Patient Responsibility Calculator
This is a calculating tool used to help you determine what you may owe for your next visit.
Price of Service:
Do you have a deductible for this service?
Yes
No
I Don't Know
Please enter your remaining deductible here. If you have met your deductible, please just input a 0.
Please enter the percentage of your insurance coverage after deductible is met here.
Insurance Pays:
%
You Pay:
%
We will calculate your payments as if you do not have a remaining deductible. Please contact you insurance provider for any questions.
Do you have a copay for this service?
Yes
No
I Don't Know
We will calculate your payment as if you do not have a copay. Please contact you insurance provider for any questions.
Do you have an out of pocket maximum amount for this service?
Yes
No
I Don't Know
We will calculate your payments as if you do not have an out of pocket maximum. Please contact you insurance provider for any questions.