Hospitals in Colorado, New Mexico, Kansas, Indiana, Washington, Virginia, New York and Florida publish 144,149 negotiated prices across 107 procedures and 171 facilities. We collect them, normalize them, benchmark them against Medicare and against each hospital’s own federal cost report, and put every number on a public page. Four ways to work with us on what comes next.
One state costs a defined amount to add: acquisition, normalization, quality audit, and the public pages that follow. Funding a state buys a permanent free public resource for its residents, its employers and its legislature — not a license.
Funders are credited by name on the state they support. They get no review of findings and no say in what the data shows — stated here because that is the only version of this arrangement worth having.
Your organization is named as the sponsor of one state, exclusively, for its first year: the build, the launch issue of The American Healthcare Conundrum, and the quarterly refreshes as hospitals re-publish their files. The state’s pages stay free for everyone in it; the sponsor is what makes that possible and is credited on every one of them.
Sponsors underwrite; they do not commission. They get no say in the procedure basket, which hospitals appear, or the method, and no review of findings before the public sees them. Hospitals, health systems, insurers, PBMs and their vendors cannot sponsor a state. Stated here because it is the only version of this arrangement that keeps the numbers worth sponsoring.
The hospital × procedure table every page on this site is built from: 144,149 rows across 171 hospitals, with each hospital’s median commercial rate, what Medicare pays it for the same code, the percentage, and the cost-report estimate where one exists. One CSV per state or all states together, with a README that defines every column.
Cite as “Rexroad Analytics, Hospital Price Engine” with the URL and the file date. If you publish from it, tell us; we link to reader work.
Beneath the medians: every plan’s rate at every hospital, 25th/75th percentiles, NPI-level rows, and each quarterly version as it lands, by CSV or API. The same keys work over MCP, so an assistant can query it directly.
A specific question answered defensibly: what a proposed cap would have done to prices in a district, what a self-funded employer overpaid against the state median, how a system’s margins read beside its charity-care filings. Documented methodology, ready to be entered into a record.
Any view here becomes an embeddable, always-current chart with a source line built in. Free for nonprofits and newsrooms — it is distribution, not a product. Licensed for commercial use.
Every state has hospitals whose published price file fails as a file: gross charges written into the negotiated-rate column, a chargemaster with no payer rates, a workbook served under a .csv name, nothing that can be priced. We write to each one, wait ten business days, and file a complaint with CMS if it is not fixed. The log is public, per state, with the date of every notice, every reply, and every complaint.
Hospital price data is also worked on by commercial vendors such as Turquoise Health and PayerPrice, which sell negotiated-rate data and contract tools to hospitals, insurers and drugmakers, and by PatientRightsAdvocate.org, which audits whether hospitals have posted a file at all and presses Congress and CMS to enforce the rule. All three do good work, and this site links to them without hesitation.
What is different here is the combination: every hospital, procedure and insurer we cover is published as a percentage of what Medicare pays, on a public page with no account, built state by state against that state’s own price legislation; the method is versioned and corrections are dated; and when a hospital’s file cannot be used, we say so by name, write to the hospital, and file with CMS if it is not fixed. A vendor whose customers are hospitals cannot publish that last page. An advocacy group that does not parse the files cannot see what is on it. That is the gap this project exists to fill.
Every price, every median, every percentage of Medicare, every price-to-cost ratio, for every hospital and every insurer we cover. If a person can ask it on a screen, the answer is free, forever, without an account. The line is format and scale, never truth: what costs money is taking the whole table with you, querying it by machine, tracking it over time, or asking us to do the analysis.
A site whose argument is “this industry hides prices from you” cannot hide prices from you. The promise is load-bearing, so it lives on a page we can be held to.