitutes acceptance of the revised Terms.
Questions about these Terms? Contact us at:
[email protected]