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HomeHealth and Safety CodeDiv. 107Pt. 2Ch. 2.5Art. 2§ 127460 Emergency Physician Charges Reimbursement

§ 127460 Emergency Physician Charges Reimbursement

Health and Safety Code·California
AI Summary·Official Text·Key Terms·Related Statutes·References
AI SummaryVerified

§ 127460 Emergency Physician Charges Reimbursement

Key Takeaways

  • •Emergency doctors can charge their usual prices, even if they sometimes give discounts to patients.
  • •Insurance companies can't pay less just because the doctor gave a discount to the patient.
  • •This rule applies to programs like Medi-Cal, Medicare, and workers' compensation.

Example

You go to the ER with a broken arm. The doctor charges $1,000 but gives you a $200 discount, so you pay $800.

Your insurance still has to pay the doctor as if the bill was $1,000, not $800. They can't pay less just because you got a discount.

AI-generated — May contain errors. Not legal advice. Always verify source.

Official Source
View on CA.gov

§ 127460 Emergency Physician Charges Reimbursement

Nothing in this article shall be construed to prohibit the emergency physician from uniformly imposing charges from its established charge schedule or published rates, nor shall this article preclude the recognition of an emergency physician’s established charge schedule or published rates for purposes of applying any payment limit, interim payment amount, or other payment calculation based upon an emergency physician’s rates or charges under the Medi-Cal program, the Medicare Program, workers’ compensation, or other federal, state, or local public program of health benefits. No health care service plan, insurer, or any other person shall reduce the amount it would otherwise reimburse a claim for emergency physician services because an emergency physician has waived, or will waive, collection of all or a portion of a patient’s bill for emergency physician services in accordance with the emergency physician’s discount payment policy, notwithstanding any contractual provision. (Added by Stats. 2010, Ch. 445, Sec. 4. (AB 1503) Effective January 1, 2011.)

Last verified: January 23, 2026

Key Terms

emergency physicianestablished charge schedulepublished ratesdiscount payment policy

Related Statutes

  • § 127462 Emergency Physician Charge Schedule Rules
  • § 127446 Federal Conflict Inoperative Requirement
  • § 127452 Emergency Physician Discount Payments
  • § 127456 Emergency Care Appeal Extension
  • § 127457 Patient Debt Collection Notice

References

  • Official text at leginfo.legislature.ca.gov
  • California Legislature. Health and Safety Code. Section 127460.
View Official Source