Heartland Regional Medical Center in St. Joseph, Mo., is changing its name to Mosaic Life Care. It was the focus of an NPR and ProPublica investigation into its billing practices. Steve Hebert for ProPublica hide caption

itoggle caption Steve Hebert for ProPublica

Keith Herie is swamped in debt from medical issues he and his wife encountered starting about a decade ago. Heartland hospital is seizing 10 percent of his paycheck and 25 percent of his wife's wages, and has placed a lien on their home. Steve Hebert for ProPublica hide caption

itoggle caption Steve Hebert for ProPublica

Bridgeit Vaughn (left), of the billing office at Mid State Orthopaedic, meets with Gayle Jackson-Pryce to discuss the costs of Jackson-Pryce's upcoming shoulder surgery. Jenny Gold for NPR hide caption

itoggle caption Jenny Gold for NPR