This review reflects their billing department and not the medical care received, I had a life threatening blood infection from the bite of a mosquito, The hospital did a good job of diagnosing the problem. I was in their hospital approximately 4 hours before being transferred to an In-Network hospital. I was hospitalized at JCL Hospital from 11/24/15 until 12/31/15. I received my first bill from the Mayo E.R. visit on 1/18/2016. My 4 hours in the E.R. cost me $9,138.92. I called the billing department and they adjusted my payment based on the fact that I would be paying cash to $4227.94 because insurance company classified Mayo as out of network so the entire amount went into my out of network deductible of $12,000. I started making payments of a $100 a month while I worked an appeal thru my insurance that the E.R. visit was life threatening and should be covered in-network. In the mean time, I made payments as agreed to Mayo clinic. In late April I won my appeal and my insurance company agreed to pay $7000 plus against my $4000 balance. Remember now, I had made payments on the negotiated amount and have statements to show what Mayo Clinic said was my complete balance. In fact they were threatening for collection activity unless I pad the $4000 by May 31, 2016, which by the way was illegal also once a monthly payment plan had been established. When Mayo Clinic received the payments from my insurance company, they adjusted up my account from the negotiated amount and even though they received $3,000 plus more than what they agreed to, they say now I owe them $2,000. What a racket, fraud , and just downright dishonest. My $4000 balance went to $9138.92 and they did not even credit the payments received in the interim. Mayo Clinic insists that what they did was legal and happens all the time. We will see and I will update yelp followers on what the Attorney General and Department of Insurance has to say when it is all settled. In the mean time, I recommend using another E.R. hospital if at all possible. Look at the numbers $9000 plus for 4 hours, I think medical costs are way out of hand in our country, but that is another story for another day.