Described embodiments include a computer-implemented method, device, and computer program product. A computer-implemented method includes electronically receiving a previously prepared estimate of fees and costs to deliver a diagnosis, treatment, or prevention of a particular disease, illness, injury, or other physical or mental impairment (hereafter “healthcare service”) to a particular patient. The computer-implemented method includes electronically receiving data at least partially indicative of the healthcare service provided to the patient to date. The computer-implemented method includes estimating probable fees and costs incurred to date in providing the healthcare service to the particular patient. The estimating is responsive to the received data indicative of at least part of the healthcare service provided to date. The computer-implemented method includes outputting in substantially real time information indicative of the probable fees and costs incurred to date in view of the previous estimate of the fees and costs for providing the healthcare service.