Pricing
PEPM for self-insured plan sponsors. Firm-wide licensing for advisor firms.
Why our fee is PEPM — not kickbacks, not savings share.
One per-employee-per-month fee, scaled to plan size. No other money in the model.
No carrier kickbacks.
Money flows one way — from customers to us, so the platform's answer is what the data says.
No savings-share.
Savings-share vendors only get paid when a dollar moves — so they can't afford to tell you "you're already well-priced." We can.
PEPM scales fairly.
Bigger plans mean more analysis, more opportunities, more member sessions. The fee grows with the work — at every plan size.
A fee independent of outcomes aligns us with the whole value the platform creates.
See the four value dimensionsPaid by the plan sponsor. No carrier commissions. No money flows from us to brokers, ever. Independence is the product.
Nationwide network & claims analytics
- Nationwide Simple Healthcare Roadmap coverage across all major carriers
- Full strategic analysis with research-backed lever recommendations
- Episode-of-care costing for high-spend conditions
- Sub-population diagnostics & peer benchmarking
- Methodology documentation for every report
- Dedicated support, custom integrations, and SLAs scoped with your plan
The companion tool
A consumer-facing companion for your members — coming soon.
The consumer front door
- Built on the same integrated dataset and peer-reviewable methodology
- First look available to plan sponsors and advisors now
License the platform. Deliver with us.
Advisor and broker firms license Simple Healthcare and embed it into their advisory service. Your firm holds the license; your employer clients pay a discounted PEPM.
Annual platform access
Flat firm license
One annual fee for the whole firm — every producer, no per-seat games.
Per-engagement fee
PEPM per plan sponsor
Paid by the employer — at a rate below the direct-to-employer price, unlocked by your firm’s license. A clean, disclosed line item; nothing flows through your books.
Your client engagement is yours
Your advisory contract, your engagement letter, your client relationship. We provide the platform; you deliver the service.
- Full platform access for every producer at the firm
- Embed code for a branded consumer-search microsite
- Unlimited prospect-comparison reports (48-hour manual turnaround today; automated as Simple Healthcare Roadmap rolls out)
- Producer enablement — onboarding, training, and reusable talk tracks
License and engagement rates are set in conversation. See the partner program
Walk into the next renewal with the story.
15-minute scoping call. We confirm fit, scope your rate, and map the first analysis.
Pricing data workspace — start free.
For analysts, consultants, and investors working with negotiated-rate data. Unlimited searches on every tier. Downloads and workspace tools scale as you need them.
- Unlimited searches
- Benchmark by billing code
- Payer & metro-area filtering
- Advanced filtering
- Provider counts & negotiated rates
- 1 region included
- Everything in Free
- 1,000 download credits
- Additional credits at $0.50 each
- AI-assisted queries
- Everything in Benchmark
- 4,000 download credits
- Organization seat management
- Usage analytics
- API access
Additional datasets available:TIN Directory · NPI Directory · NPI-TIN Membership. Contact sales for pricing.
Additional regions can be purchased separately.
Frequently asked questions.
Why is your fee PEPM, not a share of savings?
Three reasons. No carrier kickbacks — money flows one way, from customers to us, so the platform's answer is what the data says. No savings-share — that model penalizes us for telling you "you're already well-priced" and can't capture value where no dollar moves. And PEPM reflects the value we create: larger plans mean more analyses run, more claims decomposed, more Search sessions. Full argument on this page: Why our fee is PEPM.
What's included in the subscription?
Nationwide Simple Healthcare Roadmap coverage across major carriers, full strategic analysis with research-backed lever recommendations, episode-of-care costing for high-spend conditions, sub-population diagnostics with peer benchmarking, and methodology documentation for every report. Dedicated support, custom integrations, and SLAs are scoped with your plan in the same conversation as your rate.
Can we try anything before subscribing?
Book a 15-minute scoping call: we'll walk through Roadmap on real data, scope your rate, and give you a first look at the consumer tool we're bringing to members.
What are the payment terms?
Annual invoice, net 30. ACH, wire, or check. Plan sponsors are billed PEPM directly — whether they come direct or through a licensed advisor firm (at the discounted rate). Advisor firms pay only the firm-wide license.
Why is the rate lower through a licensed advisor?
Three reasons. Plans with an engaged advisor capture more of what we find— identified savings become real through negotiation, steering, and plan-design execution — and a licensed advisor supercharges that work. A licensed firm also takes on onboarding and first-line support across its book, which lowers our cost to serve. And it's the anti-commission model at work: where the industry pays your broker a commission you never see, the channel benefit here flows to you as a lower price.
Working without an advisor? The direct rate stands on its own. Or bring your advisor — if their firm licenses the platform, your plan gets the lower rate.
Is there a discount for multi-year commitments?
Yes. Two- and three-year commitments earn a discount off the annual rate. Reach out and we'll structure the term together.
Why don't you publish your rates?
We're finalizing general-availability pricing, and we'd rather scope your rate accurately in a 15-minute call than publish a number that doesn't fit your plan. What's already fixed: the fee is PEPM, it's never a share of savings, and no money ever flows to us from carriers or brokers. Early subscribers keep the terms they sign for the initial contract length — no mid-term re-rate.
What if our headcount changes mid-year?
Pricing re-rates annually based on the prior plan year's average employees. Mid-cycle workforce changes don't trigger a surprise invoice.