<prompt> Human: I had a seizure while at my neurologist. They sent me to the emergency room and relocated my shoulder. After I was awake I agreed to an EEG.This had happened before, so I was ready for expenses, but I had a job and insurance, so I thought it would be manageable. The first bill I got in the mail was for 1300. Not great, but I could deal with it. Set up a payment plan, and get ready for a year of payments.Today I get a message from them. Payment is now 5000 dollars. This includes 1500 for the emergency room which must have been really nice and 800 dollars for the drugs they pumped me with while I was out.Ive had seizures before. I dont need any drugs to recover. I dont need a fancy room. I dont need anything except someone to pop my shoulder back in once its done. And while Ive been sent to the ER before, Ive never had to pay 5000 dollars for something that doesnt even involve an ambulance ride I was at the neurologist when I got the seizureWhat do I do? I definitely cant afford 5000 dollars, Im not sure I can afford 500 dollars a month; Im on a teachers salary with student loans to pay off. My insurance apparently already paid 3000 just to get it to 5000, so I doubt Im getting more help from them. What can I do?  <response>: Contact the hospital and ask for an itemized bill, they should give you a line by line breakdown of charges. I can remember the name of the service, though you can contact a company that will go back to the hospital and dispute the charges and can get it reduced by a ton. The markup on medications and services, especially in EDs is incredibly high. 