🔧 Built by the team behind medcompare.co

The hospital pricing API,
made for builders.

A healthcare price transparency API powered by CMS HPT files and Transparency in Coverage (TiC) data. Real cash and negotiated rates from 6,113 US facilities, deduped, normalized, ready to query. Self-serve paid tiers, enterprise white-label.

Try it now → See pricing Talk to sales
6,113
Facilities
4.65B
Negotiated rates
39
Payers + cash
55
States & territories

Try it in 5 seconds

Real endpoint. Real data. No signup required to test.

GET /api/v1?action=prices&state=OR&code=70551 
Click "Run query" to see live data.

Demo hits the public read endpoint; licensed v1 endpoints return the same shape with rate-limit and usage headers.

Who builds with it

Six product shapes that depend on real hospital pricing data.

📞

Telehealth platforms

Show patients real downstream prices before booking labs, imaging, or referrals — turn quotes into commitments.

🏢

Employer benefits

Drop a price-shopping tool into your member portal. Built for self-insured plans, navigators, and TPA platforms.

🤖

AI bill review

Feed Medicare rates, hospital cash prices, and TiC negotiated rates API data into your LLM agents. Stop hallucinating bills.

📰

Healthcare journalism

Investigate price gouging, gap reporting, regional disparity — with an auditable source trail back to CMS files.

💳

Healthcare fintech

Power HSA/FSA recommendation tools, medical-loan underwriting, and bill-pay platforms with verifiable price floors.

🛡️

Patient advocacy

Bill negotiators, dispute services, and direct primary care platforms — arm your team with the real numbers.

Drop-in integration

REST + JSON. Bearer auth. Sample code in 4 languages.


    







        

        

            Dataset 2.0 — same prices, 6× the data. Every plan now draws from the rebuilt August 2026 corpus:
            a 4.65-billion-rate data lake spanning 6,113 hospital facilities, 59,618 clinics & surgery centers, and 1.1M individual providers, negotiated rates for 39 payers,
            all 50 states + D.C. + Puerto Rico, U.S. Virgin Islands, Guam and American Samoa —
            with per-hospital file vintage. The underlying lake holds 4.65 billion plan-level negotiated rates;
            custom extracts from it are available on National and sales-assisted plans.
        

    



        
Pricing & plans

        
Starter and Pro are self-serve — pay and your API key is emailed in minutes. Regional and up are annual, sales-assisted: a quick call, an order, and an invoice.

    


    

        
        

            
Starter

            
$99/mo

            
    
                
  • ✓ 10,000 calls/mo
    • 
                
  • ✓ 1 state, your choice
    • 
                
  • ✓ All endpoints
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  • ✓ Email support
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Pro

            
$599/mo

            
    
                
  • ✓ 40,000 calls/mo
    • 
                
  • ✓ Up to 2 states
    • 
                
  • ✓ All endpoints
    • 
                
  • ✓ Priority email support
    • 
            

            

                
                
                
                
                
            

        

        
        

            
POPULAR

            
Regional

            
$16,500/yr

            
Billed annually by invoice (1 month free vs monthly)

            
    
                
  • ✓ 100,000 calls/mo
    • 
                
  • ✓ 1–3 states
    • 
                
  • ✓ Full data + insurer rates
    • 
                
  • ✓ Priority email support
    • 
                
  • ✓ 99.5% uptime target
    • 
            

            

                
Sales-assisted onboarding. All fees non-refundable.

                Talk to sales for a quote →
            

        

        
        

            
Enterprise-lite

            
$38,500/yr

            
Billed annually by invoice (1 month free vs monthly)

            
    
                
  • ✓ 400,000 calls/mo
    • 
                
  • ✓ Up to 10 states
    • 
                
  • ✓ Full data + insurer rates
    • 
                
  • ✓ Priority support + SLA target
    • 
            

            

                
Sales-assisted onboarding. All fees non-refundable.

                Talk to sales for a quote →
            

        

        
        

            
National

            
$82,500/yr

            
Billed annually by invoice (1 month free vs monthly)

            
    
                
  • ✓ 1M calls/mo
    • 
                
  • ✓ All 50 states + D.C. + U.S. territories
    • 
                
  • ✓ Full insurer rate data
    • 
                
  • ✓ SLA + dedicated channel
    • 
                
  • ✓ Quarterly data refresh
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Sales-assisted onboarding. All fees non-refundable. White-label (no attribution) is an optional National add-on — ask sales.

                Talk to sales for a quote →
            

        

    

    

        Starter/Pro: email is collected securely at checkout. Regional and up are annual and sales-assisted — request a quote below and we'll send an order and invoice. Custom terms or volume: info@medcompare.co.
    


    
    

        

            
Need more than National?

            
White-label, BAA, custom integration, unlimited volume, co-marketing — built for member-facing healthtech at scale.

        

        Tell us what you need →
    


    
    

        
Prefer to talk first?

        
Regional, Enterprise-lite, National, white-label or custom? These are annual and sales-assisted. Leave your details — Ryan will reach out with a quote, an order, and an invoice. (Starter/Pro buy instantly above.)

        
        

            
            
            
            
            
            
            
            
        

    

    

    

        Annual billing available — 1 month free (pay 11, get 12) on every self-serve tier.
        No setup fees. No lock-in — cancel anytime, keep access through the period you paid for. All fees are non-refundable, including prepaid annual terms. Subscriptions auto-renew until cancelled.
    







    

        

            
📊

            
CMS HPT source-audit ready

            
Every price traced to CMS-mandated hospital price transparency files. Auditable provenance.

        

        

            
🔒

            
BAA available

            
Enterprise customers on US infrastructure. HIPAA-friendly architecture.

        

        

            
⚡

            
~60ms cached

            
Cloudflare-fronted. P50 ~60ms cache hit; ~350ms cache miss.

        

        

            
🔄

            
Quarterly refreshes

            
New hospital files re-imported each quarter; consumer-facing site auto-updates.

        

    







    

        
Frequently asked questions

    


    

        How fresh is the data?
        
The current corpus was rebuilt in August 2026 from 6,194 hospital machine-readable files. Federal law (45 CFR 180.50) requires hospitals to refresh at least annually and most publish on rolling cycles, so we re-import on that cadence and store each hospital's own last_updated_on date — vintage is tracked per facility, not assumed for the whole set. Updates land on medcompare.co and the API simultaneously.

    

    

        Can I use this for AI / LLM training?
        
No. Standard licenses explicitly prohibit using the data to train, fine-tune, or distill machine learning models. You can use it as a retrieval-augmented source for live inference (RAG / tool-use). Custom ML licenses available on Enterprise.

    

    

        What's the cache policy?
        
Licensed responses may be cached client-side up to 60 seconds for performance. No warehousing, no bulk export, no reselling. Full terms in the License Agreement.

    

    

        Do you offer a BAA?
        
Yes, on Enterprise tier. Our architecture is HIPAA-friendly — the API serves de-identified pricing reference data, not PHI — so BAA terms are straightforward.

    

    

        What about Transparency in Coverage (TiC) data?
        
Yes — negotiated rates for 39 payer families (BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Kaiser, Medicare, Medicaid, TRICARE, MultiPlan/PHCS, Molina, Centene, EmblemHealth, Oscar, Health Net, Highmark, Horizon and more) across 76.3M hospital/code rows. The underlying lake holds 4.65 billion plan-level rates; custom extracts are available on National and sales-assisted plans. Included in Regional, National, and Enterprise tiers.

    

    

        Can I get one specific state cheaper than the National tier?
        
Yes — that's exactly what Regional is for. 1–3 states starting at $1,500/mo. If you're a state-level employer-benefits navigator or regional telehealth platform, this is your tier.

    

    

        What happens if I exceed my plan's monthly calls?
        
All self-serve tiers (Starter, Pro, Regional, Enterprise-lite, National) soft-overflow with $0.005/call billed in arrears. Enterprise is unlimited.

    

    

        

Does the API cover clinics and individual providers, or only hospitals?

Both. Alongside 6,113 hospital facilities, the API serves 59,618 clinic & surgery-center locations and 1.1M individual practitioners from CMS Medicare Physician & Other Practitioners data. Every row carries a facility_type (hospital / clinic / provider), plus specialty, street address and phone — so you can filter or label by facility kind. For common outpatient services like lab panels and imaging, clinics and independent providers frequently price below nearby hospitals.



What's the refund policy?
        
All fees are non-refundable. There's no lock-in either — cancel anytime and you keep access through the period you've paid for; you're simply not billed again. Because this is a data product, we don't offer refunds on consumed API access.

    







    

        
Building something with hospital pricing data?

        
We respond to API inquiries within one business day.

        Email us →