Finance Tools
Health Insurance Copay vs Coinsurance Calculator
Compare copay vs coinsurance to estimate what you’ll pay for a medical service under different health insurance cost-sharing rules.
How to use this health insurance copay vs coinsurance calculator
- Enter the service price (allowed amount).
- Enter your copay amount (if applicable).
- Enter your coinsurance rate (%).
- Optional: enter remaining deductible and whether the service is subject to deductible.
- Compare estimated patient cost under copay vs coinsurance.
Example
If a service costs $800, copay is $40, coinsurance is 20%, and remaining deductible is $200 (service subject to deductible):
- Copay scenario: pay deductible first ($200), then copay ($40) if your plan works that way
- Coinsurance scenario: pay deductible first ($200), then 20% of remaining ($600 × 0.20 = $120)
- Compare which cost-sharing rule results in a lower out-of-pocket cost
More tools in Finance Tools
- Insurance vs Self-Pay Cost Calculator
Compare the estimated cost of using insurance vs paying self-pay (cash price) for a medical service, considering deductible, copay/coinsurance, and remaining out-of-pocket max.
- Health Insurance Out-of-Pocket Cost Calculator
Estimate your real annual health insurance cost, including premiums, deductible, coinsurance, and out-of-pocket max.
- Family Health Insurance Cost Calculator
Estimate a family's annual health insurance cost based on premiums, deductible, out-of-pocket max, coinsurance, and expected medical expenses for each member.
- Insurance Deductible Cost Calculator
Estimate your annual out-of-pocket cost and total annual cost based on premium, deductible, coinsurance, and expected covered expenses.