The Healthscore CT Cost Estimator is an important consumer tool that analyzes data about insurance coverage of common inpatient and outpatient services and procedures to provide consumers with useful information about the typical costs of specific medical services and procedures throughout the state.
The Healthscore CT Cost Estimator uses insurance claim data from the state’s All Payer Claims Database (APCD), which uses information about payments made by the insurance companies for these procedures, and includes estimates of what an individuals’ out-of-pocket costs may be at health facilities throughout Connecticut. However, given the significant variation in how insurance plans cover medical services, i.e. how much you may have left on your deductible, whether you have a co-pay, etc., these numbers may be different from each individual’s responsibility. Accordingly, you should always check with your insurance provider to confirm coverage prior to receiving non-emergency healthcare services, and your medical provider about costs.
The Connecticut All-Payer Claims Database (APCD) is a statutory program to receive, store, and analyze health insurance claims data from many of the insurance payers insuring CT residents. Administrative authority is vested to the Office of Health Strategy by Connecticut General Statutes Sec. 19a-755a. The purpose of the APCD is to make available information related to safety, quality, cost-effectiveness, transparency, access and efficiency for all levels of health care to improve the health of Connecticut’s residents at all levels of health care delivery.