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? 

New federal legislation requires hospitals that charge facility fees to report it to patients prior to receiving care, and as a result, we no longer maintain a list of providers that charge facility fees. To find out if you will be charged a facility fee for a service, you should call the provider directly and ask.

Download the info sheet, Understanding Facility Fees to learn more.

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