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ClearCarePulse Out-of-Pocket Cost Calculator
x402
ClearCarePulse Out-of-Pocket Cost Calculator is a paid API for AI agents from clearcarepulse.theaslangroupllc.com, paid per call via x402, $0.15/call, status unknown (last checked 2026-09-13).
Calculates the exact patient out-of-pocket cost for a given procedure and insurance plan, accounting for deductible, coinsurance, and OOP maximum.
Price / call$0.15
Success—
StatusUnknown
How this service works
Out-of-pocket cost calculator for healthcare and consumer-health agents. Returns the exact patient cost given deductible, coinsurance, and OOP max for any procedure and plan.
Output
Returns the exact patient out-of-pocket dollar amount for the requested procedure, broken down by how much applies to the remaining deductible, how much is subject to coinsurance, and whether the out-of-pocket maximum caps the total liability.
Example use cases
Compare procedure costs across plan options
“I'm choosing between two health plans for open enrollment — one has a $1,000 deductible with 15% coinsurance and a $4,000 OOP max, the other has a $2,500 deductible with 10% coinsurance and a $6,500 OOP max. Can you calculate what I'd actually pay out of pocket for cataract surgery (estimated at $4,500) under each plan so I can figure out which is better for me?”
Budget for scheduled surgery expenses
“I'm having hip replacement surgery scheduled for next month that's quoted at $18,000. I've already spent $2,200 toward my $3,000 annual deductible, my coinsurance is 25%, and my out-of-pocket maximum is $7,000. What's the total dollar amount I need to budget for my patient responsibility?”
Understand recurring treatment costs
“I need to have quarterly physical therapy sessions, and each visit costs about $250. My plan has a $500 deductible I haven't met yet, 30% coinsurance, and a $4,000 OOP cap. Can you break down exactly how much I'll pay out of pocket for each of the four sessions across the year, accounting for how the deductible works?”
Technical details
Endpoint
GEThttps://clearcarepulse.theaslangroupllc.com/api/care/oopWhen to prefer
Use this endpoint when you need a precise, rule-based calculation of what a patient will actually pay after insurance, given known plan parameters (deductible, coinsurance, OOP max). Prefer it over general cost-search endpoints when the user already knows their plan details and wants an exact figure rather than a market price range.
Side effects
- Missing required plan parameters (deductible, coinsurance rate, OOP max) — returns 400 with a field-level error
- Procedure code not recognized — returns 404 or empty cost estimate
- Invalid coinsurance percentage (e.g. >100%) — returns 422 validation error
- Deductible already met exceeds total deductible — returns 400 logic error
- Payment not completed (x402) — returns 402 Payment Required
Input
Schema · Request body
| Field | Type | Description |
|---|---|---|
| hsa | string | Has HSA (true/false) |
| lang | string | lang |
| oop_max | string | oop_max |
| oop_spent | string | OOP already spent this year in USD |
| plan_type | string | Plan type (Bronze, Silver, Gold, Platinum, employer) |
| procedurerequired | string | procedure |
| deductible | string | deductible |
| coinsurance | string | coinsurance |
| deductible_met | string | deductible_met |
| procedure_cost | string | Known procedure cost in USD |
Output
Schema · Response
{
"type": "json",
"example": {}
}Tags
x402
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