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Understanding Physician Fees and Facility Fees

Some visits at Huntsville Hospital Health System hospital-based clinics or outpatient departments may result in two separate charges: a provider fee and a facility fee.

We know it can be confusing — and sometimes frustrating — to receive more than one statement for a single visit. These are not duplicate charges. They reflect two different parts of the care you received.

The physician fee covers the medical services provided by your physician, nurse practitioner, physician assistant or other provider. This includes the provider’s time, diagnosis, treatment plan and follow-up instructions.

The facility fee covers the hospital-based resources that support your visit and care. This may include nursing and support staff, medical equipment, supplies, technology, registration, security, clinic space and other operating costs required to make care available in a hospital-based setting.

This type of billing is common for hospital-based clinics and outpatient departments across the country. It may apply to certain specialty clinics, outpatient services or practices that are located on a hospital campus or operated as part of a hospital. A clinic can be hospital-based even if it is not inside the main hospital building.

Physician Fee

  • Physician or Provider services
  • Provider’s time and medical judgment
  • Diagnosis, treatment plan and follow-up instructions

Facility Fee

  • Nurses and support staff
  • Medical equipment and supplies
  • Electronic medical record systems and technology

As a nonprofit health system, HH Health reinvests these resources to support hospital-based outpatient care, including the staffing, equipment, safety and services needed to care for the communities we serve.

Depending on your insurance plan, these charges may appear as separate bills or separate Explanation of Benefits statements. Your insurance plan determines your final out-of-pocket cost, including any copay, coinsurance or deductible.