I am still working on medical issues. The surgeon wants to be paid before he does any work. I asked for an itemized bill so I can do some financial planning and they said they would send me a letter.  I found out that there are a variety of patient's bill of rights out on the web. Ohio does have a statute that requires hospitals to provide an estimate of customary charges. I asked the hospital for an itemized list and they said they would comply. This is slightly better than when my son was born. My biggest concern is that they are charging me the highest rates. I have no way of confirming my suspicion.