Research report

Study estimates $22.4 billion in costs associated with IDR

Source: Fierce Healthcare · August 26, 2026

Fierce Healthcare reports that Georgetown University researchers estimated $22.4 billion in costs associated with the No Surprises Act’s IDR process through the end of 2025.

Reported details

The reported estimate includes payments above in-network rates, administrative expenses, and IDR entity fees and costs. It is a research estimate, rather than a total of arbitration fees alone. The article includes responses from TeamHealth and Radiology Partners defending the arbitration framework and disputing the study’s interpretation of provider behavior.