Amount Generally Billed (AGB) Calculation
Lee Health uses the “look-back” method to calculate the “amount generally billed’ (AGB) as required by federal law. The AGB is the maximum amount we will collect from a patient who is eligible for financial assistance under our Financial Assistance policy. The AGB percentage is based on all claims allowed by Medicare and private health insurers over a 12-month period, divided by the associated gross charges for those claims.
For the period April 1, 2014 to March 31, 2015, Lee Health billed $4,871,600,531 in gross charges to Medicare, Medicaid and to private health insurers, of which $1,161,752,205 in claims were allowed. This makes the AGB 23.85%.
Calculation: $1,161,752,205 divided by $4,871,600,531 equals 23.85%
Click on the links at right to learn more. If you have questions or prefer to talk to us over the phone or in person, click here to request a callback or appointment. We have specialists at all hospital locations.