It is all funny money...the US system is completely broken. The only ones that actually get charged those inflated rates are unfortunately the people who don't have insurance or gov't care (like Medicare/Medicaid).
Doctors and insurers haggle with each other all the time, so my advise to anyone without insurance in the US is don't be afraid to call up a billing office and negotiate --especially with a hospital-- remember they're sometimes getting 20 cents on a dollar (or less) from the insurers, so they're used to it. And do it right off the bat -- call them, say I can't pay this amount, but I can pay this (smaller) amount.
The worst they can do is say no, and many will take the "deal" rather than potentially have you default on the bill. Remember, if they send you to collections, the agency gets a cut of anything that's collected, so it's still in their interest to settle directly with you. What a mess...this is why I have tums at my desk.
Doctors and insurers haggle with each other all the time, so my advise to anyone without insurance in the US is don't be afraid to call up a billing office and negotiate --especially with a hospital-- remember they're sometimes getting 20 cents on a dollar (or less) from the insurers, so they're used to it. And do it right off the bat -- call them, say I can't pay this amount, but I can pay this (smaller) amount.
The worst they can do is say no, and many will take the "deal" rather than potentially have you default on the bill. Remember, if they send you to collections, the agency gets a cut of anything that's collected, so it's still in their interest to settle directly with you. What a mess...this is why I have tums at my desk.