15,333 procedures | 492,772 hospital rate records | 2026 CMS rates | 1,877 named hospitals
🏥
Practice Viability
Is my OBL or ASC financially viable? Model your practice with 14 specialty archetypes, full staffing, procedure mix with add-on billing, equipment configuration, and 10-year financial projections with IRR and breakeven analysis.
🩻
Imaging Center
Is my imaging center viable? Select MRI, CT, US scanners with subtypes, model utilization and capacity, configure staffing and radiologist model, and project 10-year financials.
📊
Rate Negotiation
What should I negotiate for my procedures? Look up any CPT, see the floor (Medicare) and ceiling (P75), understand compression risk, compare your state to national benchmarks, and export a negotiation brief or rate card.
🏛️
Hospital Compare
What do hospitals near me charge? Search any hospital by name, compare rates within a city, see within-system variation, and identify transparency gaps. Data covers 13,000+ procedures from 2,700+ named hospitals.
🌐
Market Intelligence
Which procedures face compression risk? Scan by specialty or individual CPT, see OPPS vs ASC rate gaps, identify which high-dollar codes are most vulnerable to site-neutral payment cuts.
💰
Tax & Compensation
Optimize your S-Corp compensation structure. See the W-2 vs K-1 split, estimate federal and state taxes, calculate Medicare tax savings, and plan quarterly estimated payments. Powered by TaxSignal AI.
Data Sources
2026 CMS OPPS Final Rule — Hospital outpatient facility rates 2026 CMS PFS Final Rule — Physician professional fees ($33.57 CF) 2026 ASC Payment Rates — Ambulatory surgery center rates CMS Price Transparency MRF — 492,772 commercial rate records from 2,983 hospitals Medicare Claims 2023 — National procedure volume data
Built for IR/Vascular. Works for everyone. — gighz.com
Rate Negotiation
Rate Negotiation Tool
What should you negotiate for your procedures? Search any CPT to see the floor (Medicare OPPS rate), ceiling (national P75), compression risk, and state-by-state comparison.
ℹ️
Hospital Rates vs. Freestanding Center Rates — Critical Context
These are hospital outpatient negotiated rates from the CMS Price Transparency Rule. Freestanding ASCs and IDTFs typically collect 40–70% of hospital outpatient rates for identical procedures due to different reimbursement systems (ASC Payment System vs. Hospital OPPS). Use these rates as a market ceiling and negotiation anchor, not as your expected collection rate. For accurate ASC-specific benchmarks, reference CMS ASC payment indicators and your state's ASC fee schedule.
MRF Commercial vs CMS Medicare Comparison
CPT Rate Lookup
Negotiation Intelligence
Search a Specific Hospital
Geographic Rate Variation
Procedures with the widest rate variation across states
Data Source
MRF / CMS
Hospital price transparency
CPT Codes
15,333
CPT codes · 52 states · 2,983 hospitals
Rate Basis
Negotiated
actual insurer contracts
CMS Basis
2026 PFS
physician fee schedule
CPT
Procedure
Specialty
CMS Rate
MRF P25
MRF Median
MRF P75
Premium vs CMS
Score
Negotiation Power
How to use this data
The MRF Median is what hospitals actually receive from insurers — not what they bill, not CMS rates. Use MRF Median as your negotiating floor. The P75 is your opening ask. When a payor cites CMS as the market rate: "CMS is the Medicare floor. The commercial market for this procedure runs $X,XXX–$X,XXX based on published hospital contract data across 2,983 facilities in all 50 states."
Loading hospital data
Market Intelligence
Market Intelligence
Browse all 15,333 procedures with commercial and Medicare rate data
Click Search to load procedures
Site-Neutral Compression Watchlist
Procedures where CMS pays significantly more in hospital outpatient vs ASC -- at risk for site-neutral payment cuts (WISER)
Reset
Clear All Data
Reset individual modules or clear everything and start fresh. This cannot be undone.
Reset by Module
Mix Optimizer
Clears your procedure mix and case volume
Contract Benchmark
Clears benchmark procedure list and center info
Rate Card
Clears selected procedures and rate card settings
Payor Sensitivity
Clears sensitivity procedure list and scenarios
Imaging Center
Clears imaging study mix and modality selections
OBL Modeler
Clears modeler procedure list
Reset Everything
Clears all modules, sliders, and entered data. Returns to defaults.
Tip: Each tab also has individual controls to remove procedures.
Use module resets to quickly clear a section without affecting others.
All sliders and dropdowns return to their default values on full reset.