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Cost Estimate

Cost Estimate

Pricing patients can trust — before they ever book

Real-time, line-by-line cost estimates — combining live benefit data with contracted rates, before scheduling

Live at intake
Sohar result

Cost Estimate

Estimate ready

Allowed

$180

Plan pays

$150

Patient owes

$30

95%

accuracy vs. actual claims data

Built alongside teams improving access to care
96%
verification accuracy
15M+
eligibility requests a year
95%+
benefits accuracy
8x
ROI within twelve months
Where it fits

Built on Verification and Network Status

Cost Estimate runs on top of Verification and Network Status, using live benefits and network data from those requests so estimates reflect the patient’s actual plan, not a generic average

The business problem

Patients can’t get a price. Then they get a bill

45%

of patients say they struggle to get an accurate cost estimate before receiving care

No clear estimate
45%
Billed more
63%
63%

end up billed more than they were quoted

Quoted
Billed
Providers pay too

Pricing surprises don't just hurt patients — they cause scheduling drop-off and collection delays for providers

Scheduling drop-off
Collection delays

Source: careviso 2025 patient survey, 2,500 respondents

The outcome

A price patients can see before they book

Patient reviewing her estimate on her phone at home
Answered before the visit
Before

Patients book without knowing what they'll owe. Bills arrive as a surprise. Collections get harder, and scheduling drop-off goes up

With Sohar
After

Patients see a real, line-by-line estimate before they book — a modern, checkout-like experience instead of a guess

Core capabilities

Estimates built on the patient’s actual plan

01

Real-time, line-by-line pricing

Combines live benefits data with contracted rates

Session
$180
Plan pays
$150
Patient owes
$30
02

One source of truth for rates

Managed via dashboard or auto-populated from remittance data

Dashboard
Managed by your team
Live
Remittance data
Auto-populated
Synced
03

Consistent across payers and providers

Median-rate logic keeps estimates reliable

Payer rates
Median-rate logic
Consistent estimate
04

Built on Verification and Network Status

Reflects the patient’s actual plan, not a generic average

Verification
Network Status
Contracted rates
Procedural Codes
Security

Built for sensitive data

Security your IT team will ask about, answered before they ask

AICPA SOC 2
SOC 2 Type II
Independently audited security controls
AICPA SOC 2
HIPAA compliant
Built to protect patient health information
BAAs signed
Business associate agreements in place

Cost Estimate

Frequently Asked Questions

How is Cost Estimate different from Verification?

Verification confirms eligibility and benefits. Cost Estimate takes that data one step further, translating it into an actual dollar figure the patient will owe by combining it with contracted rates.

Where do the contracted rates come from?

Rates can be managed directly via dashboard or auto-populated from remittance data, with median-rate logic keeping estimates consistent across payers and providers.

How accurate are the estimates?

Estimates run at 96% accuracy against actual claims data.

How fast is an estimate generated?

Average response time is under 1 second — fast enough to show pricing in the same flow as scheduling, with no separate wait step for the patient.

What’s the impact on scheduling and collections?

Clients see about 6 minutes saved per estimate versus a manual process, plus fewer scheduling drop-offs and collection delays from pricing surprises.

Does this require Verification and Network Status first?

It's built to run on top of them — Cost Estimate uses live benefits and network data from those requests, so estimates reflect the patient's actual plan rather than a generic average.

Ready to give patients pricing they can trust before they book?

Show us where coverage questions, manual work, or cost uncertainty slow down intake. We’ll show you how Sohar can help your team get answers earlier and move more patients into care