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Fall update to member cost tool data
October 7, 2022

We’re conducting our biannual update of our member cost estimation tools. The data is based on care you rendered from April 1, 2021 – March 31, 2022, paid through May 31, 2022 under your contracted rates, including associated care rendered by other providers.

About the Fall 2022 update

This update will include data for:

  • Our indemnity members, who will now have access to the member cost tool
  • Providers who may be new to cost estimation tool reporting, and existing providers who may now have data for treatment categories for which they did not previously meet minimum denominator requirements

The tool encourages our members to consult with their clinicians in making decisions about where to seek care. Members may also refer to our quality comparison resources and listings of our Blue Distinction Centers to help select a site of service based on both quality and cost.

Note:  This data is not being used to fulfill the requirements of the Transparency in Coverage rule.

You can view an explanation of our methodology with the included treatment categories and codes. Simply log in, go to Quality & Performance>Transparency & Product Design>Quality Transparency, and click Member Cost Estimation Tools Methodology and Code List. You can obtain a copy of your data from your Network Manager (log in and click on Contacts & Sites at the top of this page).

You can view an explanation of our methodology with the included treatment categories and codes. You can obtain a copy of your data from your Network Manager (click on Contacts & Sites and scroll to the bottom of the page).

MPC_030722-1W-6-ART