Same deal if you visit the ER without insurance. The prices are truly outrageous, and the "self pay discount" is a really bad joke. Without insurance you have no negotiating power. It's pay up or have your credit ruined, and you are paying extra to cover the cost of the people who can't pay. The hospital has to make it up somewhere.
I speak from personal experience.
And it is so reassuring when they come around to your ER bed and ask for your credit card.