Medical Billing
& Fair Market Value


There is a tradition in the U.S. medical care industry of health care providers submitting bills and charges for services rendered but routinely accepting much less than those amounts in full satisfaction of those charges. This implies that the reasonable value, relative market value, or fair market value of medical services is different than charged or billed amounts. We apply health economics methodology to determine the reasonable and fair market value of medical care charges and billed amounts. This work is featured in our life sciences consulting work and our litigation work.

Types Of Engagements

  • Calculation of reasonable value of medical bills in personal injury cases
  • Calculation of Medicare, Medicaid, workers’ compensation, and Personal Injury Protection (PIP) payments
  • Cost parameter estimates in cost impact, budget impact, and cost-effectiveness models
  • Mapping cost data to clinical trial data in U.S. and globally

Reasonable Value of Medical Charges

Key Staff

  • John Schneider, PhD
  • Cara Scheibling, MBA
  • Anna Whelan, BA
  • Anthony LoSasso, PhD
  • Robert Ohsfeldt, PhD

Related Markets & Industries

  • Insurance & third-party payers
  • Attorneys & law firms
  • Medical services
  • Utilities
  • Construction
  • Transportation