The billing experience in healthcare, which is marked by information asymmetry between providers and patients, is a frequent source of frustration and service dissatisfaction for patients. Patients may experience delays in billing, unclear communication of billing-related information, and uncertainty about responsibility for charges, which may suggest poor hospital accountability. Further, nearly 40% of Americans indicate that they are confused by the billing process, 29% indicate they are unsure as to what they are billed for, and a total of 76% of respondents affirmed that one of six survey options for improvements to billing were desirable, while 24% indicated an unlisted solution may improve the billing experience. The contemporary billing experience is thus not only a source of frustration for patients, but also a potential source for a decrease in individual and public trust in healthcare services and therefore may compact extant individual avoidance of healthcare due to anxieties about costs.