State Rates provides an on-demand database of Medicaid outpatient and inpatient reimbursement rates, covering 7 states, 650K+ providers, and 4+ years of historical data. The platform offers a pricing tool, API, and data licensing options to help healthcare organizations access accurate, up-to-date Medicaid payment information without manually rebuilding rate tables.
Funding
Funding not disclosed
Founders
Product
Problem
Medicaid reimbursement rates are published in complex, state-specific policy manuals and files that are difficult to parse, frequently change, and lack a centralized source of truth. Providers, consultants, and health tech teams waste significant time and resources manually tracking down and verifying these rates, leading to billing errors and operational inefficiencies.
Solution
State Rates builds a comprehensive, nationwide Medicaid rate database by systematically reading policy manuals and ingesting rates as they are posted, regardless of format. The platform packages this data into three delivery interfaces: a free-to-try pricing tool for individual claim estimates, an API for bulk pricing integrated into existing products, and data licensing for full-database access. Each rate includes its calculation methodology and source attribution, ensuring users understand exactly how a number was derived. The service covers outpatient and inpatient rates across 7 states, with provider-specific data searchable by NPI or name, and does not store the content of user lookup requests.
Target Audience
Primary customers are healthcare providers, revenue cycle management consultants, and health technology teams that need accurate Medicaid pricing for claims estimation, benchmarking, or integration into their own products.
Features
- Fresh outpatient and inpatient Medicaid rates with 4+ years of historical data across 7 states
- Provider-specific rate search by NPI or name, showing all calculation details and data sources
- API with usage pooled across all purchased states, designed for bulk claim pricing at scale
- Printable outputs for sharing rate findings with stakeholders
- No storage of request content—procedure codes, provider identifiers, and dates of service are discarded after computation
- No third-party advertising scripts or cross-site tracking; free lookup limits enforced via server-side counters