Get involved

If you can help build it.

Your name, email, what you do, and what you can actually help with.

Care Rail is run by Jim Davis. 801-442-2000 · jimdavis@carerail.org

What is being built

A posted cash menu

A surgery center or clinic publishes 50 to 200 prices — MRI, labs, scopes, joints, deliveries — and charges that. The visit closes when the card goes through. No secret rate. No bill three months later for a different number.

Someone who pays it directly

An employer or a patient pays the posted price the way they pay for anything else. Routine care stops going through a claims desk that costs more to run than the visit.

A tail for the things that ruin you

Coverage for the cancer, the crash, the transplant. It does not review a strep test. That is the part insurance was invented for, and the part it still does best.

This does not need a new federal law. It needs a clinic that will post the menu and someone who will pay it. A cash menu will not fix the ER, Medicare, or specialty drugs. We do not pretend it will. The numbers are on the home page. The people this happens to are on the cases page.

Who we need now

Not a mailing list of people who are angry. People who can say yes to one of these.

A clinic, ASC, or hospital outpatient desk that will post a cash menu and take a card.
A doctor, nurse, or pharmacist who will work that lane. Become a founder.
A benefits person who can put one employer book on posted prices instead of routine claims.
Someone who writes stop-loss that never touches the ordinary visit.
Someone who can build the menu, the payment feed, or the site.

If you only have an email

You get a short confirmation. You hear when a clinic posts a menu or an employer pays it — not every table we publish. Leave any time.

We'll send a short confirmation. After that, only when a real clinic or employer signs on. How we handle it.

After you write

A short confirmation goes to the address you gave.
Jim Davis reads it. This is not an autoresponder that files you and forgets.
If you named a facility, a book of lives, or work you can do, you get a reply.
If you only left an email, you stay on the list until there is something real to join.

Where this honestly stands

There is no clinic, no employer pilot, and no insurance product yet. Right now this is evidence and a list of people who can build the first lane.
Much of the pricing on this site is modeled from public inputs rather than taken from one hospital’s book. That is labeled wherever it appears.
We are not collecting money. If that changes, it will be obvious and it will say exactly what the money buys.

How the numbers are built · Contact