<prompt> Human: I specifically asked them the total cost and they said 89 so I paid it at the front window. The nurse swabs my nose and throat and tells me its not strep or flu. None of the paperwork I filled out and signed mentioned additional costs. Can I dispute it or something?  <response>: Its simple - call them and let them know what happened. Make sure you mention that you dont have insurance and you asked the provider what the out of pocket cost is, and they said 89. You should be able to get that cleared.The reason you were charged so much was because doctors offices have to bill insurance companies huge amounts since insurance companies typically only pay 10-20 of whatever they are billed.The new patient fee may be something that you have to pay for or not. Not sure about that. 