I went to UPMC for a consult and had arranged to have gamma knife there. However, the week before the procedure they sent me a letter saying that they would not write any letters to my insurance company on my behalf because it was the patients responsibility to negotiate coverage with their insurer. Like most of us, I get my coverage through work and have no power to negotiate or take my services else where. At $50,000 I thought they could write at least ONE letter on my behalf, but they said this was their policy. I cancelled and went to NYU where they took what my insurance company paid with only a small co-pay. Patient care is more than just good medical services. Make sure that where ever you go, you talk with them about the money!