HST
HST is a US private healthcare technology company offering Medicare-based reference pricing integrated with the PHCS national provider network and a provider-comparison mobile app, serving self-insured employers, brokers, TPAs, and health plans with value-based payment plans.
- Company typePrivate
- Founded2009
- HeadquartersLaguna Hills, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What HST does
HST is a US-based, privately-held healthcare technology company headquartered in Laguna Hills, founded in 2009, with 101-250 employees. According to its firmographic data and self-description, the company positions itself around value-based payment plans intended to transform healthcare one patient at a time, with a core technical offering built on a Medicare-based reference pricing engine integrated with the PHCS proprietary national provider network and a patient-facing mobile application for provider comparison. Core capabilities described in the source material include Reference-Based Pricing (RBP) anchored to Medicare, the NCQA-accredited PHCS Network for professional claims, a Patient Advocacy Center (PAC) for member billing support, a Provider Comparison Mobile App for cost and quality decisioning, and a Provider Portal for administrative transparency.
The product portfolio extends well beyond core pricing into adjacent analytics and payment-integrity modules: Claims Intelligence modules (Data iSight, Pro Pricer, Surprise Bill Services, No Surprises Act Services, Negotiation Services), Data and Analytics modules (BenInsights, Ceres, PlanOptix, CompleteVue), Network Solutions (PHCS Novera, Claritev Payments), and Payment and Revenue Integrity modules (Advanced Code Editing, Clinical Negotiation, Itemized Bill Review, Coordination of Benefits, Subrogation, Medicare Secondary Payer Validation). Customer targeting spans self-insured employers (primary), brokers and advisors (primary), third-party administrators, health plans and payers, and hospitals and health systems, indicating a multi-segment enterprise go-to-market rather than a single-vertical play.
HST operates a quote-based B2B pricing model with no publicly disclosed pricing; revenue mechanics are not detailed in the source data. Distribution is executed through direct enterprise field sales, a broker channel via the Premier Broker Program, and self-service digital portals including HSTConnect. Leadership is listed as Edward Day (CEO and Founder), Ed Sicard (CTO), and Toni Creel (COO). The company has received Fortune Best Workplaces in Health Care recognition and holds NCQA accreditation on its PHCS Network. Source content pulled from claritev.com describes a substantially overlapping product surface (Vistara RBP, PHCS Network, the same add-on modules), suggesting a product-level relationship with Claritev Corporation that is not explicitly characterized in the source material.
HST firmographics
Firmographics- Name
- HST
- Legal name
- HST
- Website
- https://hstechnology.com
- Company type
- Private
- Founded year
- 2009
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- HST is a US private healthcare technology company offering Medicare-based reference pricing integrated with the PHCS national provider network and a provider-comparison mobile app, serving self-insured employers, brokers, TPAs, and health plans with value-based payment plans.
- Ownership category
- akta.pro rank
HST industry classification
Industry- Product category
- Healthcare Claims Intelligence and Cost Management
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Reference-Based Pricing (RBP) / PPO Alternative Networks (HLAEANAL)
- akta.pro secondary industries
- Cost of Care, Spend Analytics & Financial Performance Management (HLACAHAJ), Eligibility, Coverage Verification & Policy Administration Support (BPAAAFAC)
Keywords
Where HST is headquartered
LocationHeadquarters
- HQ city
- Laguna Hills
- HQ country
- United States
- HQ region
- North America
Markets served
HST business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Operations, Marketing or Sales, Infrastructure
Distribution channels3 records
Marketing channels5 records
HST product offering
Product offeringCore offering
HST provides reference-based pricing (RBP) solutions anchored to Medicare, integrated with the proprietary NCQA-accredited PHCS national provider network, to help self-insured employers, brokers, health plans, and TPAs control healthcare costs. Its flagship Vistara offering bundles RBP for facility claims with PHCS network access for professional claims, supported by a member mobile app, Patient Advocacy Center, and provider/client portals (including HSTConnect). The portfolio extends to claims intelligence analytics (Data iSight, Pro Pricer), payment integrity (Advanced Code Editing, Itemized Bill Review, Subrogation), and data and analytics suites (BenInsights, Ceres, PlanOptix, CompleteVue).
Product overview
Claritev offers a platform-based healthcare cost optimization solution comprising multiple integrated products. The core offerings include Vistara (combining PHCS Network access with reference-based pricing), Claims Intelligence Solutions (Data iSight, Pro Pricer, Surprise Bill Services, No Surprises Act Services, Negotiation Services), Data & Analytics Solutions (BenInsights, Ceres, Medical Claims Integration, PlanOptix, CompleteVue), Network Solutions (PHCS Novera, Complementary Networks, Claritev Payments), and Payment & Revenue Integrity Solutions (Advanced Code Editing, Clinical Negotiation, Itemized Bill Review, Coordination of Benefits, Subrogation, Data Mining, Medicare Secondary Payer Validation). The portfolio serves employers, health plans, providers, brokers, and government programs.
Differentiator
Problem solved
Functional benefit
Brands
- Vistara: Reference-Based Pricing solution combining PHCS Network for professional claims with transparent RBP for facility claims to help employers control healthcare costs.
- PHCS Novera
- Data iSight
- Pro Pricer
- BenInsights
- Ceres
- PlanOptix
- CompleteVue
- Claritev Payments
- Premier Broker Program
Products and services
- Vistara Reference-based pricing solution that integrates the PHCS Network for professional claims with transparent reference-based pricing (RBP) for facility claims to help employers control healthcare costs while providing access to cost-efficient, quality care.
- PHCS Network Proprietary, NCQA-accredited national network providing professional claims coverage and member access to quality healthcare providers.
- PHCS Novera Primary network solution under the PHCS brand offering.
- Data iSight Claims intelligence analytics tool providing insights into healthcare costs and claim patterns.
- Pro Pricer Pricing optimization tool for healthcare claims management.
- Surprise Bill Services Services to address surprise billing scenarios for members and providers.
- No Surprises Act Services Compliance and support services for the federal No Surprises Act legislation.
- Negotiation Services Financial negotiation services for healthcare claims.
- BenInsights Health benefits analytics platform providing operational insights.
- Ceres Data analytics solution for health benefits operations.
- PlanOptix Plan performance optimization and analytics tool.
- CompleteVue Financial and revenue transformation analytics solution.
- Advanced Code Editing Pre-payment integrity solution for automated code validation.
- Clinical Negotiation Clinical-level negotiation services for payment integrity.
- Itemized Bill Review Pre-payment review of itemized medical bills for accuracy and cost control.
- Coordination of Benefits Post-payment integrity solution for coordinating benefits across payers.
- Subrogation Post-payment recovery services for subrogation claims.
- Medicare Secondary Payer Validation Revenue integrity solution for validating Medicare secondary payer status.
- Claritev Payments Payment processing and settlement solutions for the Claritev network.
- Premier Broker Program Broker enablement program supporting brokers in growing their books and winning larger clients.
Quantifiable outcome
- Potentially reduces total cost of care while maintaining member satisfaction
Companies that use HST
Customer profileSegments5 records
Ideal customer profiles5 records
HST technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
HST partnerships and signals
Strategic signalScale indicators1 record
Recent moves5 records
Expansion highlights5 records
HST competitors and assessment
Company assessmentEmerging players
- Datavant: Datavant operates a health data connectivity and de-identification platform serving payers, providers, and life sciences. It is comparable as a healthcare data infrastructure peer underpinning analytics similar to HST's BenInsights and Ceres modules.
- Codoxo: Codoxo applies AI to payment integrity, fraud detection, and provider network analytics for health plans. It is comparable to HST's claims intelligence and payment integrity offerings, with overlapping AI-driven cost-control positioning.
- Edifecs: Edifecs provides healthcare data interoperability and analytics, with overlap into payment-integrity and value-based-care analytics — adjacent to HST's Data & Analytics and Payment Integrity suites.
- Health Catalyst: Health Catalyst provides healthcare data and analytics for health systems and payers, including cost-of-care and value-based-care analytics. It overlaps with HST's analytics modules (BenInsights, Ceres, PlanOptix, CompleteVue).
Broad incumbents
- Optum (UnitedHealth Group): Optum is the largest healthcare services and analytics platform, offering claims processing, payment integrity, RBP-adjacent capabilities, and provider network solutions. It competes with HST most acutely at the enterprise payer and TPA end of the market.
- Inovalon: Inovalon offers healthcare data analytics and SaaS platforms for payers, providers, and pharmacies. Its payer-focused analytics and risk-adjustment capabilities overlap with HST's data and analytics portfolio, particularly for enterprise payer clients.
- Claritev (formerly MultiPlan): Claritev owns the PHCS Network that HST's Vistara relies upon and operates a broad portfolio spanning RBP, network solutions, payment integrity, and analytics. It is simultaneously a critical partner and a broad incumbent competitor with overlapping capabilities across the entire HST product surface.
Direct peers
- Zelis: Zelis is a leading healthcare cost management platform offering reference-based pricing, payment integrity, and network solutions to payers, employers, and TPAs. It is the most directly comparable competitor to HST's Vistara offering, overlapping on RBP, network access, and claims intelligence.
- Cotiviti: Cotiviti provides payment integrity, claim editing, and value-based analytics to health plans and retailers. It overlaps directly with HST's payment-integrity modules (Advanced Code Editing, Itemized Bill Review, Coordination of Benefits, Subrogation).
Regional players
- R1 RCM: R1 RCM is a healthcare revenue cycle management provider with capabilities in payment integrity and claim processing. While primarily focused on provider-side RCM, its workflow and adjudication capabilities intersect with HST's claims administration footprint.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
HST social profiles
Digital presenceHST compliance and trust
Trust signalCompliance1 record
HST financial estimates
Financial estimateRevenue estimate
Valuation estimate
HST leadership team
Management profileNumber of profiles
Profiles3 records
HST funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HST M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about HST
What does HST do?
HST provides reference-based pricing (RBP) solutions anchored to Medicare, integrated with the proprietary NCQA-accredited PHCS national provider network, to help self-insured employers, brokers, health plans, and TPAs control healthcare costs. Its flagship Vistara offering bundles RBP for facility claims with PHCS network access for professional claims, supported by a member mobile app, Patient Advocacy Center, and provider/client portals (including HSTConnect). The portfolio extends to claims intelligence analytics (Data iSight, Pro Pricer), payment integrity (Advanced Code Editing, Itemized Bill Review, Subrogation), and data and analytics suites (BenInsights, Ceres, PlanOptix, CompleteVue).
Is HST a public or private company?
HST is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was HST founded?
HST was founded in 2009. It employs 101 to 250 people.
Where is HST based?
HST is headquartered in Laguna Hills, United States, in the North America region.
Who are HST's main competitors?
Emerging players on record are Datavant, Codoxo, Edifecs and Health Catalyst. Broad incumbents are Optum (UnitedHealth Group), Inovalon and Claritev (formerly MultiPlan). Direct peers are Zelis and Cotiviti. R1 RCM is listed as a regional player.
Does HST have an API?
No public API is recorded for HST.
What industry is HST in?
HST's product category is Healthcare Claims Intelligence and Cost Management. Its primary akta.pro industry code is HLAEANAL, Reference-Based Pricing (RBP) / PPO Alternative Networks, with a secondary code of HLACAHAJ, Cost of Care, Spend Analytics & Financial Performance Management. Its NAICS code is 524292 and its SIC code is 6324.