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 OCT 1, 2023 TO SEPT 30, 2024, Lee Health Billed $11,354,054,028 in gross charges to Medicare, Medicaid and to private health insurers, of which $2,556,123,097 in claims were allowed. This makes the AGB 22.51%.

CALCULATUION: $2,556,123,097 divided by $11,354,054,028 equals 22.51%

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