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Why would that not contribute to a deductible?
The deductible is an amount that you pay out of pocket before insurance starts covering anything. So if insurance doesn't get billed, the money doesn't count towards the deductible. This may make it difficult to lower the bill at all, it really depends on how much the entire bill is compared to your deductible. If you can't pay it though, they'll have to give you an affordable payment plan. Definitely negotiate and don't take a loan out from some other source to cover.
If you don't expect to meet your deductible, like if it's near the end of your insurance year, asking for a cash price is a good option.
Its pretty hard to get off with as low as a few k from the ER. Just going there would likely hit the deductible.