When Brittany Tesso's then-3-year-old son, Roman, needed an evaluation for speech therapy in 2021, his pediatrician referred him to Children's Hospital Colorado in Aurora. With in-person visits on hold due to the COVID-19 pandemic, the Tessos met with a panel of specialists via video chat.

The specialists, some of whom appeared to be calling from their homes, observed Roman speaking, playing with toys, and eating chicken nuggets. They asked about his diet.

Tesso thought the $676.86 bill she received for the one-hour session was pretty steep. When she got a second bill for $847.35, she assumed it was a mistake. Then she learned the second bill was for the costs of being seen in a hospital — the equipment, the medical records, and the support staff.

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