MyCareCost
Price Intelligence
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The same procedure can cost 3–10x more at one hospital than another in the same city. We make that variance visible — and turn it into projected savings for your plan.
Same Knee Replacement — Same Metro
Hospital A
$16,200
Hospital B
$58,700
With similar CMS quality ratings. That's $42,500 per case your plan doesn't need to pay.
Why This Matters
Self-funded employers absorb the full cost of hospital claims. The 3–10x price variance between hospitals in the same market means you're likely overpaying on a significant portion of your spend — without knowing it.
Conservative modeling shows self-funded plans can reduce hospital spend by 8–18% through informed provider steerage — even at a modest 20% steerage rate.
Our utilization-based models work with just your employee count and plan states. No claims integration, no HIPAA complexity, no months-long onboarding.
We don't just find the cheapest hospital. Every recommendation includes CMS quality and safety ratings so you steer to value, not just low cost.
What You Get
We aggregate pricing data from 5,000+ hospital price files and turn it into tools your benefits team can use immediately.
Enter your employee count and plan states — get a realistic dollar estimate of annual savings using CMS/HCUP utilization benchmarks and a conservative 20% steerage rate.
See which hospitals in each market deliver the best value — ranked by price and CMS quality ratings. Know exactly where to steer employees for the biggest per-case savings.
Understand where your spend is concentrated. See savings potential broken down by Orthopedics, Imaging, GI, Cardiology, and other high-cost categories.
Compare every hospital in your markets on price and CMS quality combined. Identify the facilities that deliver the most value — not just the lowest price.
No claims data required to get started. Our models use CMS/HCUP utilization benchmarks to project realistic savings based on your headcount and geography.
Access the actual published prices hospitals are required to disclose — gross charges, cash rates, and negotiated ranges — to inform plan design and negotiations.
Platform Capabilities
Whether you're evaluating a steerage strategy, building a reference-based pricing plan, or presenting savings projections to your CFO — we provide the data.
Flat-fee pricing. No per-employee charges. No referral commissions. No PHI collected.
Getting Started
Tell us your employee count and which states your plan covers. No claims data, no lengthy intake forms. We use CMS/HCUP utilization benchmarks to model your expected procedure volume.
Get projected annual savings, broken down by procedure category. See the hospitals driving the most variance and the specific best-value providers in each market.
Use our data to inform steerage programs, negotiate with providers, design reference-based pricing plans, or build employee-facing price comparison tools.
Every price on our platform is pulled from hospital-published machine-readable files mandated under the CMS Hospital Price Transparency Rule. This is the only pricing data required by federal law, published by hospitals themselves, and verifiable by anyone.
Hospitals tracked
States covered
Typical price variance
PHI collected
We show gross charges, discounted cash prices, and published negotiated rate ranges. Savings projections use CMS/HCUP utilization data with a conservative 20% steerage rate. Actual results depend on plan design and employee engagement.
Use Cases
Provider Steerage
Identify best-value hospitals and build incentive programs that reward employees for choosing high-quality, lower-cost options.
Reference-Based Pricing
Use hospital-published prices to set reimbursement caps or negotiate provider agreements with real market data.
Benefits Committee Reporting
Generate exportable reports showing price variance across your markets, savings opportunities, and provider value rankings.
Employee Price Transparency
Give employees a tool to compare hospital prices before scheduling care — embedded in your benefits portal or as a standalone link.
15 minutes — tell us your employee count and plan states, and we'll show you where the savings are.
Erik Saltsgaver · Founder, MyCareCost ·