Medical Expenses Calculator

Faster, transparent, defensible medical expense valuation

The Optimalex Medical Expense Calculator helps legal and claims teams estimate procedure-level medical costs with speed and consistency—grounded in broad market coverage and transparent pricing breakdowns. Users rely on it to assess demands across 150million procedure–hospital combinations, enabling confident evaluations even when scenarios involve uncommon procedures, nuanced geographies across the country, or highly variable price ranges.

What it does

The Medical Expense Calculator provides a structured way to research and quantify medical expenses by:

Location (State and County)
Procedure selection (search and choose the relevant procedure)
Pricing statistic (e.g., median and other percentiles)

Once selected, the tool returns a clear medical bill view with:

Discounted Cash (a realistic cash-pay estimate)
Gross Charge (hospital list price)
Contract price range
Facility-level results (hospital and medical center)

Why it matters

Medical expense demands can vary dramatically by geography, provider, facility, and pricing basis. The Medical Expense Calculator is designed to reduce guesswork by presenting the most relevant price views side-by-side—so you can:

Anchor evaluations to consistent market-based references
Explain “why this number” with a transparent breakdown
Identify when a quoted amount is within a typical range (or an outlier)
Move faster from research to decision-making

Common use cases

Magnitude check medical expense invoiced to you
Pre-suit and litigation support: establish defensible medical expense estimates quickly
Claims evaluation: support your reserve with or compare demanded amounts against market-based price points points
Negotiation preparation: understand pricing dispersion to support ranges and counteroffers
Scenario analysis: validate how changes in location or facility affect expected costs