Clear rates data

Healthcare pricing data you can actually trust

Turn scattered pricing signals into powering contract negotiations, network decisions and market strategy

Request a demo
Clear rates

Every pricing signal, one unified view

Clear Rates combines payer and hospital transparency files, claims benchmarks, Medicare fee schedules, and reference data—every signal that matters for a comprehensive, 360° view of healthcare pricing.

Data traceability

We show our work so you can trust yours

Wherever there is a rate, you can trace it. Track the source and logic behind each data point so you have confidence in the data, trust the analysis, and can make decisions faster.

clear rates image 1
Table showing MS-DRG 470 codes with corresponding Medicare percentages and rates, highlighting $27,404.00 at 227%. Aetna card displays a rate score and $27,404.00 reported on 12/30. Rate range section shows 40% charge rate multiplied by total charges $68,510.00 equals $27,404.00. Bar chart depicts rate distribution highlighting $27,404.00.

Give time back to your analysts

Clear Rates transforms weeks of data reconciling, normalizing and validating into an analytics-ready dataset that's ready to use immediately.

Payer & hospital data combined

Payer and hospital data finally line up, with plans and networks resolved into a single source of truth.

Outliers & duplicates eliminated

Using 180+ smart transformations and statistical checks, we automatically catch anomalies, clean up conflicts, and filter out rates that don't make sense. You get data you can trust, right out of the box.

Standardized contract provisions

We translate rates from MRF data into the contract structure that dictates reimbursement, giving you clarity at the contract level.

Built-in code cross walks

We handle coding system translation for you. APR-DRGs become MS-DRGs, APCs map to HCPCS, custom codes align to standards. It all just works.

All rates standardized to dollars

Whether it's a percentage, a per diem, or a case rate, we normalize everything into straightforward dollar amounts. Compare contracts easily without doing the math yourself.

Auto-stabilized rate refreshes

Price transparency files can be messy from month to month. We look at up to four months of history to smooth out the noise and give you consistent, dependable rates for your analysis.

Rate Derivation Logic

How we pick the right rate

When multiple sources report different rates for the same service, we don't guess. We score each candidate using Medicare benchmarks, claims data, validated patterns, and rate consistency checks. The strongest rate wins.

5
Rate Score
MRF-Verified Rate

Rate confirmed by both payer and hospital postings within an acceptable variance threshold.

4
Rate Score
MRF-Validated Rate

Verified against Medicare benchmarks and real-world claims data.

3
Rate Score
Medicare & Claims-Validated Rate Structure

Variable rate types (e.g., % of charge or per diem) validated against Medicare benchmarks, outlier thresholds, and/or claims data.

2
Rate Score
Unvalidated Rate Structure

Variable rate types (such as % of Charge and Per Diem rates) where the calculated rate falls outside of outlier bounds.

1
Rate Score

1 and 0 scores are omitted from our products when data is incomplete or rates do not meet quality standards.

Use the data where you already work

Access Clear Rates in our platform, export to your data warehouse, or integrate via API. Work however your team works best.

Integrate via Turquoise API

Programmatic access for custom integrations, LLM applications, automated reporting, or any workflow that needs healthcare pricing data.

Choose your data warehouse

Access Clear Rates directly via Trino, Snowflake, or Databricks for fast, distributed analysis alongside your internal data.

Direct file access

Deliver Clear Rates via secure S3 or SFTP for teams that prefer scheduled file drops, internal ingestion pipelines, or offline analysis.