So prices are excessive because too many people don't pay their bills, leading more people to be unable to pay their bills, leading to even higher prices.
So my 15 minutes $600 allergy appointment that insurance refused to cover (after covering the same damn appointments for 12 years) is that high because of others, or so I keep hearing...
But yeah, I assume it's a combination of:
* Most people pay through their insurance, so they don't have to pay the sticker price or anything resembling it
* Some people going on payment plans and getting stuck in debt basically forever
* Some people bargaining their bill down, paying pennies on the dollar
* Some people going into collection, paying pennies on the dollar
Of course, it's absurd that all 3 out of 4 paths require you to take extra, often really painful steps (collection + bankruptcy, maintaining insurance, or long drawn-out negotiation) just to pay a reasonable price for something that is 100% non-optional and most countries provide for much-closer-to-free. But that's kinda what happens when the system is broken