Treatment Cost Estimator Tool

Up-to-date cost estimates based on a member’s specific health plan coverage are now available through myProvidence.org.

Members must create a myProvidence account using their member ID and group numbers to access the tool.

How personalized is the estimate?

The software takes into account a member’s deductible, copay, coinsurance, out-of-pocket maximum and any processed claims when calculating estimates for selected treatments.

Members can compare doctors and facilities by cost and view a breakdown of charges for in-network and out-of-network services, including physician fees, inpatient and outpatient hospital and office charges.

Members may also create a PDF, print or save their estimates - or view a Google map of selected providers.

Which treatments are included?

The tool estimates costs for 42 common inpatient and outpatient medical procedures, including:

  • Arthroscopy – shoulder
  • Breast ultrasound
  • Chest X-ray
  • CT scan – abdomen
  • Mammography
  • MRI scan
  • Foot X-ray
  • C-section
  • Vaginal delivery
  • Total hip replacement
  • Total knee replacement

More procedures will be added over time.

Also available by phone

The Treatment Cost Estimator is accessible 24/7 through myProvidence or by calling Customer Service, Monday through Friday, 8 a.m. to 5 p.m.