Not necessarily. Around here you can’t get a cash price for anyrhing, even with a specific code, without first going through a financial review by the provider, then what folks are charged for the same test/procedure will vary by income.
That nicely illustrates in microcosm how screwed up healthcare system billing and payments have become.
I don’t know where “around here” is, but I’ve come across plenty of stories in my area from people who negotiate directly with doctors and hospitals for medical procedures.
I just got the latest instructions on coding and billing for office visits, based on the latest Medicare “rules” (which are constantly changing).
People here would literally not believe these documents were real if I posted them and anybody read them.