Methodology & limits
CostVista normalizes Transparency-in-Coverage machine-readable files (MRFs) and produces code-level summaries.
- Scope: in-network negotiated rates by CPT/HCPCS and similar billing codes.
- Normalization: header synonyms → canonical fields; numeric coercion; per-code aggregation.
- Stats: Min, Median, P25–P75, Max; Top-3 cheapest providers.
- Freshness: payers usually update monthly; UI/PDF show source and fetch time.
- Privacy: no PHI in demo/product flows.
Limits
- No copay/deductible/accumulators; plan design varies by employer.
- No outcomes/quality scores by default.
- Provider names may vary across files; dedup best-effort.