Medicare rates are set by CMS. But your Blue Cross, Cigna, Aetna, and UnitedHealth rates? Those are contracts — and most DME suppliers haven't compared them to what top-performing peers are actually getting.
DME suppliers focus on Medicare compliance. Meanwhile, commercial contracts signed 3-5 years ago compound quietly — and no one is watching.
Commercial rates negotiated at startup or last renewal are often 15-30% below what top-performing peers in the same state are collecting on the same HCPCS codes from the same payers.
You know what your payers pay. You have no idea what they pay others. Federal Transparency-in-Coverage filings changed that — but parsing 314M+ records takes infrastructure most suppliers don't have.
When contract renewal arrives, most DME suppliers negotiate blind. No benchmarks. No documented gap. No counteroffer memo. Payers depend on this. ReimburseOS ends it.
From CPAP equipment to orthotics to oxygen therapy — we index commercial contracted rates across 27 live payers on the HCPCS codes that matter to DME, O&P, and home health suppliers.
Run a free snapshot with your NPI to see rate intelligence specific to your location and payer panel.
| HCPCS | Description | Your Current Rate | Top-Peer Rate | Documented Gap |
|---|---|---|---|---|
| E0601 | CPAP Device | $148.20 | $212.40 | +$64.20 |
| E0601-RR | CPAP Monthly Rental | $68.00 | $94.50 | +$26.50 |
No PHI. No credit card. We pull your practice data from NPPES and cross-reference your commercial payer panel from federal TiC filings.
Your contracted rates on key HCPCS codes are compared against top-performing peers by state and payer. Rate gaps surface in about 15 seconds.
Select the payer and code set. ReimburseOS generates a formatted renegotiation memo with documented gap data, peer benchmarks, and proposed new rates.
Send the memo to your payer contact or credentialing rep. You negotiate from documented numbers, not guesses. That changes the conversation.
Single location or regional network. Monthly monitoring or one-time audit. Pick the tier that matches where you are.
All tiers include a Free Snapshot with no PHI required. One-time Practice Audit also available at $497 (founding tier $297).
If your paid Practice Audit does not identify at least $10,000 per month in documented reimbursement opportunity across your submitted HCPCS code set and commercial payer panel, we refund your fee. Refund processed under the published Founder's Promise terms.
ReimburseOS identifies documented opportunity based on public contracted rates and submitted practice inputs. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome.
We work directly with DME suppliers, O&P practices, and home health equipment providers. Schedule a 30-minute call and we'll walk through your specific HCPCS code set and payer panel live on screen.
Book a 30-Min Demo →