re: Will an unpaid hospital bill hurt my credit score?

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Exactly the same thing. Great job.

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You don't like people assuming you wanted a service that cost money, without them actually asking you if you'd like that service?

As i said before, nurses and doctors operate as if everything is free so they give you shite and do shite without telling you it's costs and then hit you with a bill after.
If you had told me this test was going to cost money outside of my copay, or this x-ray would be extra, maybe i wouldn't have done it. Let me decide what happens based on financial decisions, don't just assume i want to do everything you recommend regardless of costs.