Easy Access to Healthcare Cost Estimates through Web Applications

March 01, 2017

The same market-level cost data maintained in FAIR Health’s repository and used by stakeholders nationwide to inform business decisions, advance research, formulate policy and adjudicate claims can now be accessed by your organization’s employees or members at the click of a mouse.

FAIR Health’s Application Programming Interface (API) makes it easy to integrate the benchmark data you license from FAIR Health directly into your websites and mobile applications—making up-to-date pricing for thousands of medical and dental procedures in geographically specific areas easily accessible to your audience.

A growing number of FAIR Health clients are interested in making cost estimates available to their employees or members. Intended uses include allowing access to the data through online health coverage enrollment platforms to support comparison of offerings based on plan type, cost-sharing provisions and benefit design; presenting the data through insurers’ member portals to allow users to compare in-network and out-of-network costs easily; and giving customer service reps interactive online access to assist plan members as they seek to estimate the cost of care.

What Users Will See

Charge and allowed benchmarks from the 5th to 95th percentile can be delivered by API for 493 geozips nationwide, based on twelve months of data, updated twice per year. Benchmarks for more than 15,000 procedure codes are accessible, including medical professional services; anesthesia services; dental services; and equipment, supplies and services billed with HCPCS codes. Each API call can display in your application the procedure code, along with a code description and a benchmark percentile. Descriptions for the most commonly searched codes are available in Spanish, as well.

To get you started, the FAIR Health team will provide you with our standard API, documentation and user authentication to allow real-time information transfer.

For more information about licensing FAIR Health data and how our API and consumer tools can help you easily present cost information to your employees and members, contact us by e-mail at service@fairhealth.org or call us at 855-301-3247, Monday through Friday, 9 am to 6 pm ET.