It's because it's the cash price. Medicare and Medicaid reimbursements are significantly less, so in order to make budgets make any sense, the bills that can be

It's because it's the cash price. Medicare and Medicaid reimbursements are significantly less, so in order to make budgets make any sense, the bills that can be increased, increase enough to cover all of the others. Even employer sponsored insurance will get significant discounts on that price.