Patients shouldn’t be left in the dark with their healthcare bills. 

Thanks to MultiPlan, out-of-network healthcare charges are reduced fairly and efficiently.​

The U.S. healthcare system is complicated and opaque. Navigating healthcare can be quite difficult and costly for patients. This is why MultiPlan is dedicated to helping patients by offering a wide variety of out-of-network solutions for providers, payors, and employers – all of which help make it easy to price out-of-network healthcare bills. ​

Without MultiPlan, patients are left to deal with healthcare prices that are sometimes 3-4 times more costly than in-network rates.

This is where our mission begins and how we help by:

Eliminating balance bills for patients ​

Enabling price transparency​

Reducing medical costs fairly and efficiently

in potential savings identified
$ 0 Billion
average savings per claim
$ 0
provider acceptance rate
0 %

We are undoubtedly making an impact in the U.S. healthcare system. Here’s the proof.

In 2023, we identified $22.9 billion in potential savings on $168.6 billion in claim charges. Specifically, we priced 15.4 million out-of-network claims. That means savings for millions of American patients ($900 per claim on average.) And with an overwhelming 98% provider acceptance rate, it is clear that what we are doing is working.

Eliminating balance bills for patients – two patient journeys.

Patient A

Treated for: respiratory infection
Treated at: local ​in-network hospital

The in-network commercial pricing for patient A was $33,644. 

Result: There were no balance bills for the patient because of the contracted agreement with the in-network provider.

Patient B

Treated for: respiratory infection
Treated at: local out-of-network hospital

The out-of-network commercial pricing for Patient B was $77,792.

Result: By analyzing the out-of-network claim, MultiPlan recommended a fair and reasonable reimbursement amount of $36,696, which was accepted by the provider.

(Note: The potential balance bill difference of $41,096 was not sent to patient because of MultiPlan’s involvement.)

*Example of treatment in the state of Florida with DRG Code 177 Respiratory Infections and inclusive of average of 3 national health plans using Hospital Transparency Files, mandated by CMS.

Experience that you can count on.

40+ years in business​

14 office locations in U.S. ​

$961.5M Revenue in 2023

~2,800 employees​

Serving the healthcare community is what we do.

700+ Insurance carriers, plan administrators and other payor customers​

who
serve

100k+ Employers and plan sponsors​

who
cover

60M Plan members and patients with access to our services​

who
access

1.4M Contracted healthcare providers