Alot of Hospitals charge extra if they know you have insurance. If you decide just to pay the $1 a month @ least try to get the total amount due lowered. For example when my Significant Other went into the emergency for metal in his eye the hospital had just used his prior account information. But this time when he went into the emergency room he didn't have insurance anymore. He called and told them that & they told him his bill would be lower because he didn't have insurance. And it was. I still have to agree with the others---you were given the go ahead, and you had co-morbities. It sounds like they get to eat their mistake.