Which does the person with no insurance, but unqualified for medicaid absolutely no good - He would be on the hook for the full amount.
And even if the 'real price' is 1/3... Are you kidding me? SEVENTY THOUSAND DOLLARS? You're OK with that?
And what, pray tell, if your insurance has a handy-dandy loophole to slither out of? Then you are the bag-holder. What then?