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Hospital outpatient departments can add facility charges

The same service can cost different amounts depending on where you get it. In a hospital outpatient department, there may be facility charges in addition to the doctor’s fee. In some cases, a stand-alone clinic can be less expensive for the same test.

Why it Matters

This can quietly increase out-of-pocket costs—especially for imaging, procedures, and therapy.

Action Steps
  • Ask: “Is this being done in a hospital outpatient setting?”

  • Ask: “Is there a lower-cost location that’s still in-network?”

  • Ask your plan if the location changes your copay/coinsurance.

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Medicare for Men is not affiliated with or endorsed by the U.S. government, Medicare, CMS, or HHS.
Educational only — not medical, legal, or financial advice, and not a guarantee of coverage. For guidance, see Medicare.gov/SHIP, your plan documents, and your doctor.
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