Balance Billing

Cobro de saldo

Also: Facturación del saldo (regional variant)

In 9 languages

LanguageTerm
EnglishBalance Billing
Spanish (Español) Cobro de saldo
Chinese (中文) 差額收費
Korean (한국어) 잔액 청구
Vietnamese (Tiếng Việt) Hóa đơn số dư
Filipino (Tagalog) Balance billing
Portuguese (Português) Cobrança de saldo
Thai (ภาษาไทย) การเรียกเก็บเงินส่วนต่าง
Japanese (日本語) 差額請求

What it means

Balance billing happens when an out-of-network provider charges you the difference between what your insurer paid and the provider's full billed amount. For example, if a surgeon charges $5,000, your insurer pays $3,000, and the provider bills you the remaining $2,000 balance, that is balance billing. This can result in unexpectedly large bills. In-network providers typically cannot balance bill you because they have agreed to accept the insurer's allowed amount. Federal and state laws now limit balance billing in many situations, especially for emergency care.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

Am I protected from balance billing for this service?

¿Estoy protegido del cobro de saldo para este servicio?

I received a balance bill from an out-of-network provider — is this allowed?

Recibí un cobro de saldo de un proveedor fuera de la red — ¿está permitido?

Please explain why I am being billed beyond what my insurance paid.

Por favor explíqueme por qué me están cobrando más de lo que pagó mi seguro.

Where you'll see it

billEOBprovider statement

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026