You're paid less than the system down the street, for the same care.
Independent practices and provider groups rarely know whether their payer rates are competitive, and without a data team, the raw transparency files are impossible to use. SumHealth turns that data into clear, specialty-level benchmarks so you can renegotiate from evidence, not hope.
- Specialty-level rates
- Updated monthly
- No data team needed
You're negotiating against systems that can see more than you
Large health systems have analysts poring over transparency data. Independent practices usually don't, so they accept payer offers with no way to tell a fair rate from a low one.
No benchmark to push back
When a payer sends a fee schedule, there's no easy way to know whether it's competitive, so practices sign rates they'd never accept if they could see the market.
Paid less for the same care
Smaller practices are routinely reimbursed below the larger systems nearby for identical CPT codes, a gap that compounds across every visit and procedure.
No data team to lean on
The transparency files that hold the answers are terabytes of messy JSON. Most practices can't staff the engineering it takes to make them usable.
Renewals slip by unchallenged
Without monitoring, evergreen contracts auto-renew at stale rates and the chance to renegotiate quietly passes year after year.
Turn transparency data into a fair rate
SumHealth normalizes the nationwide pricing dataset down to your specialty and market, so you can see exactly where your rates stand and act on it without a data team.
See what payers actually pay for your codes
Compare your reimbursement against the market at the CPT level (by payer, plan type, and geography) so you know which rates are below par before you renew.
- Benchmark your rates against peers in your market
- Spot the codes where you're underpaid
- Build a data-backed case for an increase
- Track your rates after each renewal
Turn rate gaps into signed increases
Pair SumHealth data with our reimbursement experts to translate the gaps the data reveals into a concrete, defensible ask for your next negotiation.
- Prioritize the contracts worth reopening
- Translate benchmark gaps into negotiation asks
- Bring expert support to payer conversations
Give patients honest cost estimates
Provide accurate, pre-service cost estimates from the same nationwide dataset, building patient trust and supporting Good Faith Estimate readiness.
- Search real rates from 5,000+ hospitals
- Support transparent patient communication
- No setup or sign-up required to start
Meet transparency rules without the overhead
Stay on the right side of Good Faith Estimate and machine-readable file requirements as the mandates evolve, without building it all yourself.
- Keep pace with evolving CMS mandates
- Support Good Faith Estimate readiness
- Reduce audit and penalty exposure