denniston-data-healthcare-pricing-guide

JSON twin: https://www.healthaidb.com/software/denniston-data-healthcare-pricing-guide.json

Company Name

Denniston Data

Product URL

https://dennistondata.com/healthcare-pricing-guide/

Company URL

https://www.dennistondata.com

Categories

Summary

HPG (Healthcare Pricing Guide) is a U.S.-focused benchmark pricing platform that publishes negotiated payer prices and Medicare benchmarks derived from Transparency in Coverage and Medicare data to help purchasers, payers and providers assess fair medical prices.

Description

Denniston Data's Healthcare Pricing Guide (HPG) aggregates and quality-controls billions of negotiated in‑network prices and Medicare rates (HCPCS/CPT, DRG, ICD, revenue codes) from Transparency in Coverage and other sources to provide searchable market median, quartiles, QPA and provider-level negotiated price information for use by self‑insured employers, payers, TPAs, and provider organizations.

Api Available

yes

Certifications

Company Founding

2020

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0467

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial / proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Tiered by organizational size with Basic (UI), Plus and Premium (API) plans; pricing not posted publicly — contact vendor for quote and demo; unconditional pro-rated refund guarantee on term.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2020

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Denniston Data",
  "company_url": "https://www.dennistondata.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "product_url": "https://dennistondata.com/healthcare-pricing-guide/",
  "categories": [
    "administrative",
    "financial",
    "price transparency",
    "analytics",
    "provider data"
  ],
  "market_segment": [
    "enterprise",
    "self-insured employers",
    "payers"
  ],
  "links": [
    "https://www.dennistondata.com",
    "https://dennistondata.com/healthcare-pricing-guide/",
    "http://www.dennistondata.com/wp-content/uploads/2025/08/Healthcare-Pricing-Guide_Methodology_08.25.pdf",
    "https://healthcarepricingguide.com/",
    "https://elion.health/products/denniston-data-healthcare-pricing-guide",
    "https://www.prnewswire.com/news-releases/new-evidence-based-healthcare-pricing-standard-available-for-paying-out-of-network-medical-claims-302113488.html",
    "https://www.youtube.com/watch?v=AGLC0rK7nbg",
    "https://www.linkedin.com/company/denniston-data-inc",
    "https://www.crunchbase.com/organization/denniston-data"
  ],
  "summary": "HPG (Healthcare Pricing Guide) is a U.S.-focused benchmark pricing platform that publishes negotiated payer prices and Medicare benchmarks derived from Transparency in Coverage and Medicare data to help purchasers, payers and providers assess fair medical prices.",
  "description": "Denniston Data's Healthcare Pricing Guide (HPG) aggregates and quality-controls billions of negotiated in‑network prices and Medicare rates (HCPCS/CPT, DRG, ICD, revenue codes) from Transparency in Coverage and other sources to provide searchable market median, quartiles, QPA and provider-level negotiated price information for use by self‑insured employers, payers, TPAs, and provider organizations.",
  "target_users": [
    "self-insured employers",
    "health plans / payers",
    "third-party administrators (TPAs)",
    "benefits administrators",
    "hospital/health system administrators",
    "provider groups",
    "consultants",
    "compliance/legal teams (No Surprises Act, CAA)"
  ],
  "specialties": [
    "general medical services",
    "hospital inpatient (DRG)",
    "ambulatory/outpatient procedures",
    "surgical procedures",
    "diagnostic imaging",
    "primary care",
    "specialist care (e.g., orthopedics, cardiology, gastroenterology)"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Tiered by organizational size with Basic (UI), Plus and Premium (API) plans; pricing not posted publicly — contact vendor for quote and demo; unconditional pro-rated refund guarantee on term.",
  "license": "commercial / proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Search negotiated prices from Transparency in Coverage files",
    "Benchmark U.S. medical prices (median, quartiles, outliers)",
    "Includes QPA (Qualifying Payment Amount) for No Surprises Act compliance",
    "Covers DRG, HCPCS (including CPT & CDT), ICD codes, and revenue codes",
    "Billable and allowed amounts, list prices/billed amounts",
    "Evidence-based, cleaned large-scale payer data (billions of prices)",
    "Comparisons to Medicare approved amounts",
    "Advanced search with combination of terms",
    "Provider-level negotiated price lookup (by provider or by plan)",
    "Return-on-investment / cost-savings analysis"
  ],
  "optional_modules": [
    "Basic (User Interface)",
    "Plus",
    "Premium (APIs)"
  ],
  "integrations": [
    "Provider Ranking System (PRS)",
    "Medicare claims/approved amounts",
    "Transparency in Coverage payer files"
  ],
  "data_standards": [
    "DRG",
    "HCPCS",
    "CPT",
    "CDT",
    "ICD",
    "RC (revenue codes)"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "CAA (Consolidated Appropriations Act)",
    "No Surprises Act (NSA)"
  ],
  "certifications": [],
  "security_features": [],
  "privacy_features": [],
  "data_residency": "",
  "customers": [
    "Texas Hospital Association"
  ],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "phone",
    "ticketing",
    "community",
    "email"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online"
  ],
  "release_year": "2020",
  "integration_partners": [
    "Texas Hospital Association"
  ],
  "id": "P0467",
  "slug": "denniston-data-healthcare-pricing-guide",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/denniston-data-healthcare-pricing-guide.json"
  }
}