MedReveal benchmarks every member practice in your network against the same negotiated-rate market — so you can see who is underpaid, standardize the outliers, and bring real data to the next payer renewal instead of one clinic's anecdote.
Every member practice, every payer, every code, in one place — instead of chasing down what each clinic thinks it gets paid.
Benchmark each member against the same market distribution. A practice sitting below the network median is a standardization target, not a guess.
Show a prospective practice exactly what the network's negotiated rate gets them for the codes they actually bill, before they sign on.
Walk into a payer renewal with the network-wide rate distribution behind you, not one clinic's anecdote about what they think is fair.
An MSO/IPA typically sets one fee schedule for the whole network — here, an illustrative 120% of Medicare, flat across every code. Below is that same rate benchmarked against five real orthopaedic surgery code distributions in TX.
| Code | Network rate | Percentile | Min | Q1 | Median | Mean | Q3 | P95 | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| 27447Total knee arthroplasty | $1,454.68 | 31st | $918.63 | $1,401.10 | $1,610.36 | $1,860.27 | $2,030.65 | $3,312.69 | $1,212.23 |
| 27130Total hip arthroplasty | $1,458.32 | 31st | $919.80 | $1,410.92 | $1,610.41 | $1,868.76 | $2,075.93 | $3,540.45 | $1,215.27 |
| 29827Shoulder arthroscopy, rotator cuff repair | $1,219.33 | 47th | $725.09 | $1,057.06 | $1,239.66 | $1,426.34 | $1,573.14 | $2,531.03 | $1,016.11 |
| 29881Knee arthroscopy, meniscectomy | $640.13 | 50th | $365.95 | $549.75 | $641.92 | $749.53 | $824.51 | $1,444.17 | $533.44 |
| 20610Arthrocentesis, major joint | $84.44 | 75th | $30.97 | $52.94 | $64.58 | $75.51 | $83.73 | $142.05 | $70.37 |
Source: UHC published negotiated rates, professional billing class, filtered to Orthopaedic Surgery taxonomies, TX. Medicare reference: Medicare, Houston locality, non-facility, CMS Physician Fee Schedule 2025. Network rate is a flat 120% of Medicare per code — illustrative, not a real network's fee schedule.
This is the view a payer comparison can't give you — every member practice plotted on the same market distribution for CPT 27447, Total knee arthroplasty, so you can read one member directly against another, not just against the market. Member 2 and Member 3 sit either side of the network median; Member 1 is the network's clearest standardization target.
UHC, Orthopaedic Surgery providers, TX · whiskers are Tukey bounds (1.5×IQR)
| Member | Rate | vs network median | vs Medicare |
|---|---|---|---|
| 1Member 1 | $918.63 | $-691.73 | 76% |
| 2Member 2 | $1,401.10 | $-209.26 | 116% |
| 3Member 3 | $1,610.36 | +$0.00 | 133% |
| 4Member 4 | $2,030.65 | +$420.29 | 168% |
| 5Member 5 | $2,874.49 | +$1,264.13 | 237% |
Pull the codes that actually drive volume across member practices — the services the network bills most, not a generic list.
For each code and payer, place every member's contracted rate against the full market distribution for that market and specialty.
Members below the network median are the clearest, most defensible renegotiation targets — the gap is arithmetic, not opinion.
Whether it's one member's contract or the network's master agreement, the ask is backed by the same data every payer already has.
Identify which member practices are paid below the network median for high-volume codes, and quantify what closing that gap is worth.
Give a prospective member a real rate comparison, not a sales pitch — and give existing members a reason the network is worth staying in.
Bring the market distribution across every member to the table when negotiating the network's master fee schedule with a payer.
Compare a proposed capitation or risk arrangement against the fee-for-service market it replaces, code by code.
No sign-up needed to look. Every code page carries the current Medicare amount and a state-by-state breakdown.
Send us your member roster's code mix and payer set. We'll come back with the market distribution for each and what standardizing the outliers is worth.