PROSPERITYGlobal

Healthcare providers must give binding cost estimates before treatment

by NormiaJanuary 19, 2026

The Problem

64% of Americans have delayed or forgone care out of fear of surprise bills. 68% don't know what a treatment costs until months later. One in five Americans has medical debt in collections. You wouldn't buy a car without knowing the price - why should healthcare be different?

The Standard

Healthcare providers must give binding cost estimates before non-emergency procedures. No surprise bills from out-of-network providers at in-network facilities. Patients have a right to know costs upfront.

Where It Exists

The No Surprises Act (2021) protects against balance billing from out-of-network providers. Hospitals must publish pricing online. California requires good faith estimates and prohibits charging uninsured patients more than the lowest negotiated rate.

healthcaretransparencycostsconsumer-rights

Pros & Cons

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Where It Exists

Places where similar policies have been implemented or proposed

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Make It Happen

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