One API. Every Rate. Hospital and Payer Data Unified.
The SumHealth API gives developers and data teams direct access to our nationwide dataset — hospital MRF files and payer transparency files, normalized and ready to query.
- REST + GraphQL
- Sub-50ms latency
- SOC 2 Type II aligned
{
"status": "success",
"hospital": "Memorial Medical Center",
"code": "99213",
"rates": [
{
"payer": "Aetna",
"negotiated_rate": 127.40,
"plan_type": "PPO",
"source": "hospital_mrf"
}
],
"market_avg": 135.10,
"latency_ms": 28
}
We turn complex payer and hospital data into clarity.
Our platform distills the nation's fragmented payer and hospital pricing files into actionable intelligence. By bridging the gap between raw files and real-world utility, we empower the architects of modern healthcare.
"status": "success",
"hospital": "Memorial Medical Center",
"code": "99213",
"rates": [
"payer": "Blue Cross Blue Shield",
"negotiated_rate": $127.40,
"plan_type": "PPO"
,
"payer": "Aetna",
"negotiated_rate": $142.80,
"plan_type": "HMO"
],
"market_avg": $135.10,
"data_source": "sumhealth_mrf_v3"
Built for developers. Designed for scale.
Everything you need to integrate hospital and payer rate data into your product — without building your own ingestion pipeline.
Hospital MRF Data
Access structured, normalized data from hospital price transparency files nationwide. CPT, DRG, and revenue code rates — clean and API-ready.
Payer Transparency Files
Query in-network and out-of-network rates from thousands of payer MRF files — deduplicated, normalized, and cross-referenced against our hospital dataset.
REST + GraphQL
Two query paradigms, one data source. Use our REST API for simple lookups or GraphQL for complex, multi-dimensional queries across hospitals, payers, and codes.
Sub-50ms Latency
Our distributed query layer delivers p99 response times under 50ms — fast enough for real-time cost estimator tools and patient-facing applications.
Streaming NDJSON
Bulk data consumers can stream full rate datasets using our NDJSON endpoints — eliminating pagination overhead for analytics pipelines and data warehouses.
Enterprise-Grade Security
OAuth 2.0 authentication, IP allowlisting, end-to-end TLS, and a 99.99% uptime SLA. SOC 2 Type II aligned and built for HIPAA-sensitive environments.
One API powering every healthcare data workflow
From patient-facing cost tools to enterprise analytics stacks, the SumHealth API adapts to how your team works.
Power Real-Time Patient Cost Estimates
Integrate the SumHealth API into patient-facing portals and pre-service workflows to deliver accurate, payer-specific cost estimates at the point of care.
- Return rates for any CPT code in <50ms
- Filter by payer, plan type, and geography
- Support Good Faith Estimate (GFE) compliance
- Serve both hospital and payer rates from one endpoint
Enrich Clinical Workflows with Pricing Context
Embed rate and reimbursement data directly inside EHR platforms, billing systems, and revenue cycle tools — without rebuilding your data pipeline.
- REST and FHIR-aligned data structures
- Patient-level benefit and plan lookups
- Prior authorization and reimbursement modeling
- Integrate via webhooks for real-time updates
Fuel Payer Contract Analytics at Scale
Stream the full rate dataset into your data warehouse or analytics platform. Power payer performance dashboards, contract modeling, and market analysis.
- Bulk NDJSON streaming for warehouse ingestion
- Cross-reference hospital and payer rates together
- Filter by geography, specialty, and plan type
- Monthly updates via automated pipeline