80% of hospital bills contain errors

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Example Analysis

ER Visit — March 12, 2026

Memorial Regional · Aetna PPO

3 issues

Billed

$8,247

Ins. Paid

$5,891

You Owe

$2,356

Issues

3

99285
$2,847 $487

ER Visit — High Severity

Base charge for your ER visit, classified at highest complexity level.

Possible upcoding — billed at 3.9× Medicare rate
71046
$943 $112

Chest X-Ray — 2 Views

Standard two-view chest X-ray for diagnostic imaging.

Correct — within normal range
0762
$1,650

Hospital Facility Fee

Separate charge for using the ER — equipment, nursing, space.

Likely duplicate — already in ER code above
36415
$48

Blood Draw (Venipuncture)

Standard blood draw from a vein for lab testing.

80053
$215

Comprehensive Metabolic Panel

Group of 14 blood tests — sugar, electrolytes, kidney function.

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Example Report

Here's what you'll get

Emergency Room Visit — March 12, 2026

Memorial Regional Hospital · Aetna PPO

C+ Score

Total Billed

$8,247

Insurance Paid

$5,891

You Owe

$2,356

Issues Found

3

CPT 99285
$2,847 $487

Emergency Department Visit — High Severity

This is the base charge for your ER visit, classified at the highest complexity level (5 of 5). Your insurance negotiated the charge down from $2,847 to their contracted rate. After their payment, your share is $487.

Possible upcoding — Medicare avg is $728, billed at 3.9×
CPT 71046
$943 $112

Chest X-Ray — 2 Views

A standard two-view chest X-ray for diagnostic imaging. The billed amount of $943 was adjusted by your insurance to their contracted rate. Your $112 share reflects your coinsurance.

Looks correct — within normal range
REV 0762 $1,650

Hospital Facility Fee — Treatment Room

A separate "facility fee" for using the emergency room, covering overhead like equipment, nursing staff, and the physical space — charged on top of the physician's evaluation.

Likely duplicate — facility component already included in ER code above
CPT 36415 $48

Venipuncture — Routine Blood Draw

Standard blood draw from a vein for laboratory testing.

CPT 80053 $215

Comprehensive Metabolic Panel

A group of 14 blood tests measuring sugar, electrolytes, kidney function.

HCPCS J1885 $387

Ketorolac Injection (Toradol)

Anti-inflammatory pain medication administered via injection.

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3 more line items to review, including 1 additional issue flagged

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How It Works

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2

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We read every billing code, translate it to plain English, and check it against Medicare benchmarks for fair pricing.

3

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See exactly what you owe and why. If we find errors, we'll generate a dispute letter you can send to your provider.

80%

of hospital bills contain errors

$1,200

average overcharge found per bill

60 sec

to understand your entire bill

Billing Code Library

Look up any code on your bill

CPT 99213

Office Visit — Established Patient

A standard 15-30 minute office visit for an existing patient with a moderate problem.

Medicare avg: $92 → Typical bill: $150–350

CPT 99285

ER Visit — High Severity

The highest-level emergency room evaluation, involving complex medical decision-making.

Medicare avg: $728 → Typical bill: $1,500–4,000

CPT 70553

Brain MRI With & Without Contrast

Detailed imaging of the brain using magnetic resonance, with contrast dye injection.

Medicare avg: $322 → Typical bill: $1,000–5,000

CPT 43239

Upper GI Endoscopy with Biopsy

A scope procedure to examine your esophagus, stomach, and upper intestine with tissue samples.

Medicare avg: $295 → Typical bill: $800–3,500

CPT 29881

Knee Arthroscopy

Minimally invasive knee surgery to remove or repair torn meniscus cartilage.

Medicare avg: $504 → Typical bill: $5,000–15,000

CPT 80053

Comprehensive Metabolic Panel

A group of 14 blood tests measuring sugar, electrolytes, kidney and liver function.

Medicare avg: $11 → Typical bill: $50–400

View all 113 billing codes →

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