350-BED INPATIENT HOSPITAL · ANNUAL TCO BENCHMARK

Financial Impact of Point-Solution Sprawl vs. Unified Appliance

Model Custom Undercut TCO (50–2,000 Beds) →
Fragmented 6-Vendor Point Stack (SmarterDx + SureTest + Rhyme + TeleTracking + Sentri7 + Protenus) $1,450,000 – $2,850,000 / year
OpsRelay™ Sovereign 6-Module Appliance (With 25% Multi-Module Bundle Discount + $0 Token OpEx) $487,500 / year (Net Savings: +$1.1M+/yr)
SECTOR 01 · REVENUE CYCLE, DRG & AUTONOMOUS CODING

SmarterDx, Fathom Health & Nym Health

Launch Module 01 in Demo → Quote Against SmarterDx →
Published Positioning & Pricing
SmarterDx markets "Pre-Bill Clinical AI recovering unbilled CC/MCC diagnoses." Fathom and Nym market autonomous coding per encounter.

Pricing Benchmark: $8.00–$18.00 per inpatient chart or 15%–25% contingency ($350k–$900k+/yr).
Architectural Gaps & Blind Spots
100% cloud-hosted with complete PHI egress. Metered chart pricing punishes inpatient volume growth. Zero capability in HL7v2 MLLP interfaces, bed turnover, or clinical pharmacy.
OpsRelay™ Architectural Advantage
Flat $125,000/yr base license ($0.00 per-chart fee), 100% on-premise execution, combining pre-bill MS-DRG recovery with an Institutional 837I NCCI clearinghouse scrubber.
SECTOR 02 · EPIC UPGRADE TESTING & HL7v2 INTERFACE ENGINES

SureTest & Lyniate Rhapsody / Corepoint

Launch Module 02 in Demo → Quote Against SureTest →
Published Positioning & Pricing
SureTest markets test automation managed services for Epic quarterly upgrades via front-end UI scripts. Rhapsody provides static message routing.

Pricing Benchmark: $240,000–$450,000/yr multi-year managed services.
Architectural Gaps & Blind Spots
UI screen clicks cannot autonomously diagnose broken MLLP :2575 packets at 2:00 AM or validate Chronicles INI build records (EAP, ERX) prior to Data Courier migration.
OpsRelay™ Architectural Advantage
Flat $100,000/yr module that auto-crosswalks unmapped OBX-3 codes in 0.8s on port :2575 AND performs automated POC → TST → PRD Data Courier build regression audits.
SECTOR 03 · BED CAPACITY COMMAND & PRIOR-AUTHORIZATION

TeleTracking Technologies & Rhyme (formerly PriorAuthNow)

Launch Module 03 in Demo → Quote Against TeleTracking →
Published Positioning & Pricing
TeleTracking markets hospital bed capacity command centers. Rhyme markets touchless prior-authorization payer connectivity.

Pricing Benchmark: $400,000–$850,000/yr across separate contracts and implementation engagements.
Architectural Gaps & Blind Spots
Hospitals must negotiate and maintain two distinct vendor stacks—one for inpatient EVS dirty-bed turnaround and a second for outpatient surgical prior-authorization.
OpsRelay™ Architectural Advantage
Unified in a single $100,000/yr module: forecasts discharges 6 hours early to dispatch EVS bed turnover AND validates X12 278 surgical prior-authorizations 72 hours pre-op.
SECTORS 04, 05 & 06 · CLINICAL SAFETY, SURGERY & COMPLIANCE

Wolters Kluwer Sentri7, TrackCore & Protenus

Launch Module 04 in Demo → Build Full 6-Module Quote →
Published Positioning & Pricing
Sentri7 charges $160k–$320k/yr for cloud pharmacy surveillance; TrackCore charges $120k–$250k/yr for OR implant tracking; Protenus charges $140k–$280k/yr for privacy auditing.
Architectural Gaps & Blind Spots
Three separate vendor security assessments, three distinct Business Associate Agreements (BAAs), and over $600,000/yr in recurring subscription overhead.
OpsRelay™ Architectural Advantage
Included inside the same sovereign virtual machine—delivering Willow renal dosing guards, CMS SEP-1 sepsis surveillance, OR implant audits, and 18-ID HIPAA scrubbing under one license.
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