You upload the bill. We handle everything else.
Take a photo of your bill or upload the PDF. Our AI cross-references every charge against millions of actual hospital negotiated rates.
Found savings? Sign a limited HIPAA release right on your phone. This lets us speak directly with the hospital's billing department.
Our advocates draft dispute letters, cite federal transparency laws, and negotiate directly. You only pay if we save you money.
Common billing problems that cost Americans billions every year.
Straight answers about fighting an unfair medical bill.
Upfronte is an AI-powered patient advocacy service that helps you fight unfair medical bills. You upload a photo or PDF of your bill, our AI agent checks each charge against real hospital pricing data, flags overcharges and billing errors in plain English, and the agent automatically negotiates the bill down on your behalf.
There is no upfront cost and no subscription. Upfronte works on contingency: you only pay if we actually save you money. The fee is 20% of the savings we recover for you, with a $49 minimum. If we find nothing or save you nothing, you pay nothing.
We compare every line item on your bill to the prices hospitals actually accept. Since 2021, federal law requires hospitals to publish the rates they negotiate with insurers in machine-readable files. Upfronte cross-references your charges against millions of these real negotiated rates to reveal markups, duplicate charges, and coding errors.
No. Upfronte is a patient advocacy and bill-analysis service. We are not a law firm and do not provide legal advice, and we are not a medical practice and do not provide medical advice. Our analysis is informational, and results do not guarantee a billing reduction.
A lot. Hospital gross charges routinely run 6–10× higher than the rates insurers actually pay for the same service. In one real example from a hospital’s own price file, a head CT scan (CPT 70450) was billed at $3,450 while the insurer-negotiated rate was just $218 — a 15.8× markup.
You can upload almost any hospital or provider bill as a photo or a multi-page PDF — itemized statements, summary bills, or balance-due notices. An itemized bill with CPT or procedure codes gives the most precise analysis, and Upfronte can also help you request an itemized bill if you only have a summary.
Join patients who have saved thousands by discovering what hospitals really charge insurance companies.
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Send us a message about a bill, a procedure, or anything else — we usually reply within a day.