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What is Fair Price?

The Fair Price is the price that you should reasonably expect a medical service to cost if you shop for care. Even in-network providers can have big cost differences for the exact same service. The most expensive can cost more than five times as much as providers that charge a Fair Price.

The Fair Price is calculated from actual amounts health plans have paid on claims. Some services show “bundled” pricing, which means there are multiple parts to the Fair Price. These usually include facility, physician and anesthesiologist fees, and can be viewed individually in the Fair Price Details. It’s always a good idea to request a price estimate from the provider and compare it to the Fair Price before your procedure.

The information on this website is not a price guarantee. There is no guarantee that any specific provider will charge a specific rate or that specific services will be covered under your benefit plan.

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