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Pricing Transparency

Price Transparency Solutions for Payers & Health Plans

Provide members with a fast, easy, and accurate estimate directly from your website.

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HFMA Peer Reviewed

PMMC's HFMA Peer Reviewed patient estimation solution empowers the revenue cycle to provide accurate upfront estimates for its patients


agree or strongly agree that PMMC's patient estimation support delivers good service


agree or strongly agree they would recommend PMMC's patient estimation solution


agree or strongly agree that PMMC's patient estimation solutions provide good value for the cost

Your Members are Now Consumers

With price transparency mandates quickly approaching, now your members can get a quick and accurate estimate of their financial responsibility with online patient estimates directly from your website. 

Price Transparency

Is Your Health Plan Ready for Price Transparency Requirements?

The goal of the CMS Transparency in Coverage rule is to help consumers understand the cost of a covered item or service before receiving care.

Beginning July 1, health plans will be required to begin posting pricing information for covered items and services.  The rule consists of three phases:

Phase 1: July 1, 2022

Publish Machine-Readable Files containing costs for all items and services, including in-network rates for in-network providers and allowed amounts for out-of-network providers

Phase 2: January 1, 2023

Provide Internet-based price comparison tool with an individual’s cost estimate for 500 items and services

Phase 3: January 1, 2024 

Provide Internet-based price comparison tool with an individual’s cost estimate for all items and services

Learn About CMS Transparency in Coverage

Estimate Procedure Head [Cropped] - Payer

Get Compliant and Improve the Member Experience with Accurate Online Estimates

Provide your members with accurate, fast, and easy estimates on your health plan's website to meet your member's financial needs and improve their overall experience.

Using actual historical contract data, your health plan can provide the most accurate estimate possible.

See a Demo

Estimate Summary Price Monitor - Payer-3

Become a Leader in Price Transparency

8 in 10 members want their health plan to provide them with pricing information for healthcare services.

Becoming a leader in price transparency allows payers to:

  • Improve the overall member experience
  • Become the trusted resource for your members' healthcare costs
  • Take a proactive response to the CMS Transparency in Coverage rule

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Get Started on Your Price Transparency Strategy Today!

Get compliant and start providing your members with online cost estimates today!

Get Started