I was in a coma, on a vent, and was transported to an '' out of network facility ''. At the time, the only doctor that my physician could reach worked at a private hospital. They transported me there, did the surgery, and I lived. There was not another doctor qualified to do the surgery anywhere in our network at 9p.m. on a Friday night. The company I worked for was self insured, so my employer worked something out to pay the balance with BCBSG. This was 13 years ago, but I think I only paid about 5900 out pocket for the whole ordeal.