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Re:Surgery estimated cost $1,300. Then the Bill Came: $229,000 by rowanG077 on Saturday May 21, 2022 @06:10PM (#31462434)
If you gave back a different form and the hospital doesn't bother to check it's their fault. Sending back amended contracts back to back during negotiations is completely normal.
Re:Surgery estimated cost $1,300. Then the Bill Came: $229,000 by resoluteteeth on Saturday May 21, 2022 @06:31PM (#31462642)
There is a difference between informing them you are modifying it or sending back a clearly edited version and stealthily modifying it in the hopes that they won't notice.

I don't think it's going to hold up if you surreptitiously modify it in bad faith.