We're The First Vertically Integrated Healthcare Pricing Transparency Company

We turn the nation's hospital and payer pricing files into clean, negotiation-ready rate data — so your finance and contracting teams know exactly what the market pays before they sign.

  • Nationwide MRF coverage
  • CPT & DRG-level rates
  • Data + expert contracting

Clean, usable rate data covering the
nation's largest payers and health systems.

The Stack

Four Layers. One Integrated Stack. Infrastructure For Intelligent Healthcare.

Layer 1

Foundation

Cleaned, structured pricing data at scale

storage

Proprietary Data Ingestion Technology

Raw MRFs are massive, inconsistent, and unusable out of the box. Our ingestion pipeline turns hundreds of mismatched hospital and payer files into one clean, query-ready rate dataset.

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database Data Coverage
5,000+

U.S. hospitals indexed, plus 200+ payers

checklist

Standards We Normalize

  • CMS Hospital MRF (45 CFR 180)
  • Transparency in Coverage
  • CARIN Alliance Schema
  • HL7 FHIR R4
schedule Update Cadence
Monthly

automated ingestion pipeline

verified

Data Quality

Every file is validated, deduplicated, and cross-referenced against the source before entering the pipeline.

Source-Verified
Layer 2

Delivery

Enterprise-grade APIs, sub-second latency

api

Power Your Applications

Direct API access to our nationwide database. Build cost estimators, integrate EHRs, or feed your analytics stack through a single unified endpoint.

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sumhealth — api_response.json
// GET /v1/rates?code=74176&zipcode=28278
{
  "request_id": "cd78ccb3...",
  "code": "74176",
  "zipcode": "28278",
  "data": [
    {
      "hospital": "Novant Health Ballantyne",
      "distance_miles": 11.2,
      "description": "CT ABD PELVIS WO CONTRAST",
      "payer_rate_min": 241.72,
      "payer_rate_max": 253.81,
      "payer_rate_avg": 244.89
    }
  ]
}
bolt Response Time
<50ms

p99 latency across all endpoints

code

API Protocols

  • REST (JSON)
  • GraphQL
  • Streaming NDJSON
  • Webhooks
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Enterprise Security

OAuth 2.0 authentication, IP allowlisting, and end-to-end TLS encryption on every request.

SOC 2 Type II
cloud_done Uptime SLA
99.99%

guaranteed availability

Layer 3

Our Products

Purpose-built tools for healthcare pricing intelligence

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Benchmarks

Proprietary benchmarks that define your market position instantly. A single source of truth across payer and hospital data for finance, ops, and contracting teams.

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map

Rate Atlas

An interactive, nationwide map of negotiated rates across payers and providers. Surface pricing gaps and benchmark by geography instantly.

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TrueCharge AI

Drop a CMS-1500 or UB-04 bill and let our AI reprice it instantly. Closes chargemaster gaps and ensures every service is reimbursed accurately.

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Drop your bill here PDF UB-04
Layer 4

Real-World Application

Where data meets expert execution

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In-House Payer Contracting

We don't just provide data — we use it. Our expert contracting team negotiates better payer contracts and improves revenue integrity at scale.

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Meet the Team

Billie St. Pierre-Natoli

Billie St. Pierre-Natoli

Principal Consultant, Business Development & Contracting

Savannah Sherman

Savannah Sherman

Senior Consultant, Business Development & Contracting

insights

Backed By Our Own Data

Our team negotiates using the same benchmark data we sell — so every rate ask is grounded in what the market actually pays.

Data-Backed
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Services Included

  • Contract Negotiation
  • Underpayment Recovery
  • Revenue Integrity Audits
  • Payer Relations
groups

Expert Team

A dedicated contracting team that knows how payers think — negotiating agreements and recovering underpayments on your behalf.

White-Glove Service
“SumHealth hands down has the best national BUCA and cash price transparency search engine in the country - properly separating facility and professional fees. Their software engineering and healthcare pricing data domain expertise is second to none!”
Headshot of Dr. Bill Hennessey

Dr. Bill Hennessey

Chief Savings Officer, Health Freedom

Journal

Latest Insights

View All Articles
Half of Hospitals Charge Cash Patients Less Than Insurers Pay
Blog Post

Half of Hospitals Charge Cash Patients Less Than Insurers Pay

We compared the posted cash price against the median commercial negotiated rate for a brain MRI at 539 U.S. hospitals. At half of them, cash is cheaper.

Aug 27, 2026 Read more
You Gave Them Skin in the Game. Nobody Gave Them the Scoreboard.
Blog Post

You Gave Them Skin in the Game. Nobody Gave Them the Scoreboard.

Health shares, RBP plans, ICHRA, DPC, HSAs: five different structures, one identical failure. The member is the payer. The payer cannot see the price.

Aug 17, 2026 Read more
The Most Expensive Word in Health Care Is "Or"
Blog Post

The Most Expensive Word in Health Care Is "Or"

The estimate is not a price. Four committees voted yes in nine weeks — and not one of them would say what a price is.

Aug 1, 2026 Read more