CFO and finance
See every scheduled increase and its projected gross-charge impact before approval. Finance signs off at the step your policy sets, and nothing changes until final approval.
Charge governance for health systems
Know every price. Control every change.
One clear view of charge prices, effective dates, scheduled increases, approvals, and audit history—across your health system.
Price change · under review
CDM 3520-0145 · unit each
CT head without contrast
Corporate price today
$1,842.00
Effective Jan 1, 2026
Scheduled +3.0%
$1,897.26
Effective Jan 1, 2027
Approval trail
- ✓ Submitted · CDM manager · Oct 9
- ✓ Revenue integrity · approved Oct 10
- ○ Finance · waiting on CFO delegate
The problem
Every facility has a price. Who controls the change?
01
Prices drift without a dated record.
Increases are keyed by hand, effective dates overlap or leave gaps, and nobody can show what a charge cost on a given date, or who approved it.
02
Facilities diverge quietly.
Corporate standards meet local overrides, and a large difference in price for the same CT head scan can sit unnoticed until a payer or patient asks.
03
Approvals live in email.
Outside a governed path, it's hard to prove who requested, reviewed and approved each change, and when it took effect.
Price tracking
Every price, in perspective.
Effective-dated prices by facility and unit of measure. See what a charge costs today, what it cost on any past date, and what it will cost after each scheduled increase. Overlapping dates are blocked and gaps are caught before approval.
Price historyCT head without contrast · CDM 3520-0145
Kestrel Bay Health
- Revenue code
- 0351
- Unit
- each
- CPT/HCPCS
- 70450
- Price as of today
- $1,842.00
- Billing system
- Published · accepted
- Scheduled$1,897.26
Jan 1, 2027 → Open · +3.0%
Awaiting finance. Revenue integrity ✓ · Finance pending
- Current$1,842.00
Jan 1, 2026 → Dec 31, 2026 · +3.5%
Finance reviewer
- Historical$1,779.71
Jul 1, 2025 → Dec 31, 2025 · +2.0%
Finance reviewer
- Historical$1,744.81
Jan 1, 2025 → Jun 30, 2025 · Baseline
Initial load, validated
Every row links to its request, approvals and hash-chained evidence. Export: price history CSV · gross-charge export.
Facility comparison
One health system. A clearer picture.
- Every facility's price for a charge, side by side.
- Variance flags above a threshold your finance team sets.
- Gross-charge impact per unit for every outlier.
- Dismissals need an audited reason.
Facility price comparisonCT head without contrast · unit each
Threshold ±15% from median
- Min
- $1,842.00
- Median
- $1,842.00
- Max
- $2,310.00
- Spread
- 25.4%
| Facility | Price | Source | vs median | Impact / unit |
|---|---|---|---|---|
| Kestrel Bay Medical Center | $1,842.00 | Corporate | 0.0% | $0.00 |
| Cedar Reach Medical Center | $1,842.00 | Corporate | 0.0% | $0.00 |
| Kestrel Bay Community HospitalVariance | $2,310.00 | Facility override | +25.4% | +$468.00 |
Kestrel Bay Medical Center
$1,842.00 · Corporate0.0%
Impact per unit: $0.00
Cedar Reach Medical Center
$1,842.00 · Corporate0.0%
Impact per unit: $0.00
Kestrel Bay Community Hospital
Variance$2,310.00 · Facility override+25.4%
Impact per unit: +$468.00
Approvals
Built for deliberate decisions.
- Ordered review steps
- Coding review, then finance, at whichever step your policy requires.
- Field-level control
- Each step controls which fields a reviewer can change, enforced on the server.
- Nothing changes early
- A change reaches the chargemaster only after final approval.
Evidence
Proof is part of the process.
Every governed event is hash-chained. Auditors download a request's proof as JSON, CSV or a PDF package, with hash-verifiable manifests.
Who it's for
For the people who own the price.
Revenue integrity
Review field-by-field changes with recorded reasons, catch facility price outliers with variance flags, and trace any price back to its request and evidence.
Chargemaster manager
Add, update, reprice and inactivate charges through one governed path, schedule future increases with effective dates, and run the annual update as one campaign.
Capabilities described here, including price tracking, facility price comparison and variance flags, are delivered and configured for your health system, with scope set out in your SOW.
Bring clarity to every charge.
A working session on your chargemaster: prices, effective dates, approvals and evidence for your facilities.