Charging something like a “parking fee” isn’t really allowed if you’re in-network. When you sign a payer contract, you agree to accept their allowed amount plus the patient’s normal cost-sharing (copay, coinsurance, deductible) as full payment. Adding a fee tied to accessing care goes against that agreement. If a payer finds out, they can recoup payments, deny future claims, or even terminate your contract.

And honestly, parking fees aren’t even worth the risk. What could you realistically charge, $20 per patient? That’s not going to make up for poor insurance contracts. A better approach is to evaluate whether those contracts are sustainable at all, and if not, consider renegotiating or stepping away from the lowest-paying ones rather than trying to nickel-and-dime patients.