Because of a new insurance plan, I now have to pay out of pocket for my pdoc. I pay $150 for an appointment. I don't know where you are located, but I can't imagine that your pdoc's time costs twice as much as mine. Something sounds unethical about such a high charge for a missed appointment. Also, there is no policy of keeping a credit card on file with my pdoc's group. One time I was 30 minutes late due to traffic problems. I called en route and the office staff was very nice, telling me to get there when I could. The practice you deal with sounds very impersonal. I am sorry that you deal with this!
Bluemountains