CenterIQ

Overview

CenterIQ is a web-based financial intelligence platform purpose-built for physicians, administrators, and developers evaluating ambulatory surgery center (ASC) and outpatient imaging center viability. It replaces consultant guesswork and static Excel templates with real-time financial modeling built on the CMS Hospital Price Transparency dataset — 327 million actual negotiated rate records from 2,983 hospitals across all 52 U.S. jurisdictions.

The Problem

Every year, physician groups and developers commit $3–10 million to build outpatient facilities using financial models based on CMS (Medicare) rates — which understate commercial reimbursement by 40–80% for most surgical procedures. Enterprise data platforms (Turquoise Health, Definitive Healthcare) cost $40K–$50K/year and are built for hospital systems, not physician groups. Consultant pro formas run $15K–$40K, take 6–8 weeks, and arrive outdated. CenterIQ delivers the same data in under 30 seconds.

Data Foundation

Powered by the CMS Hospital Price Transparency Rule, which legally requires every U.S. hospital to publish its actual negotiated rates with all commercial insurers. 327,013,120 rate records processed from 46GB of raw Machine Readable Files. 15,333 clean CPT codes indexed with per-state P25/Median/P75 distributions, hospital counts, and sample sizes. Named hospital + insurer + rate citations stored in Cloudflare R2 (764MB across 27 chunk files) for instant retrieval.

Platform Modules

9 modules: Center Viability (full pro forma with 15 specialty + 6 imaging presets), Imaging Center Planner (equipment ROI, radiologist staffing crossover, 10 modalities, 84 CPT codes), Procedure Scanner (viability scores, rate comparisons), Mix Optimizer (custom case mix with payor mix sliders), Rate Intelligence (live 15,333-CPT national database with state drilldowns), Contract Benchmark (print-ready negotiation packets with named hospital citations), Rate Card Generator (fee schedules anchored to MRF percentiles), Payor Mix Sensitivity (three-scenario revenue modeling), and per-module/global Reset controls.

Target Users

• Physician groups planning OBLs, ASCs, or imaging suites — IR, vascular surgery, orthopedics, cardiology, pain management, GI.
• Healthcare administrators and CFOs building or expanding outpatient programs who need defensible payor negotiation data for board or investor presentations.
• Medical office building developers and investors who need market-credible revenue projections and state-level rate comparables to underwrite deals.

Competitive Position

Turquoise Health ($50K+/yr), Definitive Healthcare ($40K+/yr), and Strata Decision ($30K+/yr) serve hospital analytics teams. Consultant pro formas cost $15K–$40K and take 6–8 weeks. CenterIQ delivers equivalent rate intelligence in under 30 seconds with named hospital benchmarks. Core features require no subscription. Gated features (Contract Benchmark, Rate Card Generator) require email for lead qualification.

Key Differentiator — Named Hospital Citations

CenterIQ doesn't just show aggregate statistics — it shows which specific hospital negotiated which rate with which insurer for each CPT code in each state. This transforms payor negotiations from 'we think we should get more' to 'here are 20 hospitals in this state that already negotiated this rate.' Top 20 hospital + insurer + rate combinations per CPT per state.

Sample Rate Impact

• SFA stenting (CPT 37221): CMS pays $2,100 facility fee. MRF negotiated median across 2,087 hospitals and 169,387 contracts: $11,012 — 5.2x higher.
• Echo w/Doppler (93306): CMS $380, MRF median $937.
• PET/CT whole body (78816): CMS $1,200, MRF median $2,868.
• A 20-procedure IR OBL modeled on CMS rates looks marginal. Modeled on real commercial rates, it clears $3–4M EBITDA.

Imaging Center Economics

Dedicated imaging module covering MRI, CT, X-Ray/Fluoroscopy, Ultrasound, Vascular Lab, Echocardiography, Mammography, DEXA/Bone Density, Nuclear Medicine (SPECT), and PET/CT. Equipment ROI calculator with CapEx per modality, annual depreciation, and 60-month cumulative revenue vs. capital investment charting. Radiologist staffing crossover analysis comparing teleradiology ($18–$45/read) vs. employed radiologist ($420K–$650K + benefits) with exact volume breakpoints using 2024 ACR/MGMA benchmarks.

Technical Architecture

Single-file HTML/JS frontend with no framework or build step — instant load. Cloudflare Workers edge runtime with <50ms query latency globally. Cloudflare D1 (SQLite) with 492,772 indexed rows for rate summary queries. Cloudflare R2 for 764MB of hospital citation data in 27 chunk files with O(1) index lookup. All API endpoints authenticated via X-API-Key header. Data pipeline: 46GB raw MRF parquet → DuckDB extraction → Python aggregation → 495 CSV chunks → D1 import. Total infrastructure cost approximately $5/month.

Access Model

Free tier (no account): Center Viability pro forma, Imaging Center Planner, Procedure Scanner, Mix Optimizer, Rate Intelligence (summary level), Payor Mix Sensitivity.

Gated tier (email required): Contract Benchmark PDFs, Rate Card Generator, full hospital-level citations drilldown with named insurer + rate combinations.

Reviewed by Pouyan Golshani, MD, Interventional Radiologist — April 7, 2026