I have been coming here for awhile now and this was the first and last time I will have an issue as I will not be returning, neither will my kids. I have never had to pay for anything and have never been billed. I checked in just fine, my daughters began their exams. I opted to do the dilation since my insurance covers it and I was told the machine would not be covered. When it came to me, the lady told me the machine would be better for my type of exam because the picture would stay on file. I said ok because all overages that my insurance doesn't cover is paid out of a health savings account. All exams are finished and we are heading out the door only to be told I owe $75. Apparently I DO have a $40 copay and a $35 copay for use of the machine. None of this was told to me prior. I do not just have $75 laying around. I tried to ask for assistance, making payments or being billed to which the front desk lady said all copays were due at time of services with a cold voice. She didn't even look up at me. As if having my two young daughters there was not stressful enough, but now I have to find out how to pay the $75. Thanks a lot, and not thanks. I am glad the dr said none of us really need to come in anymore unless we notice a change in our sight because we will not be coming in. I was coming because it was free to me, all billed to insurance and health savings account. So now you are losing 3 patients and any potential referrals in the future.