Maksim Topchilo
25policy 001-169-215235/26 · expat EXP-003739 · Tbilisi, Georgia
Blockstep 5 of 9
Cost
step 5 of 9 · cost_analysis · 3:51 · action: fraud_queue · this step writes no status field
Block
What the treatment should have cost, against what was billed.
91% above estimateanchor relevance 0.98
109379
expected ~218case 416.59
Estimate
~218 USD range 109–379 USD
Episode
ep_medical_cito_jul medical branch · 2 item(s) priced together
Skipped for pricing
no item was skipped for pricing
Guardrail
median guardrail did not fire geo factor -0.2
Anchors · 8 selected from 15
| Case | What it covered | USD |
|---|---|---|
| case_0141_198004_1 | Cardiology consultation with ECG and echocardiography at a private Tbilisi clinic, same quarter. | 196.00 |
| case_0155_203118_2 | Palpitations workup including Holter monitoring and a lipid panel, comparable clinic tier. | 241.00 |
| case_0132_188742_1 | Same ICD-10 R00.0 presentation, consultation plus ECG only. | 172.00 |
How the estimate was reached
Composed by the run, not by this screen.
1 thing needs a humanthis panel appears on Manual and Block only
OVERPRICING_HIGHstep 5
Claimed far above estimate. Overpricing score 91, level high, action: fraud_queue. It does not reduce the amount — step 7 still computes on the actual bill. The question is this clinic's tariff, and Medical Center Cito is not in the benchmark set, so there is no prior for it specifically.
Step 5 decided
Block
Expected
~218 USD · range 109–379 · anchor relevance 0.98
Claimed
416.59 USD — 91% above estimate
Anchors
8 selected from 15 · geo factor −0.20 · median guardrail not fired