Healthcare Price Transparency Tools

Present Clear Costs Before Care

Accurate patient estimates improve collections, strengthen compliance, and create a better financial experience.

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Improve Financial Clarity

Provide patients and staff with reliable cost information before services are delivered.

Reduce Estimate Inaccuracy

Eliminate guesswork with insurance-adjusted estimates based on real coverage, benefits, and payer contract data.

Strengthen Upfront Collections

Support point-of-service collections by helping patients understand their financial responsibility earlier.

Support CMS Compliance

Meet hospital price transparency requirements with accessible estimates and compliant machine-readable files.

Improve Patient Experience

Clear pricing reduces confusion, builds trust, and makes financial conversations easier for staff and patients.

A Two-Pronged Approach to Transparency

SSI Estimation supports both patient self-service and provider workflows to deliver accurate estimates and stronger financial communication. Patients can access reliable cost estimates for common procedures online through your website, helping them make informed decisions before care.

At the same time, staff gain contract-modeled estimates built from payer agreements, charge history, and real-time eligibility data for greater accuracy and compliance. With saved patient estimates, custom scripting, and dynamic estimate letters, teams can turn financial conversations into clearer, more productive collection opportunities.

Let’s Lower Costs and Drive Better Outcomes

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Prior Authorization

Denial Management

Claims & Clearinghouse

Eligibility

Remittance Management

Insights & Analytics

Quality Measurement

Payer Claims Operations

Prior Authorization

Denial Management

Claims & Clearinghouse

Eligibility

Remittance Management

Insights & Analytics

Quality Measurement

Payer Claims Operations

Built for Transparency

Provide patients with accurate estimates for their healthcare with price transparency tools.

Insurance-Adjusted Estimates

Calculate patient responsibility using benefits, coverage, and real-time eligibility responses.

Contract-Based Modeling

Match estimates to payer contracts for greater financial accuracy and fewer downstream surprises.

Patient Self-Service Tools

Enable patients to generate online estimates for common procedures from any device.

Dynamic Estimate Letters

Support clear financial communication with customized estimate letters and scripting for staff.

Machine-Readable Files

Generate compliant downloadable files that support CMS hospital price transparency requirements.

Front-End Workflow Visibility

Save patient-generated estimates for staff review, follow-up, and scheduling coordination.

Clear Steps for Better Estimates

  • 01

    Verify Coverage

    Use real‑time eligibility checks to confirm coverage, benefits, and cost‑sharing requirements.

  • 02

    Calculate Responsibility

    Apply contract modeling and historical charge data to generate patient‑specific estimates.

  • 03

    Deliver Clear Estimates

    Provide estimates during scheduling and registration or through digital self‑service channels.

  • 04

    Improve Collection Outcomes

    Support stronger upfront collections and reduce downstream billing friction with clearer patient financial expectations.

Improve Performance Where It Matters Most

Whether you’re a provider or payer, identify the solutions that best align with your organizational needs.

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Price Estimation

Frequently Asked Questions

Transform Your Revenue Cycle

Discover how The SSI Group’s healthcare revenue cycle solutions can help you increase efficiency and improve financial outcomes.