State Rates
State Rates provides a comprehensive Medicaid rate database covering outpatient and inpatient rates across 8 states with 4+ years of historical data. The platform offers a free-to-try pricing tool, an API for bulk pricing, and data licensing options, with every rate including its calculation methodology and source attribution. It serves providers, consultants, and health tech teams needing accurate Medicaid pricing for claims estimation and integration.
- Healthcare Technology
- Software Only
- Artificial Intelligence
- Data & Analytics
- Financial Technology
Funding
Founders
Founder details are not available yet.
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 Medicaid rate database by systematically reading policy manuals and ingesting rates as they are posted from primary state sources, 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 8 states with 700K+ providers, searchable by NPI or name, and does not store the content of user lookup requests, keeping them private.
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 8 states
- Provider-specific rate search by NPI or name, showing all calculation details and data sources
- API with single and batch endpoints for outpatient and inpatient pricing, with usage pooled across all purchased states
- Free provider lookups powered by each state's enrollment files
- Structured data exports in tables with a standardized schema, refreshed monthly, with full effective-date history traceable to state publications
- No storage of request content after 30 days, no third-party advertising scripts, no cross-site tracking