Personal Injury Cost Analysis · Sample report

Medical Billing Reasonableness Report

One billed line set against what the market pays for the same service, in the same geography, with a recommended offer.

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What the report shows
  • Claim overview: CPT 73130, Ascension Seton, Austin, TX.
  • Market analysis: The same service across UnitedHealthcare, Aetna, Cigna, BCBS and Centene.
  • Verdict: The billed charge is 29.6 times the market median and 24.3 times the 75th percentile.
  • Recommendation: Offer $40.50, the market 75th percentile.
  • Market distribution: A histogram showing where the billed charge sits against the market.
Sample Medical Billing Reasonableness Report for CPT 73130: billed charge of $984.94 against a market 75th percentile of $40.50