Payerset Data Lake™

Power Your
Solutions with Price Transparency Data

Build, innovate & scale faster with enriched payer & provider MRF data delivered in analytics-ready formats.

01
Ingest
Every billing code
Every payer & plan
Every NPI
02
Enrich & Normalize
Schema standardization
NPI โ†’ TIN mapping
HCO affiliations
QA & validation
03
Deliver
Snowflake Marketplace
Live
Cloud Storage (S3)
Live
REST API
Live

Bring price transparency data directly to your users

Analytics Ready

We source negotiated rates from payer & provider MRFs & ensure they're fully documented and auditable.

Trusted & Transparent

We fully document and publish all payer & provider MRFs & have a complete data dictionary available to the public.

Data Share, APIs, Parquet

We have the formats you require to either share to your data warehouse or replicate to your cloud storage, or serve via APIs.

Every Payer & Provider Rate

Each quarter, we parse every MRF from payers and compliant hospitals and store it with full version history, building the most complete source of price transparency data.

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Price Transparency Rates
Payer Code Description Rate
Anthem 99213 Office Visit, Est. $142.00
Aetna 99213 Office Visit, Est. $128.50
UHC 27447 Knee Replacement $24,180
Cigna 27447 Knee Replacement $22,650
Kaiser 70553 MRI Brain w/ contrast $1,840
NPI โ†’ TIN Mapping
Provider NPIs
๐Ÿ‘ค
Dr. Sarah Chen NPI 1234567890
๐Ÿ‘ค
Dr. James Miller NPI 2345678901
๐Ÿ‘ค
Dr. Priya Patel NPI 3456789012
Tax IDs (TIN)
๐Ÿฅ
Metro Health Group TIN 12-3456789
๐Ÿฅ
Valley Medical Assoc. TIN 98-7654321

NPI to Tax ID Mapping

We map every NPI to its corresponding Tax ID (TIN) and store it as a clean, searchable reference, making it easy to connect providers to organizations across all price transparency data.

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Employer to Health Plan Coverage

We capture every employer plan and map it to the right health plan, establishing a clear connection between employer-sponsored coverage and payer networks.

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Employer โ†’ Plan Coverage
Employers
Acme Corp
NovaTech Inc
Summit Health
Health Plans
Anthem Blue PPO HIOS 12345VA001
Aetna Choice POS HIOS 67890CA003
UHC Navigate HMO HIOS 24680TX002
Network Adequacy
Anthem Blue Cross PPO Q1 2026 ยท National Network
Provider NPIs
In-network Out-of-network
โ€” in-network
โ€” out-of-network
โ€” coverage rate

Health Plan to NPI Network Adequacy

We track every health plan and its in-network provider NPIs over time, showing which providers participate in each plan and when those NPIs move in and out of network.

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Community resource

Every MRF in a Single Location

We track and index every payer and hospital machine-readable file so you don't have to. Links to every MRF, a complete payer compliance scorecard, and a full data dictionary.

Start Leveraging Price Transparency Data Today

Request your demo & learn how Data Lake can accelerate your product roadmap with analytics-ready price transparency data.

  • Analytics-ready data delivered to your environment
  • All major cloud platforms & Snowflake Marketplace
  • Enriched, normalized, and updated quarterly

Contact our team

Frequently Asked Questions

How do you deliver the data to my environment?
We will work with you and your technology organization. Every organization is different depending on your environment, platforms, and processes. We support all major clouds and can provide the data in various formats. Additionally, Snowflake customers can easily access and purchase our data via the Snowflake Marketplace.
Does Payerset handle schema drift as upstream data structures change?
Yes. There can be regular schema changes based on payer updates in price transparency compliance. There can also be changes based on updated CMS rules. We normalize the data before you receive it, so we handle these changes for you. We will never remove fields, as that would affect your downstream processes, but we may add fields based on new requirements.
What challenges come with using price transparency data?
Price transparency data is publicly accessible, but transforming it into usable formats demands significant technological investment and time. Payerset simplifies this process, enabling product teams to leverage the data for innovation and scaling on their core platforms.
How frequently is Payerset Data Lake updated?
Payerset Data Lake is updated quarterly, ensuring the latest payer data structures, negotiated rates, and regulatory requirements are incorporated. These updates provide users with the most accurate and current information, while historical payer data remains fully accessible.