Underwriting-Grade Procedure Pricing You Can Download and Verify
Most pricing vendors hand you one number and ask you to trust it. We hand you the full distribution, the confidence intervals, and the source, so you can check the work yourself. This verified subset covers 7,237 cells across 32 metros and 179 procedures, in plain CSV.
Source: hospital Machine-Readable Files under 45 CFR Part 180.
What One Cell Looks Like
One of 7,237 verified cells, rendered in full. Every cell in the sample carries the same structure.
| Field | Value | Notes |
|---|---|---|
| procedure | Abdominal Ultrasound | plain-English name |
| metro | Chicago, IL | one of 32 metros in the sample |
| price_basis | Cash / Self-Pay Price | one of 4 price bases |
| sample_size | 36 | hospitals contributing this cell |
| median | $746.40 | |
| p25 | $324.13 | 25th percentile |
| p75 | $1,496.70 | 75th percentile |
| p95 | $1,772.40 | 95th percentile |
| p99 | $1,809.84 | 99th percentile |
| mean | $868.99 | |
| stdev | $628.24 | |
| mean_ci_low | $674.66 | BCa bootstrap 95% CI lower bound |
| mean_ci_high | $1,081.98 | BCa bootstrap 95% CI upper bound |
| p95_ci_low | $1,115.66 | BCa bootstrap 95% CI for p95, lower |
| p95_ci_high | $1,518.60 | BCa bootstrap 95% CI for p95, upper |
| quality_flag | verified | passed all quality gates |
| source_file_date | 2026-04-01 | MRF vintage |
| methodology_version | 1.0.0 |
Source: Chicago, IL hospital Machine-Readable Files. MRF vintage 2026-04-01. Methodology version 1.0.0.
What Is in the Download
Plain CSV. Opens in Excel, Google Sheets, R, Python, or any data tool.
Coverage
- 7,237 verified cells
- 32 US metropolitan areas
- 179 shoppable procedures
- 4 price bases per cell (where available)
Price Bases
- Gross Charge (List Price)
- Cash / Self-Pay Price
- De-identified Min Negotiated
- De-identified Max Negotiated
Statistics Per Cell
- Median, p25, p75, p95, p99
- Mean and standard deviation
- BCa bootstrap 95% CI on mean (where n supports it)
- BCa bootstrap 95% CI on p95 (where n supports it)
- Sample size (hospital count per cell)
Provenance Fields
- quality_flag (verified or review)
- source_file_date (MRF vintage per cell)
- methodology_version
How We Build It
Federally Mandated Source
Every price in the sample traces to a hospital Machine-Readable File published under 45 CFR Part 180, the federal price transparency rule. Each cell carries the MRF vintage date so you know exactly how current the source is.
Verified Cohort
We run a mandatory quality gate before any cell enters the sample. Cells that fail completeness, freshness, or plausibility checks are excluded or flagged for review. Only cells that pass carry the "verified" flag in the CSV.
BCa Bootstrap Confidence Intervals
Where sample size allows, we compute bias-corrected and accelerated (BCa) bootstrap confidence intervals on both the mean and the 95th percentile. This lets you distinguish a stable p95 from one driven by a small number of outlier hospitals. Most mid-market data vendors ship a single point estimate with no interval. You get the range and a measure of how much to trust it.
Who Uses This Data
The sample is a starting point. See if your use case fits before booking time with us.
Severity and Loss Modeling
MGAs and specialty payers use the severity distributions and BCa confidence intervals to anchor loss-cost models and set reserves without paying enterprise data prices.
Network and Steerage Benchmarking
TPAs and healthcare navigators compare cash-pay and negotiated-rate distributions across metros to benchmark networks and identify steerage opportunities.
Market Pricing for Insurtechs
Early-stage insurtechs use procedure-level pricing distributions to model benefit design and test premium assumptions before a full actuarial study.
Download The Verified Sample
7,237 cells. 32 metros. 179 procedures. Instant download.
We send one follow-up email only. No spam.
What The Full Dataset Adds
The sample covers a verified subset. The paid product is the complete infrastructure.
Sample (Free)
- 7,237 cells
- 32 metros
- 179 procedures
- De-identified negotiated rates, no payer attribution
- One-time CSV snapshot
Full API (Paid, from $799/month)
- 100 US metros
- 140+ shoppable procedures
- Payer-attributed negotiated rates
- Monthly freshness via live API
- JSON responses with quality scores and source attribution
Frequently Asked Questions
- What is in the ProcedureRadar verified data sample?
- A verified subset of our procedure-pricing data across four price bases: gross charge, cash or self-pay, and de-identified minimum and maximum negotiated rates. Each cell includes empirical percentiles (p25, p75, p95, p99) and, where the sample size supports it, BCa bootstrap confidence intervals on the mean and p95. The download covers 7,237 cells, 32 US metros, and 179 procedures in plain CSV format.
- How is the sample different from the full dataset?
- The sample is limited to our verified, recently sourced cohort across a subset of metros. The paid product adds the remaining metros (up to 100), payer-attributed negotiated rates (not just de-identified min and max), monthly freshness through the live API, and JSON responses with quality scores and source attribution for every record.
- Where does the data come from?
- Hospital Machine-Readable Files published under the federal price transparency mandate, 45 CFR Part 180. Each cell in the sample carries the source file date so you know the MRF vintage for that specific record.
- Is the sample free?
- Yes. Enter a work email and the download starts immediately. We send one follow-up email. No spam, no sales calls unless you ask.
- How current is the data?
- The sample reflects MRF vintages from early 2026 (source_file_date per cell ranges roughly 2026-02 to 2026-05). The full paid dataset refreshes monthly as hospitals publish updated Machine-Readable Files.