No Surprises Act Cost-Share (QPA-Based)
No Surprises Act Cost-Share (QPA-Based) - a deterministic tool in Sophie Well's Insurance & Patient Literacy group.
Open the No Surprises Act Cost-Share (QPA-Based) → Runs in your browser. No signup, no tracking.
What this is
No Surprises Act Cost-Share (QPA-Based) is one of 230 deterministic tools in Sophie Well's Insurance & Patient Literacy group. No Surprises Act Cost-Share (QPA-Based) - a deterministic tool in Sophie Well's Insurance & Patient Literacy group.
When to use it
Use this tool when you need a quick, citable reference. Every calculation runs entirely in your browser - no inputs leave your device, no account is required, no AI is involved. The site enforces a strict Content Security Policy and ships no analytics or third-party CDN.
References
No Surprises Act (PHS Act §2799A-1/§2799A-2; 45 CFR Part 149): for protected out-of-network emergency and certain ancillary services at in-network facilities, the patient cost-share is computed as if in-network off the QPA, and balance billing is prohibited. Read the source ↗
Worked example: Protected emergency: patient cost-share $160.00 (20% of the $800.00 QPA); plan pays $640.00; $200.00 balance bill prohibited.
Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.