How verification works
TxTrust publishes prices only from real, itemized treatment receipts that patients upload voluntarily — receipts from cosmetic, dermatology, plastic-surgery, and medspa providers. Every record is anonymized before it appears in the public registry: names, member IDs, contact details, and other identifying information are removed or redacted at the intelligence layer before storage.
Confidence tiers
Each published record receives a confidence tier based on how well the receipt matched known procedure codes (CPT/HCPCS, including HCPCS J-codes for injectables and Category-III codes for newer aesthetic techniques), whether amounts reconcile across line items, whether the provider could be validated against CMS NPPES (filtered to cosmetic / dermatology / plastic-surgery taxonomies), and whether the receipt's service date is recent enough to be a reliable signal.
- High — Strong agreement across OCR extraction, procedure-code validation, and provider lookup. Best default for comparisons and benchmarks.
- Medium — Usable pricing signal with minor gaps (e.g. one ambiguous line item or partial provider match).
- Low — Published for transparency, but treat amounts as directional until more corroborating receipts arrive.
You can filter search results by tier when you need stricter evidence.
Price freshness
Pricing drifts. A receipt for a procedure two years ago is a weaker signal than one from last month. Every record carries a freshness label based on service date:
- Current — 0–30 days since service
- Recent — 31–90 days
- Aging — 91–180 days
- Historical — over 180 days
Benchmarks expose 30-day metro medians, 90-day rolling averages, volatility, inflation trends, and per-provider price drift over time — so you can see not just “what’s the average” but how prices are moving in your metro.
What makes this different from a web search
Search engines and clinic websites surface advertised rates, package promo pricing, and estimates — not what patients actually paid on verified itemized receipts. Most aesthetic-pricing “guides” are SEO content authored by clinics quoting themselves. TxTrust ties each price to a specific line item on a receipt that went through OCR extraction, NPI validation, and human review, with a SHA-256 content hash and platform digital signature so every published record can be independently verified.
Verified Partner clinics
Some clinics opt into a paid Verified Partner tier — claimed profile, lead routing, an authoring channel for short procedural context notes. The badge is not the trust score: it represents seven discrete objective checks (provider identity verified, NPI validated, completed payouts on record, dispute SLA met, refund policy declared, profile completeness, no unresolved fraud flags). Confidence scoring is independent of paid status and not influenced by it.