The HSE spent nearly 1.3 million euro on debt-collection costs in 2019 and 2020.
According to freedom of information documents, the money was paid to six companies - with one agency getting over half a million.
The HSE was seeking to collect unpaid costs, such as 100 euro for a patient attending an emergency department.
The Irish Patients Association, is questioning the debt-collection spend.
Wicklow Boy Awarded €45,000 for Injuries Caused by Uninsured Driver
Wicklow Woman In TG4 Documentary On Embracing Life & Defying Age Stereotypes
Wicklow Rents Climb As Market Tightens In Line With Rental Reforms
Bray Quartet Florence Road Named Most Promising Act in Hot Press Readers’ Poll 2026
Wicklow Wide Coffee Morning Raises Almost €50,000 for Local Cancer Services