PPO Fee Schedule Analyzer Calculator

Compare PPO reimbursement vs. UCR fees, analyze write-offs, profit margins, and evaluate dropping insurance plans.

Medical Disclaimer

This calculator is for informational and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about your health. Never disregard professional medical advice or delay seeking it because of results from this tool.

Inputs

Your UCR Fee ($)

PPO Allowed Fee ($)

Fee-for-Service Fee ($)

Procedures / Month

Chair Time (Minutes)

Overhead Cost / Hour ($)

PPO Patient %

Tab to move between fields

Results

Write-Off / Procedure

$60

Write-Off Percentage30%

Annual Write-Offs$57,600

PPO Profit / Procedure-$122.5

FFS Profit / Procedure-$62.5

PPO Profit Margin-87.5%

FFS Profit Margin-31.2%

PPO Effective Hourly Rate$187

FFS Effective Hourly Rate$267

Annual Revenue Impact$37,440

FFS Patients to Replace37

Net Patients Needed0

How to Use This Calculator

Enter your UCR Fee, PPO Allowed Fee, and Fee-for-Service Fee for the procedure being analyzed.
Input Procedures per Month and Chair Time in minutes.
Enter your Overhead Cost per Hour to calculate profit margins.
Set the PPO Patient % to model your current payer mix.
Review Write-Off per Procedure, Annual Write-Offs, and PPO vs. FFS Profit to evaluate plan participation.

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