They negotiate for the insured, not the uninsured. The hospital charges the insurance, the insurance comes back and says nahhh, this is how much we're paying, a

They negotiate for the insured, not the uninsured. The hospital charges the insurance, the insurance comes back and says nahhh, this is how much we're paying, and they talk back and forth sometimes and settle on the price. For the uninsured, there is no negotiation until after the patient contacts billing and bets for it and they won't get anywhere near the deal that an insured person gets.