Detailed pricing

Every service and fee, grouped the same way as the five choices on the homepage. Your first call is free, and nothing is billed until you've agreed to the fees in writing.

Coastal Healthcare Advocates services and fees
Service What it covers Fee
Start here
Initial Consultation 20–30 minute phone or video call to discuss your situation and how we can help. Fee: Free
Down Payment Due before work begins on any paid service and credited toward your final bill. Based on the estimated total fee discussed at your consultation. Fee: 25% of estimated total fee
One-time help (flat fee)
Medical Bill & EOB Review Line-by-line review of an itemized bill and EOB to identify errors, duplicate charges, or overbilling. Fee: $125–$200
Insurance Claim Appeal Research, drafting, and submission of a written appeal for a denied claim. Fee: $175–$300
Provider Negotiation Direct negotiation with a provider or billing office to reduce a balance or set up a payment plan. For balances under $5,000. Fee: $125–$250
Benefits Explanation Session One-on-one session to explain your plan, coverage, and out-of-pocket costs. Fee: $75
Single-Issue Package Up to 3 hours of advocacy on one specific bill, claim, or denial. Fee: $225
Complex case
Standard Hourly Rate Ongoing advocacy work billed in 15-minute increments. Fee: $110 / hour
Large balances (savings-based)
Savings-Based Fee For balances over $5,000. Full advocacy on your case—bill review, appeals, and negotiation—with no hourly billing. You pay a percentage of what we save you, capped at $3,000 for cases with up to 5 bills. Fee: 10% of savings
Additional Bills For cases with more than 5 bills, the fee cap increases for each additional bill. Fee: +$600 per bill
Case Minimum Serves as the down payment for savings-based cases. Due when the case begins and credited toward your final fee. Fee: $250
Flexible Payment Pay in full or as each bill or claim is resolved at no extra cost, or choose a payment plan of up to 12 months. Fee: $50 plan fee
Ongoing help
Monthly Support Plan Up to 5 hours per month of ongoing advocacy for clients managing multiple bills or claims. Fee: $375 / month

You'll get a written agreement outlining fees before any paid work begins.

Down payments are credited in full toward your final bill. Your estimated total fee and down payment amount are written into your Service Agreement before any work begins.

“Savings” means the amount reduced, written off, or refunded, as confirmed in writing by the provider or insurer. Savings-based fees are billed as each bill or claim is resolved and savings are confirmed—a “bill” is one provider statement or one insurance claim.

Download the full pricing sheet (PDF) (opens in a new tab)

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