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Demo — Price Audit Complete

St. Mary's Regional Medical Center

Jane Doe · 02/14/2026 · 8 items scanned

Overcharge Rate
93%
Total Billed
$14,875
Fair Estimate
$1,089.82
Potential Savings
$13,785.18
Issues Found
8
ℹ️

Important: These are potential issues to review, not definitive billing errors. Fair price estimates are based on Medicare reimbursement rates and national averages.

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Fair prices based on CMS Medicare Fee Schedule and national average pricing data.

2 Duplicates1 Upcoding4 Overcharges1 Unbundling

Potential Issues Found— click any item for details

Upcoding
Emergency Dept Visit - Level 5
CPT 99285
$4,250
Fair: $171.35 (CMS 2026)
Save $4,078.65
Overcharge
MRI Brain w/ & w/o Contrast
CPT 70553
$3,800
Fair: $316.97 (CMS 2026)
Save $3,483.03
Overcharge
Routine Venipuncture (Blood Draw)
CPT 36415
$125
Fair: $9.34 (CMS 2026)
Save $115.66
Overcharge
Complete Blood Count (CBC)
CPT 85025
$350
Fair: $7.77 (CMS 2026)
Save $342.23
Duplicate
Complete Blood Count (CBC) — DUPLICATE
CPT 85025
$350
Fair: Remove (CMS 2026)
Save $350
Duplicate
Emergency Dept Visit - Level 5 — DUPLICATE
CPT 99285
$4,250
Fair: Remove (CMS 2026)
Save $4,250
Overcharge
IV Infusion - First Hour
CPT 96360
$950
Fair: $33.4 (CMS 2026)
Save $916.6
Unbundled
Normal Saline 1000ml
CPT J7030
$800
Fair: Remove (CMS 2026)
Save $800

What You Get When You Unlock

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Full Line-by-Line Breakdown
Every charge analyzed with fair price comparisons
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Dispute Letter (PDF)
Professional letter ready to mail or email to the provider
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Negotiation Playbook
Phone scripts and talking points for calling billing departments
⚖️
Legal References
No Surprises Act and state law citations to strengthen your case

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