Next-Gen Routing Infrastructure

The data now exists.
The routing layer does not.

Transparent Health is building the infrastructure that turns fragmented healthcare pricing into real-time, quality-scored care decisions, across negotiated rates, cash pay, and direct contracts.

Price + Quality Routing

Sample Routing Output

Savings vs Hospital

$2,800

Annual Premium

$26.9k

Embedded in Your Benefits Platform.

A single API call embedded in the benefits platforms employees already use, returning ranked outpatient care options at the exact moment they are about to schedule.

Routing Engine

Ingests TiC + MRF data via Health Cost Labs API. Normalizes by CPT code, zip, and employer plan design. Returns ranked in-network providers with plan-specific estimated cost.

Care Options
Ranked Results

Quality Scoring

Five public signals: ACR accreditation, MRI field strength, machine age, radiology group affiliation, and Medicare volume. Routes to value, not just price.

AI Concierge Layer

Guides employees at the exact moment they're about to schedule, before the default hospital referral. Explanations drive behavior change.

Cash-Pay & RBP Layer

The harder infrastructure problem. We unify negotiated rates with cash-pay and reference-based pricing data, replacing manual TPA workflows with real-time routing.

Broker + TPA as the Unlock

One broker relationship opens hundreds of employer clients. One TPA integration opens thousands. Currently deploying via top-tier global broker networks.

The Technical Fix.

Legacy transparency failed because showing prices alone doesn't change behavior. We built the routing layer that does.

Capability
Legacy Solutions
Transparent Health
Technical Architecture
Built on self-reported data with no price mandate.
2021 mandate + normalized TIC data. Clean insurer-posted rates.
User Experience
Passive dashboard — employees had to go find it.
Active routing engine embedded in platforms they already use.
Product Scope
Price only — no quality layer or trust signal.
Price + quality combined: ACR, field strength, machine age.
Go-To-Market
Sold direct to large employers — long cycles, high CAC.
Sells through TPAs & Brokers. One deal unlocks thousands of clients.

The Core Philosophy

Routing changes behavior. Showing prices alone does not. Our carrier-agnostic infrastructure unifies negotiated rates, cash-pay, and direct contracts into a single decision-support moment.