Which service lines have the lowest commercial-to-Medicare ratio?
The one that started the company. Find the service line you are paid worst on, before someone else tells you.
By payer. By procedure. Against Medicare and Medicaid. Your negotiated rates and your competitors’, side by side — so you can stop guessing where you stand, and start the renegotiation with the number in front of you.
This is the product. Not a dashboard to interpret — a question you pick, and the dollar answer underneath it.
The one that started the company. Find the service line you are paid worst on, before someone else tells you.
A commercial payer paying you less than Medicare. It happens, and it is hard to defend once it is on paper.
Where what a payer publishes and what the hospital publishes do not agree.
The same question, one level down: which specific procedures carry the gap.
Not the published benchmark — what Medicare actually paid out.
Two public sources describing the same contract. When they diverge, someone is working from the wrong number.
The allowed amount, by payer and procedure, from published data.
The patient responsibility that sits behind the negotiated rate.
You can see exactly which source produced each number, because a rate you cannot defend is a rate you cannot negotiate with.
We still do this, and we do it well — it is how the company started. We run your file through CMS’s official validator and tell you what it sees, free.
In a national scan of 1,692 rural hospitals across 45 states, we found 660 publishing files with a compliance gap — many of which pass the format check while carrying no usable price data underneath. See pricing.