MyCareCost

Compare and Negotiate Healthcare Pricing
Pricing intelligence for healthcare organizations

Turn hospital price transparency into lower healthcare spend.

MyCareCost transforms hospital-published pricing files into steerage insights, compliance monitoring, negotiation support, and reporting that employers, health shares, brokers, TPAs, and provider organizations can actually use.

5,000+

Hospitals tracked

Commercial analysis built on public machine-readable hospital pricing files.

3-10x

Price variation surfaced

The same procedure often varies dramatically inside one market.

Audit-ready

Compliance evidence

Track stale files, broken links, and missing price tables.

Actionable

Reports and exports

Turn raw price files into savings, negotiation, and board-level reporting.

The problem

Your employees, members, and clients are overpaying

Hospital prices for the same procedure in the same city vary by 3-10x. That variance is invisible to most organizations — and it's costing them millions.

ProcedureLowestHighestGap
Knee Replacement$15K$65K$50K
Spinal Fusion$22K$85K$63K
MRI (Brain)$350$3,500$3,150
C-Section$6K$28K$22K
Cardiac Catheterization$12K$45K$33K

Real price ranges from published hospital machine-readable files. Gap represents maximum per-case savings opportunity within a single metro area.

$1.2M

Projected savings for a 500-employee employer in DFW

22%

Modeled sharing amount reduction for a 50K-member health share

38%

Broker new-business win rate using variance reports (up from 22%)

Commercial solutions

One platform, multiple buyer types

Keep the same data source and operating model while tailoring the workflow to the organization in front of you.

Self-Funded Employers

See exactly how much you can save. Enter your employee count, select your states, and get projected annual savings with named best-value providers.

  • Projected annual savings based on employee count
  • Provider steerage recommendations with per-case savings
  • Category-level savings breakdown by service line
  • Hospital value rankings that combine price and CMS quality

Health Share Networks

Guide members through pre-care planning, negotiation prep, episode estimates, and bill review while tracking savings at the community level.

  • Member price comparison across 5,000+ hospitals
  • Pre-care planning and hospital negotiation support
  • Episode-of-care estimates with facility comparisons
  • Bill review workflows and community savings reporting

Advocates, Brokers & TPAs

Deliver price variance analysis, negotiation prep, dispute support, and client-ready reporting from one commercial dashboard.

  • Price variance reports with market percentiles
  • Hospital negotiation analysis with leverage scores
  • Billing dispute packet generation
  • Quarterly exports and deck-ready reporting

Provider Networks

Show employers, members, and patients where your facilities win on value while keeping transparency files compliant and audit-ready.

  • Competitive market positioning
  • CMS compliance scoring and monitoring
  • Price file validation and gap detection
  • Employer-ready value reporting

Compliance Monitoring

Monitor stale price files, broken links, and enforcement risk before CMS or external buyers flag the issue.

  • Real-time compliance scoring
  • Automated file validation
  • Change detection and alerts
  • Evidence bundles for audits and remediation

Data Licensing & API

Structured pricing datasets and API access for analytics teams, product builders, and healthcare cost intelligence platforms.

  • Bulk exports across hospital-published pricing data
  • Geographic and procedure-level filtering
  • Commercial data access for internal tools
  • Custom delivery and pipeline support
Coming Soon

Built for your role

Real outcomes, not just dashboards

Employers

Reduce spend 8-18%

Model annual savings, rank steerage opportunities by impact, and identify named best-value hospitals with quality context.

Health Shares

Lower sharing amounts

Help members find lower-cost care earlier so the entire community benefits from fewer avoidable high-cost claims.

Advocates, Brokers & TPAs

Win with proof

Deliver client-ready variance reports, negotiation guidance, and quarterly reporting that demonstrates measurable value.

Hospitals & Systems

Compete on value

Show where your facilities rank on price and quality while keeping transparency operations audit-ready.