[rozlee]

Many docs are now employees of health systems and do have to follow the corporate plan involving these choices but...for the brave and private docs some are opting out of all insurance and doing a cash only business at a very reduced rate. Saves all the cost involved in the coding and billing rules which most people have no idea about.

In order to get paid from the "insurers" every move the docs make with the patient have to be turned into numbers and codes and be one number off and your payment will either be denied or hang in limbo. Naturally the docs have to hire a professional coder to get this right the first time. Just one of the many costs that they incur behind the scenes.