Context4 Pricing

Accurate data and cutting-edge cloud technology combine to create a proven and defensible Medicare reference-based pricing (RBP) solution.

Reference-based Pricing Simplified


Accurate, Proven, and Defensible

Health plans need RBP that’s accurate, proven, and defensible ­– otherwise, they face pushback from providers, balance billing to members, and dissatisfaction for the employer group. But RBP calculations for reimbursement are often complex, inconsistent, and confusing.

Context4 Pricing makes reference-based pricing simple. We’re leading the way in the new age of healthcare pricing with our in-depth, accurate data and cutting-edge cloud technology. These ingredients combine to deliver a proven, defensible healthcare pricing solution with total Medicare gap-fill and unmatched accuracy.

Comprehensive and Adaptable

If it’s Medicare reference-based pricing (RBP) you want, Context4 Pricing uses all the actual CMS Prospective Payment Systems to calculate the pricing. For UCR RBP, we use our industry-leading UCR data. Either way, you get accurate and timely pricing results.

Context4 Pricing is part of the Context4 Health Plans Suite, our modular, integrated technology platform. Implementation is effortless, and the service is secure, immediate, and reliable.


The Complete RBP Solution


All Medicare Prospective Payment Systems (PPS), fully automated

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Context’s leading UCR fee data


The ability to have the solution return a percent of Medicare to you


Cloud-based for easy implementation


Updated weekly


No data to manage or software to maintain

Contact us to learn more about what true Medicare Reference-based Pricing can do for your business.