Toossi Inc Negotiated Rates & Price Benchmarks (Newton, MA)
Toossi Inc's negotiated rates run top of market for Newton across common Skilled Nursing Facility procedures, based on Transparency in Coverage data from 2 major payers.
Rate Score
Rate Score is Gigasheet's proprietary benchmark for how a provider's negotiated rates compare to market, adjusted for specialty-specific billing patterns. Top of MarketOn balance, Toossi Inc's negotiated rates trend top of market for Newton, though this varies by payer and procedure.
Rate Score evidence
4 proceduresAcross the 4 procedures benchmarked for this provider, most negotiated rates land above the local market.
About this Skilled Nursing Facility rate data
Gigasheet collects negotiated rates published by every payer under the federal Transparency in Coverage rule, then normalizes and cleanses them into a single analysis-ready dataset. We enrich those rates with provider, geographic, and reimbursement data from proprietary and open source healthcare intelligence, then benchmark every rate against Medicare, peer providers, and the local market.
For Toossi Inc, that covers common Skilled Nursing Facility procedures across Aetna, BCBS, Cigna, and UnitedHealthcare. (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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How this is calculated
This provider's published rates, compared code by code against the market they compete in.
This provider's negotiated rates, keyed to NPI 1821720012.
For each code, negotiated rates from comparable Skilled Nursing Facility providers in the Newton market form a distribution. Its median and percentile bands anchor the benchmark, alongside Medicare reference rates.
Each procedure is scored against its market distribution for the same code. Above, at, or below market reflects where this provider's rate sits relative to that market.
The score above is a blended view of this provider's rate position, produced by Gigasheet's proprietary methodology. It is rooted in published Transparency in Coverage data and normalized for statistical comparison. Position can vary significantly from one payer or procedure to the next. Upgrade to full access to see the evidence behind the Rate Score, including payer-level and procedure-level detail.
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About Price Transparency Data
Where do these rates come from?
Gigasheet processes raw payer data through proprietary cleaning, normalization, and enrichment methods to deliver best-in-class, analysis-ready rate intelligence.
Are these real contracted rates?
Yes. These are payer-published negotiated rates from Transparency in Coverage files required under federal price transparency rules. The free report includes a sample; full rate detail is available in Gigasheet.
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