Codman Square Health Center in Dorchester, Massachusetts. Photo by Joe Raedle/Getty Images

Patients are getting blindsided by "facility fees" in their hospital bills, a controversial charge that some medical facilities defend as necessary for additional income.

The state of play: Hospitals argue that facility fees help with overhead costs so that care can be provided to sick patients 24/7, all year-round.

  • The Health Care Cost Institute found that facility fee charges nearly doubled from 2009 to 2016, outpacing overall health spending four times over, NPR reports.
  • Hospitals are not legally obligated to give patients a heads up, though some are trying to be more transparent.

Driving the news: In Detroit, a facility fee was responsible for more than half of an insured patient's bill after she had a benign cyst removed from her abdomen, Kaiser Health News reports.

The bottom line: Ultimately, bills come out higher than patients budget for. Critics have called these fees a tax on sick people and argue that there's no formula for pricing.

Go deeper: Hospital lawsuits unearth "cracks in our system"

Go deeper

Louisville police declare state of emergency as Breonna Taylor decision looms

A demonstrator holds up a sign of Breonna Taylor during a protest in Louisville, Kentucky. Photo: Brandon Bell/Getty Images

The Louisville police chief declared in a memo obtained by news outlets a "state of emergency" for the department on Monday to prepare for Kentucky Attorney General Daniel Cameron's expected announcement on the Breonna Taylor case.

Of note: Louisville has witnessed more than 115 days of protests over the police killing of Taylor, an unarmed Black woman, with calls for all the officers involved to be charged.

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9 p.m. ET: 31,1833,800 — Total deaths: 962,793— Total recoveries: 21,348,410Map.
  2. U.S.: Total confirmed cases as of 9 p.m. ET: 6,833,800 — Total deaths: 199,818 — Total recoveries: 2,615,949 — Total tests: 95,841,281Map.
  3. Health: CDC says it mistakenly published guidance about COVID-19 spreading through air.
  4. Media: Conservative blogger who spread COVID-19 misinformation worked for Fauci's agency.
  5. Politics: House Democrats file legislation to fund government through Dec. 11.
  6. World: U.K. upgrades COVID alert level as Europe sees worrying rise in infections — "The Wake-Up Call" warns the West about the consequences of mishandling a pandemic.

Sen. Cory Gardner on vacant Supreme Court seat: "I will vote to confirm"

Photo: Alex Wong/Getty Images

Sen. Cory Gardner (R-Colo.) will vote to confirm President Trump's nominee to replace the late Ruth Bader Ginsburg, he announced in a statement Monday.

Why it matters: The development is a win for President Trump and Senate Majority Leader Mitch McConnell (R-Ky.). It should mean Republicans are all but assured to have enough support to hold hearings for Trump's potential nominee.

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