Many errors creep into hospital billing, it's not right, but it's rarely malicious. Get an itemized copy of your bill and a copy of your medical records.Find someone who reads "medical" (EMT,Paramedic,LPN,RN,PA,NP,Doc, etc.)and ask them to review the record compared to the bill. If necessary pay someone to do this , you will likely come out ahead. A 50% reduction for cash is typical due to the "game" of billed charges vs. negotiated payments that insurers cause to occur. After you have the above info, schedule an appointment with whoever is in charge of billing/collections at your hospital to discuss payment. Don't talk to the tech at the window, they likely have NO ability to negotiate anything binding. If you run into resistance here, contact the Customer Service Rep (or whatever your hospital calls them)orgo directly to the Administrator or whatever your hospital calls them - titles at hospitals have gotten confusing and ridiculous anymore). When the deal is done, GET IT IN WRITING. Also when you have reviewed your chart & charges, especially if you find significant errors, talk to your Doc - He/She can be your best resource and ally. Most Docs are not enamored with most hospital administrations, especially when it comes to how they deal with patients.