Independent price intelligence for self-funded employers

Better data than your broker. Better data than your TPA.

PriceIntel pairs live negotiated prices from every payer and provider with an experienced team that has sat on your side of the table. We work with your people — your context, our data — to turn that advantage into savings five ways: audits, steering, contract design, renewals, and centers of excellence.

Start your 30-day savings assessment See the five plays

One claims extract to start
Works alongside your TPA & broker
No plan changes required

A benefits leader smiling in a bright office with a sage-green wall

The problem isn't how much care your people use. It's what you're being charged for it — and until now, only the other side of the table had the data.

45–60^%

of employer cost growth is driven by price — not utilization

2.3–2.6^×

what commercial plans pay versus Medicare for the same care

30^days

from claims extract to dollar-ranked findings and an action plan

01Claims Audit & Savings

Claims Audit & Savings Opportunities

Money is already leaking out of your plan in places your reporting never shows. We re-price every claim against the live market, then work the dollar-ranked findings with your team — what to recover first, and how.

Specialty-drug generics & biosimilars — claims still paying brand prices where equivalents exist
Infusion site-of-care — the same drug, the same chair, at 2–4× the price in a hospital outpatient setting
Out-of-range unit prices — line items far above what the same provider accepts from other payers

Typically 3–5% of plan spend, year one

An analyst reviewing claims data on a laptop in a bright office — Fig. 01 · Sample audit findings — illustrative

02Member Education & Steering

Member Education & Steering

Your members want to choose well — they've just never been given the data. Together with your benefits team, we show them, for their diagnosis, which providers deliver the best outcomes at the best price — and nudge them there before care happens.

Provider search by diagnosis — quality and real negotiated price, ranked for each condition and procedure
Steering campaigns — targeted outreach when claims signal an upcoming decision: imaging, infusion, surgery
Better care, not just cheaper care — quality signals come first, so steering builds trust instead of friction

Savings that compound every plan year

A member happily checking provider options on her phone at her desk — Fig. 02 · Provider search by diagnosis — sample market

03Contract Design & Renewal

Contract Design & Renewal

Renewal is where a plan year is won or lost — and it's usually negotiated with the other side holding all the numbers. We marry your historical claims with live pricing data from every payer and provider, then build the negotiation with you — our data, your priorities, one side of the table.

Your claims + live market rates — every proposed rate benchmarked against what providers actually accept today
Contract terms drafted together — steering rights, site-of-care language, audit rights, definitions that hold up
Walk in knowing more than your TPA — independent data, on your side of the table, for once

Every basis point locks in for the full term

A benefits leader reacting to a successful renewal at his laptop — Fig. 03 · Rate benchmark, single line item — illustrative

04Centers of Excellence

Designing Centers of Excellence

For the episodes that drive your spend — spine, joints, cardiac, oncology — we work with your team, using price and quality data across every provider in your market, to design COE pathways your plan can actually stand behind.

Save money — bundled, pre-negotiated episode pricing at providers with proven outcomes
Avoid unnecessary care — second-opinion pathways that catch the surgeries that shouldn't happen
Back to work sooner — better surgeons mean fewer complications, fewer revisions, shorter absences

Lower spend and less lost time, per episode

Spine COE — first plan year

Episodes redirected to COE64%

Surgeries avoided via second opinion1 in 4

Avg. cost per episode−31%

Return to work3 wks sooner

Illustrative example — varies by market & plan

Fig. 04 · COE program scorecard — illustrative

05ERISA Evidence & Defense

ERISA Evidence & Defense

Paying reasonable prices isn't just savings anymore — it's a fiduciary duty, and plan sponsors are being sued over it. Every audit, benchmark, and steering decision we run becomes documented evidence that you monitored costs and acted prudently.

A living fiduciary file — dated evidence of price monitoring, vendor scrutiny, and corrective action
CAA & ERISA alignment — documentation built to the standards regulators and plaintiffs' counsel test against
Board-ready reporting — the same findings that save money become the record that protects you

The savings pay for the defense

Fiduciary evidence file — FY26

Q1 claims re-pricing audit — methodology & findings, dated

Market rate benchmarks — all-payer comparison set

Corrective actions log — steering, substitutions, recoveries

Renewal negotiation record — proposals vs. accepted terms

Produced automatically as we work

Fig. 05 · The record that answers the lawsuit

How we work

A partnership, not a portal.

We don't drop software in your lap and wish you luck — and we don't ask you to hand over the keys, either. Nobody knows your population, your vendors, and your politics like your team does. Nobody has our pricing data. Savings happen where the two meet.

Our engine

Live negotiated prices from every payer and provider, continuously re-pricing your claims against the whole market.

Our people

Claims, contract, and benefits specialists who have run audits, renewals, and steering programs — and sat through the negotiations.

Your team

Context on your population and priorities, judgment on what will land with your people — and the final call on every action.

= savings generated together, in working sessions — not a report that ships and disappears.

The entry point

The 30-day savings assessment

Send one claims extract

A standard file from your TPA or data warehouse, transferred securely. About an hour of your team's time — that's the whole lift.

We price it against the market

Every line re-priced against live negotiated rates from all payers and providers — the same transparency data the other side hoped nobody would read.

We build the plan together

Findings ranked by recoverable dollars, walked through with your team in a working session — with the action plan and fiduciary paper trail to match.

Worst case: we find nothing, and it cost you an hour.

Request your assessment

PriceIntel consumer tools

Meet your members where they already are.

Thousands of patients use our free price-comparison tools — like MRI search — to shop for care with real prices. For employers, those same tools become the front door to member steering: awareness first, savings next. Consumer tools feed the employer engine, never the other way around.

Warm watercolor illustration of an MRI machine in a calm, friendly imaging room

See what your plan is really paying.

One claims extract. Thirty days. A dollar-ranked list of savings your TPA never mentioned — and the evidence file that proves you looked.

Start your 30-day savings assessment

Our team works with yours · No member disruption · Works alongside your TPA and broker