I was patient here for years, and really wanted to continue as i appreciated the idea of being more in control of my lady services & such. I have had billing issues for years, which have always gotten resolved with much work on my part and stress. I did not expect to deal with utter dishonesty & billing issues after i lost my pregnancy. When i came in i was told they needed a urine sample for a pregnancy test & that was all it would be used for . I was then told i could see the other doc there for a better sono to determine what was going on. The midwife said she wouldn't charge me for her visit as i had an HSA, i would just get charged for the sono. Well, i had my urine sent out for testing to the tune of $250 without my knowledge or consent & Cleveland Clinic told me too bad. I was also billed for the midwife visit even though i was told i wouldnt be. Being called a liar after losing my pregnancy about what happened at the visit was the last straw. I advise you to avoid them at all costs if you value integrity and no billing issues. I did like the midwife, but dealing with all the rest has been one of the worst experiences of my life and i would wish it on no one else.