ChargeBench · A Housestaff AI report
Your charges.
Next to every peer
in your county.
A written pricing report for independent physicians, built from public Medicare data. Where your charges stand against every same-specialty peer in your county, every code on your schedule priced at this year's Medicare rate, and what to change. In your inbox within three business days.
Get your free charge check See a sample report
Public CMS data and your own fee schedule. No patient information, ever. The full report is $750, once.
What you learn
Three answers, in writing.
Where you stand
Your charge-to-Medicare multiple next to the county median, and your rank among every same-specialty peer in your county and your state.
What every code is worth
Each line of your fee schedule priced at this year's Medicare rate for your locality. Anything below it is flagged: those codes pay you less than Medicare on every claim.
What to change
Positions relative to the median. Your state's Work Comp Fee Schedule applied to your codes. Medico-legal fees against benchmarks and the statutory cap. Plain prose, a citation for each.
Why it matters
Things your fee schedule can't tell you.
Below Medicare
Codes priced under this year's Medicare rate pay you less than Medicare on every claim, and nothing on a fee schedule says so. The report lists every one, with this year's rate beside it.
$300/hr
Florida's cap on a work comp deposition fee (s. 440.13(10)). The report shows your state's rule and how your medico-legal fees sit against it, so you charge what the statute allows.
210%
of Medicare is what Florida work comp pays for surgery, whatever you bill; 175% for visits. An agreed price above it is honored. Know your state's schedule before you negotiate, not after.
70%
of Florida hand surgeons bill joint injections to Medicare. The report shows what peers in your specialty bill, and how often, so you see what's normal and what's missing from your schedule.
Free charge check
Start with your NPI.
Free, and the fastest way to see whether the full report is worth it for you. We email your charge-to-Medicare ratio and your rank among same-specialty peers in your county within one business day.
The report
What $750 buys.
- Peer benchmark, county and state. Your charge-to-Medicare ratio and your rank among every same-specialty peer, from public CMS data.
- Every code priced at Medicare. Each line of your fee schedule at this year's rate for your locality; codes below Medicare flagged.
- Your state's Work Comp Fee Schedule, applied. What the carrier pays for your codes regardless of charge, and where an agreed price would hold.
- Medico-legal fees, benchmarked. Depositions, IMEs and testimony against benchmarks and your state's statutory cap.
- What to change, in plain prose. Positions relative to the median, with the citation for each, in a written report you can hand to your office manager, your biller or your attorney.
ChargeBench report
$750
Everything above, for one practice. Delivered within three business days of a complete intake. Introductory price: $1,000 after the first three testimonials are published.
Request a reportFull practice review
$2,500
The report, plus your contracts, work comp and medico-legal fees reviewed, the documents for each finding, and a 30-minute call.
Request a reviewAnnual refresh
$250
Your report rerun on the new year's Medicare rates and the latest peer data.
One payment. No subscription. No patient data. If your fee schedule has one code below Medicare, you'll know which.
You trained for medicine. We handle the rest.
The renewal letter arrives between patients, with a rate you didn't set, from a payer that knows exactly what every other physician in your county accepts. Each year it pays a little less for a little more work, while payroll and rent go the other way, and the letter never says why. You sign it, because the alternative is finding out the hard way. Every party you deal with walks in with a staff that has already done the analysis. You walk in alone.
Housestaff AI is that staff — for the whole business side of your practice, the part you never trained for and never wanted. We have what the other side has: every number that bears on your practice — Medicare's, your peers', the insurers' own — read in full and put in order. We do what residents do before rounds: the work, written up plainly, with the documents to act on it, so the decision is yours and the worry isn't. The insurer has had this view of your practice for years. It's time you did.
Our first rotation is pricing, because that is where the money is lost quietly: ChargeBench, a written report on what you charge, what you're paid, and what to change. Contracts, work comp and medico-legal fees come next, each with the documents to act on it. The test for everything we make is the same: would a good chief resident have handed this to the attending before the meeting — so the attending could get back to the OR?
Rotations
- ChargeBench — pricing reportAvailable now
- ContractsNext
- Work compNext
- Medico-legal feesNext
- Practice documentsNext
Proof
The first report, in numbers.
The first ChargeBench report was written for Dr. David H. Gilbert, a hand surgeon in Broward County, Florida. He agreed to let us show what it found.
Charges submitted to Medicare, as a multiple of Medicare's rate. Broward County hand surgery, 108 peers (public CY2024 data).
4 codes
on his 2024 schedule sat below the 2026 Medicare rate.
$200 → $300/hr
His work comp deposition fee after the report, at Florida's cap.
−33%
His Medicare volume, 2023 to 2024, which the report put in front of him.
Two anonymized sample reports
Testimonials from the first pilot practices will appear here as they come in. We don't publish quotes we don't have.
Every specialty, the same method
Pick yours.
1.25× vs. 4.11×
The benchmark for a Broward County hand surgeon: charges submitted to Medicare at 1.25× Medicare's rate, against a county median of 4.11× (108 peers). Yours is built the same way, for your county and your specialty.
Get the free checkHow it works
Three steps.
Three business days.
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01
Send what each offer needs
For the free charge check: your NPI and an email address, nothing else. For the full report: a ten-minute intake with your fee schedule exported from your practice-management system (code and charge are enough), or, if that isn't handy, your Work Comp Fee Schedule plus your work comp authorization letter to start, and six short questions: what you want from this, solo or group, payer mix, in-network plans, work comp volume, and what else you bill. No patient information, ever.
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02
We benchmark it
Public CMS Medicare data for every same-specialty peer in your county and state. Every code priced at this year's Medicare rate for your locality. Your state's Work Comp Fee Schedule applied. Medico-legal fees against benchmarks and the statutory cap.
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03
You get a written report
Plain prose on what to change, with the numbers behind each finding and the citation for each.
Referrals
Know a colleague? We pay $150.
Send a colleague to ChargeBench. When their report is delivered and paid for, we pay you $150. No limit. Have them put your name under "Anything else we should know" on the intake, or tell us yourself.
Questions
Before you send anything.
What do I need to send?
For the free charge check: only your NPI and an email address, nothing else. For the full ChargeBench report: your fee schedule exported from your practice-management system (code and charge are enough); if that isn't handy, your Work Comp Fee Schedule plus your work comp authorization letter is enough to start. Plus the intake's six short questions: what you want from this, solo or group, payer mix, in-network plans, work comp volume, and what else you bill through the practice.
Do you need patient information?
No. Never. The report uses public CMS Medicare data and your own fee inputs. Please don't send EOBs, remittances or anything with patient information.
How long does it take?
Three business days from a complete intake. The free charge check arrives within one business day.
Who else sees my numbers?
No one. We never share one practice's private numbers with another. The samples on this site are anonymized, with permission.
Is this legal, coding or billing advice?
No. It's an analysis of public data and your own fee inputs. Statutory citations should be confirmed by your counsel.
What if my specialty isn't listed?
The intake lists 23 specialties, matched to Medicare's classification. If yours is close to one of them, the report works the same way.
Is the price going up?
Yes. $750 is the introductory price. It goes to $1,000 after the first three testimonials are published.
Who's behind it
Housestaff AI is an AI consultant for independent physicians, run by Blake Gilbert. The housestaff do the work before rounds so the attending can decide. The first ChargeBench report was written for his father, Dr. David H. Gilbert, a hand surgeon in Broward County, Florida; the figures in the Proof section come from it. No practice's private numbers are ever shared with another.