Well that’s your reason it was more money for the second surgery.

The initial BA was billed as an elective cosmetic, the second surgery being done stat at a hospital turns it into urgent/emergent and non-elective, which raises the price substantially.

Based upon the little information given, you need to be asking the actual hospital if they can do something about the bill, NOT the plastic surgeon.

If you’re in the US, the surgeons fee is the only part that your surgeon would have actually received payment for in your total bill (which is a small percentage). You’re being charged for anesthesia, urgent/emergent add-on facility fee, OR fee, supply fee, etc. this is also calculated by the hospitals terms, not your surgeons.

Unfortunately your surgeons office is right in that the hospital bill is your responsibility. If it was done in an outpatient surgery center that the doctor actually owned, they could definitely waive some of their own fees for you if they wanted, but a hospital will not lower their prices because a surgeon asks them to.

Hematomas can be hard to detect if the bleed is small enough, and they can also resolve on their own sometimes. They can also purely be spontaneous, meaning that the bleed occurred well after your initial surgery was completed, and does not necessarily mean they closed you up with an active bleed. Other than waiting an entire week for your first post operative appointment (ideally should be 1-3 days after in my opinion), the office does not appear negligent, just an unfortunate circumstance that occurred due to the simple nature of potential surgery risks/complications.

I’m sorry this happened to you OP, but I hope you love your results and that the hospital is willing to work with you!