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  NY AG Secures Over $6.9 Million in Refunds from CityMD for New Yorkers Wrongfully Charged for COVID-19 Testing
  

  The following describes a government action that has been resolved by either a settlement or a decision by a court or administrative agency. If the matter is being appealed, it will be noted below.

  New York Attorney General Letitia James announced that on February 10, 2025, her office has secured over $6.9 million in refunds and $7 million in canceled debt from CityMD, a popular urgent care provider with over 140 locations in New York, for patients who were wrongfully billed for COVID-19 testing at the height of the pandemic. An Office of the Attorney General (OAG) investigation revealed that CityMD improperly billed its patients for COVID-19 tests, in some cases issuing bills up to two years after services were provided and even threatening to escalate overdue bills to debt collection. CityMD issued these bills despite knowledge of state and federal laws that protected patients from being billed for COVID-19 testing during the pandemic. As a result of OAG’s enforcement, CityMD has canceled more than $7 million in outstanding COVID-19 testing bills for over 87,000 patients and refunded nearly $7 million to over 215,000 patients who already paid.
  
  The OAG opened an investigation in October 2022 after receiving numerous complaints about CityMD charging patients for COVID-19 tests. The investigation revealed that between March 2020 and November 2022, CityMD billed and collected payment from thousands of New Yorkers for COVID-19 testing services, with many bills being issued nearly two years after the date of service. The OAG also found that CityMD continued this practice despite knowing that New York and federal law prohibited health plans from charging co-pays and deductibles for medically necessary COVID-19 testing and related services or visits during the public health emergency. 
  
  Based on CityMD’s website and assurances by staff at the time tests were performed, patients understood they would not face out-of-pocket costs for COVID-19 testing services. CityMD also did not include a clearly posted cash price for COVID-19 testing services on its website. Many patients who tried to report concerns or complaints regarding testing bills to CityMD found it difficult to get in contact with the company. When these patients were able to reach CityMD, the company often refused to amend previously issued COVID-19 testing bills. 
  
  As a result of the OAG investigation, CityMD has issued $6,910,986 in refunds to 215,819 patients and recalled $7,026,668 in outstanding medical bills for 87,334 patients. CityMD sent all impacted patients a letter via mail and email notifying them of the refunds and debt cancellations and posted notices of the refunds and cancellations on its website and social media. Moving forward, CityMD must ensure its COVID-19 test billing practices comply with the law, must provide transparent pricing for COVID-19 testing services on its website, and continue to cooperate with OAG to address any COVID-19 testing-related consumer complaints. CityMD will pay $95,000 in penalties to the State of New York and has agreed to pay an additional $5,000 per violation for any future violations or failure to implement the required programmatic updates. 

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