We call nearby qualified facilities, collect like-for-like case prices, and return the best-priced option that meets your rules.

Warm illustration of a neighborhood near the patient
Example procedure requestKnee MRI near Brookfield
Calling qualified nearby facilities…Gathering like-for-like prices
Northview ImagingKnee MRI · Same scope
$1,250
Brookfield DiagnosticKnee MRI · Same scope
$995
Prairie MRI CenterKnee MRI · Same scope
$795

Illustrative examples · fictional facilities and prices · availability varies by case and location

How it works

You send the procedure. We handle the calls.

01

Send the request

Share the procedure, patient area, timing, and the facility rules that matter to your plan.

02

We call around

Vivaldi contacts qualified nearby facilities and gathers case-specific prices for the same scope.

03

Review the options

Your team receives comparable prices, included services, availability, and supporting terms.

Supported procedures

A price check for any scheduled procedure.

76 procedures across 11 categories

From imaging and endoscopy to outpatient surgery and larger elective care, Vivaldi uses the same process: define the scope, call qualified facilities, and compare the prices returned.

Diagnostic imaging

11 procedures
  • MRI of the knee
  • MRI of the shoulder
  • MRI of the brain
  • MRI of the cervical spine
  • MRI of the lumbar spine
  • MRI of the abdomen or pelvis
  • CT scan of the chest
  • CT scan of the abdomen and pelvis
  • Cardiac CT
  • PET/CT scan
  • Diagnostic mammography

Gastroenterology

7 procedures
  • Screening colonoscopy
  • Diagnostic colonoscopy
  • Colonoscopy with biopsy
  • Colonoscopy with polypectomy
  • Upper gastrointestinal endoscopy
  • Upper gastrointestinal endoscopy with biopsy
  • Flexible sigmoidoscopy

Orthopedics and hand surgery

11 procedures
  • Carpal tunnel release
  • Trigger finger release
  • Bunionectomy
  • Knee arthroscopy
  • Arthroscopic meniscectomy
  • ACL reconstruction
  • Shoulder arthroscopy
  • Rotator cuff repair
  • Hip arthroscopy
  • Outpatient total knee replacement
  • Outpatient total hip replacement

Ophthalmology

4 procedures
  • Cataract surgery with intraocular lens implantation
  • Vitrectomy
  • Retinal detachment repair
  • Glaucoma surgery

General surgery

7 procedures
  • Inguinal hernia repair
  • Umbilical hernia repair
  • Laparoscopic cholecystectomy
  • Hemorrhoidectomy
  • Pilonidal cyst excision
  • Breast lumpectomy
  • Lymph node biopsy

ENT

6 procedures
  • Septoplasty
  • Endoscopic sinus surgery
  • Tonsillectomy
  • Adenoidectomy
  • Tympanostomy tube placement
  • Nasal turbinate reduction

Gynecology

7 procedures
  • Hysteroscopy
  • Hysteroscopy with biopsy
  • Dilation and curettage
  • Endometrial ablation
  • Laparoscopic ovarian cyst removal
  • Laparoscopic hysterectomy
  • Myomectomy

Urology

7 procedures
  • Cystoscopy
  • Prostate biopsy
  • Ureteroscopy with laser lithotripsy
  • Extracorporeal shock wave lithotripsy
  • Transurethral resection of the prostate
  • Hydrocelectomy
  • Vasectomy

Pain and spine

8 procedures
  • Epidural steroid injection
  • Facet joint injection
  • Medial branch block
  • Radiofrequency ablation
  • Lumbar discectomy
  • Cervical discectomy
  • Spinal decompression
  • Spinal fusion

Sleep medicine

1 procedure
  • Sleep study

Larger elective episodes

7 procedures
  • Bariatric surgery
  • Sleeve gastrectomy
  • Gastric bypass
  • Mastectomy
  • Planned cardiac catheterization
  • Pacemaker implantation
  • Elective inpatient joint replacement

Every request is matched to the patient’s needs, the TPA’s facility rules, and qualified providers available near the patient. Availability and returned prices vary by procedure and location.

Built for TPA teams

More priced options. Less chasing facilities.

No provider integration required

We work through the phone and email channels facility teams already use.

Comparable prices

Each response is tied to the same procedure scope, with inclusions and exclusions made clear.

Your rules stay in place

Your team controls facility qualifications, member communication, coverage, and the final decision.

Why scheduled care

There is time to compare before care happens.

300shoppable services

CMS requires a consumer-friendly display for at least 300 services that can be scheduled in advance, or as many as the hospital provides.

CMS Hospital Price Transparency
279%of Medicare

Private plans paid this average for hospital outpatient facility services in RAND’s revised 2022 study sample.

RAND Round 5.1

Market context, not a Vivaldi savings forecast. Public prices do not establish facility participation or the final price for a case.

Measured at the claim

A quote is an option. Savings are what the plan actually pays less.

Before outreach, the TPA records what the plan expects to allow for the same procedure scope. After care, the completed claim is matched to that scope and the final eligible paid amount. If the comparison cannot be reconciled, no savings are counted.

Charter partner pricing

No monthly fee. We earn only when the plan pays less.

Charter TPAs pay no subscription or monthly platform fee. Vivaldi earns 30% of validated realized savings after the completed procedure and claim are reconciled.

Talk about partner pricing
$0Monthly platform fee
30%Vivaldi share of validated savings
70%Retained by the plan

Validated realized savings = the TPA-approved expected allowed amount − the final eligible paid amount for the same completed procedure.

Returned prices, projected differences, incomplete procedures, and claims that cannot be reconciled do not create a savings fee.

Questions

The details TPA teams ask about

What does “best-priced” mean?

It is the lowest like-for-like price returned by the case-specific set of qualified facilities contacted for that request. It does not mean the lowest price available from every facility in the market.

Does Vivaldi choose the facility?

No. The TPA defines the facility rules and makes the final decision. Vivaldi gathers and organizes the comparable options.

Do facilities need new software?

No. Vivaldi contacts facility teams by phone and email and records each response in a consistent format.

Does a lower quote always become savings?

No. A lower quote gives the plan another option before care. Savings are counted only after the completed claim is matched and reconciled.

Want us to call around?

Tell us how scheduled procedures reach your team. We’ll show you where Vivaldi fits.

Vivaldi gathers and organizes case-specific facility prices. It does not provide medical advice, determine coverage, or replace the TPA’s approval and claim-payment authority.