Systems and methods for an incentive system are provided. One embodiment relates to a system including a processing circuit and a communications interface. The processing circuit includes an inventory module configured to track an inventory of medical devices, a usage module configured to generate usage data in response to use of one or more of the medical devices, an ordering module configured to generate a purchase order based on the usage data, the purchase order involving two or more parties, and a billing module configured to determine whether each party is eligible to use an incentive system, determine incentive options available to each eligible party, provide the associated incentive options to each eligible party, receive at least one incentive option selection, and generate transaction details for the purchase order based on the at least one selection.