For hospitals & systems

Know what agencies are billing before you sign the rate card.

Procurement teams negotiate against agencies armed with live market data. Walk into the room with the same number on your side of the table.

Book a data demo →See the workflow

$18.4M

Avg. annual contingent spend recovered

Recovered by mid-market systems (4–8 hospital footprint) within the first 12 months of bringing live market data to MSP and direct-agency negotiations.

Source: 9 hospital systems, blind sample, FY 2025

The pain

You signed for $112/hr. The market is at $94.

Travel and per diem agencies came to your last MSP review with a fresh deck of comp data. You came with a survey median from Q3 of last year. You signed at $112/hr. The market has been at $94 for six weeks.

Across 240 contingent FTEs, the gap is $1.8M in this fiscal year alone — and the conversation about why your VP of Workforce didn't catch it is already on the CFO's calendar.

The surface

Every rate card, audited against the live market.

Procurement opens a single view with every active supplier rate priced against the live p50. Above-market exposure surfaces with a flag — before the renewal lands on the agenda.

Rate Card Audit · Q1 2026 Renewals5 of 47 contracts flagged

Supplier

Role × Geo

Bill rate

Market p50

Variance

Aya Healthcare

Travel ICU RN — Phoenix

$124

$104

ABOVE MARKET · +19.2%

Cross Country

Travel CRNA — Houston

$308

$291

AT MARKET · +5.8%

Maxim Staffing

RN Med/Surg — Atlanta

$96

$82

ABOVE MARKET · +17.1%

AMN Healthcare

NP Hospitalist — Chicago

$142

$138

AT MARKET · +2.9%

Medical Solutions

Resp Therapist — Tampa

$78

$80

BELOW MARKET · -2.5%

Above-market exposure (annualized)+$2.4M

5 of 47 contracts flagged · annualized exposure $2.4M · live as of this morning

A procurement workflow that actually closes the loop

Three moments where the rate is decided.

PRENEGOTIATION

Walk in with the market.

Before the MSP renewal, pull live bill-rate distributions for every role on the rate card. Identify the 8 roles paying above p75 — that's where your negotiation leverage lives.

●Rate Explorer

INNEGOTIATION

Defend with a percentile, not a survey.

"Our offer is the live 50th, refreshed yesterday, n=441 placement events in our metro." Agencies stop quoting MGMA at you. The room moves faster.

●Methodology

POSTNEGOTIATION

Hold the line every quarter.

Alert subscriptions on the locked roles. When the market moves 4% on Travel RN — ICU in your region, the trigger to re-open the conversation arrives in your inbox, not your auditor's report.

●Alert Stream

The math

240 contingent FTEs. Three roles overpaid. $1.8M.

Role

Locked bill rate

Market p50

Annual overpay

Travel RN — ICU (40 FTE)

$112

$94

$1.3M

Travel RN — Med/Surg (62 FTE)

$82

$78

$464K

Respiratory Therapist (18 FTE)

$71

$64

$236K

Total recoverable

—

—

$2.0M

Assumes 36 bill hours/wk × 50 weeks. The remaining roles on a typical card are priced within ±3% of market — the recoveries cluster in the long tail.

“The first negotiation after we rolled out ClinicalRate paid for the platform for the next three years. The auditors had the data. The CFO had the data. The conversation was different.”

DDavid K.
SVP, Workforce Strategy — Regional Health System (6 hospitals)

What lights up

The surfaces a workforce strategy team opens before every negotiation.

Pricing

Enterprise — priced per deployment.

Unlimited seats, API access, and custom integration scope on an annual agreement.

For hospital systems

Enterprise/ month

Full read & write API, custom taxonomy mapping to your internal role codes, and integration support across your VMS, ERP, and workforce planning stack. Custom pricing for enterprise and multi-region deployments.

Book a data demo →

Included

Unlimited seats — workforce, finance, HR
Custom taxonomy mapping to your role catalog
VMS / Kronos / Workday integration support
99.9% SLA, named Customer Success Manager
Single-tenant data isolation
Quarterly business review with our data team

FAQ

Questions every CFO asks the workforce team.

Yes. The Enterprise taxonomy mapper resolves your internal job codes (e.g. RN-MS-T) to ClinicalRate's 428 canonical roles, with confidence scores reviewable by your team.

Every rate point carries provenance — source, sample size, refresh date, geography granularity. The methodology page exports as a one-pager for audit committees.

No. ClinicalRate is a market signal you bring into procurement, not a replacement for any contracted relationship. Several customers run it alongside their MSP to validate rate cards quarterly.

Not at all. ClinicalRate processes rate, role, and geography signals only. No PHI is ingested, stored, or processed at any tier.

Other use cases

Built for everyone touching the rate.

Walk in with the market on your side.

Book a 30-minute demo. Bring your hardest rate card. We'll model the recovery against live data live in the meeting.