No Surprises Act

A federal law effective January 2022 that bars surprise balance billing for emergency care and for out-of-network clinicians at in-network hospitals.

Why this matters to you

Before this law, you could choose an in-network hospital and still receive a large bill because the anaesthetist or radiologist who treated you was not in your network. Now, for emergency care and most non-emergency care at an in-network facility, you owe only your normal in-network cost sharing. If you get a surprise bill anyway, it may be unlawful — do not simply pay it.

Official source

The authoritative definition and current rules are published here:

Read it at www.cms.gov

Rules and figures change. Where this page and the official source disagree, the official source is correct — and we would like to know, so please tell us.

Important: hospiguide.org is an independent informational resource. It is not affiliated with, endorsed by, or connected to the Centers for Medicare & Medicaid Services (CMS), the U.S. Department of Health and Human Services, or Medicare. This site does not provide medical advice and should not be used to decide whether to seek or delay care — talk to a clinician about your situation. Quality measures come from CMS public datasets, released August 13, 2026, and reflect care delivered during earlier reporting periods, so they may not describe a hospital as it operates today. Always verify details at Medicare.gov Care Compare or by calling 1-800-MEDICARE (1-800-633-4227).