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Coronavirus (COVID-19)

Lee Health is starting to reschedule appointments, surgeries, and procedures that were delayed during the pandemic. You can be confident that we will provide the most exceptional care in the safest environment. Learn More

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%

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.

  • Amount Generally Billed (AGB) Calculation