Definition
An unexpected medical bill from an out-of-network provider that a patient did not choose, such as an out-of-network anesthesiologist at an in-network hospital. The No Surprises Act now protects patients from most surprise bills by limiting what they can be charged to in-network cost-sharing amounts.
Related Terms
- CPT Code
Current Procedural Terminology code — a standardized 5-digit numeric code used t...
- ICD-10 Code
International Classification of Diseases, 10th Revision — a standardized code sy...
- Allowed Amount
The maximum amount your insurance plan will pay for a covered service, based on ...
- Balance Billing
When an out-of-network provider bills you for the difference between their bille...
- Chargemaster
A hospital's comprehensive list of prices for every item and service, from aspir...
Understanding healthcare terminology helps you communicate more effectively with providers and make informed decisions about your care. Use our procedure cost database to find fair prices for any medical service.