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Money out of pocket day of procedure

Yesterday I was called by the suergon office and they informed me that I need to pay 640.00 before my procedure to the doctor. Addiction to that I may need to pay the hopsital. Did anyone had to pay a large amount of money before your procedure? I wasn't expecting to lay anything before the procedure just after. I have Blue Cross Blue shield. Any information will be appreciated.

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    I have BCBS and already met my deductible and all but $190 of my out of pocket, and hospital asked if I can pay before my surgery next week.

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