Pro · Rate & Reimbursement Intelligence
Compare Rates & Reimbursements
Hospital-reported rates (HPT) + payer-reported reimbursements (TiC) · Medicare OPPS anchor · σ market positioning
Junto Pro · Rate & Reimbursement Compare
Identify where rates deviate from market. Compare HPT + TiC. Medicare multiples + σ flags for negotiation intelligence.
Samples: CPT 27447 PA · CPT 70553 CA · DRG 470 PA · DRG 291 TX
Search a code to compare rates across hospitals and payers.
Hospital-Reported (HPT): rates from price transparency files — what hospitals say they negotiate with each payer
Payer-Reported (TiC): rates from payer transparency files — what payers say they reimburse providers
σ flags identify rates >1 standard deviation from market peers — the signal for rate negotiation opportunity.
HPT source: Junto independently acquired hospital price transparency data (primary). TiC source: Anthem / Horizon BCBS NJ payer transparency pilot (supplementary). σ computed within state + code + billing class population. Rule 17: facility rates benchmarked to OPPS.Junto 500 →