Cost of Care Resourcesthe price might be right
Real-Time Claim Estimators
Where can you find real-time claim estimators? Real-time claims estimators (RTCE) can be used to show the allowable for a service or set of services, along with the patient’s cost share for those services. RTCEs take into account the specific patient’s plan, any accrued deductible or out-of-pocket expense, the in- or out-of-network status of the provider, and the cost of specific proposed services.
Medicaid Fee Schedules by State
State Medicaid fee schedule references
Pediatric Productivity Estimator
What revenue can ambulatory-based pediatricians expect to generate from fee-for-service productivity? This spreadsheet can give you an estimate.
Medicare Fee Schedule
Create a Medicare fee schedule to see the actual amount Medicare Part B pays for physician inpatient and outpatient services in your area. (Part 1 of 4)
Medicare Lab Fee Schedule
Get actual fees paid by Medicare for laboratory service CPT codes for your region. (Part 2 of 4)
Medicare DME Fee Schedule
Create a Medicare durable medical equipment (DME) fee schedule representative of what is paid in your area. (Part 3 of 4)
Medicare Drug Fee Schedule
Find what Medicare pays office-based practices for drugs and injectibles. Create a fee schedule for your location. (Part 4 of 4)