Question

C. Urgent care admission, deductible is met Urgent care visit at Top Notch Urgent Care (out-of-network) Urgent care visit DOS: 07/04/2018 Allowable Charges = $230.00 Diagnosis: J02.0, Streptococcal pharyngitis Procedure: 99203, Level 3 clinic visit Procedure: 87880, Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A Cost-sharing amount is _________

Answer 1

Answer:

$80.50

Explanation:

Calculation of Cost-sharing amount :

Using this formula

Allowed charges *out-of-network coinsurance percent

Where:

Allowed charges =$230.00

Out-of-network coinsurance percent =35%

Hence,

$230.00 * .35

= $80.50

Therefore the Cost-sharing amount will be $80.50