As peo­ple that have insur­ance are respon­si­ble for a big­ger por­tion of their med­ical bills, hos­pi­tals are more con­cerned about col­lect­ing. Now 41% of Amer­i­cans have deductibles of $1,000 or more, which is up from 10% in 2006. Add to those cov­ered by their employ­ers with the new­ly cov­ered 7 mil­lion or so, almost all of whom chose high deductible health plans. Hos­pi­tals total cost of uncom­pen­sat­ed care reached $46 bil­lion in 2012, which is equal to 6% of their expens­es. So now many hos­pi­tals try to get patients to pay up front 30 to 50% of what they will owe and some offer dis­counts for pay­ing early.