The first step toward managing this expense is understanding what goes on in the hospital’s billing department. Doctors who treated you may send their own separate bills, further complicating the payment process. The hospital bill, which arrives weeks later, may include seemingly inflated charges for things like Tylenol or an M.R.I. It is impossible to know how much the services will cost when you walk in the door. Emergency room bills are notoriously high and perplexing patients often are left feeling like captives who have few alternatives.
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