The whole idea
“You billed me $340. Your own published price is $170.”
Hospitals are required by federal rule to publish a machine-readable file of their standard charges. Almost nobody reads them. We do — and we use each hospital’s own numbers before we reach for anything else.
That is a much harder sentence to argue with than a general sense that a bill looks too high.
2.0×the price they publish — a difference of $170.00 per treatment
Compared againstthe hospital’s published cash pricepublished Jan 1, 2026
A finding is only useful if you can point at it
Every item in your report carries three things: the row it came from, the figure it was compared against, and how sure we are that we read it correctly.
The row it came from
Page and row number, plus an image cut from your own statement. You can hold your copy next to the report and follow along.
What it was compared against
Named every time: the hospital’s published gross charge, its published cash price, what it actually collects, or the Medicare rate for that facility.
How sure we are
Rows we struggled to read look different from rows we read cleanly, and we say which is which. We would rather show you doubt than hide it.
Where the numbers come from
Their own file first. Medicare only after.
When a hospital has published nothing we can find, we say so plainly on the finding rather than quietly leaving the comparison out.
- 1
The hospital’s published gross charge
Did they bill their own posted price? A deviation here is the cleanest question you can ask.
- 2
The hospital’s published cash price
What they say an uninsured patient pays. The strongest number to quote on a phone call.
- 3
What the hospital actually collects
The median, 10th and 90th percentile of allowed amounts, where the hospital publishes them.
- 4
Medicare’s rate for that specific facility
Adjusted for the hospital’s own wage index. Context and leverage — never a figure we claim you are owed.
If we don’t find anything worth disputing, you don’t pay.
We never charge your card. On larger bills we authorise a payment before we start and release it untouched if the audit comes back empty. We will tell you plainly when that happens.
What we do not promise: that your bill will be reduced. That is between you and your provider. What we give you is a set of specific, sourced questions and the evidence to ask them with.