Avoiding Facility Fees 

Did you know that where you see your doctor can impact the fees you pay for your visit? Learn more about facility fees below. 

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What is a facility fee? 

A facility fee is a charge you may be required to pay if you see a doctor at a clinic they don’t own themselves. These fees are often charged at clinics owned by hospitals to cover the cost of maintaining the facility. They can range from $15 to hundreds of dollars and are charged on top of the fee for seeing the doctor.

Are facility fees covered by my insurance? 

Many insurance plans do not cover facility fees — or only cover a portion. You may have a separate deductible for the facility fee as well. (If you’re not sure how your plan covers facility fees, speak with your benefits administrator.) 

What can you do to avoid facility fees? 

Here are a few steps you can take: 

  • Search a provider using our Find a Doctor tool; you’ll see a message if the facility is known to charge a fee.
  • When you make an appointment, ask if you will be charged a facility fee.
  • If a facility charges a facility fee that you’d like to avoid, ask the doctor if they see patients at a different facility that doesn’t charge facility fees.
  • Download the whitepaper, Understanding Facility Fees to learn more.
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Questions about facility fees?

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