Built by someone who lives it
DermEstimator was created by Juhi Mirchandani, whose dermatology operations experience spans medical assistant, clinical coordinator, biller, and office manager roles. She built the tool around the practical work of gathering procedure codes, payer rates, and patient benefit information for a cost estimate.
The front desk shouldn't need a billing degree
Every day, front desk staff at dermatology practices face the same impossible question: "What will this cost me?" The honest answer requires understanding the patient's deductible balance, their co-insurance percentage, the practice's contracted rates with that specific payer, and how Medicare's multiple procedure rules apply when more than one procedure is planned. Most front desk staff have none of this information in one place — and no tool to pull it together in under a minute.
Written Good Faith Estimates (GFEs) are an important part of the No Surprises Act workflow for uninsured and self-pay patients. DermEstimator helps prepare these documents; each practice remains responsible for reviewing the information, timing, and requirements that apply to its patients.
The existing workarounds — aging Excel sheets, calling the billing department mid-check-in, asking patients to figure it out through their insurance portal — all fail in the same way. They're slow, inconsistent, and often wrong. A spreadsheet that was accurate six months ago may be missing updated contracted rates. A billing department call that takes five minutes creates a line at check-in. And asking patients to "check with their insurance" is exactly the kind of non-answer that erodes the trust practices spend years building.
Dermatology has unique billing complexity
Dermatology estimates can involve several planned procedures, add-on codes, multiple procedure adjustments, and different payer rates. The team also needs to distinguish planned services from services that may change during treatment. DermEstimator brings dermatology codes and fee schedules into one estimating workflow, while leaving coding review and payer-specific decisions with the practice.
What we built
DermEstimator uses the 2026 Medicare Physician Fee Schedule (MPFS), applies multiple procedure payment rules, handles Mohs add-on codes (17312, 17314), and generates Good Faith Estimate documents. Your team reviews the inputs and estimated amounts before sharing them with patients.
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525+ dermatology CPT codes preloaded — a specialty-focused starting point for common dermatology estimating workflows.
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All 109 Medicare localities supported — GPCI-adjusted rates with ZIP code auto-detection ensure your practice uses the correct local fee schedule.
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Good Faith Estimate generation included — NSA-compliant GFEs generated in one click, pre-populated from the estimate. No re-entry, no template hunting.
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Custom payer rate support — store your contracted rates as a percentage of MPFS or upload a flat-dollar CSV fee schedule. Review the configured rates before use.
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Plans based on your users — Derm Basic is $30/user/month, best for 1 user. Derm Pro is $50/month with unlimited users and AI coding assistance, the best value for 2+ users. No per-estimate fees or long-term contracts.
Try DermEstimator free for 7 days
No credit card required. Plans from $30/month after trial.
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Questions, feedback, or partnership inquiries: support@dermestimator.com