Your Healthcare Rights

Federal and state laws protect you from surprise bills, hidden charges, and unfair billing practices. Here's what you're entitled to — and how to use it.

No Surprises Act

Effective January 2022, this federal law protects you from unexpected out-of-network charges in emergency situations and at in-network facilities.

  • Emergency services must be billed at in-network rates, regardless of provider
  • Out-of-network providers at in-network facilities can't balance bill you
  • Air ambulance services by out-of-network providers are covered
  • You can dispute charges through an independent dispute resolution process
Learn more at CMS.gov →

Right to Good Faith Estimates

If you're uninsured or self-pay, healthcare providers must give you an upfront cost estimate before scheduled services.

  • Must be provided within 1–3 business days of scheduling
  • Must include all expected charges (facility, provider, labs, etc.)
  • If the final bill exceeds the estimate by $400+, you can dispute it
  • You can request one even if you have insurance (best practice)
Upload a bill for review →

Right to Itemized Bills

You have the right to request a detailed, line-by-line breakdown of every charge on your medical bill. Don't settle for a summary.

  • Request shows individual charges with CPT/HCPCS codes
  • Helps identify duplicate charges, upcoding, and billing errors
  • Hospitals must provide within 30 days of your request
  • Essential for comparing charges against fair market rates
Compare your charges to fair prices →

Hospital Financial Assistance

Most nonprofit hospitals are required to offer financial assistance programs. Under IRS Section 501(r) and the Hill-Burton Act, you may qualify for free or reduced-cost care.

  • 501(r) requires nonprofit hospitals to have a written financial assistance policy
  • Income-based — typically available up to 200–400% of federal poverty level
  • Hill-Burton facilities must provide free/reduced care even after treatment
  • Can reduce or eliminate outstanding balances — ask the billing department
Find Hill-Burton facilities →

Balance Billing Protections

Balance billing (or "surprise billing") happens when an out-of-network provider bills you for the difference between their charge and what insurance paid. Federal and state laws limit this.

  • Banned for emergency services under the No Surprises Act
  • Banned for ancillary services at in-network facilities (anesthesia, radiology, etc.)
  • Many states have additional protections beyond federal law
  • Providers must give you a written consent notice before billing out-of-network
Check if your provider is in-network →

Right to Price Transparency

Since January 2021, hospitals must publicly post their negotiated rates for all services. Since July 2022, insurers must do the same. This is the data Taven uses.

  • CMS Hospital Price Transparency Rule — machine-readable files required
  • Transparency in Coverage Rule — insurer rate data publicly available
  • Non-compliant hospitals face penalties up to $2M/year
  • Taven indexes data from 11,322 sites of care (hospitals & surgery centers) to make it actually usable
Compare prices across hospitals →

Your state may offer even more protection.

Many states have enacted their own surprise billing laws, price transparency requirements, and patient protection rules that go beyond federal minimums. Check your state for details.

Put your rights to work.

Knowing your rights is the first step. Taven's tools help you exercise them — compare prices before care, and review bills after.

Know what you owe. Pay what's fair.

Compare prices across 11,322 sites of care (hospitals & surgery centers), review your bills line by line, and exercise your rights with confidence.

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