Analytics-Ready Transparency in Coverage Data
PriceMedic Core is a production-grade, analytics-ready Transparency in Coverage dataset designed to make payer-published reimbursement data usable, transparent, and analyzable at scale.
Transparency in Coverage, without the infrastructure tax
TiC data is public—but turning it into something usable requires massive engineering effort. PriceMedic Core removes that burden.
Transparency in Coverage was created to benefit patients—by making healthcare pricing visible, comparable, and accountable. In practice, the data has remained inaccessible to everyone except large organizations with significant technical resources.
By making hospital and health system negotiated rates freely accessible in an analytics-ready format, PriceMedic Core lowers the barrier to transparency for patients, researchers, journalists, and advocates—while also enabling deeper analysis for organizations that need full network-wide visibility.
Full-Network Reimbursement Visibility
Analyze how payers reimburse every provider type
PriceMedic Core provides market-wide visibility across all provider types within payer networks:
- •Hospitals and health systems
- •Physician groups and clinics
- •ASCs and outpatient facilities
- •Ancillary and specialty providers
Analyze reimbursement across providers, billing codes, geographies, and networks—with one consistent analytical model.
Built for Analytics, Not Downloads
Structured for insight from the first query
PriceMedic Core is not raw TiC data repackaged.
It is a purpose-built analytical foundation designed to support reimbursement analysis without custom engineering or preprocessing.
- •Compact, lossless tables
- •No JSON stitching or file management
- •Query-optimized schemas
- •Designed for enterprise analytics workflows
From raw disclosures to insight in minutes.
Hospital & Health System Data — Public by Design
Transparency that serves patients, markets, and accountability
Hospital and health system pricing plays an outsized role in healthcare costs and patient financial outcomes. For transparency to work as intended, this data must be accessible—not buried in hundreds of gigabytes of files.
PriceMedic makes hospital and health system negotiated rates available in an analytics-ready format so patients, researchers, journalists, and policymakers can actually explore and understand how healthcare is priced.
Organizations that need broader visibility—across professional, outpatient, ASC, and full network data—can expand into the complete PriceMedic Core dataset.
| payer | billing_code | billing_class | rate |
|---|---|---|---|
| Aetna | 27447 | facility | $42,150 |
| UHC | 27447 | facility | $45,280 |
| Cigna | 27447 | facility | $43,920 |
| BCBS | 27447 | facility | $44,680 |
Trust the numbers with Citations
Every rate tied directly to the payer source
Every negotiated rate in PriceMedic Core is traceable directly back to the payer's Transparency in Coverage publication.
- •Payer-level citations included
- •Verifiable data lineage
- •Built for defensible analysis
There is never a question where the data came from.
Transparency only works when patients, not just institutions, can trust and verify where pricing information comes from.
Data for more than 200 payers
Updated monthly for the most accurate and up-to-date picture of the market.
Built for serious reimbursement analysis
PriceMedic Core is infrastructure for:
If reimbursement analysis matters, Core is the foundation.
Continue with Full Network Access
PriceMedic Core provides analytics-ready Transparency in Coverage data across entire payer networks. Organizations that need full visibility beyond hospitals and health systems can expand into the complete dataset.