Audience
Infusion centers, specialty medical practices, and patient access and billing teams
About CareCost Estimate
CareCost Estimate helps infusion centers and specialty medical practices answer the question every patient asks: what will this cost me?
Staff pick the drug, dose, and insurance. CareCost returns the patient's out-of-pocket cost in about 90 seconds — including Medicare Part B coinsurance, secondary insurance and Medigap, weight-based dosing, and vial waste (JW/JZ). It then applies the manufacturer copay programs and foundation grants the patient may qualify for, so the number the patient hears is the real one.
The same lookup shows what the payer requires first: prior authorization, step therapy, and site-of-care rules, quoted from the payer's own policy with a link.
Drug prices come from CMS Average Sales Price files, updated every quarter. Estimates run in the browser, so patient data never reaches our servers.
CareCost also publishes free billing and coding references for infusion CPT codes, J-codes, and modifiers, and the quarterly Infusion Reimbursement Index.
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Pricing
Starting Price:
$189/month (first seat), $89/m
Free Trial:
Free Trial available.
Integrations
No integrations listed.
Company Information
CareCost
Founded: 2026
United States
carecostestimate.com
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Product Details
Platforms Supported
Cloud
Training
Documentation
Support
Online
