Weekly intelligence on hospital price transparency, compliance, rates, and payer contracting. New issue Tuesdays 9 AM CT.
Texas hospitals are now 90.6% compliant with machine-readable file publishing. The compliance gap has moved to Florida (32.3%) and New York (49.5%). State-by-state breakdown.
All 11 Texas academic medical centers publish MRF files — eight at URLs different from the one CMS has registered. The hidden-URL pattern explained with examples.
Rural Texas hospitals are now 93.3% compliant. The compliance map has moved: Florida at 32.3%, specific regional systems (Steward, Jackson, Community Health) at 0%.
Across 6.2 billion negotiated-rate rows, nine major payers dominate. Each appears under 2-18 different spellings. 3.5% of data (220M rows) is parser garbage: convenience stores as insurance payers.
Rate variance across verified-publishing Texas hospitals for five high-volume shoppable procedures. 57x spread on brain MRI, 29x on colonoscopy, 19x on knee replacement.
Broker-channel intelligence: named hospital × named payer × absolute dollar savings, for the employer and the metros where they actually have lives. From $25,000.
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