The horrific story of Jane Doe and the Cornell Seven has spurred nationwide outrage and revived contentious debates around prevention and education. But one question is going unasked: Who really pays after a sexual assault? In terms of actual dollars and cents? The answer, Cosmopolitan finds, isn’t good:

Leah received an email from the first hospital. It was a bill for $3,338, including $663 for lab work and a pregnancy test she hadn’t asked for. She hadn’t been charged for the rape kit, but the price of just checking into the ER was $2,241. After her parents’ insurance was applied, she owed $451.06.

“I was so unbelievably angry,” she says. “I lost it. I was like, ‘You mean it cost me $450 to get raped?!’”

Most people don’t realize this care might not be covered, says Vega, who has worked as an emergency room nurse, emergency room director, and a SANE. But that’s actually common: KFF analyzed a sample of insurance claim data from 2016 to 2018 (the most up-to-date data KFF has) and found that 83 percent of women who received a sexual violence diagnosis were billed for treatment. Another analysis of emergency room department data from 2019 found that the average bill for sexual assault survivors was $3,551, according to the New England Journal of Medicine.