Serif Health provides healthcare pricing intelligence through APIs and self-serve analytics tools. Their platform processes machine-readable pricing data from health plans to deliver clean, actionable insights. These tools help provider organizations benchmark reimbursements, optimize pricing strategies, and improve contract negotiations. Health plans use Serif Health for network management and cost-effective care guidance, while employers and innovators utilize their data for plan audits, direct contracting, and integrating cost data into new healthcare products.

Ribbon Health offers a healthcare data platform that consolidates provider information, including location, insurance coverage, cost, quality, and experience, to improve care decision-making. It integrates with existing systems, offering automation and data management solutions to maintain accurate provider directories and support informed healthcare decisions.

FAIR Health is a non-profit that offers a collection of private healthcare claims data for transparency on medical and dental costs. It manages an extensive database to help consumers, providers, and payers to understand healthcare costs and insurance allowables.

Komodo Health provides de-identified claims and patient data compiled from hundreds of sources, covering over 330 million patients. The data includes insights from Medicare beneficiares as well as a variety of commercial plans.

Zelis Provider Nexus is a multi-payer provider directory with a search solution across data from multiple carriers. It features an API for custom search integration, automated API monitoring for data integrity, and the ability to standardize provider information according to business rules.

The Denniston Data Healthcare Pricing Guide (HPG) provides a comprehensive tool for accessing U.S. medical benchmark prices using data from Transparency in Coverage and Medicare. It allows users to view negotiated prices from various healthcare payers for all services and providers. The guide includes reimbursement codes, quality control-checked prices, and compliance features for regulations like the Consolidated Appropriations Act and the No Surprises Act. It aims to help self-insured employers manage healthcare costs effectively.

SumHealth enables provider search and price transparency, with tools to help users locate healthcare providers and access their pricing information. For providers, the product enables them to stay compliant with CMS price transparency requirements, and helps patients and other providers more easily find them.

Tribunus Health is a managed care contracting firm that also offers a Healthcare Price Transparency Tool, powered by PayerPrice, which provides detailed, actionable data on negotiated reimbursement rates from commercial payers across the U.S. This tool allows healthcare providers to compare their rates with others in their specialty and geography, helping them negotiate better contracts and understand their competitive positioning. It features comprehensive datasets, specialty-specific insights, and visualizations to aid in strategic decision-making.

Clarify Health's Atlas platform is an enterprise analytics solution with over 15 billion claims in its dataset that can be used for price transparency in contract negotiations, building higher quality networks, reducing spend, and optimizing referrals. The platform aids in optimizing provider performance, reducing medical costs, and improving patient outcomes by integrating social determinants of health and detailed patient data.

Definitive Healthcare is a data and analytics platform that provides detailed profiles of healthcare providers, market level data on providers, and trends in healthcare utilization and outcomes. Their platform serves a variety of uses cases, most notably life sciences marketing functions.

First DataBank offers drug safety and efficacy data for clinical decision support solutions and operational systems.

Gradient Health provides access to large, diverse medical imaging datasets for training and validating AI technologies in healthcare. They partner with hospitals and health systems to contribute data to accelerate the development of medical AI solutions. Their services are tailored for AI developers and partners to ensure high-quality datasets for medical research and innovation.

Health Data Atlas provides a comprehensive healthcare market intelligence solution that simplifies healthcare data and links claims to healthcare organizations (HCOs), facilities, and parent Integrated Delivery Networks (IDNs). Health Data Atlas integrates data from various sources, including NPPES, CMS, state licenses, IRS filings, and claims datasets to build accurate organizational hierarchies and provider profiles.

Keywell.ai offers PriceLink, which provides detailed insights into negotiated rates across providers and payers using price transparency data. It helps generate customizable market reports and provider comparisons, helping organizations like payers, providers, and accountable care organizations make informed decisions about pricing, cost reductions, and network management.

Kythera Labs' Wayfinder platform is a SaaS big data solution for healthcare and life sciences that integrates data, analytics, and AI to generate insights from over 45 terabytes of de-identified claims data. It supports use cases including identifying rare patients, targeting providers, mapping patient journeys, and analyzing market trends.

LexisNexis Provider Data MasterFile is a database that offers comprehensive information on healthcare providers and organization for improved data management, compliance, and credential verification.

Mathematica Price Transparency aggregates and analyzes pricing data from national and regional health plans to provides insights into reimbursement rates, Medicare comparisons, provider performance, and service utilization. The platform enables healthcare providers, payers, and purchasers to make data-driven decisions for rate negotiations, service line growth, and value-based care. It includes a customizable dashboard for real-time data visualization and detailed reports.

Optum Clinformatics Data Mart aggregates de-identified patient data, including medical and pharmacy claims, lab results, and provider data, for downstream analysis. The dataset includes information for approximately 67 million individuals in the US.

PayerSet offers price transparency data solutions sourced from payer MRF files. The platform includes tools like Rate Explorer for self-service exploration of these rates, and Data Lake for integrating this data into existing systems. PayerSet's datasets help organizations with cost management, competitive pricing, and strategic planning by providing granular details on rates, billing codes, and provider plans, all refreshed quarterly for accuracy.

Segmed provides de-identified, real-world medical imaging data for use in healthcare research, AI development, and clinical innovation. It aggregates data from over 2,000 healthcare locations worldwide, offering access to diverse datasets that include DICOM images, radiology reports, and patient metadata. The platform supports life sciences, medical device development, and AI model training by providing fast, regulatory-grade datasets. Segmed's tools streamline data extraction, de-identification, and delivery, reducing time-to-access for researchers. Key features include FHIR and DICOMweb standards for interoperability and automated de-identification to ensure HIPAA compliance.

TALON's healthcare price transparency platform offers a suite of tools for viewing price transparency data, including consumer price shopping tools and features for claims analysis, healthcare pricing data, and financial modeling.

Trek Health's Payer Transparency platform provides real-time analytics to enhance payer negotiations and financial strategy. Key capabilities include accessing real-time payer fee schedules, assessing payer mix, and maximizing claims reimbursement through actionable data. The platform also supports market expansion by offering insights into competitor landscapes and optimizing negotiation terms with robust payer rate comparisons.

Turquoise Health is a data platform that provides price transparency data and payer-provider contracting solutions. Their price transparency data platform enables pricing through competitive benchmarking and customized rate setting, particularly for value-based reimbursement structures such as bundled rates. Their managed care contracting software enables more efficient rate negotiations.

Visible Charges provides a price transparency dataset of healthcare charges using MRF data that is updated on a monthly basis. This data includes detailed information on negotiated rates by payer and plan for various procedures, supplies, and drugs across different types of healthcare providers. The platform helps analyze and compare prices, supporting transparency and better decision-making in healthcare costs.