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Rate Leverage

Fire a payer with math, not a hunch.

See exactly what you would lose in volume against what you stop bleeding, on your real payer book. So walking away becomes a credible number at the table, not a bluff.

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No PHI required. No card to run the numbers. Modeled from public rates and observed volume, not guaranteed.
$153
the per-visit gap between the $86 local median and the $239 P90 target on CPT 99213 - the headroom a renewal fight is really about.
Reddenda local-peer commercial rate index (CA), CPT 99213
Why it exists

Firing a payer on a hunch.

You suspect a payer underpays, but "they don't pay enough" is a feeling, not leverage. When the renewal lands you either sign to keep the volume or threaten to walk with no idea whether walking actually pencils out. Without the break-even math, every contract fight is a bluff you can't back up.

See it on a real code
Pulling the local-peer benchmark...
Live from Reddenda's dataset - public federal Transparency-in-Coverage + CMS. Local-peer median, never national. No PHI. Modeled, not guaranteed.
How it works

How Walk-Away works

STEP 1

Pull your real payer book

We rank every payer by its documented gap to your local-peer P90 target, measured on your observed Medicare volume (conservative).

STEP 2

Price the three moves

Keep-as-is shows the annual bleed, renegotiate models 50/75/100% recovery to P90 with volume intact, and drop-them prices the revenue you would forgo.

STEP 3

Read the break-even, then act

Re-earn months = revenue forgone / (annual bleed / 12); under 18 months a walk reads credible, and one click drafts the leverage memo.

What it does for you

The math that turns a hunch into leverage.

18 mo
under this re-earn window, a walk reads credible
2.78x
P50-to-P90 spread on CPT 99213 in local commercial data
No PHI
priced from public rates and your observed volume
Independent practiceWalk into the renewal knowing the exact break-even, so "we will walk" is a number you can defend, not a bluff.
Billing & RCMRank a client's whole payer book by documented gap and show them which contract to fight first.
Specialty groupPrice high-dollar CPT contracts (knee replacement, EGD, joint injections) where one below-P90 rate quietly bleeds five figures a year.
MSOModel the drop-or-renegotiate call at every location, then schedule a call to roll the leverage up across NPIs.

Stop bluffing at the renewal table.

Price the break-even of every payer on your book, then draft the leverage memo that makes the number impossible to ignore.

Open in the app →Book a call
Multi-NPI or a whole book? Schedule a call - never a listed price.