Rando - exactly. Reason why we do not accept any insurance, especially Medicare or Medicaid. Their reimbursements would be laughable if not so egregious. We charge what we need to stay in business... because our practice is a business and not some other worldly thing. This means when others inflict costs on me, that cost must be passed on to consumers. Otherwise I do not own my business and should seek out where John Galt is hiding.