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The Marketable Artifact

One Page. One Number.
Every Quarter.

One page. One headline number. Three to four dollarized findings. A methodology you can audit. Delivered quarterly for every employer in your book.

Rate Competitiveness Scorecard

Acme Manufacturing Co.

Plan Year 2026 · ~3,200 covered lives

Period

Q3 2026

112

Rate Index

Your contracted rates index at 112 — 12% above the 50th-percentile peer benchmark for your metro and procedure mix.

+3

vs. Q2 2026 (trending less competitive)

+$1.84M

Annual variance above peer median

50100 (Peer Median)200

Key Findings

#CategoryYour RatePeer MedianVariance$ ImpactRecommended Action
1

Inpatient Surgical Procedures

Per surgical episode

$48,200$40,850+18%+$620KRe-bid hospital contract; major orthopedic procedures driving the variance.

1. Inpatient Surgical Procedures

Per surgical episode

+$620K
Your: $48,200Peer: $40,850+18%

Re-bid hospital contract; major orthopedic procedures driving the variance.

2

Imaging (MRI / CT)

Per study

$1,420$1,084+31%+$410KSteer outpatient imaging to freestanding centers; current site-of-service is 80% hospital-based.

2. Imaging (MRI / CT)

Per study

+$410K
Your: $1,420Peer: $1,084+31%

Steer outpatient imaging to freestanding centers; current site-of-service is 80% hospital-based.

3

Emergency Dept. Facility Fees

Per ED visit

$1,850$1,520+22%+$340KTwo facilities driving 80% of variance — flag for tiered network design at renewal.

3. Emergency Dept. Facility Fees

Per ED visit

+$340K
Your: $1,850Peer: $1,520+22%

Two facilities driving 80% of variance — flag for tiered network design at renewal.

4

Specialty Pharmacy

Per member per year

$28,400$30,540−7%−$180KExisting PBM contract performing well; protect terms in renewal negotiation.

4. Specialty Pharmacy

Per member per year

−$180K
Your: $28,400Peer: $30,540−7%

Existing PBM contract performing well; protect terms in renewal negotiation.

Methodology & Data Provenance

Data Current As Of

October 15, 2026

Methodology

v2.1 · Published at medicalbills.com/methodology

Attestation

Independent attestation in progress

Peer Cohort

47 self-funded employers in DFW metro, manufacturing & adjacent, 1,500–8,000 lives

Source Data

MRF coverage: 6,200 hospital systems, ~82% of US in-network claim volume. Variance reflects contracted rates normalized for site of service and bundled-procedure inclusion.

Prepared by MedicalBills.com · In partnership with [Broker of Record]

Confidential — Plan Sponsor Use Only

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