JAMA Network March 3, 2020
“Surprise bills” are medical bills from doctors, hospitals, or companies that are not covered by insurance (out of network). Insurance often pays out-of-network practitioners less than they charged. If they send a patient a bill for the amount that the insurance did not pay, this is considered a “balance bill” or “surprise bill.”
About 1 in 5 patients admitted to an in-network hospital or having elective surgery at an in-network hospital receives an out-of-network bill. For patients giving birth at an in-network hospital,...