Healthcare Pricing Intelligence

Know the cost of care, before care begins.

TruCost Health transforms federally mandated pricing data into real time, actionable tools for providers, social workers, and patients, so no one is blindsided by a healthcare bill again.

500GB+
MRF data processed per payer
3
Pricing pathways compared
Real time
Always current, never cached
Built on federal data from
CMS Transparency in Coverage
Hospital Price Transparency Rule
Medicare Part D Formularies
Medicaid MCO Directories
NDC / RxCUI Drug Identifiers
The Problem

Federal mandates made prices public. Nobody made them usable.

The Transparency in Coverage rule and the Hospital Price Transparency rule created an enormous amount of publicly available pricing data, but in formats that are practically unusable for the healthcare workers who need it most. Compliance created the raw material. It did not create a way to use it.

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Data at an Impossible Scale

A single payer's Machine Readable File (MRF) can exceed 500GB to 1TB of compressed JSON: too large for standard analytics tools, too complex for clinical workflows, and too fragmented for meaningful comparison.

Coverage Uncertainty at the Point of Care

Patients arrive at hospitals and clinics with unclear benefits. By the time billing verifies coverage, clinical and discharge decisions have already been made, often at the patient's financial expense.

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Reactive, Not Proactive, Workflows

Social workers and care navigators are forced to solve affordability problems after patients are already exposed to financial risk, not before. There is no system for proactive cost aware care navigation.

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Hidden Drug Pricing Alternatives

Millions of patients overpay for medications through Medicare Part D when cheaper cash prices, discount programs, or manufacturer Patient Assistance Programs exist, and nobody surfaces this comparison at the pharmacy or point of prescribing.

"The gap is not transparency. It is actionable, context aware navigation."

TruCost Health founding principle

The Result

Avoidable financial toxicity. Discharge delays. Patients skipping or splitting medications they cannot afford. Providers unable to answer the question their patients need answered most: "What will this actually cost me?"

The Mandate Gap

The Transparency in Coverage Rule (2022) and Hospital Price Transparency Rule (2021) require all hospitals and major payers to publish their negotiated rates publicly. The rules created the data. TruCost built the infrastructure to actually use it.

How It Works

From raw federal data to bedside decision, in real time.

TruCost's proprietary intelligence engine transforms multi terabyte MRF datasets into a unified, queryable platform that requires no engineering expertise to use.

01

Ingest & Stream

A streaming pipeline continuously ingests MRF files from hundreds of payers, files that would crash standard analytics tools, without downtime or batch delays.

02

Normalize & Unify

Normalization reconciles dozens of inconsistent payer schemas: nested arrays, varying field names, incompatible rate structures, into a single, consistent data model.

03

Index & Enrich

A columnar query layer enables sub second queries across terabyte scale datasets. Rates are enriched with Social Determinants of Health (SDOH) pathways, state Medicaid MCO data, and CPT/NDC/RxCUI identifiers.

04

Surface & Navigate

A unified query ontology delivers pricing answers directly into clinical workflows: no separate portal, no data team required. The right cost information, at the right moment, for the right patient.

Built with
Streaming ETL Columnar Storage Python NDC / RxCUI CPT codes CMS MRF Medicaid MCO data SDOH pathways
Our Products

Three tools. One intelligence platform.

Each product solves a distinct pricing gap in healthcare: at the point of discharge, at the negotiating table, and at the pharmacy counter.

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Discharge Navigator

A ranked list of covered, affordable, nearby post acute providers, delivered to social workers and care navigators before discharge, not after.

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Rate Benchmarking & Negotiation

Exact market rate benchmarks by CPT code, payer, and geography, so practices and hospital finance teams negotiate from a position of knowledge.

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TruCost Drugs

Real time comparison of Medicare Part D, cash, discount card, and Patient Assistance Program pricing for any prescription, free for patients.

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Ready to see what is inside your pricing data?

Request a demo and we will show you exactly what TruCost surfaces from your payer files, your drug formularies, and your discharge workflows, in real time.