If you need dental work, chances are you’ll pay a big chunk of the bill out of your own pocket, even if you have dental insurance.
Dental coverage often maxes out at just a few thousand dollars a year or less and typically covers only half of the cost of major procedures like crowns and root canals.
Getting a reliable estimate of prices in your area can be critical if you want to keep a lid on costs. A free consumer website may provide the information you need.
An investigation revealed that an insurer-owned claims database used to determine out-of-network reimbursements presented a conflict of interest. In addition to the consumer website, Fair Health provides independent-claims data that insurers can use to determine out-of-network rates.
The Fair Health database is regularly updated and contains medical and dental claims from insurers and third-party administrators covering 126 million people. With the database, people can look up out-of-network reimbursement amounts for procedures in their area.
According to Robin Gelburd, president of Fair Health, 40 percent of dental care is provided out-of-network compared with just 10 percent of medical care. That makes the dental cost calculator a potentially useful tool for many consumers.
During a recent search on a zip code in Manhattan, for example, I learned that the estimated cost for a porcelain crown is $2,100 here, making the $1,750 that my dentist charges seem, if not exactly a bargain, at least not highway robbery.