Reference Pricing of Health Care Deliverables

A computer-method of a platform for displaying pricing of health care deliverables, comprising:

• receiving, by a platform server, a search request from a user for pricing of a health care deliverable;
• informing, by the platform server, the user regarding the reference pricing or out-of-pocket costs for the health care deliverable;
• retrieving, by the platform server, a health care deliverable reference price, wherein the health care deliverable reference price has been set based on a payer analyzing costs for the health care deliverable across at least one of geographies and demographics;
• providing, by the platform server, the health care deliverable reference price or an out-of-pocket cost to the user, wherein the out-of-pocket cost is based on the health care deliverable reference price.

A computer-method of providing a payer with a platform for reference pricing of one or more health care deliverables, comprising:

• receiving, by a platform server, a reference price for each of the health care deliverables;
• providing, by the platform server, the payer with a total cost of the reference pricing of the health care deliverables, comprising;
• estimating a number of health care deliverables to be utilized by users of the payer over a period of time;
• and
• calculating the total cost based on the estimated number of health care deliverables and the reference price of each health care deliverable;
• wherein members include persons for whom the payer provides health care benefits.

A system for reference pricing of health care deliverables, comprising:

• reference pricing server operative to identify a set of one or more health care deliverables to which reference pricing is to be applied;
• reference pricing server operative to set a reference price for each health care deliverable of the set, comprising the reference pricing server operative to;
• provide the payer with analysis of negotiated rates for the health care deliverable across at least one of geographies, demographics, and centers of excellence;
• allow the payer to set the reference price for each health care deliverable based on the provided analysis;
• reference pricing server operative to receive a health care deliverable request from a user who is covered by the payer;
• reference pricing server operative to retrieve the set reference price corresponding to the health care deliverable request;
• and
• reference pricing server operative to provide the set reference price or an out-of-pocket cost to the user, wherein the out-of-pocket cost is based on the set reference price.

A system for displaying pricing of health care deliverables, comprising:

• a reference pricing server operative to receive a search request from a user for pricing of a health care deliverable;
• the reference pricing server operative to inform the user regarding the reference pricing for the health care deliverable;
• the reference pricing server operative to retrieve a health care deliverable reference price, wherein the health care deliverable reference price has been set based on a payer analyzing costs for the health care deliverable across at least one of geographies and demographics;
• the reference pricing server operative to provide the health care deliverable reference price or an out-of-pocket cost to the user, wherein the out-of-pocket cost is based on the health care deliverable reference price.

A system for providing a payer with a platform for reference pricing of one or more health care deliverables, comprising:

• a platform server operative to receive a reference price for each of the health care deliverables;
• the platform server operative to provide the payer with a total cost of the reference pricing of the health care deliverables, comprising;
• estimating a number of health care deliverables to be utilized by users of the payer over a period of time, wherein users include persons for whom the payer provides health care benefits;
• and
• calculating the total cost based on the estimated number of health care deliverables and the reference price of each health care deliverable.

A program storage device readable by a machine, tangibly embodying a program of instructions that when executed by the machine cause the machine to perform a method of providing a payer with a platform for reference pricing of health care deliverables, comprising;

• identifying a set of one or more health care deliverables to which reference pricing is to be applied;
• setting a reference price for each health care deliverable of the set, comprising;
• providing the payer with analysis of negotiated rates for the health care deliverable across at least one of geographies, demographics, and centers of excellence;
• allowing the payer to set the reference price for each health care deliverable based on the provided analysis;
• receiving, a health care deliverable request from a user who is covered by the payer;
• retrieving the set reference price corresponding to the health care deliverable request;
• and
• providing the set reference price or an out-of-pocket cost to the user, wherein the out-of-pocket cost is based on the set reference price.