Wristband

Fair Prices — know the full cost before you agree to care. Fair Notes — read and contribute to your own medical record (learn more). Fair Recording — record or request a recording of your own visit (learn more). Fast Help — emergency response as close to 90 seconds as we can get, with Neighbor 911 (learn more).

PIGH breaks every medical bill into its four parts — Patient, Insurance, Government, Healthcare — so you can see who really pays what. Asking for “the PIGH Price” means asking for the full, all-in cost of your care, up front, before you agree to it.

Healthcare is the only industry where you’re expected to agree to buy before anyone tells you the price. That opacity drives surprise bills, medical debt, and people skipping care they need. When patients can see prices, they can plan, compare, and push back — and the whole system is pressured to compete on honesty.

You’re not powerless. Federal rules — the Hospital Price Transparency Rule and the No Surprises Act — already require hospitals to post prices and protect you from many surprise bills. Ask for a written, itemized good-faith estimate, ask for it in advance, and keep it in writing. If they refuse, that refusal is worth documenting — and sharing with us through our story form.

We believe you should. Fair Prices includes the right to easily see every diagnostic and billing code (ICD, CPT/HCPCS) for your planned, completed, and future-planned care — and to export them in a standard, portable format. Codes are what make price-shopping possible: with them, you (or a third-party price-comparison service) can compare the exact services across providers and systems in your area. More on Fair Prices.

Because every other purchase already is — and because the price should hit while you can still do something about it. Today a charge can take weeks or months to reach you: entered as a code, batched at discharge, then wrangled to insurance and back over 30, 60, or 90 days. Fair Prices means real-time billing: the instant a code is entered, the charge is priced and posted — within seconds, per service. The point is immediate sticker shock, so you can make a different choice at the point of care instead of being extorted after the fact. Bill instantly at the likely or maximum expected price; insurers can rapidly negotiate it down or settle disputes later — the months-long limbo is what ends. More on Fair Prices.

Because a band on your wrist is the fastest way to make your wishes unmistakable. We want every hospital and facility to offer a Patient Rights Now Safety Orange wristband at admission, coded to real-time pricing transparency. It tells every nurse and doctor, at a glance, that you want price quotes read from your record in real time — adjusted automatically through API calls to your insurance for your actual coverage, deductible, and copay. Your choice, on your wrist. More on Fair Prices.

Open notes mean you can read the clinical notes in your own record — a right U.S. law now protects under the 21st Century Cures Act. Bidirectional means it should be a two-way street, and easy: you should be able to review every note from a visit before you leave the clinic, and respond with a correction or insight in one step, right inside the patient portal — not through a faxed form or a fresh PDF built to discourage feedback. We push for that. Read more about Fair Notes.

Today it depends on where you are — many states let you record any conversation you're part of; some require everyone's consent, and facilities set their own rules. But here's our position: it shouldn't depend on any of that. We believe recording your own care is the patient's right and the patient's choice alone — not the doctor's, not the facility's — for greater understanding and quality assurance, and no patient should ever be denied care for recording. Until the law everywhere reflects that, know your state's rules (this isn't legal advice). More on Fair Recording.

Fair care doesn’t start at the hospital — it starts the moment something goes wrong. In coordination with Neighbor 911, we push emergency response as close to 90 seconds as possible by alerting trained neighbors who can help in the critical first minutes, before EMS arrives. See how it works.

In two ways. It’s a cue for you — a reminder to ask for the PIGH Price, your notes, and a recording before any care. And it’s a signal to everyone around you that these expectations are becoming normal. Movements become real when they’re visible, and every wrist makes the next person’s ask easier.

It’s strictly nonpartisan — knowing what you’ll pay, reading your own chart, recording your own care, and getting help fast are things every patient wants. To get involved: wear the band, ask the questions at your next visit, and share your story — good or bad — so we can document where rights are honored and where they’re denied.