As the reform of medical service price enters the phase of "item standardization", public hospitals face increasingly stringent compliance requirements in price governance. Currently, delayed price maintenance updates, complex and error-prone clinical rule enforcement, heavy reliance on manual billing processes, and inadequate closed-loop mechanisms for post-hoc regulation, leading to the dual pressures of rising compliance costs and heightened violation risks. To address these challenges, this paper proposes a design concept for an intelligent price management system grounded in principles of clinical workflow integration, closed-loop risk governance, precise policy adaptation, and proactive management empowerment. The design features a two-tier control mechanism comprising in-process review and pre-discharge review, integrates core functional modules with a multi-source data infrastructure, and employs natural language processing techniques for the structured transformation of policy rules. This concept offers a technical framework for transitioning public hospital price management from passive response to proactive optimization.