OpenHealthExplorer
by AI4H2, Inc. Non-Profit
Back to Explorer

Democratizing Healthcare Prices

We believe price transparency is a fundamental right. We translate complex government data into clear, actionable insights for every Massachusetts patient.

Your Journey to Fair Pricing

1

Locate & Budget

Enter your ZIP Code to zoom into your area and use the Price Slider to set a budget that works for you.

2

Compare Rates

Toggle between the Self-Pay Rate (the sticker price) and the Medicare Rate (the market floor).

3

Verify Provider

Click any facility and use the Verify button to check their official credentials in the Federal NPI Registry.

Understanding the Clinical Logic

Outpatient (Part B)

For scans and labs (like MRIs), we aggregate everything into a Total Walk-out Price. This bundle combines the doctor's expertise and the facility's equipment fee.

Key Insight: Outpatient prices can vary by 400% even within the same ZIP code.

Inpatient (Part A)

For hospital stays (like Sepsis), we show the Full Episode Cost. These are billed as "Global Stays" covering the entire admission from bed-days to pharmacy.

Key Insight: These rates are negotiated at a facility level for the entire stay.

The Map Legend

How to read our quality-coded provider markers

High Quality
4-5 Stars (CMS)
Average Quality
3 Stars (CMS)
Lower Quality
1-2 Stars (CMS)
Unrated
Independent Labs

Trust the Source

All pricing and quality data is sourced directly from the Official CMS (Centers for Medicare & Medicaid Services) database. Every facility link points to the Official Federal NPI Registry for independent verification.

The Data Lag (A Reality Check)

CMS typically releases the comprehensive Utilization and Payment PUF with a significant lag to allow for claim finalization and auditing. The 2023 data displayed here was released in April 2025 and remains the current gold-standard baseline.

OpenHealthDP v2 API

Are you a researcher or developer? Access our self-enriched BigQuery warehouse via the production Cloud Run API.

Explore OpenHealthDP Repo