I received a colonoscopy at their facility. The total cost of the procedure was around $8,000. This is 10 times the cost of the in office procedure that I had received 10 years earlier. The customer service on the day of the procedure was below average. What really stands out, however, is their horrible accounts payable procedures. The original balance for the facility fees was $3,304.40 for a two hour visit. I paid $887.40 of this on the day of the visit. After my insurer paid $2,155.24, there was a balance left of $261.76. I first became aware of this by being contacted by a collection agency, North American Credit Services. I am 63 years old, and have never before had a bill turned over to a collection agency. I had the agency send me a copy of the bill which was issued over a year after the procedure and had no reference to it. I called their billing office and left messages that were never returned. I sent letters to the credit agency and the Billing Manager for the hospital disputing the bill and asking for a reconciliation. Those letters were sent in March of 2014 and two months later I have received a complete statement from the collection agency.