Patient Responsibility Calculator

quickly calculate patient payment


Enter Service Codes, Fees, and Patient Contract Information

Annual Deductible   $
YTD Deductible Met   $
Co-Ins Percent %
Co-Pay Amount   $

(Both a Co-Pay Percent and Amount may be entered if they apply.
The Percentage will be calculated after the Amount is deducted.)

Sample Mode

The first three fee amounts may not be edited.
You must have a Professional or Facility subscription
to use this tool.
CPT/HCPCS CodeAllowable Fee
$
$
$
$
$
$
$

CDT (dental or "D") codes and related material are available.

Access to this feature is available in the following products:
  • ADA CDT® Codes (Dental "D" Codes)

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