Patient Cost Estimator

Know What Your Patient Owes — Before the First Visit

Turn the benefits from your eligibility check into a clear, CPT-level PT, OT & ST estimate — and hand your patient a professional PDF in minutes.

Collect at time of service. Fewer billing disputes. Less patient drop-off. | $49/location.

Good Faith Estimate support for self-pay & uninsured patients: Helps create the written estimate required for patients who are uninsured or choosing not to use insurance — the part of the No Surprises Act currently enforced for outpatient therapy.

From Benefits to Signed PDF in Under 2 Minutes

See how the benefits from your eligibility check become a signed patient estimate

PHI Stored

No BAA

Required

24 hrs

To Onboard

15 Days

Free Trial

Click to watch the full demo with audio narration

2:33

Opens fullscreen · Audio narration · No sign-up needed

Patient Cost Estimate

ℹ️ Required Fields: Fields marked with * are mandatory. You can enter 0 if the value doesn't apply.

Primary Insurance *

Coverage *

Visit Type *

Prescribed Visits

Visit Limitation

Visits Used

Visits Remaining

⚠️

Allowed Amount ($)

Copay ($) *

Coinsurance (%) *

Secondary Insurance?

0 of 0 required fields completed

Est. Patient Responsibility (Per Visit)

$0.00

Estimate ID:

Disclaimer: This is an estimate based on provided data.

Allowed$0.00

Deductible Applied$0.00

Copay/Coins$0.00

Know What Your Patient Owes — Before the First Visit

From Benefits to Signed PDF in Under 2 Minutes

Simple, Transparent Pricing

$49 per location / month

Patient Cost Estimate

CPT Breakdown

Est. Patient Responsibility (Per Visit)

Historical Estimates

Know What Your Patient Owes — Before the First Visit

From Benefits to Signed PDF in Under 2 Minutes

Simple, Transparent Pricing

$49 per location / month

Patient Cost Estimate

CPT Breakdown

Est. Patient Responsibility (Per Visit)

Historical Estimates

Contact Support

Patient Cost Estimator

Change Password

Clinic Settings

Insurances

Secondary Plans

CPT Codes