On January 5th, 2019 I received a cash pay discount of 20% on my surgery. It was supposed to be 3,700 but they said if I wanted to pay cash upfront it was 2,950. For a discount like that, of course I paid. Then Tennova didn't bill my procedure until end of Feb. Meanwhile my husband started allergy treatments. The allergist billed promptly and we were out of pocked 6,000 by the end of March. Our deductible is 3K. I got a 2,400 refund from Tennova in April because they finally setted up out bill and that was what was owed. In December Tennova sent me a bill for $1,700. They then adjusted it several more times and settled on me owing $550. After many calls I found out they removed over $500 of my discount because I was out of deductible by the time they billed and my new amount was lower. If I had known that could happen we would have made different choices and I NEVER would have given Tennova a $2,400 personal loan for almost 4 months.