Connecticut consumers were billed for more than $1 billion in facility fees for outpatient services in 2015 and 2016, documents filed with the state Office of Health Care Access (OHCA) show. Twenty-two of Connecticut’s 30 hospitals charged these fees, bringing in $600.7 million in 2015 and another $488.8 million in 2016, according to an analysis by Conn. Health I-Team. The state’s two largest hospital systems, Yale New Haven Health and Hartford HealthCare, accounted for almost half of the total facility fee revenue in 2016. Yale and its four hospitals billed $144.3 million; Hartford and its five hospitals, $80.9 million.
Patients billed for a facility fee for outpatient hospital services will get a clearer explanation of the charge, under legislation taking effect Friday. Connecticut has taken various steps to educate patients about the fees. The latest changes, passed this year as part of a broader health care bill, put further mandates on institutions that charge the fees. Patients have complained they were blindsided by the fees on their medical bills, and patient advocates say the fees are difficult to understand. A facility fee is charged by a hospital or health system for outpatient services provided in a hospital facility, intended specifically to compensate the facility for operational expenses.