ENCOMPASS™ BILLING GUIDE
Understanding what your test may cost

We know prices of healthcare services can be confusing. We are committed to pricing transparency, affordability and supporting access to Encompass testing. Below you’ll find valuable pricing information about your Encompass test.

We accept all insurances, including Medicaid. Financial assistance is available based on income levels for the cost of testing or if you have a balance after insurance pays. A self-pay price of $295 is available if you do not have insurance or do not wish to bill insurance.

If you are insured, we will submit a claim to your insurance company

We bill your commercial insurance or Medicaid. What you owe depends on your specific plan — your deductible, coinsurance, and whether Encompass is in-network or out-of-network for your plan. Some patients pay nothing; others may owe more, depending on plan design, coinsurance or how much of any deductible remains in your plan year.

Estimated cost: varies by plan.

If your insurance denies coverage, or you choose to skip insurance billing, the self-pay price applies

If your claim is denied, or you'd rather not bill your insurance, a flat $295 self-pay price is applied.

Estimated cost: $295 flat.

We offer financial assistance if the cost is a barrier

We offer a robust Financial Assistance Program to help reduce the potential out-of-pocket costs associated with testing.

This offering applies regardless if your insurance covers part of the cost, denies the claim, or you’ve chosen to self-pay without submitting a claim to your insurance. If the amount you owe is a hardship, our Financial Assistance Program can reduce the amount you owe based on household income.

If you qualify for this program the estimated cost is between $0 and $150.

A few things you should know
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HSA / FSA eligible: Encompass qualifies for HSA and FSA funds. You can pay directly from either account or submit your receipt to your plan administrator.

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Payment plans: Contact billing@encompasstest.com. No interest or fees.

Qualifying for Financial Assistance
Review the estimates below and apply to confirm if you qualify.
Household size
(including the unborn baby)
$0 cost
$75 cost
$150 cost
2 person
Up to $43,280
$43,281 up to $64,920
$64,921 up to $86,560
3 person
Up to $54,640
$54,641 up to $81,960
$81,961 up to $109,280
4 person
Up to $66,000
$66,001 up to $99,000
$99,001 up to $132,000
5 person
Up to $77,360
$77,361 up to $116,040
$116,041 up to $154,720
Frequently Asked Questions About Billing

What will be the cost of my test?

Your cost will vary if you are using insurance based on what your insurance covers and any copays, coinsurance or deductibles you may have. If you are uninsured or choose to not bill insurance, your payment will be $295. If this is a hardship, you may also apply for financial assistance.

What if my insurance denies the claim?

The $295 self-pay price applies automatically — you won't owe the full billed amount. We can also file an appeal on your behalf if you'd like; just let our billing team know and we'll send you a short authorization form.

Can I use my HSA or FSA?

Yes. Encompass is HSA/FSA eligible. You can pay directly from either account online, or submit your receipt to your plan administrator for reimbursement.

Is a payment plan available?

Yes — payment plans are available for the self-pay amount. Contact billing (billing@encompasstest.com) to set one up; there's no interest or fees.

What's a Good Faith Estimate, and do I get one?

If you're uninsured or choose not to use insurance, federal law (the No Surprises Act) entitles you to a Good Faith Estimate before service. If your final bill comes in $400 or more above that estimate, you can dispute it.

How do I apply for financial assistance?

Email billing@encompasstest.com or call 888-850-8812. The Financial Assistance Program is available whether your insurance is covering part of the cost, denied the claim, or you're choosing the self-pay price — we'll ask for your household size and income to confirm your tier.