How much does CodaMetrix cost?

Enterprise sales led; no public pricing.

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CodaMetrix

Q: Who is CodaMetrix for?

health systems, academic medical centers, hospitals

Also known as: CMX, CMX Automate, CMX CARE

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Healthcare agentindependentVerified 2026-07-22

Autonomous medical coding platform born at Mass General Brigham, Epic Toolbox designated, serving 220+ hospitals with 96%+ automation rates and the 2026 Best in KLAS ranking for autonomous coding.

CodaMetrix, spun out of Mass General Brigham in 2019, is an autonomous medical coding platform serving Epic health systems across 220+ hospitals, 50 million annual outpatient visits, and 60,000 physicians in 25 states. CMX Automate holds Epic Toolbox designation in the fully autonomous coding category, and CMX CARE extends it with contextual coding automation leveraging full access to the patient record, transforming both facility and professional fee coding. Real time audit capabilities feed a continuous learning loop. The company is ranked No. 1 in the 2026 Best in KLAS segment for Autonomous Coding and No. 1 by KLAS in Reduce Cost of Care, reporting a 60 percent reduction in coding costs, 70 percent reduction in claims denials, 5 week acceleration in time to cash, and average automation rates above 96 percent.

Vendor details

Canonical URL

https://www.codametrix.com

Funding status

$109M total; $55M Series A (SignalFire), $40M Series B Mar 2024 (Transformation Capital, Frist Cressey)

Company status

independent

Use cases & customers

Primary use cases

autonomous medical codingfacility and professional fee codingcoding denial reductioncoding audit and compliance

Target customers

health systemsacademic medical centershospitals

Deployment options

SaaS

Integrations

Epic Toolbox designation in the fully autonomous coding category (meets Epic Blueprint practices); deep Epic integration; GE HealthCare distribution agreement for CMX Automate.

Sources & related URLs

Research sources

https://www.codametrix.com/ https://www.businesswire.com/news/home/20240311136641/en/CodaMetrix-Announces-40M-Series-B-Financing-to-Advance-Medical-Coding-Quality-and-Clinically-Enrich-Claims-Data-Through-AI https://www.codametrix.com/codametrixs-ai-platform-now-available-in-epic-toolbox-to-transform-20b-medical-coding-sector/

Capability coverage

6.5 / 14 capabilities · 46%

Integrations & Tool CallingEpic Toolbox designation in the fully autonomous coding category meeting Epic Blueprint integration practices, plus a GE HealthCare distribution agreement, CodaMetrix announcements 2026-07-22	Full
Workflow OrchestrationFully autonomous coding across facility and professional fee workflows from clinical documentation through claim ready codes, with CMX CARE extending to contextual longitudinal automation, CodaMetrix materials 2026-07-22	Full
Knowledge Grounding & RAGCMX CARE delivers contextual autonomous coding leveraging full access to the patient record with longitudinal context, a documented contextual architecture, CodaMetrix materials 2026-07-22	Full
Human Oversight & GuardrailsAutomation rates above 96 percent imply human coding queues for the remainder, but no published confidence threshold policy governs the boundary, CodaMetrix materials 2026-07-22	Partial
Security, Identity & GovernanceNo confirmed security attestations documented in retrieved materials, CodaMetrix materials 2026-07-22	Unable to verify
Observability & AuditabilityReal time audit capabilities are built into the CMX platform and used as a feedback loop, stated first party in the Series B announcement, CodaMetrix 2026-07-22	Full
Memory & State PersistenceContinuous learning is model improvement via audit feedback rather than documented agent memory, CodaMetrix materials 2026-07-22	Unable to verify
Deployment & Data ResidencySaaS platform; no self host or residency options documented, CodaMetrix materials 2026-07-22	Partial
Prebuilt Agents, Templates & PacksCMX Automate and CMX CARE products with automation across a growing set of specialties and sub specialties; specialty coverage rather than an agent library, CodaMetrix materials 2026-07-22	Partial
Triggers & Channel CoverageEncounter driven autonomous processing inside EHR workflows; the trigger surface is not documented as first class, CodaMetrix materials 2026-07-22	Partial
Model Flexibility & RoutingProprietary ML, deep learning, and NLP stack; no customer facing model choice or routing, CodaMetrix materials 2026-07-22	Unable to verify
APIs, SDKs & MCP ExtensibilityNo public developer API, SDK, or MCP surface documented, CodaMetrix materials 2026-07-22	Unable to verify
Testing, Debugging & OptimizationReal time audit capabilities feed a continuous improvement loop, though no published threshold regime or customer testing tooling is documented, CodaMetrix materials 2026-07-22	Partial
Browser & Computer UseOperates on clinical documentation within EHR integrations, not browser or computer interface control, CodaMetrix materials 2026-07-22	Unable to verify

Pricing

Contact sales

Contact onlyHigh variable cost

What is public

No public pricing. CodaMetrix publishes outcome metrics: 60% coding cost reduction, 70% denial reduction, 5 week time to cash acceleration, and 96%+ automation rates.

Variable cost rationale

Enterprise pricing scoped to encounter volume and specialty coverage across health systems; no public rates.

Sales call required

Yes — required for paid access

Free / trial

None public

Verified 2026-07-22

Data confidence: high