Gross Charges
The gross_charges table contains list prices for each code at a provider.
Gross charges are used to convert % of charge negotiated amounts to dollars.
Sources:
There are a couple different sources of gross charge data:
- Hospistal MRFs (Payer MRFs do not report gross charges)
hospital_rates
- Komodo
- Provider-level:
tq_intermediate.claims_benchmarks.claims_benchmarks_gross_charges_npi - CBSA-level:
tq_intermediate.claims_benchmarks.claims_benchmarks_gross_charges_cbsa - State-level:
tq_intermediate.claims_benchmarks.claims_benchmarks_gross_charges_state
- Provider-level:
For more details on how we bring in gross charges to Clear Rates visit the methodology page here