MediConCen
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Reasonable & Customary Fees Assistant

Review a surgeon-fee claim

Conversational claim-review · powered by the MCC Knowledge Graph.

Hi — I'm your reasonable & customary fees assistant. Tell me about a claim and I'll check whether the submitted surgeon fee is in line with comparable peer claims. We've pre-loaded one showcase case below so you can see the output right away; ask me anything to start a fresh review.
55 year female, laparoscopic cholecystectomy for acute cholecystitis, 2 day stay at a private hospital, submitted HKD 95,000.
Flagged for review — the submitted fee of HKD 95,000 is materially above what comparable claims pay. Typical peer fees land around HKD 33,574, with a high-end ceiling near HKD 36,139; this claim is 2.63× that ceiling.
I lined up the 10 closest peer claims for you — their surgeon fees ranged HKD 4,500 – HKD 48,000 (median HKD 35,000). Tap any dot on the benchmark or any row in the peer table to inspect that case.
Claim review board

Surgeon-fee benchmark · peer-claim comparison

Benchmarks every submitted fee against thousands of comparable Hong Kong claims. Anything above the peer-fee ceiling is materially higher than what comparable claims pay and warrants review. Powered by the MCC Knowledge Graph.

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VerdictFLAG FOR REVIEW
Typical peer feeHKD 33,574
Peer-fee ceilingHKD 36,139
SubmittedHKD 95,000
Peer-fee benchmarkvs. peer ceiling = 2.63×
typical
ceiling
actual HKD 95,000
HKD 0HKD 33,574 typicalHKD 36,139 ceilingHKD 99,750
comparable peer claimselectedthis claimclick a dot to inspect
Claim under review
Patient55 y/o female
SurgeryLaparoscopic cholecystectomy
DiagnosisAcute cholecystitis
Hospitalprivate
Length of stay2 day(s)
Submitted feeHKD 95,000
10 closest peer claims
fees HKD 4,500 – HKD 48,000 · median HKD 35,000
#SimAgeSexLoSHospitalSurgeryDiagnosisFee
197.3%49M2 dUnknownCholecystectomy.Cholelithiasis.HKD 30,000
297.2%53F0 dPrivateCholecystectomy, laparoscopic or open.Cholelithiasis. Cholecystitis.HKD 25,000
397.2%55M4 dNon-PrivateLaparoscopic cholecystectomy. Laparoscopic lysis of adhesions.Acute cholecystitis, unspecified.HKD 45,000
497.1%53F2 dNon-PrivateLaparoscopic cholecystectomy.Calculus of gallbladder without cholecystitis.HKD 25,000
597.1%45F6 dUnknownLaparoscopic cholecystectomy.Calculus of gallbladder without cholecystitis.HKD 4,500
697.0%51M1 dNon-PrivateLaparoscopic cholecystectomy.Calculus of gallbladder without cholecystitis without obstruction.HKD 37,150
797.0%41M2 dPrivateLaparoscopic cholecystectomy.Calculus of gallbladder without cholecystitis without obstruction.HKD 48,000
897.0%42M2 dNon-PrivateLaparoscopic cholecystectomy.Calculus of gallbladder without cholecystitis without obstruction.HKD 30,000
997.0%48F2 dNon-PrivateLaparoscopic cholecystectomy.Calculus of gallbladder without cholecystitis without obstruction.HKD 35,000
1097.0%55F2 dNon-PrivateLaparoscopic cholecystectomy.Calculus of gallbladder without cholecystitis without obstruction.HKD 45,000