Tross
UnitedHealthCare Member

Estimate Costs

Find nearby facilities and their member-specific procedure cost estimates.

POSThttps://api.ontross.com/api/integrations/uhc-member/estimate-costs
Request Fields
auth_id
string
required
Auth id
input
object
required
Input object.
input.procedure_code
string
required
Procedure code
input.zip_code
string
required
Zip code
input.radius_miles
integer
Maximum distance from the ZIP-code center used to search facilities.
Default
25
input.limit
integer
Maximum number of facilities returned after applying the radius filter.
Default
25
Output Fields
procedure_code
string
Procedure code
care_path_id
string
Care path id
zip_code
string
Zip code
radius_miles
integer
Radius miles
facility_limit
integer
Facility limit
returned_facility_count
integer
Returned facility count
geographic_cost_range
object
Geographic cost range object.
geographic_cost_range.p25
number
P25
geographic_cost_range.p50
number
P50
geographic_cost_range.p75
number
P75
facilities
array
List of facilities.
facilities[].provider_id
string
Provider id
facilities[].location_id
string
Location id
facilities[].name
string
Name
facilities[].npi
string
Npi
facilities[].phone
string
Phone
facilities[].address
string
Address
facilities[].city
string
City
facilities[].state
string
State
facilities[].zip_code
string
Zip code
facilities[].distance_miles
number
Distance miles
facilities[].in_network
boolean
In network
facilities[].preferred
boolean
Preferred
facilities[].cost_band
string
Cost band
facilities[].cost
object
Cost object.
facilities[].cost.out_of_pocket_cost
number
Out of pocket cost
facilities[].cost.full_cost
number
Full cost
facilities[].cost.insurance_pays
number
Insurance pays
facilities[].cost.copay
number
Copay
facilities[].cost.coinsurance
number
Coinsurance
facilities[].cost.amount_applied_to_deductible
number
Amount applied to deductible
facilities[].cost.not_covered_portion
number
Not covered portion
Code
curl --request POST \
  --url https://api.ontross.com/api/integrations/uhc-member/estimate-costs \
  --header 'X-API-Key: REPLACE_KEY_VALUE' \
  --header 'content-type: application/json' \
  --data '{"input":{"procedure_code":"string","zip_code":"string","radius_miles":0,"limit":0},"auth_id":"auth_uuid_here"}'
Request BODY
{
  "input": {
    "procedure_code": "string",
    "zip_code": "string",
    "radius_miles": 0,
    "limit": 0
  },
  "auth_id": "auth_uuid_here"
}