Healthcare pricing diligence, automated
Rate benchmarking in minutes, not weeks.
Rates Plus returns a comparative pricing diligence deliverable built on negotiated rate data — the same analysis top consulting firms produce, in a fraction of the time.
- 50
- States covered
- 380+
- MSAs
- 30+
- Specialties
- Minutes
- To deliverable
Four inputs. One defensible deliverable.
Define the market
Choose the state and the MSAs in scope. Rates Plus resolves the payer mix, hospital systems and provider footprint for that geography.
Choose the specialty
Cardiology, orthopedics, imaging, anesthesia, oncology and more — each mapped to its governing CPT and DRG set.
Select sub-services
Drill into the specific procedures that matter — for example MRI and CT within imaging — so the benchmark reflects the exact services under review.
Receive the deliverable
A formatted comparative pricing diligence package: rate distributions, payer-by-payer benchmarks, percentile positioning and defensible methodology notes.
What's in the report
Every deliverable is structured the way a diligence committee expects to read it.
Payer-level rate benchmarking
Commercial negotiated rates compared across payers and plan types within the selected market, normalized for site of service.
Medicare percentage positioning
Every rate expressed as a percentage of the current Medicare fee schedule so valuation teams can compare markets on one axis.
MSA-to-MSA comparison
Stack a target market against neighboring or national MSAs to isolate where a practice sits above or below the local band.
Specialty CPT baskets
Curated procedure baskets per specialty, weighted by utilization, so the comparison reflects real revenue, not a code list.
Percentile distributions
25th, 50th, 75th and 90th percentile bands per code and per payer, with counts disclosed for every cell.
Audit-ready methodology
Sources, effective dates, exclusions and normalization logic documented in the appendix of each deliverable.
Built for organizations that are built for growth
Private Equity Firms
Commission pricing diligence for platform acquisitions, add-on deals, and pre-exit contract cleanup.
PE-Backed Platform Corporate Development
Internal teams evaluating de novo markets, payer contracts, and new service lines.
Independent Physician Groups
Understand rate positioning before entering a sale process.
Health Systems and Hospitals
Assess rate environment ahead of physician group acquisitions or outpatient expansion.
Investment Banks
Healthcare-focused banks that commission or refer pricing diligence to support transaction mandates.
Managed Care Consultants & RCM Firms
Use market-rate benchmarks to ground payer contract negotiations.
Run your next rates assessment in minutes, not weeks.
Rates Plus is opening to a limited set of strategic growth partners. Tell us the markets and specialties you cover and we'll set you up.
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