My T charges the full rate for appts cancelled less than 24 hours ahead. That being said...I never got charged for the appts where my daughter woke up in a giant itchy scaly rash and I took her into the doc instead of going to T. My OB office never charged me for the appt I accidentally slept through at 39 weeks. But in both cases I have a history of always showing up and being on time.

An office can't afford to have patients chronically being no shows. Another provider might better be able to meet their needs.

I also think it's unfair of providers to quadruple stack appointments and make us wait hours past appt time. One OB appt took so long for the doc to come in that I had fallen asleep on the exam table. The OB was so embarassed! It wasn't like she was at a delivery, she was just being slow that day.