New York · Anesthesiology
Dispute an anesthesiology at an in-network facility surprise bill in New York
Federal NSA protections apply when anesthesia is performed at an in-network facility, even if the anesthesiologist is out-of-network. In New York, additional state-level protections apply.
What the law says
New York's Surprise Bill Law (N.Y. Financial Services Law § 606 and N.Y. Public Health Law § 24) prohibits a non-participating provider from charging a patient more than the in-network cost-sharing amount for emergency services and surprise bills. This protection applies in addition to the federal No Surprises Act (42 U.S.C. § 300gg-111 et seq.).
- N.Y. Financial Services Law § 606
- N.Y. Public Health Law § 24
- 42 U.S.C. § 300gg-111 et seq. (No Surprises Act)
Your options
- Dispute the bill in writing before paying anything. The provider must respond and cannot send the bill to collections during the dispute.
- Notify your health insurer that an apparent NSA-protected service has been balance-billed. Ask them to adjudicate at the in-network cost-sharing amount.
- File a complaint with the federal No Surprises Help Desk at CMS if either party refuses to comply.
- If unresolved, you can invoke the patient-provider Independent Dispute Resolution (IDR) process for an external decision.
Other bill types in New York
- Emergency room services
- Lab or pathology at an in-network facility
- Radiology at an in-network facility
- Hospitalist services at an in-network facility
Anesthesiology bills in other states
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