I went to the Smoke Ranch location. I should have run the other way when the check-in receptionist asked me if I wanted to pay up front or be billed. I have insurance so I asked how much. I was told about $150 so I said "bill me." So far I've paid them around $300 and I may be on the hook for another $800. Not bad considering I have a $20 co-pay. The insurance billing says I saw a Dr. Bhuvana P. Kittusamy but I never saw this person, just some nurses and technicians. My bad I guess but you can be sure I'll never agree to any other medical procedure until I know exactly how much it's going to cost me up front and in writing. I feel ripped off by this place and by my doctor.