Payer-sourced negotiation leverage
Your payer already pays another hospital more for the same hospital stay. We find it in their own files.
PayerParity turns federally mandated price transparency data into documented negotiation leverage. Not modeled benchmarks — the payer's own disclosed rates, used against their own precedent.
Proof point
A $311 deficit that was really $2,127
For MS-DRG 690 inside the Tenet network, Texicare pays Resolute Health (New Braunfels) at 184.5% of Medicare and Sierra Campus (El Paso) at 153.1%. Face value, El Paso looks $311 underpaid per case. Held to the payer's own 184.5% precedent, the true gap is $2,127.
184.5%
Resolute Health · New Braunfels
MS-DRG 690 · $10,666 commercial
153.1%
Sierra Campus · El Paso
Same MS-DRG · $10,355 commercial
$2,127
vs. $311 face-value deficit
True underpayment per case at payer's own network standard
The same pattern replicated in a second market (Dallas), proving this isn't a one-off. Read the full case study →
Why this is different
Modeled benchmarks vs. payer's own disclosure
Hospital executives know they're underpaid. The question is whether they have proof a payer will accept at the negotiating table.
Process
Four steps to documented leverage
Pull payer disclosure files
We access the machine-readable files your payer is federally required to publish — the same data they use internally.
Decode the pricing methodology
We identify whether each rate is DRG, APC, case rate, FFS, or another methodology — not everything in an MRF is fee-for-service.
Find comparable facilities
We locate in-network hospitals the same payer reimburses at a higher rate for the same code and methodology.
Deliver documented leverage
You receive a payer-sourced, defensible negotiating position — their own numbers, not a modeled estimate.
Built by operators who worked inside payer contract-modeling systems and hospital price transparency infrastructure — not analysts scraping files from the outside.
Meet the team →See what your payer already pays elsewhere
We'll run your facility's data against comparable in-network hospitals and show you a real, payer-sourced gap — free, as the starting point for a conversation.