The gold standard for healthcare price transparency.

Each month, Serif Health ingests 200+ commercial payers' in-network machine readable file (MRF) disclosures across their core fully-insured, self-insured, and exchange lines of business. This translates to 500+ networks spanning PPOs, HMOs, ASOs, exchange plans, rental networks, and behavioral health networks, encompassing roughly 90%+ of commercial lives covered in the US.

A month's worth of data contains 275 billion rows detailing each provider's in-network negotiated rates across all codes available in their fee schedule. We have historical data going back to early 2023. To augment the payer releases, we also use nationwide hospital price transparency, PBM, CMS, and commercial claims data.

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Once ingested, Serif Health normalizes and cleans the data to eliminate the noise. We screen and filter out clinically unbillable or 'zombie rates' by utilizing nationwide commercial claims data to track what codes various providers actually bill in practice. This means you will not see a dentist show up with a knee surgery rate, just because the payer included that procedure code on that dentist's fee schedule.

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After cleaning the data, we add several fields to make the data powerful for your use cases, including provider details (e.g., name, address) both at the group EIN and NPI level, a provider's specialty, and CMS reference rates so you can benchmark rates as a percent of Medicare.

We also enable our customers to analyze historical price transparency data and trends back to January 2023. Our full schema is available here: