for your
24/7 Financial + Regulatory Intelligence for your ambulatory center
No consultant. No portal hopping. No six-month implementation.
The problem
Financial & Reimbursement
Across Medicare and commercial payers, ambulatory centers receive roughly half of what hospital outpatient departments get for the same procedure — and the gap widened again in 2026.
For over 150 CPT codes, patients pay more out-of-pocket at your ambulatory center than they would at the hospital — because the HOPD copay cap doesn't apply to outpatient surgery centers.
Hospitals collect over $28,000 for a total knee that your center reimburses at $8,400. That ratio holds across payers and procedures — and most ambulatory centers negotiate contracts without ever seeing the comparison.
Regulatory & Quality
Leapfrog's 2026 public reporting expansion now scores thousands of ambulatory centers on 13+ measures. Patients and payers can see how you compare — can you?
Miss an ASCQR reporting deadline and you lose your annual payment update. The deadlines shift. The requirements compound. One missed submission costs real money.
Ambulatory centers outnumber hospitals in the U.S. — but your quality scores don’t appear where patients and payers actually compare providers. Leapfrog is filling that gap in 2026. Your competitors already submitted.
What the agents query
Medicare is just the free starting point. Agents query across public and commercial data layers — so you don’t have to.
Medicare ambulatory rates
Free — start nowEvery CPT on the covered list, by region and wage index
OPPS hospital rates
Free — start nowSide-by-side hospital outpatient rates for the same procedures
ASCQR quality data
Free — start now13+ CMS measures across thousands of ambulatory centers, benchmarked nationally
Open Payments
Free — start nowPhysician-manufacturer payments and transfer-of-value data
DMEPOS pricing
Free — start nowDevice, prosthetic, and supply cost benchmarks
Commercial payer rates
Unlock with early accessIn-network negotiated rates from Transparency in Coverage files
Hospital standard charges
Unlock with early accessHospital-posted prices from price transparency MRFs
Part B drug pricing
Unlock with early accessASP payment limits and NDC-HCPCS crosswalks, updated quarterly
Custom datasets
Bring your ownIngest claims files, internal contracts, or proprietary benchmarks. The agents query it all.
How it works
No six-month implementation. No portal hopping. Describe what you need — agents query across every data layer to build it.
Ask in plain English
Describe what you need — a payer negotiation brief, a quality benchmark report, a copay disparity analysis. Agents understand CPT codes, payer names, regions, and quality measures.
Example query
“What does Medicare pay for CPT 27447 at my ASC vs. the hospital? How does that compare to what Aetna negotiated in the Bay Area?”
Agents query across data layers
One question hits ambulatory center rates, OPPS comparisons, commercial payer Transparency in Coverage files, hospital charges, and quality data. No manual lookups across portals.
Review a structured report
You get a report with sections you can approve, edit, or ask to deepen. Share with your board, hand to your payer rep, or export as PDF.
Who this is for
You negotiate payer contracts, submit ASCQR data, and manage margins on flat reimbursements. We give you rate benchmarks across Medicare and commercial payers, quality comparisons, and evidence packs — no EHR integration required.
You need to know if a case makes money at your center. We show you ambulatory vs. HOPD rates across all payers, commercial benchmarks, and hospital charges by CPT and region — so you can model case economics.
You're benchmarking implant costs without benchmarks. We surface DMEPOS pricing, Open Payments vendor data, and hospital standard charges so you can negotiate from evidence.
You need code-level rate disparity data, copay cap impact reports, and quality evidence for legislative briefs. We query it in seconds across Medicare, commercial, and quality datasets.
Early access
Get early access to the report builder — query Medicare, commercial payers, and hospital charges in one place. Start free with Medicare, go from there.