<prompt> Human: My wifes pain management doctor has a Facilities Fee for some procedures, such as spinal injections. This Facilities Fee is usually 500, completely out of pocket, and required IN ADDITION TO whatever they bill the insurance for.Is this right? I know Free Enterprise, Go Elsewhere Murica...but this seems really bizarre to bypass insurance on fees like this.  <response>: Ask your insurance company. They may be violating their terms with the insurer. 