For infusion centers and specialty practices

Get the cost estimate and the payer’s requirements in ninety seconds.

Both have to be finished before a patient can start therapy, and by hand both take hours. CareCost does them from one lookup, and cites a source for every number and every rule.

Try it on a real drug Start your 30-day trial

No signup for the demo. No card for the trial.

CareCost Estimate
Remicade infliximab
Aetna · Crohn’s disease
J1745
5 mg/kg · 85 kg
ASP / unit
$31.48
Billing units
43
Drug cost
$1,353.60
Deductible$500 / $500 met
Coinsurance20%
Janssen CarePathaccepting patients
Patient owes
$270.72
→
With assistance
$5
saves $265.72
✓ All 4 of Aetna’s requirements for this patient are met policy 0341 · eff. 2026-07-21
400+ drugs · 30 payers’ policies · 26,010 payer rules · CMS ASP updated quarterly · Nothing to install · No PHI stored

The estimate

Pick any of 400+ drugs. Change the dose or the weight and watch the units, the drug cost and the patient's share move with it. Every figure traces to a published source with a date on it.

ASP / Unit
—
Billing Units
—
Drug Cost
—

Run a full estimate with your patient’s real benefits →

The clearance

Pick a drug and a payer. You get the requirements that payer actually publishes for it, each one quoted from the policy with the document number and the date it took effect — the same output the product gives your team.

Drug
Pick a drug and a payer, then press Check coverage to see what that payer requires before it will pay.

Everything else it handles

Medicare rules

Covered diagnoses, self-administered exclusions, and the MAC-specific rules that differ by region — checked before you submit, not after.

Secondary insurance and Medigap

Medicare plus Medigap, Medicare plus Tricare, commercial plus commercial. Enter both plans and get one answer.

Site of care and billing units

Commercial site-of-care routing flagged before the drug is ordered. Units rounded the way the payer rounds them, with multi-vial waste worked out.

Your rates, not an average

Upload your own fee schedules and the estimate uses them. Different rates at different locations, if that is how your practice is set up.

Your pre-meds

Set the pre-medications you actually give, per drug, and they carry into every estimate and onto the sheet.

Adjust any line

Change a line item when the real world does not match the file. The total follows, and the sheet shows what you changed.

Every location

Each site keeps its own rates, its own settings and its own branding, and everyone works from one place.

Your assistance programs

Add a foundation or a manufacturer program we do not carry yet, with its own eligibility and caps.

Missing a drug? Tell us

Tell us and we add it. We keep the drugs, the prices and the payer policies current so nobody at your practice has to.

Where the data comes from

The two questions worth asking about a tool like this are where it got the numbers and whether anyone is really using it.

180 TB
of payer machine-readable files, processed down to usable commercial rates. This is the file every payer is required to publish, and almost nobody can actually read it.
2,634
payer policy documents read and quoted, producing 26,010 requirements tied to the sentence they came from. Re-checked on a cycle, so nobody at your practice is tracking policy changes.
Thousands
of estimates run every month by practices doing this work for real. One infusion practice alone ran 1,033 in three months — not a pilot, not a demo account, their team every working day.
Commercial
The payer’s own published machine-readable file
37 payers · 430 codes · 2026 Q2
Your rates
Your uploaded fee schedule, which overrides everything
whenever you provide one
Medicare
The CMS quarterly ASP file
Q3 2026 · effective July 1

Units are rounded the way the payer rounds them.

Independent No money from payers, drugmakers or PBMs. The numbers answer only to the source files.
No patient data Every calculation runs in your browser. Nothing touches our servers.
Nothing to install It runs in the browser your team already has open. No IT ticket.

One product. Everything included.

A fraction of what healthcare software normally costs.

$189 / month
First seat. $89 a month for each seat after that.
30-day free trial
  • ✓ Everything above — the estimate, the assistance programs, and the payer’s requirements
  • ✓ Your fee schedules, your pre-meds, your locations
  • ✓ Unlimited lookups. 400+ drugs priced, and payer requirements mapped across 30 payers.
Start your 30-day trial

No credit card required. Subscribe when the 30 days are up.

Forty-five minutes of math, lookups, and second-guessing — replaced by one click.

Try it free

It’s as fast and accurate as you’re hoping it is.