UCR Fee Data

Defensible, up-to-date UCR fee data derived from provider transactions. Straight from the source with zero payer adjustments.

UCR Done Right


The Healthcare Pricing Challenge

In today's complex healthcare environment, insurance companies, employer groups, and other healthcare organizations need defensible, comprehensive, and up-to-date fee data in order to re-price claims. Ensuring that the right service is administered at the right cost is a cornerstone of proper healthcare coverage. However, with one doctor billing a service at $100, and another doctor right next door billing the same service at $800, how is a payer to know what’s usual, customary, or reasonable?

UCR Data Straight from the Source

We have been a leader in UCR (usual, customary, reasonable) fee analysis for almost 30 years. Using a proven statistical methodology, we analyze billions of provider charges to ensure that payers have the most defensible fee information available. According to Oxford Outcomes, our data sourcing "is more likely to provide representative data compared to other common sources of fee data” and that "provider billing/charge data is an appropriate basis for UCR benchmarking."

No Surprise Billing compliant

Developed and refined by our team of data scientists, our methodology ensures that the UCR fee products represent current provider charges from around the country without payer adjudication adjustments. Our UCR data offerings are fully compliant with federal No Surprise Billing regulations concerning national databases. You can use the best UCR in the industry with no concerns about regulatory issues.


Included UCR Database Modules

TheMedicine_darkblue ALL-hospital

Medical fee data across every provider specialty, with fees for both Global and Professional service components.

TheMedicine_darkblue ALL-dental

Dental fees for all service types such as diagnostic, preventative, restorative, endodontics, and all the rest. 

TheMedicine_darkblue ALL-injection

Anesthesia fee data for services rendered by anesthesiologists as well as by other providers under the anesthesiologist’s direction.

TheMedicine_darkblue ALL-ambulance

HCPCS code fees covering thousands of common services not covered through a CPT code.

TheMedicine_darkblue ALL-stethoscope

Outpatient Facility data made up of hundreds of millions of charges. The outpatient facility setting is the dominant location for medical and surgical procedures.

TheMedicine_darkblue ALL-dentistpatient

Inpatient Facility fees based on CMS MEDPAR data, allowing you to accurately price each day of the hospital stay, or the entire stay, by each DRG code.

Since 1994, Context 4 Healthcare has been the industry’s trusted source for defensible, dependable, and accepted UCR data. Hundreds of payers nationwide use it to calculate their plan liabilities. Shouldn’t you?