Brad Tolin Negotiated Rates & Price Benchmarks (San Antonio, TX)
Brad Tolin's negotiated rates run below market for San Antonio across common Orthopaedic Surgery (Sports Medicine) procedures, based on Transparency in Coverage data from 1 major payer.
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. Below MarketOn balance, Brad Tolin's negotiated rates trend below market for San Antonio, though this varies by payer and procedure.
Rate Score evidence
11 proceduresAcross the 11 procedures benchmarked for this provider, most negotiated rates land below the local market.
About this Orthopaedic Surgery (Sports Medicine) 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 Brad Tolin, that covers common Orthopaedic Surgery (Sports Medicine) procedures across Aetna, BCBS, Cigna, and UnitedHealthcare. An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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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 1124062385.
For each code, negotiated rates from comparable Orthopaedic Surgery (Sports Medicine) providers in the San Antonio 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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