THE COMPARATIVE PRICING MODULE PROVIDES VALUABLE INFORMATION TO HELP:

• Identify how a hospital’s outpatient prices and frequency compares with its competitors or selected peer groups at the HCPCS level (15 to 30% of a typical hospital's net revenue is paid on the basis of charges).
• Identify how a hospital's outpatient costs compare with its competitors or selected peer groups also at the HCPCS level.
• Determine how a hospital’s current charge mark-up factor compares to the mark-up factor of its competitors or selected peer group(s).
• Negotiate managed care contracts from a position of strength and knowledge by understanding your hospital’s price competitiveness/cost efficiency as compared to other area hospitals (overall and by procedure).
• Establish prices for new procedures/programmatic development.
• Establish price thresholds prior to implementation of a strategic pricing initiative at the hospital.
• Monitor pricing and Medicare outpatient activity via the web and rerun reports as updates are received from CMS.

REPORT DECRIPTIONS:

Comparative Charge Reports – These reports compare a hospital’s average or mean charge per HCPCS code to that of any customized peer group selected from a database of over 5,000 providers. A report illustrating the detail for each hospital contained in the comparative group can then also be produced. Frequency statistics by HCPCS code are also provided for each hospital along with hospital name(s).

Comparative Cost Reports - These reports compare a hospital’s average or mean cost per HCPCS code to that of any customized peer group selected from a database of over 5,000 providers. A report illustrating the detail for each hospital contained in the comparative group can then also be produced. Frequency statistics by HCPCS code are also provided for each hospital along with hospital name(s).

Comparative Mark-up Reports – These reports compare a hospital’s average or mean mark-up of its charges over cost for each HCPCS code to your customized peer group selected from a database of over 5,000 providers. A report illustrating the detail for each hospital contained in the comparative group can also be produced along with frequency statistics and hospital names.