These folks are criminals. You will be given a test that you did not ask for, was not told about ahead of time, is not covered by insurance, and charged for when you leave. The reasoning I was given is that the doctor feels like it should be given to protect THEM from claims of something getting missed. You can "opt out" for future visits (or if you just happen to know about this in advance). This type of behavior is rampant in the medical community and needs to stop. Any organization that performs a test without prior consent and/or authorization from the patient and then expects you to pay upon leaving needs to be held criminally responsible for theft and malpractice.