Line-by-Line Bill Analyzer
Enter each charge from your itemized bill to see exactly how much you're being overcharged. Compare every line item to Medicare rates and identify billing errors.
How to Use This Tool
- Get itemized bill Request detailed bill with codes
- Enter line items Add code, qty, and charge
- Review analysis Compare to Medicare rates
- Take action Request review or negotiate
Common Billing Issues to Check
Duplicate Charges
Look for the same procedure code billed multiple times when it should only appear once.
Unbundling
Services that should be billed together are split into separate charges to inflate the bill.
Upcoding
Billing for a more expensive procedure than what was actually performed.
Services Not Rendered
Charges for services, tests, or procedures you never received.
For Healthcare Providers
If you're a provider, OrbDoc helps you document accurately to avoid billing disputes and ensure proper reimbursement.
Frequently Asked Questions
An itemized bill lists every charge from your hospital or medical provider visit. Unlike a summary bill, it shows individual procedure codes (CPT/HCPCS), quantities, and charges for each service. You have the right to request an itemized bill from any healthcare provider.
Call the hospital billing department or patient financial services. Ask specifically for a "detailed itemized statement" or "UB-04 with line-item charges." Most hospitals are required to provide this within 30 days of your request.
CPT (Current Procedural Terminology) codes are 5-digit numbers that identify medical procedures and services. For example, 99213 is a standard office visit. These codes standardize billing across the healthcare industry and determine reimbursement amounts.
Medicare rates represent what the government determines is a fair payment for each service. While hospitals can charge any amount, Medicare rates provide a useful benchmark. Hospital charges are often 3-10x higher than Medicare rates, and understanding this ratio helps you negotiate.
Document the specific error (duplicate charge, wrong code, etc.) and contact the hospital billing department in writing. Request a formal review and correction. If they refuse, you can file a complaint with your state insurance commissioner or contact a medical billing advocate.
Unbundling occurs when a hospital bills separately for services that should be included in a single code. For example, billing for anesthesia start-up, monitoring, and recovery separately when they should be bundled into one anesthesia charge. This artificially inflates the total bill.
Upcoding is when a provider bills for a more expensive service than what was actually performed. For example, billing a Level 5 emergency visit (99285) when you only had a simple evaluation that qualifies as Level 3 (99283). This is one of the most common billing errors.
This tool uses official CMS (Medicare) Physician Fee Schedule data updated for 2025. The Medicare rates shown are national averages. Your actual Medicare reimbursement may vary slightly based on geographic location (GPCI adjustments). The tool is for educational purposes to help identify potential issues.