Can I negotiate a hospital bill?

Yes - a hospital bill is a starting position, and hospitals expect negotiation far more than patients realize. The moves, in order. First, get the itemized bill and check it - errors are common, and removing duplicates and phantom charges is not negotiation, it is correction. Second, apply for financial assistance: nonprofit hospitals (most US hospitals) are legally required to have financial-assistance policies, and many forgive bills entirely below certain income levels - people who would qualify routinely pay full price because nobody told them to apply. Third, ask for the cash or self-pay rate: hospitals bill insurers far less than list price, and the number they actually expect to collect is closer to the insurer rate - asking 'what would this cost if I paid today?' often cuts the bill substantially. Fourth, ask for a payment plan: interest-free plans over months are standard practice and keep the bill out of collections while you chip at it. Fifth, if it goes to collections anyway, negotiate there too - collection agencies buy debt cheap and settle for less. Throughout: get every agreement in writing before paying, and never put a hospital bill on a credit card before exhausting these steps - a card turns negotiable medical debt into non-negotiable consumer debt at card interest. Pymander is a free AI doctor, 24/7 by text, that can help you plan the calls.