Radiology groups push back on WSJ report accusing them of gaming No Surprises Act

Radiology groups refute WSJ claims of gaming No Surprises Act, citing insurers' below-market qualifying payment amount offers; median radiology award was 398% of QPA in Q4 2025.

• Radiology accounted for 15% of payment determinations in H2 2025, with Radiology Partners initiating nearly 70,000 disputes (5% of total).
• Insurers’ qualifying payment amounts often fall below market; for example, Blue Cross Blue Shield of Texas’s QPA was 21% below prior contracted rates, at the 35th–42nd percentile of published rates.
• Total No Surprises Act arbitration payments reached $14.85 billion in 2025, more than triple the 2024 total, per CMS.

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