There are medical fees: doctor nurse drug charges.
There are facility fees: rent, maintenance, EMR costs.
The facility fees are the overhead costs associated with the building and the systems involved in operating in the medical world. Its separate because of how contracts are written, especially after the installation of EMR systems, and their ongoing costs and requirements for CMS reporting.
Not a scam, just separating charges. . with all other commercial companies, the labor rate usually includes the burdened overhead rate. for hospital billing, its now broken out as the doctor and the facility fees are different vendors.
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