So actual payment was about $67,500.
And they wrote off the rest.
I would suggest they never expected the difference. Hospitals negotiate everything. We don't see it if an insurance company is handling the bill, but if you tell them I can't pay that amount they will negotiate. I would point you back to the example of the contractor as an example.
Negotiation pretty much has to occur on the front end. They may accept less if you can’t pay, on the back end, but I wouldn’t account on it.
They need to get back to where they charge the same price for the same procedure for everybody regardless of insurance. Only then will we have some clarity.