Many physicians and hospitals will negotiate fees for people who cannot pay and do not have insurance but not all. The who pricing system is somewhat scandalous since they often set the prices very high, knowing they will get negotiated downward by insurance companies. Some places will give you a discount if you pay up front as well.

It is ironic that they charge the highest rates to people without insurance and who are often the least able to pay. It seems the who system needs reform. I would check the medicare pricing schedule and see if you can get them to accept that. Some doctors and non profits have sliding scales for people of low income. The for profit hospitals and clinics are often less inclined