Check If Your Medical Bill Is Reasonable
Enter your CPT code and billed amount. We'll compare it to Medicare rates, commercial insurance averages, and hospital negotiated prices.
Analyzing your bill...
How This Works
1
Enter Your Bill
Type in the CPT code from your bill and the amount charged.
2
We Compare Rates
We check against Medicare rates, hospital negotiated rates, and commercial insurance averages.
3
Get Your Verdict
See if your bill is reasonable, plus specific action steps if it's too high.
Frequently Asked Questions
How do I know if my medical bill is too high?
Compare your bill to Medicare rates (publicly available), which represent the federal government's benchmark. Most commercial insurance pays 150-250% of Medicare. If your bill exceeds 300% of Medicare, it is likely above average and worth negotiating.
What is a fair price for a medical procedure?
A fair price for most medical procedures falls between 150% and 250% of the Medicare reimbursement rate. This range reflects typical commercial insurance negotiated rates. Anything above 300% of Medicare is generally considered high.
Can I negotiate my medical bill?
Yes. Studies show that up to 80% of medical bills contain errors, and most hospitals will negotiate, especially for uninsured or underinsured patients. Having data on Medicare rates and average commercial prices strengthens your position significantly.
Where does this data come from?
We use publicly available data from CMS Medicare Physician Fee Schedule (2026), CMS OPPS/ASC rates, geographic practice cost indices (GPCI), and hospital Machine-Readable Files (price transparency data) mandated by the federal government.