This is a state issue. Here in Texas, there have been numerous court opinions which limited liability of patients to what the provider would have received under a PPO contract. Many of these cases, much to the chagrin of the doctors / hospitals, have required that providers provide copies of all PPO schedules. Simple logic. If the provider is happy with a negotiated amount from the PPO, they should be happy with that amount from an individual. Federal solutions are never suitable for local issues.
This is a state issue. Here in Texas, there have been numerous court opinions which limited liability of patients to what the provider would have received under a PPO contract. Many of these cases, much to the chagrin of the doctors / hospitals, have required that providers provide copies of all PPO schedules. Simple logic. If the provider is happy with a negotiated amount from the PPO, they should be happy with that amount from an individual. Federal solutions are never suitable for local issues.