I am beyond disappointed with this office. I have no insurance and each time I made an appointment I was very clear on confirming what I would owe, When you come in first you fill out pages of forms. As most people do I read over quickly and signed. I reiterated with the front desk upon booking the totals I would owe. Not once did the staff member mention that anytime they do test (after I just made a payment) and they send out info that I should expect a separate bill (one would assume that all of that is included in the initial payment). When I went for blood work I understood I would pay upon arrival. Be hit with a 545.00 bill unexpectedly is unfair. Even if you put in writing among all the forms I signed your staff should reiterate and state "be aware that there are other fees. If your front desk person doesn't then the Dr. who is asking what test you want run should say, "by the way, I am sending this to a outside lab and they will be billing you direct."