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hospital wants out of pocket amount up front

I am scheduled for surgery on July 18th. Today I got a letter from the hospital that said they confirmed my benefits and expect I will have approximately $500 owed out of pocket. They want me to pay this now or at the time of registration. I have had many surgeries and have never had a hospital ask for money up front. Has anyone else been required to pay?

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I had to pay the dr. 700.00 up front and the hospital 1200.00 up front. That is what was left of my out of pocket.

i was self pay and had to pay the hospital $10,000 up front and $5,500 to the surgeon up front. . .

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