SumHealth

SumHealth operates as a healthcare data intelligence platform focused on price transparency and cost optimization. The company processes billions of hospital and payer pricing records, making them accessible through structured databases and APIs. Their primary offering, BenchMarks, provides analytics for hospitals, providers, and payers to benchmark pricing, optimize revenue cycles, and improve contract negotiations.

The platform aggregates data from over 5,000 hospitals and processes complex machine-readable files (MRFs) required under federal price transparency regulations. SumHealth's services span three primary stakeholder groups: patients seeking cost transparency and bill negotiation through their TrueCharge AI tool ($24.99), providers pursuing revenue optimization and compliance automation, and payers requiring cost containment and risk stratification capabilities. The company has processed over 10 billion pricing records and reports 100,000+ searches performed on their free hospital pricing transparency tool.

In addition to pricing data services, SumHealth has integrated genomic health insights into their platform, offering DNA-based health risk assessment and personalized medicine capabilities as a B2B service for both providers and payers.

SumHealth addresses a specific need for organizations dealing with healthcare price transparency compliance and cost benchmarking. Their platform eliminates the technical burden of processing massive MRF files, offering pre-structured data ready for analysis. This is particularly valuable for hospitals facing compliance deadlines, payers negotiating rates, and self-insured employers seeking cost containment strategies.

Organizations should expect data-focused solutions rather than full-service consulting. The BenchMarks platform requires internal analytics capability to derive actionable insights, though the company provides the foundational data infrastructure and API access for integration into existing workflows.

SumHealth operates exclusively in the healthcare sector, focusing on the intersection of price transparency regulations, cost optimization, and genomic medicine. Their services address federal compliance requirements for hospitals under CMS price transparency rules, support self-insured health plans in managing costs, and provide payers with tools for risk stratification using both pricing and genomic data. The company demonstrates deep expertise in healthcare-specific data challenges, particularly the processing of complex machine-readable files mandated by federal transparency regulations.

Mid-to-large healthcare organizations with internal analytics teams capable of leveraging structured pricing data, including hospital systems managing compliance obligations, health insurance companies optimizing contract negotiations, self-insured employers with 500+ employees seeking cost containment, and healthcare technology companies requiring pricing data APIs for their own applications.