The hospital stay cost estimate gives a total for many types ofĬosts, and also breaks them down by type. Out-of-network costs for a hospital stay for a certain type of treatment in a certain location. Works a little differently – the average allowed amounts for dental services estimate the most your insurer would Service, means that we estimate 80 percent of payors paid that amount or less for the service. For example, the 80th percentile “allowed amount” for a certain Results are organized into percentiles for each geozip. We apply those ratios to the charges in our database for services in those categories, and the This, FAIR Health determines the ratio between what providers charge and how much insurers pay, for certain categories The “allowed amount” is FAIR Health's estimate of what an insurer may pay your in-network provider for a particular service. That means 80 percent of the fees billed by other providers for the same service were that amount or lower. For example, if a provider's price is in the 80th percentile for a certain service, Different providers are generally free to charge different prices for the same service. Grouping the charges by geozip helps make sure that the costs represent what providers actually charge in aĬost estimates. We organize the claims data we receive by geozip-a geographic area, usually based on the first three numbers of a zipĬode. We test the data to make sure that the data Hospitals are charging, and how much insurers are paying, for people's care. We collect healthcare claims data from health plans and plan administrators. In a geographic area near you and how we decide what to include on our website. Here you can learn more about our data, how we estimate healthcare costs We have consulted with leaders in the healthcare field to make sure that our methodologies follow best practices and ourĭata and tools are the best that they can be. List on AHRQ Health Care Innovations Exchangeįeatured and honored at the 2012 White House Summit on Smart Disclosure as an Innovator in Included in the Agency for Healthcare Research and Quality (AHRQ), US Department of Health & One of AppPicker's best healthcare apps of 2014Ĭited in URAC's 2013 Best Practices in Health Care Consumer Engagement and Protection Kiplinger's Personal Finance 2016 Best List for Best Health Care Cost Estimator.Best Social Media (FH ® Consumer Classroom)ĮHealthcare Leadership Awards from 2012 to 2021 (2022 is the 11th year in a row FAIR HealthĢ016 Employee Benefit News Dig|Benefits Technology Innovator Award.Best Mobile Website (FAIR Health Consumer and FAIR Health Consumidor).Best Overall Internet Site (FAIR Health Consumer and FAIR Health Consumidor).Best COVID-19 Pandemic Related Communications (). Mark Gothberg eHealthcare Organizational Commitment Award.Have given a number of awards to our easy-to-use website, mobile app and other resources thatĪnd reliable information. We are proud of the recognition that our consumer site has received. Health's cost information as the guidepost in laws protecting consumers, and for many other purposes.įAIR Health strives to make sure that our website, mobile app and other resources help consumers In addition to creating tools for consumers, we make information available to doctors, hospitals, health plans,Įmployers, researchers, policy makers and others to help them make informed decisions related to healthcare and itsĪ testament to the fairness and reliability of our data, New York, Connecticut and many other states have adopted FAIR We update the cost data on this website twice each year. To keep our cost information current, we ask our contributors to send us new records regularly throughout the year, and FAIR Health uses these powerful data to create a reliable picture of healthcare costs around the country, and Represent a large portion of the population in all 50 states, the District of Columbia, Puerto Rico and the US Virgin We receive about 2 billion new records each year. Our database includes more than 40 billion private health care claim records andĬlaim records for 10,000 services in all areas of the United States, dating back to 2002. Including the country's largest insurers. Our cost estimates are based on claims for medical and dental services paid for by private
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