What ClearPrice Does
ClearPrice transforms raw hospital pricing data into three actionable products from a single unified data asset.
Payer Rates 56.4M Negotiated rates loaded
Medicare Codes 36,305 CPT/HCPCS with reimbursement rates
MA Plans 2,776 Medicare Advantage plans modeled
Quality Measures 5,950 CMS outcome benchmarks
Real Example: Hip Replacement Near Phoenix
A patient searching for hip replacement sees 12 hospitals sorted by value. Banner UMC shows a Medicare total of $21,337. Under Original Medicare, the patient owes $2,284. Under Medigap Plan G, the patient owes $0. Under Humana Gold Plus MA, the patient owes $3,865. Three coverage options, three different costs, one search.
One Asset, Three Surfaces
Section titled “One Asset, Three Surfaces”All three products draw from a single data asset — the same normalized, validated, continuously refreshed pricing data. This is not three separate databases. It is one integrated data platform with three purpose-built interfaces.
| Capability | Status |
|---|---|
| Negotiated payer rates | 56.4M across 2,000+ hospitals |
| State coverage | 5 states live (AZ, CA, FL, NY, TX) |
| Medicare procedure codes | 36,305 with real reimbursement rates |
| Medicare Advantage plans | 2,776 with benefit structures |
| Quality outcomes | 5,950 measures across 70 CMS benchmarks |
| Data refresh | Weekly, fully automated |
| AI assistant | 27 tools with real-time visual rendering |