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Payerset

PAYERSETA3 · direct accessManage supplier listing

US healthcare price-transparency rate data: payer-provider negotiated rates from all-payer machine-readable files plus hospital price files, all-payer claims and remits, Medicare fee schedules, historical contract rates, HCO affiliation/ownership and NPI-to-TIN mapping, delivered via Rate Explorer, REST API, S3 and Snowflake Marketplace on a quarterly refresh

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Sample

A sample dataset retrieved from the supplier.

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Coverage

Universe, instruments and categories.

GICS sectors
health insurance payers (UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, Humana, Centene)hospitals and health systems (Cleveland Clinic, HCA Healthcare, Tenet Health, Trinity Health, CommonSpirit)physician and ancillary providers
Instruments
payer-provider negotiated rates (all billing codes, all plans)payer machine-readable files (Transparency in Coverage)hospital price transparency filesall-payer claims and remitsMedicare fee schedulesHCO affiliation/ownership recordsNPI-to-TIN mappings
Categories
healthcare price-transparency data provider (negotiated-rate data lake + rate lookup app)
Regions
US
Sample tickers
UNHCIHUMCNCHCATHC

Payerset has not added their own details yet. Not yet on file:

  • Dataset
  • Data dictionary
  • Coverage
  • Provenance
  • Rights & data handling