Case Study: Catholic Medical Center achieves net revenue neutrality and market-competitive pricing with PMMC

Developing a Pricing Strategy to Stay Revenue Neutral and Market Competitive

Catholic Medical Center (CMC) in Manchester, NH (330 beds) faced rising pressure for price transparency as more patients take on higher deductibles. Needing validated, market-aligned charges that reflected patient- and service-level variability, CMC sought a solution that would keep them revenue neutral and within 95% of market pricing. They engaged PMMC for chargemaster/pricing support.

PMMC modeled CPTs from prior-year data, mapped volumes, and produced pricing scenarios and pricing maps that let CMC adjust individual CPTs using a justifiable markup formula and integrate changes into their new revenue cycle system. As a result, PMMC helped CMC remain net revenue neutral and retain their 95% market position, establish a formal pricing-change process (4–6 week department review and sign-off), and publish price transparency information on their website.

Catholic Medical Center

Donella Lubelczyk

Director of Revenue Cycle Integrity