Always always always challenge it. In the American medical system is that the first bill is a first position. Expect to negotiate down, even with insurance, by

Always always always challenge it. In the American medical system is that the first bill is a first position. Expect to negotiate down, even with insurance, by at least 20%. It’s time consuming, and confusing, and people will fob you off. But it’s necessary unless you want to get taken for a ride.