No. Way. In. Hell.
I don't care about charity, that's up to the hospital. That's not forced on them by the government. I'm all for charity.You received charity care. My local clinic will charge slightly less for an office visit if you pay them on the day of your appointment.
However, that's not what it was. The blood test only cost $15. They charge insurance companies more because they CAN. Insurance always gets charged more. There's overhead for the hospitals/doctors to even have to DEAL with insurance agencies. They have to pay someone to deal with them, to take care of the paperwork. They charge them more, because they'll pay more.
The difference was that *I* order the blood test myself as opposed to using a doctor's orders. Then, the results were given to ME. Even if you have insurance, you could do it that way. ANYONE could do it that way. They just don't bother to tell people with insurance about because that's where they make bank.
Get rid of insurance, and you get rid of the high costs. The **** doesn't cost anywhere NEAR as much as they charge. Government involvement and insurance companies are the problem. But unfortunately, some fools still seem to think that adding more of both is going to magically "fix" things.
Had nothing to do with any sliding scale since my income amount wasn't even taken into consideration. I could have been a millionaire and it wouldn't have mattered.Other than that, hospitals sometimes arrange charity care discounts. Insurers with large pools -corporate accounts ,for example, always negotiate favorable pricing. If you are not in a large insurance pool and do not meet the standard deemed "low income", you will be taken to the cleaners. It is a sliding scale with the middle income, self-employed person paying the maximum possible.