Your network has a published price for every procedure, at every facility. TruePrice reads those prices and delivers them in a format your employees understand and can act on prior to treatment, otherwise they never even know they have options.
Does not include anesthesia or implant.
See what your plan overpaidUnfortunately it’s in files that are virtually impossible to read. We read it for you, translate it, parse it and deliver it to your team in an easy to read, actionable format.
Every major payer's Transparency in Coverage file, parsed to the CPT code.
Ghost rates filtered by NPI, taxonomy and Medicare volume.
CMS infection, readmission and volume data for every facility.
Each procedure is priced to account for the deductible and out-of-pocket max.
Network rows: BCBS Texas facility rate + spine surgeon rate. Does not include anesthesia or implant.
155 published rates for CPT 22633 at Texas facilities that perform it. Facility rate + surgeon rate. Does not include anesthesia or implant.
A bundled cash price is one single price for an entire medical procedure. You make one upfront payment, that’s it. This is not a “discounted bill.” There is no bill. Payment is made prior to service. It is a transparent, predictable transaction for your healthcare.
The facility charge. The bill often arrives weeks after surgery.
A separate charge for the doctor’s time and expertise.
The anesthesiologist is billed separately and is not usually included in the service price.
Four months later, your employee is still opening envelopes.
Simply put, medical tourism is the practice of traveling globally to receive healthcare services. Today, high-quality healthcare is no longer bound by geography. Millions of patients every year cross international borders to get high-quality surgeries, dental makeovers, fertility treatments, and specialized care.
Your employee needs a hip replacement. There are over 70 published in-network negotiated rates for this procedure in Texas. Ruth converts this request into a priced episode and compares it across every option on the member’s plan with a universal search result that not only includes the high and low negotiated rates, but also bundled cash and high value medical tourism options.
65 published network prices for CPT 27130 at Texas facilities that perform it. Facility + surgeon + anesthesia. Does not include implant.
Can you prove $45,445 for a spinal fusion was reasonable?
Forecast back-tested within 2.9–8.9%.
Across employee cohorts, conditions and sites of care.
Reconcile against published rates for CAA compliance.
Measure the financial impact of every navigated episode.
Of adults with employer coverage, 14% correctly defined all four of deductible, copay, coinsurance and out-of-pocket maximum. Loewenstein et al., Carnegie Mellon, Journal of Health Economics, 2013
What happens when an employee learns the difference between a hospital estimate and a transparent bundle?
Your employee gets a surgery referral from their doctor and uses the hospital attached to that physician.
$45,400+The app flags the term, explains what the estimate leaves out, and guides them to the lowest-priced hospital in the network that performs it. The same surgery is $14,741 there.
$14,741Claims compared to the payer's own published rates, highest and lowest in your market.
Overpayment