Solutions — Med Device

Know what providers get reimbursed for your device

For the first time, see the negotiated rates behind every procedure tied to your device, across every payer and market.

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  • Negotiated rates by CPT, HCPCS & DRG
  • Every payer, every market
  • Reimbursement by site of care
Reimbursement by site of care CPT 64483 · Epidural injection
Hospital outpatient $1,120
Ambulatory surgery center $760
Physician office $410
The same code reimburses ~3× more across settings — position for where it pays.

The challenge

What gets in the way

01

Reimbursement decides adoption — and you’re guessing at it

Whether a device gets adopted comes down to how well its procedure pays. Yet market-access teams build the case on list prices and manufacturer estimates, never the negotiated rates payers actually pay.

02

Your field team calls accounts blind

Reps have no way to know which accounts clear the reimbursement bar for your codes, so effort scatters across territories — including the ones where the economics can’t support adoption.

03

Volume is shifting between sites of care

Procedures keep moving from hospital outpatient to ASCs and offices, and reimbursement moves with them. Without rate visibility by setting, you can’t position for where the volume — and the margin — is heading.

How Payerset helps

Turn transparency data into leverage

The most complete view of what your procedure pays

Every payer’s negotiated rates for the CPT, HCPCS, and DRG codes tied to your device — parsed, standardized, and enriched with all-payer claims across markets and sites of care. Real reimbursement, not list prices or estimates.

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Prove the market and make the reimbursement case

Ground go-to-market, budget-impact, and cost-effectiveness models in actual contracted rates — and show customers and value analysis committees exactly what your procedure reimburses.

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Point the field team at accounts that can adopt

See the reimbursement each account and market gets for your codes, so reps call on providers where the economics support adoption — not territories that can’t afford it.

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Position for the site-of-care shift

Compare reimbursement across hospital outpatient, ASC, and office settings to steer volume and messaging to where your procedure pays best.

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Account targeting

Point the field team where the reimbursement is

See what each account is reimbursed for your codes, and focus selling on the providers whose economics support adoption.

See it in action
Account targeting CPT 64483
Account Rate Status
Summit Orthopedic Center $1,240 Target
Riverside Health System $1,090 Target
Valley Surgical Partners $880 Target
Metro Community Hospital $620 Below bar
Lakeside Physician Group $470 Below bar
Reimbursement threshold $800 Focus reps on accounts that clear the bar.

The platform

Explore the full Payerset platform

One dataset, two ways to work with it — self-service analysis or delivered straight into your own environment.

Rate Explorer™

Analyze every negotiated rate by payer, provider, and code — self-service, no data lift.

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Data Lake™

Enriched, normalized rate and claims data delivered to your environment via API or data share.

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Explore other solutions

Built for the way you work

Providers

Benchmark your rates and negotiate with the whole market.

Employers

Independent rate data for the plans you pay for.

Common questions

Frequently Asked Questions

Can we see reimbursement for the specific codes tied to our device?
Yes. Rate Explorer™ lets you analyze negotiated rates by any CPT, HCPCS, or DRG code across payers, providers, and geographies, so you can see exactly how your procedure is reimbursed before you build the market-access case.
How does this help our field team with account targeting?
You can see the reimbursement each provider and market receives for your codes, so your commercial team focuses on accounts whose economics support adoption — and stops spending cycles on territories that can’t afford to adopt.
Does Payerset show rate differences by site of care?
Yes. Because the data covers both payer and hospital transparency files, you can compare reimbursement across hospital outpatient, ASC, and office settings to run site-of-care shift analysis and position for where volume is heading.
Can we use this data in budget-impact and cost-effectiveness models?
Yes. Payerset delivers real contracted rates and all-payer claims, so your HEOR and market-access teams can build budget-impact, cost-effectiveness, and value-analysis-committee materials on the numbers payers actually pay — not list prices or estimates.
Can our analytics team access the raw data?
Yes. Data Lake™ delivers enriched, normalized rate and claims data directly to your environment via API or data share to power your own market-access and commercial models.

Build market access on real reimbursement

Request your demo & see how Payerset gives med device the market data to act with confidence.

  • All payer-provider negotiated rates with claims
  • Every health plan with full historical rates
  • Self-service platform or direct data integration

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