Billing Estimates
When it comes to scheduling your care, we know it goes beyond checking your calendar and includes planning your budget. We’re excited to offer Billing Estimates, a price transparency tool available in MyChart and the Duly Health and Care app.
With the Billing Estimates tool, you can understand your out-of-pocket costs by browsing a searchable list of standard charges and shoppable services and you may view estimated costs for each of your upcoming services.
While a billing estimate is the predicted amount you will pay for a service and not a guarantee, it will help you understand and compare your healthcare costs.
New to Duly? Get a Billing Estimate as a Guest >
Frequently Asked Questions about Billing Estimates
What is a billing estimate?
A billing estimate is the predicted amount you will pay for a medical service based on your insurance your current insurance on file with Duly, benefits collected from your plan and the insurance plan’s contractual agreement.
When will I receive a billing estimate?
Billing estimates are provided for most procedures or services provided by Duly Health and Care. This includes lab tests, diagnostic imaging and surgical procedures. You may receive a text message or email with your billing estimate based on the communication preferences you have set in your Duly MyChart account. You may also encounter your billing estimate when completing eCheck-In for your upcoming appointments or services.
How can I create a billing estimate for a service I need to schedule?
If you are wondering what an upcoming procedure or service may cost, you can get a billing estimate for common procedures and services in your Duly MyChart account or the Duly Health and Care app. Under the MyChart menu, under Billing, click on Estimates.
From here, you can view finalized billing estimates for scheduled procedures or services, or you can click “Create a new estimate” to create your own. When creating your billing estimate, you can search by keyword, CPT code or browse common services and categories. You can get a billing estimate by using your insurance information on file with Duly or by paying fully out-of-pocket. You may need to enter additional information about your insurance benefits, including deductibles, co-pays, co-insurance, and out-of-pocket maximums, to determine your out-of-pocket cost. After you have created a billing estimate, you can save it to your account for future reference.
How is a billing estimate calculated?
Billing estimates are based on what specific procedures or services normally cost, including provider and facility fees and supplies. These billing estimates consider your primary insurance benefits including co-insurance, co-pays, deductibles, out-of-pocket maximums, etc.
Billing estimates include anticipated fees for physicians, assisting providers, operating rooms, imaging, lab tests, supplies, etc. Charges for consultations, additional testing or follow-up appointments are not included in each estimate.
How accurate are billing estimates?
Prices may vary and a billing estimate is not a quote or guarantee of the final billed charges. We try our best to give you an accurate billing estimate. However, many factors go into the final cost. Final billed charges may vary from billing estimates for many reasons, among them are the patient’s medical condition, unknown circumstances or complications, final diagnosis and recommended treatment ordered by the physician. Your primary insurance benefit information (where applicable) is based on information provided by your primary insurance provider as of the date of this billing estimate.
I have multiple insurance plans; how do I calculate my out-of-pocket costs?
Billing estimates through MyChart are only calculated based on the patient’s primary insurance. Biling estimates provided are only for your primary insurance plan, but we do bill your secondary insurance for additional coverage. Please call your secondary insurance provider with the procedure or service codes to obtain your estimated responsibility.
Does the billing estimate ensure that the service is a covered benefit?
A billing estimate does not ensure that a procedure or service is a covered benefit. Please check your covered benefits with your insurance provider and plan before scheduling your procedure or service.
When is payment due?
You can make a payment for your procedure or service based on a billing estimate before your service, at the time of your service or when a final statement has been received. Some procedures or services may require payment at the time of your service and all co-pays are due at the time of your service.
What should I do if I cannot afford this service? Can I reschedule or cancel?
We offer payment options for our patients, including monthly payment plans. After you have been seen and received your final bill, please contact our customer service department at 630−942−7998 to set up a payment plan. If you would like to reschedule or cancel your procedure or service, please speak with your provider to review your treatment plan.
Will my final bill match the billing estimate I was provided?
We do our best to give you an accurate billing estimate based on what specific procedures or services normally cost, including provider and facility fees and supplies. However, many factors go into the final cost and final billed charges may vary from the billing estimate you were originally provided.
Why do the services provided not match what was scheduled (ex. preventive vs. diagnostic)?
During a procedure or service, your physician may determine that diagnostic, not preventive, services were required based on your condition. If this is the case, your bill will reflect diagnostic services.
Who do I call if I have questions about my billing estimate?
If you need any help or have questions about your estimate, please contact our customer service department at 630−942−7998.