PriceMedic Core

Analytics-Ready Transparency in Coverage Data

PriceMedic Core is a production-grade, analytics-ready Transparency in Coverage dataset containing contracted reimbursement rates for every provider within a payer's network.

Structured

Analytics-Ready

Fast

Hospital & Health System data free on Snowflake

Transparency in Coverage, without the infrastructure tax

TiC data is public—but turning it into something usable requires massive engineering effort. PriceMedic Core removes that burden.

Full-Network Reimbursement Visibility

Analyze how payers reimburse every provider type

PriceMedic Core provides market-wide visibility across all provider types within payer networks:

•Hospitals and health systems
•Physician groups and clinics
•ASCs and outpatient facilities
•Ancillary and specialty providers

Analyze reimbursement across providers, billing codes, geographies, and networks—with one consistent analytical model.

●core.sql

SELECT HISTOGRAM(rate, 50)

FROM "rates"

WHERE billing_code = '27447'

AND payer = 'UHC'

AND network = 'Choice'

Results (1.1M rates)Query time: 1.1s

Rate Distribution for CPT 27447

Built for Analytics, Not Downloads

Structured for insight from the first query

Anthem BCBS Central States

Data Efficiency Example

Raw TiC Files

300GB

Published Data

• Nested JSON

• Duplicated fields

• Slow queries

100x

PriceMedic Core

3GB

Optimized Tables

• Clean schema

• Lossless data

• Fast analytics

Same data, 100x more efficient

PriceMedic Core is not raw TiC data repackaged.

It is a purpose-built analytical foundation designed to support reimbursement analysis without custom engineering or preprocessing.

•Compact, lossless tables
•No JSON stitching or file management
•Query-optimized schemas
•Designed for enterprise analytics workflows

From raw disclosures to insight in minutes.

Free Hospital & Health System Access

Start with hospitals. Expand when ready.

To lower the barrier to entry, PriceMedic provides free access to hospital and health system negotiated-rate data within PriceMedic Core.

This allows teams to:

•Explore real negotiated rates immediately
•Validate data quality and structure
•Understand market dynamics before scaling analysis

When deeper insight is needed—professional, outpatient, ASC, or network-wide analysis—full Core access unlocks the entire dataset.

●hospitals.sql

SELECT payer, billing_code, billing_class, rate

FROM "rates"

WHERE business_name = 'Johns Hopkins Hospital'

AND billing_code = '27447'

AND billing_class = 'facility'

Results (4 rates)Query time: 0.3s

payer	billing_code	billing_class	rate
Aetna	27447	facility	$42,150
UHC	27447	facility	$45,280
Cigna	27447	facility	$43,920
BCBS	27447	facility	$44,680

Showing 4 of 4 rows

Trust the numbers with Citations

Every rate tied directly to the payer source

Rate Record

Provider

Johns Hopkins Hospital

Payer

UnitedHealthcare

Billing Code

27447

Network

Choice Plus

Negotiated Rate

$45,280

Cited to

Source Citation

Payer Source File

2026-01-01_UnitedHealthcare_Choice-Plus_Maryland_in-network-rates.json

Publication Date

January 1, 2026

Source URL

https://transparency-in-coverage.uhc.com/...

Every rate in Core traces directly to its payer source

Every negotiated rate in PriceMedic Core is traceable directly back to the payer's Transparency in Coverage publication.

•Payer-level citations included
•Verifiable data lineage
•Built for defensible analysis

There is never a question where the data came from.

Data for more than 200 payers

Updated monthly for the most accurate and up-to-date picture of the market.

Built for serious reimbursement analysis

PriceMedic Core is infrastructure for:

Health systems and hospital operators

Enterprise-grade analytics for contracting and strategy teams.

Managed care and contracting teams

Data-driven negotiation and network analysis.

Market access teams

Strategic pricing and reimbursement intelligence for manufacturers.

Physician groups and ASCs

Market intelligence for practice optimization.

Consultants and advisors

Defensible analytics for client engagements.

Data and analytics organizations

Production-ready infrastructure for reimbursement products.

If reimbursement analysis matters, Core is the foundation.

Continue with Full Network Access

PriceMedic Core provides analytics-ready Transparency in Coverage data across entire payer networks. Organizations that need full visibility beyond hospitals and health systems can expand into the complete dataset.

Start Free

Hospital & health system data

Validate

Structure and data quality

Expand

Full provider networks