Cash Pay Health Plans Rock

File this under “You Got To Be Kidding Me!”

Here is another claim paid today through one of our Cash Pay Centric Health Plans:

The price for the procedure comes out to 106% of Medicare for a Chemotherapy #6 DOS 04/27/2021.

Procedure (CPT or DRG) Medicare Price Cash Price % of Medicare
96413×1, 96417×1, J9306x420, Q5114x45 $9,480.15 $10,070.96 106% is a specialty company in the benefits market that, while not an insurance company, works directly with health entities, medical providers, and businesses to identify and develop cost effective benefits packages, emphasizing transparency and fairness in direct reimbursement compensation methods.