Price tracking
Know the price of every charge, on every date.
Every charge in Vellum carries a complete, effective-dated price history by facility and unit of measure: what it costs today, what it cost on any past date, and what it will cost after each scheduled increase.
Price history
One dated record for every price.
Price, effective begin and end, change and approver for every charge, with the next scheduled increase in view.
Price historyCT head without contrast · CDM 3520-0145
Kestrel Bay Health
- Revenue code
- 0351
- Unit
- each
- CPT/HCPCS
- 70450
- Price as of today
- $1,842.00
- Billing system
- Published · accepted
- Scheduled$1,897.26
Jan 1, 2027 → Open · +3.0%
Awaiting finance. Revenue integrity ✓ · Finance pending
- Current$1,842.00
Jan 1, 2026 → Dec 31, 2026 · +3.5%
Finance reviewer
- Historical$1,779.71
Jul 1, 2025 → Dec 31, 2025 · +2.0%
Finance reviewer
- Historical$1,744.81
Jan 1, 2025 → Jun 30, 2025 · Baseline
Initial load, validated
Every row links to its request, approvals and hash-chained evidence. Export: price history CSV · gross-charge export.
- Price per charge, facility and unit
- Every charge carries its price by facility and unit of measure, with corporate prices and facility overrides kept distinct.
- Begin and end effective dates
- Each price has an effective begin and end date. Overlapping dates are blocked and gaps are caught before approval.
- Price as of any date
- See what a charge costs today, what it cost on any past date, and what your records showed at the time, for audits.
- Every price change is evidence
- Each row links to its request, its approvals and the hash-chained audit trail. Export price history as CSV.
Scheduled increases
Plan increases ahead. Nothing changes until final approval.
From request through finance approval to publishing in your billing system, every step of a price change is governed and recorded.
Scheduled price increaseCT revenue codes 0350–0359
2027 annual campaign
- Charges in scope
- All CT charges
- Facilities
- All 3 facilities
- Increase
- +3.0%, rounded to $0.01
- Effective begin
- Jan 1, 2027
- Facility overrides
- Kept and listed
- Projected gross-charge impact
- Shown before approval
Approval path
- Submitted by CDM manager · Oct 9 (done)
- Revenue integrity review · approved Oct 10 (done)
- Finance approval · waiting on CFO delegate (pending)
- Publish to connected billing system, confirm acceptance (pending)
- Effective Jan 1, 2027 · reconciled (pending)
- Scheduled increases with approval
- Schedule increases ahead of time. Nothing changes until final approval, and a new price can be slotted between scheduled ones or withdrawn without disturbing the others.
- Annual campaigns with locked preview
- Run your annual update as one campaign across revenue codes and facilities. The scope, rounding and projected gross-charge impact are locked in a preview before approval, and facility overrides are kept and listed.
- Approval limits
- Extra approval steps apply above the percentage or dollar limits you set. Backdated corrections need elevated approval and an impact report.
- Versioned codes
- CPT/HCPCS and revenue-code changes are versioned with effective dates, so a charge's history stays intact.
- Publish with confirmation
- Approved prices are published to your connected billing system, and Vellum tracks acceptance and reconciliation for each facility. A price counts as live once the billing system has accepted it.
- Gross-charge export
- Export approved gross charges by effective date as the gross-charge component of your CMS machine-readable file.
Publish, acceptance and reconciliation statuses apply where a billing system is connected.
Facility price comparison
Every facility's price side by side, and the outliers.
Pick any charge and see its price at every facility, whether each is corporate or a local override, and the spread between the highest and lowest.
Facility price comparisonCT head without contrast · unit each
Threshold ±15% from median
- Min
- $1,842.00
- Median
- $1,842.00
- Max
- $2,310.00
- Spread
- 25.4%
| Facility | Price | Source | vs median | Impact / unit |
|---|---|---|---|---|
| Kestrel Bay Medical Center | $1,842.00 | Corporate | 0.0% | $0.00 |
| Harbor Point Medical Center | $1,842.00 | Corporate | 0.0% | $0.00 |
| Kestrel Bay Community HospitalVariance | $2,310.00 | Facility override | +25.4% | +$468.00 |
Kestrel Bay Medical Center
$1,842.00 · Corporate0.0%
Impact per unit: $0.00
Harbor Point Medical Center
$1,842.00 · Corporate0.0%
Impact per unit: $0.00
Kestrel Bay Community Hospital
Variance$2,310.00 · Facility override+25.4%
Impact per unit: +$468.00
How variance flags work
- Threshold you control
- Default ±15% from the median (or the corporate price, if you choose), set per department or revenue code by your finance or revenue integrity admins. Changes are audited.
- Warn or block
- Flags warn and require review at request and approval, or can block approval above a limit you set.
- Dismissal with a reason
- Authorized reviewers dismiss flags with an audited reason, one at a time or in bulk. Known overrides can be standing exceptions with an expiry.
- Like for like
- Units of measure are compared separately, with gross-charge dollar impact per outlier.
How the numbers add up
CT head without contrast, unit each, compared across three facilities as of today.
Median price
$1,842.00
Kestrel Bay Medical Center and Harbor Point Medical Center both charge the corporate price.
Facility override
$2,310.00
Kestrel Bay Community Hospital charges a local override.
Variance
+25.4%
($2,310.00 − $1,842.00) ÷ $1,842.00, above the ±15% threshold, so the price is flagged.
Impact per unit
+$468.00
Gross charge per unit above the median, shown with the flag so reviewers see the dollar effect. At 1,000 units a year, that's $468,000 in gross-charge difference.
The reviewer either aligns the facility to the corporate price through a governed request, or dismisses the flag with an audited reason, optionally as a standing exception with an expiry.
Capabilities described here, including price tracking, facility price comparison and variance flags, are delivered and configured for your health system, with scope set out in your SOW.
Bring clarity to every charge.
Walk through price history, scheduled increases and facility comparison with your finance, revenue integrity and chargemaster teams.