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To my understanding they just give a paper now that you have to sign. It's an agreement that "they don't know the price yet because it's ER, and so they will tell you later"

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According to the sign, it is simply not possible to sign away one’s right not to be surprise-billed.

Also, I’ve seen ERs that have patients sign little digital signature pads without ever showing the patients the legalese in question. I don’t see how that could possibly hold up in court.

Hm, ok. I had an experience when signed something like I said, and then a couple of weeks later they charged 7x of what I expected as a fair price. Don't know how that was possible then.

It was higher that the price on the website, which they supposed to provide. But they didn't care as they explained the website is simply outdated.

They seem to still be able to make up whatever price they like, but if you have insurance you don’t need to pay more than the in-network rate.

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