Oh sir! Allow me to clear this up for you. These peons, these random floor workers don't understand things like money my good sir.

Why it's the Hospital Admininstrators and Insurance companies that get all the money, not the sick people of course! This allows us to inflate the cost of our goods and services on paper, which in turn we can use to lower our taxable corporate income. And don't worry - the insurance team makes certain our customers continue to pay while they are outside of and not using the business operations!

Now we of course don't charge them the "paper prices" because they too need to turn a profit - and no one can actually afford a $10,000 ambulance ride so we can just pretend to argue back and forth while we both write those all off. A delightfully devious scheme I might add my good sir yes yes!