Hcpricing provides a cloud‑based platform that consolidates payer fee schedules, market benchmarks, and internal cost data to deliver real‑time pricing analytics for healthcare providers. The system normalizes disparate data, highlights underpriced services, and enables scenario modeling for contract negotiations, with secure integrations to EHR and billing systems and role‑based dashboards for finance, operations, and clinical leadership.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers often lack transparent, real-time tools to compare procedure costs and negotiate payer contracts, leading to inconsistent pricing and reduced revenue optimization.
Solution
Hcpricing offers a cloud-based platform that aggregates payer fee schedules, market rates, and internal cost data to provide actionable pricing insights. The system normalizes disparate data sources, applies analytics to identify pricing gaps, and suggests optimal reimbursement rates for each service. Users can simulate contract scenarios, track pricing changes over time, and generate compliance-ready reports. Integration with existing EHR and billing systems ensures seamless data flow, while role-based dashboards give clinicians, finance teams, and executives the visibility they need to make informed pricing decisions.
Target Audience
Primary customers are hospitals, health systems, and large physician groups that manage complex payer contracts and seek to optimize service pricing.
Features
- Centralized database of payer fee schedules, regional benchmarks, and internal cost metrics
- Automated data normalization and cleansing to ensure accurate cross-payer comparisons
- Pricing analytics engine that highlights underpriced services and recommends optimal rates
- Scenario modeling tools for contract negotiations and revenue forecasting
- Role-based dashboards and customizable reports for finance, operations, and clinical leadership
- Secure API integrations with EHR, practice management, and billing platforms
- Compliance monitoring to ensure adherence to payer contracts and regulatory requirements