Make price transparency
actionable.

Outfox turns your contracted rates and plan rules into answers that help employees save money and get better care.

Works with any network Fast implementation Outfox overpriced care 🦊
outfox.answer-engine ● demo
Try it — ask about a benefit, a procedure, a drug, anything
Cedar Ridge Imaging is your lowest-cost in-network option at $535 — nearly $1,000 less than hospital-based locations for the same chest MRI.
Cedar Ridge Imaging★★★★★4.9$535
Lakeview Radiology Center★★★★4.6$693
St. Marion Medical Center★★★★4.2$1,115
CitedFoxMutual POS Select SPD §4.2 — Diagnostic Imaging · Transparency in Coverage negotiated rates · FoxIndex quality (50B+ claims)
Trusted by
Capstone Benefits Consulting Habitat for Humanity Blackwell Captive Solutions Hero Health Peoples First Insurance
How it works

Turn your existing health plan into a high-performance network.

Show employees where to go to save money and get better care.

01 — Network optimization

Find high-quality, lower-cost facilities in your network

Use your plan's real contracted rates to show employees where costs are lowest and quality is high.

02 — Decision support

Help employees understand and use their health benefits

Surface point solutions, coverage rules, and pharmacy alternatives within your existing plan design.

03 — Proof

Prove savings with real decision data

Track decisions, shifts in site of care, and modeled savings so you can show measurable impact and improve your benefit strategy.

04 — No disruption

No plan changes. Live in weeks

No carrier changes or rip-and-replace. Launch quickly and start reducing costs without waiting on claims feeds.

Use the data

Same network. Same procedure. 9× the price.

Inside a single network, the same procedure can cost 9× more at one facility than another. Worse yet, price and quality aren't correlated and patients can't see either.

We pull the real rates your insurance pays directly from your carrier's pricing data, then score quality on actual clinical outcomes — complication rates, readmissions, ER visits, length of stay — benchmarked against peers in the same state.

Real example · Los Angeles · UMR
A total knee replacement ranges from $5,950 to $53,256 at in-network facilities — a 9× spread. The cheapest 5-star facility costs $11,169. The most expensive one scores 1/5 on quality. Same CPT, same network, same patient.
Procedure
Total knee arthroplasty CPT 27447
In-network price spread
$12,500 — $41,207
Facilities
11
Cheapest
$12,500
Most expensive
$41,207
Spread
3.3×
Each dot = one in-network facility · sample of 50 Quality 4–5 Quality 3 Quality 1–2
Source: Payer MRF files (Los Angeles · UMR Choice Plus) · FoxIndex quality scores Real contracted rates. Not modeled.
How employees actually use it

Real questions. Real depth.
Real decisions.

61,000+
Employee queries answered. Real decisions, not hypothetical searches.
92%
Return rate. Employees keep coming back with new questions.
335
Insurance plans processed. Every major payer, plan design, and formulary.
Up to 7hrs
In a single session. People stay until they understand their care.
Happy employees

Never guess how your
health insurance works.

Outfox shows costs, coverage, and provider options in one place so people make smarter decisions before they get care.

"

Outfox Health is like ChatGPT for health insurance. It gives me quick answers and helps me manage my insurance easily.

KKim · Member
"

I was surprised by how much coverage I have. I found out about so many great benefits I didn't know I had. A real game-changer.

MMai · Member
"

It literally showed me the price and how much my insurance would cover. Like, how cool is that?

CCandice · Member

Live in under 30 days.

Outfox launches with just your PDFs and eligibility feed. No carrier changes. No claims feeds required. Quick as a fox 🦊

Request demo 30-min call · no obligation