Medical Billing Calculator

Enter the billed charge, the payer’s allowed amount and the patient’s cost-share to see the contractual adjustment, insurance payment and patient balance.

How a medical bill actually splits

Every paid claim tells the same four-line story: the provider bills a charge, the payer’s contract knocks it down to an allowed amount, the difference writes off as a contractual adjustment, and the allowed amount splits between the insurance payment and the patient’s share. This calculator walks those lines for any claim — enter the charge, the allowed amount, and the patient’s coinsurance and copay, and every figure updates as you type.

How to use it

  1. Enter the billed charge from the claim.
  2. Enter the payer’s allowed amount (from the contract fee schedule or the EOB).
  3. Enter the coinsurance percentage and any copay.

The formulas

adjustment = charge − allowed · patient = copay + (allowed − copay) × coinsurance · insurance = allowed − patient

A worked example

A $250 charge with a $180 allowed amount writes off $70 as the contractual adjustment. At 20% coinsurance with the deductible met, the patient owes $36 and insurance pays $144 — and $70 + $36 + $144 reconciles back to the $250 charge, which is exactly the check a biller runs on every EOB line.

Estimates only — payer contracts, plan documents and the EOB are always the source of truth, and nothing here is billing, legal or medical advice. The calculator runs entirely in your browser: no patient data is entered, transmitted or stored.

Common questions

Why is the allowed amount less than the charge?
The provider’s contract with the payer sets a negotiated rate — the allowed amount. The gap is written off as a contractual adjustment and, for in-network care, cannot be billed to the patient.
What if the patient’s deductible isn’t met?
Deductible comes first — the patient pays the allowed amount up to the remaining deductible before coinsurance splits the rest. The patient-responsibility calculator on this site runs that full waterfall.
Is the leftover balance billable to the patient?
In-network, no — the contractual adjustment is written off by agreement. Out-of-network balance billing is a different, heavily regulated situation.