244 named things you can ask for.

What hospitals publish, what insurers negotiated, and how prices compare across providers, payers, and markets.

Hospital payer-negotiated rate · Hospital price median by program and methodology · Hospital gross charge · Hospital discounted cash price · Hospital rate as a multiple of Medicare · Hospital rate comparability class · Hospital rate line of business · Hospital rate payer parent · Payer in-network negotiated rate · Payer negotiated-rate type · Providers attached to a payer rate · IDR provider offer as percent of QPA · IDR health plan offer as percent of QPA · IDR prevailing offer as percent of QPA · IDR payment determination outcome · IDR qualifying payment amount · Air ambulance IDR prevailing offer as percent of QPA · IDR dispute count (national summary) · IDR disputes initiated by state · IDR median prevailing offer by QPA band · IDR median prevailing offer by specialty · IDR top disputing parties · Form 5500 Schedule A earned premium · Form 5500 Schedule A persons covered · Form 5500 Schedule A broker commissions · Form 5500 commission paid to a named broker · Form 5500 Schedule A incurred claims · Form 5500 Schedule H benefits paid · Form 5500 Schedule H administrative expenses · Form 5500 Schedule C service-provider direct compensation · Form 5500 Schedule C indirect compensation · Form 5500 plan participants · Maryland HSCRC approved unit rate · Maryland hospital monthly regulated revenue · Massachusetts commercial relative price · Massachusetts hospital revenue-to-cost ratio by payer · New Jersey hospital operating margin · Connecticut hospital cost-to-charge ratio · Canonical payer identity · Rates on file per care site and payer

How traditional Medicare calculates and reports payment in every care setting: the public benchmark behind pricing and contracting.

PFS work RVU · PFS national allowed amount · PFS conversion factor · PFS geographic practice cost index · PFS payment-policy indicators · ZIP to PFS payment locality · Anesthesia base units · MS-DRG relative weight · IPPS standardized amount (base rate) · IPPS hospital wage index · IPPS Impact file disproportionate-share percentage · Provider Specific File case-mix index · OPPS APC payment rate · ASC payment rate · CLFS national limitation amount · PAMA private payer lab rate · Ambulance fee schedule base rate · FQHC PPS base payment rate · Home health PDGM case-mix weight · Hospice per-diem rate · IRF CMG relative weight · LTCH MS-LTC-DRG relative weight · SNF PDPM component rate · Medicare average allowed amount by provider and service · Medicare average allowed amount by geography and service · Medicare average inpatient payment by hospital and DRG · Medicare average inpatient payment by geography and DRG · Medicare average outpatient payment by hospital and APC · Medicare hospital outpatient volume by APC · Medicare DME average allowed by supplier and item · Medicare post-acute payment by provider · PSPS Part B allowed charges · Medicare standardized per-capita spending · Medicare providers per county and service category · Hospital service area Medicare cases by patient ZIP · Medicare coverage determination document · MedPAC Data Book metric observation · Medicare allowed benchmark by billing code

How private Medicare plans are designed, funded, rated, distributed, and adopted, county by county, deep across years.

MA average A/B PMPM payment · MA average Part C risk score · MA average rebate PMPM · Part D average direct subsidy PMPM · Part D average risk score · Part D average reinsurance PMPM · Part D low-income cost-sharing subsidy PMPM · MA county benchmark rate · MA plan county enrollment · MA contract monthly enrollment · MA county penetration · MA summary star rating · Star Ratings measure-level result · Star Ratings cut point · Star Ratings 4-star cut line, by measure identity · HEDIS measure rate · MA maximum out-of-pocket (MOOP) · MA over-the-counter (OTC) allowance · MA comprehensive dental maximum · MA benefit cost share (any service category) · MA plan monthly premium · Part D formulary tier · Part D beneficiary cost share · Part D plan drug list unit cost · MA / Part D adjusted medical loss ratio · CMS-HCC model coefficient · ICD-10 to HCC mapping · Raw star score (recomputed, before reward factor and CAI) · Quality bonus status (QBP) · Stars revenue at risk (benefits held) · Vlada Plan Value total PMPM · Part B premium giveback PMPM (Vlada Plan Value) · Vlada Plan Value county basis (plan value in county vs national) · D-SNP beneficiary value PMPM (Vlada Plan Value) · Plan value by benefit category (the v_by_code family) · Vlada Plan Value v18 per plan segment (signed 2026-10-09) · Vlada Plan Value v18 market level (national / state / county x product type x parent) · Vlada Plan Value v18 same-member change 2026 to 2027 · Plan Finder benefit summary cost share · Plan crosswalk (what a plan became next year) · Health Outcomes Survey measure rate (contract) · Part D claims by prescriber and drug · Part D spending by drug · Risk adjustment reference (acceptable specialties, edits, SBSC codes) · MA prior authorization denial rate (payer-posted, CY2025) · MA prior authorization decision time (payer-posted, CY2025)

The individual marketplace as one coherent record: plans, premiums, benefits, networks, and quality, joined across plan years.

Marketplace individual premium by age and rating area · Marketplace plan metal level · Marketplace benefit cost sharing (raw) · Marketplace plan network · Marketplace plan service-area county · Marketplace plan year-over-year crosswalk · Marketplace rating age-determination rule · Marketplace issuer machine-readable index URL · Marketplace QHP quality star rating · Marketplace QRS reporting-unit rating · Marketplace enrollee survey score · Marketplace issuer claims denied · Marketplace plan selections by issuer and plan · Marketplace issuer plan selections by county · Marketplace effectuated enrollment by state and month · Exchange plan profile premium at age 40 · Exchange plan profile specialist copay · Exchange plan profile overall quality rating

The organizational map of care delivery: who delivers care, where, under what ownership, with what economics.

Hospital overall cost-to-charge ratio · Hospital department cost-to-charge ratio · Hospital beds, patient days and discharges (cost report) · Hospital net patient revenue and operating result · Hospital gross patient revenue by payer (Medicare, Medicaid, other) · Cost report worksheet cell · Non-hospital facility unit cost (HHA, hospice, ESRD, FQHC, RHC) · Medicare-certified facility characteristics and beds · Medicare-certified facility roster by type · CLIA-certified laboratory · Medicare provider enrollment (PECOS) · Facility organization NPI to CCN edge (PECOS) · Facility owner and ownership percentage (PECOS All Owners) · Clinician to facility affiliation · NPI identity and primary taxonomy · HPSA designation and score · 340B covered entity · OIG exclusion (LEIE) · Corporate Integrity Agreement · ACO participation (Shared Savings Program) · MDPP supplier location · Medicare CCN (all provider types) · Hospital CCN to NPI and EIN bridge · Hospital system and ultimate parent · Care-site class and verification status · Verified care sites per county and class

How providers and plans actually perform: experience, readmissions, penalties, and setting-level quality.

Hospital overall star rating (Care Compare) · Hospital quality measure score (mortality, readmission, infection, timely care) · HCAHPS patient-experience star and answer percent · Home health quality of patient care star · Hospice quality measure score · Nursing home five-star rating · Nursing home nurse staffing hours per resident day · Dialysis facility five-star rating · Medicare dialysis facility (annual roster) · HRRP excess readmission ratio · HVBP total performance score · ESRD QIP total performance score and payment reduction · MIPS final score and payment adjustment · AHRQ Quality Indicator national benchmark rate · NHQDR quality and disparities estimate · NHSN standardized infection ratio by state · Medicaid Health Home quality measure value · Readmission measure cohort/exclusion code rule (QualityNet)

Product identity, pricing, coverage, utilization, competition, and safety for drugs, biologics, and devices.

NADAC per-unit acquisition cost · Part B ASP payment limit · NDC to HCPCS crosswalk (Part B) · Part B discarded drug units share · Medicare Part B spending per dosage unit · Open Payments manufacturer payment to a covered recipient · IRA maximum fair price · NDC product identity and marketing category · Orange Book therapeutic equivalence code · Orange Book listed patent expiration · Orange Book exclusivity expiration · Purple Book biosimilar and reference product · FDA drug application (NDA, ANDA, BLA) · Drug label safety flags (boxed warning, REMS) · Drug recall (FDA enforcement report) · Drug shortage status · FAERS adverse event drug involvement · FDA warning letter · Device identity (AccessGUDID) · Drug class membership (RxClass) · Clinical trial (FDA-regulated drug) · WAC price increase notice (California SB 17) · VA Federal Supply Schedule drug price · Consumer cash price (Cost Plus Drugs snapshot)

State Medicaid payment and program variation: what each state pays and how its program is structured.

Medicaid and CHIP enrollment by state and month · Medicaid managed care enrollment by plan · Medicaid MCO utilization by county and service category · Medi-Cal managed care enrollment by plan and county · Medi-Cal county plan delivery model · Medi-Cal managed care contract document (boilerplate/amendment) · CalAIM 1915(b) waiver authority document · Legacy SMHS 1915(b) authority period · Medicaid Drug Rebate Program product attributes · Medicaid state drug utilization (amount reimbursed) · MACStats Medicaid and CHIP statistic · State Medicaid fee-schedule rate by procedure · Connecticut Medicaid inpatient base rate · Connecticut Medicaid APR-DRG relative weight · Medicaid state directed payment amount by program-year (CMS-approved ceiling)

The identities every world joins on, so a hospital in a price file is the same hospital in a cost report, a quality score and a payer contract: provider and contract identity, geography and market definitions, and the code systems and payment rules.

Identity and relationships: Medicare contract identity (contract id authority)

Geography and market definitions: ZIP code geography (county, CBSA, CSA, state, locality) · State and territory authority · Care-site market geography (CCN to CBSA/county/ZIP) · State context metric (demographics, health context)

Codes, services and payment rules: ICD-10-CM diagnosis code and description · ICD-10-PCS inpatient procedure code and description · Provider taxonomy code (NUCC) · CCSR clinical category for a diagnosis or procedure code · NCCI procedure-to-procedure edit (bundling rule) · Claim reference code (claim type, place of service and related CMS code systems) · Medicare specialty to provider taxonomy crosswalk · X12 code-list licensing status (metadata only) · Billing code (HCPCS/CPT) description and authority · Billing code validity years · HCPCS to HCRIS cost center (department CCR key) · Modal UB-04 revenue code for a billing code · Institutional vs professional billing class (learned) · Provider-type to procedure profile (volume rank)