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Introduction

PriceMedic Core provides access to processed transparency in coverage (TIC) data from major health insurance payers. This dataset focuses on negotiated rates between payers and providers across the United States. View the Snowflake Marketplace listing.

What’s Included

PriceMedic Core contains:
  • Provider Information: Detailed provider demographics, organizational relationships, and network associations
  • Negotiated Rates: Procedure-level pricing for billing codes (CPT, HCPCS, DRG, etc.) across institutional and professional settings
  • Payer-Network Metadata: Coverage information for each payer-network combination
  • EIN Attribution: Imputed hospital and health system groupings based on Employer Identification Numbers

Public Releases

PriceMedic Core is published in periodic releases, each containing a snapshot of data from specific payer transparency files.

February 2026: Hospitals and Health Systems

6,533 hospital and health system EINs across 60 payers | 2.26 billion negotiated rates | 407,975 provider records

Use Cases

Common analytical applications include:
  • Competitive rate benchmarking for hospitals and health systems
  • Network adequacy analysis and coverage mapping
  • Contract negotiation preparation and rate validation
  • Market intelligence and pricing strategy development