Enter the deductible ($) and the coinsurance amount ($) into the Out of Pocket Cost Calculator. The calculator will evaluate and display the Out of Pocket Cost. 

Out of Pocket Cost Formula

The following formula is used to calculate the Out of Pocket Cost. 

OPC = D + CI
  • Where OPC is the Out of Pocket Cost ($)
  • D is the deductible ($) 
  • CI is the coinsurance amount ($) 

To calculate an out-of-pocket cost, add together the deductible cost and the coinsurance amount.

How to Calculate Out of Pocket Cost?

The following example problems outline how to calculate Out of Pocket Cost.

Example Problem #1:

  1. First, determine the deductible ($). The deductible ($) is given as 1500.
  2. Next, determine the coinsurance amount ($). The coinsurance amount ($) is provided as 200.
  3. Finally, calculate the Out of Pocket Cost using the equation above: 

OPC = D + CI

The values given above are inserted into the equation below:

OPC = 1500 + 200 = 1700 ($)

Example Problem #2: 

The variables needed for this problem are provided below:

deductible ($) = 500

coinsurance amount ($) = 300

Entering these values and solving gives:

OPC = D + CI = 800 ($)