No Surprises Act
42 U.S.C. § 300gg-111
Blocks surprise balance billing for emergency care and many out-of-network services.
Medical bill analysis
Upload a medical bill. CareGap compares every charge against Medicare rates, matches the legal protections that apply to you, and drafts a dispute letter you can send.
No account needed · Not affiliated with any hospital or insurer
CareGap analysis
decodedER visit, moderate
ER visit, high complexity
CMS $405.20 · 7.9× over
Chest X-ray, 2 views
Routine venipuncture
CMS $8.76 · 21.3× over
The decode
This is a representative emergency-room bill. Step through what CareGap does with it.
Riverside General Medical Center
| CPT | Description | Charged |
|---|---|---|
| 99283 | ER visit, moderate complexity | $812.00 |
| 99284 | ER visit, high complexity | $3,200.00 |
| 71046 | Chest X-ray, 2 views | $219.00 |
| 36415 | Routine venipuncture | $187.00 |
| J1885 | Ketorolac 30mg IV | $13.00 |
Sample bill · name & facility fictional · codes and amounts representative
As billed
A hospital bill is written in the institution's language: CPT codes, abbreviations, a single balance due. Nothing here tells you which charges are fair and which aren't. That's the point of the format.
CareGap reads every line and compares it to what Medicare pays for the exact same code. Step forward to see what surfaces.
How it works
Snap a photo or drop a PDF. CareGap reads every line item, not just the total.
Each code is checked against 18,000+ Medicare benchmarks, and your bill is matched to the protections that apply.
Get a ready-to-send letter with exact amounts, statute citations, and a step-by-step action roadmap.
Legal leverage
CareGap matches your bill to the federal and state rules that limit what you can be charged, and cites them by statute in your letter.
42 U.S.C. § 300gg-111
Blocks surprise balance billing for emergency care and many out-of-network services.
26 U.S.C. § 501(r)
Nonprofit hospitals must offer financial assistance, and screen you for it.
15 U.S.C. § 1692 (FDCPA)
Limits how and when a collector can pursue a medical debt, and lets you demand validation.
45 CFR § 149.610
You can require a line-by-line statement with codes for every charge, free of cost.
45 CFR § 180
Hospitals must publish their standard and negotiated charges you can check against.
ERISA § 503 review
Cross-checks your bill against the insurer's Explanation of Benefits to catch double-charges.
Your data
A bill is sensitive. CareGap is built so you never have to trade your privacy to understand it.
No. There's no login and no email required to analyze a bill or generate a letter.
It's used to produce your analysis and letter. We never sell it, and we never share it with a hospital, insurer, or collector.
Only you. CareGap doesn't broker your information or run ads against it. That isn't our business model.
No. CareGap gives you information and leverage you act on yourself. It isn't a law firm, insurer, or medical provider.
18,000+
Medicare benchmark codes checked
Every line
item read, not just the total
Federal + state
protections matched to your bill
Minutes
to a letter you can send
Start here
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