45 min30 sec

Specialty drug copay estimates for infusion centers and practices. Enter the order, get the cost. No phone calls. No spreadsheets.

14-day trial. No credit card. No setup.

< 30 seconds
Drug Remicade (J1745)
Dose × Weight 5 mg/kg × 85 kg → 43 units
Allowed Amount $2,145.00
Copay Assistance Enrolled
Est. Patient Owes $5.00
CMS Medicare ASP pricing data 270+ HCPCS drug codes Updated quarterly HIPAA safe — no PHI stored

You know the drill.

Call the payer. Wait on hold. Get transferred. Write down the deductible, the OOP max, the coinsurance split. Open the spreadsheet. Look up the ASP rate. Calculate the billing units. Factor in copay assistance. Do the math. Hope it's right. Print it out. Hand it to the patient.

For one patient. Then do it again.

14 hrs
Per week your staff spends on benefit verification
AMA Physician Survey
43%
Increase in PA staffing costs since 2019
MGMA
69%
Patients who abandon therapy when copay exceeds $250
PMC / McKesson

Enter the order. Get the cost.

Three inputs, one answer. ClearCost auto-calculates everything in between.

1

Select the drug

Type a drug name or J-code. ClearCost auto-populates billing units, ICD-10 diagnosis codes, admin codes, and flags PA requirements — all from the drug selection.

2

Enter the benefits

Deductible, OOP max, coinsurance — from the patient's benefit summary. Select the payer fee schedule. The cost estimate calculates in real time.

3

Share the quote

Patient cost with and without copay assistance, broken down by line item. Export a PDF with your practice branding or copy the template.

Minutes to seconds

Drug, dose, weight → total cost with copay assist. No phone calls to the payer. No spreadsheets. No guessing.

📚

The lookup is already done

PA requirements, ICD-10 codes, copay assistance programs, ASP pricing — all auto-populated the moment you select a drug. 130+ drugs mapped.

📄

Quote-ready, not note-ready

Professional PDF with your practice name and NPI. Save quotes, recall later, track history. Not a scribbled sticky note handed to the front desk.

Every empty chair is lost revenue.

When copay estimates are wrong, patients don't show up. When staff spend all day on the phone, the backlog grows. When your best billing coordinator quits, the knowledge walks out the door.

$12.88
Cost per manual PA transaction
CAQH Index
81%
PA denials overturned on appeal — wasted effort
AMA / Premier
30%
Annual turnover for billing staff
MGMA
HIPAA Compliant
No PHI Stored on Servers
CMS ASP Data — Updated Quarterly

Your first estimate takes 30 seconds.
So does your hundredth.

Stop guessing. Start quoting.

Try ClearCost Free See Pricing

14-day trial. No credit card. No training required.