Trilliant Health

Price Transparency

Your most important pricing questions, answered.

Talk With Our TeamAsk Oria
price transparency hero
venn-price-transparency

THE DATA

Price transparency will unleash an era of value-based competition.

Every stakeholder will eventually be asked to defend their rates — but the raw machine-readable files (MRFs) posted by payers and health plans are massive, messy and full of duplicates, not ready-made answers. Using them requires context: who gets paid what, where, compared to whom and over what time.
What the market rates are today...

What • Rates

Both price transparency sources

  • Access the negotiated rates posted by hospitals
  • Gain visibility to the more comprehensive payer MRFs, which have rates for all care settings

Who • Providers

Provider data to build relevant cohorts

  • Build provider cohorts based on specialty, affiliations and practice location
  • Contextualize with information from our proprietary Provider Directory

Where • Market

Context about broader market dynamics

  • See how rates correspond with market share gains and losses
  • Understand how rates influence payer mix
... and tomorrow

WHAT'S NEXT

Deliver more value for money

  • Develop pricing strategies that align rates with quality
  • Track how the market rate changes over time to inform future negotiations

200+

Commercial payers

3.1M

Provider profiles

7.2B+

Rates posted by hospitals

4,700+

Hospitals with verified disclosures

Talk With Our TeamAsk Oria
rates iceberg 2

Pricing Strategy

Compete by providing value for money.

In order to compete in healthcare's negative-sum game, providers must deliver value for money, which requires understanding what is being paid in your market to your competitors for equivalent services. Providers can deliver value for money by providing better quality at the same price, the same quality at a better price or – the holy grail – better quality at a better price.

RAW DATA

pt blue card icon

WHAT • RATES

What is the market rate for products and services?

HOW WE ANALYZE HEALTHCARE PRICES

pt green card icon

WHO • PROVIDERS

Who should we benchmark our rates against?

pt orange card icon

HOW • MARKET

How do rates shape our market position?

pt purple icon 2

WHY • EXPERTISE

Why do rates differ, and is it sustainable?

What are the market rates for healthcare products and services?

In the new world of healthcare price transparency, every provider will eventually be forced to defend their rate. Doing so first requires navigating the scale and complexity of the MRFs to benchmark your rate against your actual competitors.

WHAT YOU GET

  • Facility and professional rates in a single dataset
  • Negotiated rates across settings of care
  • Duplicate and invalid ("zombie") rates removed
pt image for blue card png

Who are the relevant providers to benchmark rates against?

We group NPIs and billing entities under the parent organization and layer in specialty, location and system affiliation, so you can benchmark against true competitors, not every provider in the MRFs.

WHAT YOU GET

  • 40+ provider attributes from our Provider Directory
  • Specialty and practice location verified
  • Facility type and health system affiliation included
pt image for green card png (1)

How does the variation in rates shape your market position?

A provider paid a lower rate can out-earn a peer with a higher rate simply by performing more services. Understanding market position requires understanding negotiated rates alongside utilization trends and competitive benchmarks.

WHAT YOU GET

  • Competitive volume trends by payer and service line
  • Rates landed to specific sites of service (state, CBSA, county, ZIP)
  • Utilization patterns that reveal payer steerage
pt image for orange card png (1)

Why does that variation exist, and is it sustainable?

Value exists at the intersection of quality outcomes and negotiated rate, and stakeholders who deliver value for money more consistently than their competitors will win in healthcare’s negative-sum game.

Our team offers more than simple technical support. Our in-house payer analytics experts offer strategic support to help translate price variations into a pricing strategy. 

WHAT YOU GET

  • Validation of negotiated rates by payer-side specialists
  • Cohort review to ensure like-for-like comparisons
  • Advisory support through the contracting process
pt image for purple card png (1)

Two ways to access Trilliant Health's rate intelligence

Use Trilliant Health’s free resources to explore hospital-published prices. Get premium access when the answer requires data across more settings of care or advanced analysis.
Free Access

Ask questions about published hospital prices.

WHAT YOU GET

Plain-language answers about hospital prices in Oria Lite

Hospital-published rates for specific services, including discounted cash prices and payer-specific negotiated rates

Side-by-side price comparisons across hospitals in a market

Questions You Can Ask for Free

What is the published price for an MRI at Methodist Hospital?Which hospitals publish a cash price for colonoscopies?How do published prices vary across hospitals in Tampa, FL?What is the range of rates paid by Anthem for CPT 27447?

EXAMPLE

“How do our MRI rates compare with local peers?”

“Here are the hospital-published prices for MRI services in your market.”

Ask Oria
Premium Access

Answer complex questions about rates across your entire market.

WHAT YOU GET

Negotiated rates from health plan MRFs, normalized so they can be compared

Rate comparisons by payer, provider, service, site of care and market

Claims-based patient volumes alongside rates, so you can understand how rates impact market share

Consult with our price transparency experts for complex analyses

QUESTIONS YOU CAN NOW ANSWER

How do our negotiated rates compare with local peers?Where are our rates above or below market?Which payer contracts create the largest gaps?How do rates vary by provider, service, site of service and market?

EXAMPLE

“How do our MRI rates compare with local peers?”

The answer shows where your negotiated rates sit relative to the market by payer, facility, and site of service, and identifies the largest gaps.

Talk With Our Team

Available applications, data and support vary by agreement.

Ask us a question about rates in your market.

Every question connects back to the same foundation: linked data on who delivers care, what care is delivered and what it costs.

Talk With Our TeamAsk Oria

GO DEEPER: USE CASES

The Playbook for Growth

The Playbook for Growth examines how strategy teams use price transparency data to support their pricing strategies and negotiations.

playbook for growth-1
01

Benchmarking rates across a market

Negotiating from strength starts with knowing where your rates sit relative to the market, not negotiating on a gut feeling.

02

Understanding the impact of rates on market share

A higher negotiated rate does not guarantee more revenue if it results in lower volume or an unfavorable payer mix.

03

Assessing the impact of steerage to low-cost sites

Payers are steering volume toward lower-cost settings. Know where that exposure is greatest so you can negotiate — or compete — on price.

Download the Playbook