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Ross needs to have a procedure done, and since he is over 65 he is on Medicare. Medicare says that according to their plan the allowed amount is 5 6 of what the doctors office charges. Of that allowed amount they will pay 3 4 and Ross will be out of pocket 1 4 . If the procedure costs $12,000, how much will Ross have to pay?
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if I understand this correctly (5/6) * 12,000 will give you the allowed amount. We are expected to pay 1/4 of the allowed amount so (5/6)*12000 * (1/4) will give you the paid amount upon simplification
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