Enter the deductible ($) and the coinsurance amount ($) into the Out of Pocket Cost Calculator. The calculator will evaluate and display the Out of Pocket Cost.
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Out of Pocket Cost Formula
The following formula is used to calculate the Out of Pocket Cost.
OPC = D + CI
- Where OPC is the Out of Pocket Cost ($)
- D is the deductible ($)
- CI is the coinsurance amount ($)
To calculate an out-of-pocket cost, add together the deductible cost and the coinsurance amount.
See Also
What Is an Out-of-Pocket Maximum? Definition and How It Workswhat areOut-of-Pocket and Book Costs:How to Calculate Out of Pocket Cost?
The following example problems outline how to calculate Out of Pocket Cost.
Example Problem #1:
- First, determine the deductible ($). The deductible ($) is given as 1500.
- Next, determine the coinsurance amount ($). The coinsurance amount ($) is provided as 200.
- Finally, calculate the Out of Pocket Cost using the equation above:
OPC = D + CI
The values given above are inserted into the equation below:
OPC = 1500 + 200 = 1700 ($)
Example Problem #2:
The variables needed for this problem are provided below:
deductible ($) = 500
coinsurance amount ($) = 300
Entering these values and solving gives:
OPC = D + CI = 800 ($)
