ClaraPrice

Name

ClaraPrice

Legal name

ClaraPrice, Inc.

Website

https://claraprice.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Healthcare Compliance Software

NAICS

Software Publishers (513210), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)

SIC

Services-Prepackaged Software (7372), Services-Health Services (8000), Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Price Transparency, Estimates & Patient Financial Clearance (HLACACAK)

akta.pro secondary industry

Healthcare Data Lakes, Lakehouses & Cloud Warehouses (HLACAIAA)

Keywords

• Hospital price transparency
• Healthcare compliance software
• Revenue cycle management
• Good faith estimates
• Payer contract management

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure

Revenue model

1. Subscription-Based Compliance Services: Recurring subscription model providing ongoing compliance management for CMS Price Transparency and No Surprises Act requirements. Includes managed compliance resources, portal access, and continuous monitoring.
2. Professional Services: Implementation, onboarding, and consulting services for initial compliance setup and ongoing support.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

ClaraPrice provides a cloud-based SaaS platform that helps hospitals comply with the CMS Price Transparency mandate and the No Surprises Act. The platform delivers white-labeled consumer-friendly shoppable services pages, comprehensive machine-readable files in JSON/CSV formats, Good Faith Estimates workflow automation, centralized payer contract management, and hosted pricing data APIs, all accessed through a secure compliance portal with AI-enabled analytics. The company serves hundreds of hospitals nationwide, with specialized offerings for rural, critical access, and frontier hospitals.

Product overview

ClaraPrice offers a unified platform with multiple integrated modules for hospital price transparency and compliance. The core portfolio consists of Hospital Price Transparency (providing consumer-friendly shoppable services and machine-readable files), Good Faith Estimates (workflow system for No Surprises Act compliance), Payer Contract Management (centralized contract and rate storage), and Hospital Pricing Data & APIs (database and API access). These products share a comprehensive compliance portal with analytics tools and are unified by a common data infrastructure. The Rural and Critical Access Hospitals solution is a specialized module within this ecosystem. ClaraPrice also previously offered Javelin (2020) as a specialized COVID-19 administrative relief service for CMS Advanced Payments Program management.

Differentiator

Problem solved

Functional benefit

Brands

• Javelin: A Health IT service launched in April 2020 to provide administrative relief to hospitals overwhelmed by COVID-19, including management of CMS Advanced Payments Program (APP) reporting and payback.

Products and services

• Hospital Price Transparency Comprehensive compliance solution that creates and manages a custom white-labeled consumer-friendly shoppable services web page, a comprehensive machine-readable file with all CMS-required data points and payer/plan-level negotiated rates in JSON/CSV formats, and ongoing website compliance monitoring for hospitals of all sizes.
• Good Faith Estimates Administrative workflow system to create, manage, and deliver Good Faith Estimates in compliance with the No Surprises Act, including workflow automation, collaboration features, and bundle templates for common procedures for hospital revenue cycle and compliance teams.
• Payer Contract Management Centralized storage and management solution for hospital payer contracts and negotiated rate models, providing secure file storage for contracts, integrated compliance with price transparency resources, and rate calculation modeling capabilities.
• Hospital Pricing Data & APIs Data and API solution that builds custom and secure pricing databases and hosted APIs for hospital IT teams to access compliance data through scalable hosted infrastructure.
• Rural and Critical Access Hospitals Solution Specialized pricing transparency compliance solution tailored for rural, critical access, and frontier hospitals, designed to meet unique facility needs with cost-effective and efficient compliance that reduces operational overhead and avoids hiring new FTEs.
• ClaraPrice Compliance Portal Secure compliance platform with tools and analytics that centralizes a hospital facility's pricing database and compliance resources, providing an admin portal with filtering, search, and download capabilities for hospital pricing information and full customer support.
• Javelin Health IT service launched in April 2020 to provide administrative relief to hospitals overwhelmed by COVID-19, including ongoing reporting and planned payback management for CMS Advanced Payments Program (APP) accelerated Medicare payments.

Quantifiable outcome

• Full CMS Price Transparency compliance achieved in as little as 3 weeks
• +2 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

AI capability2 records

Feature6 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Microsoft for StartupscoreTechnology or Integration · 16 December 2019ClaraPrice joined Microsoft for Startups' exclusive partner program. The program provides technology, go-to-market, and community benefits needed to catalyze startup success. ClaraPrice utilizes Microsoft Azure's secure platform tools for hosting and data analytics capabilities.
• Capital FactorycoreGTM or Marketing Partner · 6 September 2019ClaraPrice joined Capital Factory's VIP Accelerator in Austin. Capital Factory is described as the center of gravity for entrepreneurs in Texas, providing startups with competitive advantage in attracting talent, advisors, investors, and customers through coworking space, hosting credits, mentor network, and startup evangelist support.
• Health WildcatterscoreGTM or Marketing Partner · 30 January 2019ClaraPrice was accepted into Health Wildcatters Spring 2019 accelerator cohort in Dallas. Health Wildcatters is a nationally-ranked healthcare accelerator program offering opportunities to network, collaborate, and innovate with the healthcare community in North Texas and beyond.
• National Rural Health AssociationminorGTM or Marketing PartnerClaraPrice is trusted by hospitals across leading associations including NRHA. The company participates in NRHA conferences and events targeting rural hospital market.
• Nebraska Hospital AssociationminorGTM or Marketing PartnerClaraPrice is trusted by hospitals across leading associations including NHA. Association endorsement provides credibility within Nebraska hospital community.
• TORCH (Texas Organization of Rural and Community Hospitals)minorGTM or Marketing PartnerClaraPrice is trusted by hospitals across leading associations including TORCH. Partnership provides market access to Texas rural and community hospitals.
• MUSE InternationalminorGTM or Marketing PartnerClaraPrice is trusted by hospitals across leading associations including MUSE International. Association partnership provides market access and credibility.

Scale indicators2 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• Turquoise Health: Turquoise Health is a direct competitor in hospital price transparency, offering a platform for mandated price disclosure, payer-contracted rates, and consumer shoppable services. Both companies compete for the same hospital compliance budget under the same CMS mandate.
• Myndshft: Myndshft provides automated Good Faith Estimate and advanced explanation of benefits workflows for hospitals, directly competing with ClaraPrice's No Surprises Act GFE offering. The overlap is strongest in the price-estimation and patient-billing compliance category.
• PatientPrice: PatientPrice is a price transparency platform that helps hospitals generate shoppable services and machine-readable files to meet CMS requirements. It competes head-to-head with ClaraPrice's core Hospital Price Transparency product.

Broad incumbents

• Waystar: Waystar is a large, established healthcare revenue cycle management platform serving thousands of hospitals with patient access, billing, and claims workflows. It competes indirectly by bundling price transparency and estimate tools into its enterprise suite.
• Experian Health: Experian Health is a major incumbent in hospital revenue cycle, identity management, and patient access. Its ClearQuote and patient payment solutions overlap with ClaraPrice's price estimation and transparency mandate offerings for large health systems.
• R1 RCM: R1 RCM is a leading end-to-end revenue cycle management vendor serving large hospital systems. While focused on outsourced RCM services, its technology platform increasingly covers price transparency and patient estimation workflows competitive with ClaraPrice.
• FinThrive: FinThrive is a large healthcare revenue cycle technology vendor spanning patient access, claims, and contract management. Its payer contract modeling and estimation capabilities compete with ClaraPrice's Payer Contract Management and price transparency modules for mid-market and enterprise hospitals.

Emerging players

• AKASA: AKASA builds AI-driven automation for hospital revenue cycle workflows, including estimates and prior authorizations. It competes with ClaraPrice on the AI-enabled analytics and revenue cycle automation layer for mid-to-large hospitals.
• Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving hospitals and health systems. Its analytics capabilities overlap with ClaraPrice's AI-enabled pricing data insights, particularly for larger systems seeking integrated enterprise data infrastructure.
• Switchboard Health: Switchboard Health (formerly known in the price estimation space) offers patient cost estimation and price transparency tools for hospitals and providers. It overlaps with ClaraPrice's Good Faith Estimates and consumer-facing shoppable services products.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/clarapriceinc

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ClaraPrice