Exactly Adam, that is what we do for our cash patients. Works great for both us and the patients. Just have a cheat sheet at the front desk for your reception staff so they know the charges. We also give our cash patients a letter showing the difference between paying on day of services fees versus the standard fees. That alone gets a lot of people to pay at that time rather than be billed. As a matter of fact, when people see the difference and still opt to be billed, we have found these are the folks most likely to stiff you. Funny how it is ok to get service at a doctor's office and walk out without paying, but if you did that at a restaurant, the police could come arrest you. Guess we rich doctors are just supposed to eat that cost.......wow, I am starting to sound like Paul! Must have read too many of his comments!