Q. I have commercial insurance How much will I have to pay?
A. You are only responsible for the amount that you owe based on your health insurance plan and its determination of the allowed payment amount. For example, the total billed to an insurer is $1,000.00, the in- network allowed amount determined by the insurer is $600.00, $525.00 of which was covered and paid by the insurance. In this example, the patient pay amount is $75.00. ($50.00 for remaining deductible + $25.00 for coinsurance). You DO NOT PAY the unallowed balance amount of $400.00.
| Service Date | Procedure Code | Units of Service | Billed Amount | Allowed Amount | Insurance Discount | Deductible Amount | Co-insurance Copayment Amount | Claims Payment |
| 1/15/17 | 88120 | 1 | $1,000.00 | $600.00 | $400.00 | $50.00 | $25.00 | $525.00 |