<prompt> Human: My wife had a baby last year. We hired a midwife to do the work. Before we signed anything, we had the midwife go over the expected expenses so we could figure out whether or not we could afford her services. The charges she presented and the payment plan were both acceptable to us, and we signed off on that plan and paid for everything ahead of time. She mentioned that there might be some things not covered by insurance, but that it shouldnt be anything huge.The baby comes, and two months later we get a bill for 1100. She billed for the services we agreed upon, but added 2400 in facility charges for using her delivery center for both mother and baby. We had planned on using the delivery center from day one, and made that very very clear to her. I called the office billing manager and while she could not find any paper with our signature on it okaying that facility charge there are docs with agreed charges that we did sign - down to the penny, she did not relent. It boiled down to The practitioner has the right to add services as needed to her cost. There is no way she did not know that the wife and baby would be at her facility. This strikes me as very, very dishonest. As in, she concealed these costs before we signed anything. Do I have any recourse? As seen above, I called the billing manager and expressed my thoughts as such.I am in Texas, if that makes any difference.  <response>: I had a similar thing happen after a surgery. Long story short, they wanted to quadruple my out of pocket costs. I held out on them for about 6 months with what wed agreed upon in escrow and they eventually took that as complete payment. You dont have quite that leverage, but it is an example of a provider relenting, so if they tell you they cant its bullshit. 