Cost Estimate
Primary Insurance: Blue Cross Blue Shield of Illinois
Services: ABA Eval, ABA Eval Write Up, ABA Eval Write Up, ABA Eval Write Up, ABA - Parent Training, ABA - Supervision, RBT - Direct
This is only an estimate. It is meant to be generally informative but it is not 100% accurate. While we attempt to use historic data, we do not know exactly how appointments will be processed by your insurance. Estimates do not include the impact of healthcare received outside Westside.
Cost Estimate
Total Cost: $2,500 — Click here to view the total cost distribution
Monthly Cost: $277.78 — Click here to view the monthly cost distribution
Weekly Cost: $75.76 — Click here to view the weekly cost distribution
| Amount Paid | Cumulative Amount Paid | Dates | Charges Billed | Co-Pay Payments | Deductible Payments | Family Deductible Remaining | Individual Deductible Remaining | Co-Insurance Payments | OOP Family Remaining | OOP Individual Remaining |
|---|---|---|---|---|---|---|---|---|---|---|
| $2,500 | $1,000 | $4,500 | $2,500 | |||||||
| $264.32 | $264.32 | 05/11/2026 - 05/17/2026 | $264.32 | $0 | $264.32 | $2,235.68 | $735.68 | $0 | $4,235.68 | $2,235.68 |
| $264.32 | $528.64 | 05/18/2026 - 05/24/2026 | $264.32 | $0 | $264.32 | $1,971.36 | $471.36 | $0 | $3,971.36 | $1,971.36 |
| $0 | $528.64 | 05/25/2026 - 05/31/2026 | $0 | $0 | $0 | $1,971.36 | $471.36 | $0 | $3,971.36 | $1,971.36 |
| $0 | $528.64 | 06/01/2026 - 06/07/2026 | $0 | $0 | $0 | $1,971.36 | $471.36 | $0 | $3,971.36 | $1,971.36 |
| $561.45 | $1,090.09 | 06/08/2026 - 06/14/2026 | $1,372.29 | $0 | $471.36 | $599.07 | MET | $90.09 | $3,409.91 | $1,409.91 |
| $137.23 | $1,227.32 | 06/15/2026 - 06/21/2026 | $1,372.29 | $0 | $0 | MET | MET | $137.23 | $3,272.68 | $1,272.68 |
| $139.66 | $1,366.98 | 06/22/2026 - 06/28/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $3,133.02 | $1,133.02 |
| $139.66 | $1,506.63 | 06/29/2026 - 07/05/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,993.37 | $993.37 |
| $139.66 | $1,646.29 | 07/06/2026 - 07/12/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,853.71 | $853.71 |
| $139.66 | $1,785.95 | 07/13/2026 - 07/19/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,714.05 | $714.05 |
| $139.66 | $1,925.60 | 07/20/2026 - 07/26/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,574.40 | $574.40 |
| $139.66 | $2,065.26 | 07/27/2026 - 08/02/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,434.74 | $434.74 |
| $139.66 | $2,204.91 | 08/03/2026 - 08/09/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,295.09 | $295.09 |
| $139.66 | $2,344.57 | 08/10/2026 - 08/16/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,155.43 | $155.43 |
| $139.66 | $2,484.23 | 08/17/2026 - 08/23/2026 | $1,396.56 | $0 | $0 | MET | MET | $139.66 | $2,015.77 | $15.77 |
| $15.77 | $2,500 | 08/24/2026 - 08/30/2026 | $1,396.56 | $0 | $0 | MET | MET | $15.77 | $2,000 | MET |
| $0 | $2,500 | 08/31/2026 - 09/06/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 09/07/2026 - 09/13/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 09/14/2026 - 09/20/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 09/21/2026 - 09/27/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 09/28/2026 - 10/04/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 10/05/2026 - 10/11/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 10/12/2026 - 10/18/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 10/19/2026 - 10/25/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 10/26/2026 - 11/01/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 11/02/2026 - 11/08/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 11/09/2026 - 11/15/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 11/16/2026 - 11/22/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 11/23/2026 - 11/29/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 11/30/2026 - 12/06/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 12/07/2026 - 12/13/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 12/14/2026 - 12/20/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |
| $0 | $2,500 | 12/21/2026 - 12/27/2026 | $1,396.56 | $0 | $0 | MET | MET | $0 | $2,000 | MET |