The prevalence of fees varies by state:

In Ohio and Maine, facility fees are tacked onto roughly four of every five bills sent to each state's largest insurer for heart-disease screening, according to data compiled for the Journal by Elevance Health, the parent company of a major health insurer.
By contrast, Indiana banned the fees at clinics located off hospital campuses for the largest nonprofit health systems, starting next year.
Some states prohibit fees for telehealth or preventive care.
Others require hospitals to notify patients of fees before Under a new state law, Colorado hospitals will have to disclose facility fees starting in July.

Related: Rising emergency room costs point to facility fees

Lawmakers have proposed limiting fees covered by Medicare, which advisors to the federal insurer have unanimously recommended. Under a bill passed by the House in December, Medicare no longer would pay hospital facility fees for chemotherapy and other drugs infused by doctors in clinics off a hospital campus, saving about $3.7 billion over 10 years. The American Hospital Association opposes limiting the fees, saying restrictions would cut revenue to hospitals already squeezed financially by high labor costs and inflation.

Instant Insights /

States crack down on hospital 'facility fees' for routine care, like colonoscopies

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