Service & Billing Information

Billed Amount ($)

Allowed Amount (In-Network Rate) ($)

Insurance Plan Details

Annual Deductible ($)

Deductible Met ($)

Out-of-Network Coinsurance (%)

Out-of-Network Coverage (%)

Out-of-Pocket Maximum ($)

Already Spent Toward OOP Max ($)

Your Estimated Cost

Insurance Pays

Cost Breakdown

Provider Billed Amount $0

Allowed/Negotiated Amount $0

Balance Billing (Not Covered) $0

Applied to Deductible $0

Subject to Coinsurance $0

Your Coinsurance Payment $0

Note: This is an estimate. Actual costs may vary based on your specific plan details, state regulations, and balance billing protections like the No Surprises Act.

How to Use Medical Billing Out of Network Cost Calculator

Enter the billed amount and your insurance plan’s allowed rate
Fill in deductible, coinsurance, and out-of-pocket details from your policy
Calculate to see your responsibility and insurance coverage breakdown

Use Other Healthcare Calculators