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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databaseData 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
scheduleUpdate 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
    }
  ]
}
boltResponse 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_doneUptime 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 herePDFUB-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
Hospital MRFs vs. Payer MRFs
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Hospital MRFs vs. Payer MRFs

Understand how hospital and payer machine-readable files differ in prices, coverage, formats, identifiers, and update rules, and choose the right source.

Nov 3, 2026Read more
Payer Contract Negotiation Checklist
Education

Payer Contract Negotiation Checklist

Prepare for payer contract negotiations with a practical checklist for renewal terms, fee schedules, payer mix, reimbursement benchmarks, and supporting evidence.

Nov 3, 2026Read more
How to Benchmark Payer Reimbursement Rates
Education

How to Benchmark Payer Reimbursement Rates

Compare payer reimbursement rates using matched providers, networks, codes, and care settings. Learn how to turn a reliable benchmark into a contracting priority.

Nov 3, 2026Read more