Aequalis Transparency
The data is public. The intelligence is not.
Negotiated rates, payer network composition, and rate-derived utilization signals, extracted from the machine-readable files payers and hospitals are required to publish. Built for contracting, benchmarking, and market-entry decisions.
Every negotiated rate, claim, and benchmark in one place.
Aequalis Transparency turns the raw machine-readable files into a working analysis surface. Here is what that looks like end to end.
Explore Every Rate With Ease
Analyze any combination of payers, providers, and services without writing a single line of code.
- Intuitive, no-code interface for teams using healthcare cost transparency data
- Access historical rates to benchmark rate changes over time
- Enriched metadata for apples-to-apples comparisons
What Transparency in Coverage actually is.
Since 2022, federal rules require health plans to publish their negotiated provider rates as machine-readable files (MRFs). Hospitals are required to publish a parallel set of price-transparency files. Together they represent the most complete record of U.S. healthcare pricing ever made public.
They are also enormous, inconsistently structured, and effectively unusable raw. Single-payer files can run into the terabytes. Schemas drift quarter to quarter. Provider identifiers don't resolve cleanly across payers. We turn that raw signal into intelligence you can act on.
We track who is actually publishing, and how clean it is.
Technical Requirement Adoption
The questions Transparency is built for.
A few clicks and you're done.
Select a code and a market and return a transparent, benchmarked rate powered by the contracted-rate distribution and reference pricing. Whether you need comparison rates based on percent of Medicare, local market in-network rates, or our Fair Market recommendations, review and share the result via link or download.
Try it now →How It Works
Ingest
Payer TiC MRFs, Hospital Price Transparency files
We ingest the machine-readable rate files payers and hospitals are required to publish: in-network negotiated rates, out-of-network allowed amounts, and hospital chargemaster + shoppable services files. Multi-terabyte volumes that we refresh monthly and normalize into a queryable layer.
Normalize
Code resolution, provider entity resolution, rate standardization
Rate files were never designed to be compared across payers. We resolve providers across NPIs and TINs, normalize procedure codes across CPT/HCPCS/MS-DRG, standardize rate types and modifiers, and build a unified rate model that supports apples-to-apples comparison.
Grade
Confidence scoring, cross-source validation
Rate data is noisy. We assign confidence scores to every rate, provider match, and code mapping, cross-validate against hospital MRFs and known benchmarks, and flag rates that look anomalous so the buyer sees a reliability grade with every output.
Package
Decision-ready rate intelligence
We package outputs into the formats buyers actually use: contracting prep packs for plans and provider groups, market-entry briefs for investors, and benchmarking reports for self-funded employers.
From raw MRFs to a negotiation-ready position.
The same governed pipeline behind Payer Intelligence, pointed at price-transparency data: rates, claims, and benchmarks you can put in front of a contracting team.
Every negotiated rate
In-network rates across payers, providers, and codes, normalized for apples-to-apples comparison.
Claims-validated
Layer all-payer claims volumes, billed, and paid amounts directly alongside the negotiated rate.
Benchmarked to market
See where a rate sits against the local distribution, Medicare, and the fair-market band.
Market-aware
Resolve rates to MSA and CBSA so a position reflects the geography you actually contract in.
Traceable math
Every benchmarked rate carries the inputs, method, and confidence grade behind it.
Interested in Transparency?
Tell us what decision you need to make and we'll show you what the rate data says.
Get Access to Transparency