Serif Health

Serif Health turns federal hospital and payer price-transparency disclosures (machine-readable files) into normalized, decision-ready negotiated-rate data. Its REST APIs let teams query negotiated reimbursement rates and rate distributions by CPT/DRG code, payer, provider, and geography, search for in-network providers, and pull custom datasets and extracts.

6 APIs 0 Features

HealthcarePrice TransparencyNegotiated RatesPayerData

APIs

Serif Health Negotiated Rates API

Query payer-negotiated reimbursement rates for an individual procedure code (CPT/DRG), filtered by region, tier, site of service, and payer. Returns per-payer rates derived from...

Serif Health Rate Distributions API

Return percentile rate distributions (5th-95th) for a procedure code, filtered by region, tier, site, payer, and weighting (NPI or EIN) for benchmarking against the market.

Serif Health Find Care API

Find the right provider by procedure, geography, and payer network - surfacing cost-aware, in-network provider options to power care-navigation tools.

Serif Health Provider Directory API

Determine in- vs out-of-network status across payers and perform NPI/EIN relationship crosswalks to understand network structure and decode MRF postings.

Serif Health Datasets & Extracts

Custom data pulls and extracts for specific EINs, NPIs, or taxonomy codes, delivered in common formats and optionally indexed back into the API by request.

Serif Health Payer Inventory

Live public inventory of 200+ payers with network-quality scoring, updated monthly, exposing data coverage and freshness across payer machine-readable files.

Collections

Serif Health Pricing API

OPEN

Pricing Plans

Serif Health Plans Pricing

4 plans

PLANS

Rate Limits

Serif Health Rate Limits

2 limits

RATE LIMITS

FinOps

Serif Health Finops

FINOPS

Resources

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GitHubOrganization

Sources

opencollection: 1.0.0
info:
  name: Serif Health Pricing API
  version: '1.0'
request:
  auth:
    type: bearer
    token: '{{bearerToken}}'
items:
- info:
    name: Rates
    type: folder
  items:
  - info:
      name: Get negotiated rates for a procedure code
      type: http
    http:
      method: GET
      url: https://pricing-api.serifhealth.com/v1/rates/code/:code
      params:
      - name: code
        value: '27445'
        type: path
        description: The procedure code (CPT or DRG) to look up.
      - name: region
        value: PA
        type: query
        description: US state abbreviation to scope rates to.
      - name: tier
        value: professional
        type: query
        description: Service tier, e.g. professional or facility.
      - name: site
        value: nonfac
        type: query
        description: Site of service, e.g. nonfac or fac.
      - name: payer
        value: bcbs
        type: query
        description: Payer name to filter to.
    docs: Returns payer-negotiated reimbursement rates for a single procedure code (CPT/DRG), optionally filtered by region,
      tier, site of service, and payer.
- info:
    name: Distributions
    type: folder
  items:
  - info:
      name: Get rate distribution for a procedure code
      type: http
    http:
      method: GET
      url: https://pricing-api.serifhealth.com/v1/distributions/code/:code
      params:
      - name: code
        value: '90837'
        type: path
        description: The procedure code (CPT or DRG) to look up.
      - name: region
        value: TX
        type: query
        description: US state abbreviation to scope the distribution to.
      - name: tier
        value: professional
        type: query
        description: Service tier, e.g. professional or facility.
      - name: site
        value: nonfac
        type: query
        description: Site of service, e.g. nonfac or fac.
      - name: payer
        value: bcbs
        type: query
        description: Payer name to filter to.
      - name: weighting
        value: ein
        type: query
        description: Weighting method for the distribution, by ein or npi.
    docs: Returns the percentile distribution (5th-95th) of negotiated rates for a single procedure code, filtered by region,
      tier, site of service, payer, and weighting method.
bundled: true