Pro Fee Calculator

Professional fees are amounts charged by medical professionals for the services and supplies provided by the medical professional in either a facility or non-facility setting. Fees for supplies are usually those that are specifically provided and/or used by the professional vs. services and supplies that may be provided by a facility (ie: nursing services, wound dressing, etc.).

Professionals set their own standard fees but they are often contracted with Medicare, insurance companies or other payers. The professional may show their standard fees on submitted claims and bills, but they will only be reimbursed the amounts specified in the contracts.

A set of services performed in a hospital or facility may be billed by two or more parties. Example: for an appendectomy surgery, the patient (or their insurance company) may receive bills from, 1) the surgeon who performed the surgery - their professional fees for the surgical service, 2) the anesthesiologist - their professional fees, and the hospital for facility fees - nursing services, medications, wound care, etc.